Welcome to my Case Studies
Here you’ll find the learning programs, operational workflows, and system-based solutions I’ve designed and delivered end-to-end. My work extends beyond training. I build the entire ecosystem around performance: onboarding strategy, claims operations support, technical implementation, and configuration alignment across multiple systems and teams.
Each case study showcases how I transform complex business needs into clear, scalable learning and operational solutions. From full onboarding academies and multi-system claims training to process redesign, implementation planning, and cross-functional coordination with Information Technology, Configuration & Claims Operations, Provider Network Management, Customer Service Experience, Human Resources, and Business Process Outsourcing partners.
HealthRules® Payer System Implementation
An in-depth look at the HealthRules implementation for Metropolitan Jewish Health System, where I led UAT efforts, coordinated with Cognizant consultants, validated system configuration, and ensured accurate claims processing, clinical editing, and benefit rule setup across Medicare–Medicaid dual programs
CCO Complex Claims Processing —HealthRules® - eLearning Curriculum
This eLearning program transformed complex claims workflows into clear, interactive, self-paced modules. Through system demos, Storyline simulations, job-aid integration, and SCORM delivery, cross-trained staff gained the skills and confidence needed to accurately process high-complexity claims.