Deb Wachowicz

Background

About Deb Wachowicz

Versatile healthcare analyst with a broad knowledge of healthcare payor business domains, including account, benefit and pricing configuration, member enrollment, billing and accounts receivable, correspondence, provider and supplier contracting and healthcare EDI transactions. 13 years HealthRules Payor expertise, including multi-year implementations and 4 years experience as a HealthRules configuration consultant for provider contract configuration, benefit configuration and claims adjudication. My foundation in healthcare comes from 15 years of experience in operations, systems and technology at a health plan consistently recognized as one of the highest-ranked health insurance plans in the nation. With proven business acumen and in-depth business domain knowledge in the healthcare industry in general and in the insurance/payor market segment. I support a robust product portfolio including Medicaid, Medicare, Commercial Fully Funded, Self-Funded and FSA. I analyze problems and design and implement solutions, including development of workflows, processes and procedures for a variety of projects. I consistently deliver what the business needs. I am a meticulous, experienced business analyst with a passion for collaborating with developers and end users to produce requirements and specifications that accurately reflect business needs and are technically achievable. 5 years experience as a dedicated Scrum team member on a major enterprise project tasked with the development and implementation of HealthRules Payor as new core administrative platform. In addition to my role as business SME, I developed requirements, user stories, feature enhancement requests, developed, documented and trained on new standard operating procedures, collaborated with architects and developers on solutions and performed user acceptance and system integration testing. 4 years experience in leadership roles with increasing responsibility. Managed a team of enrollment and A/R processors and a team of business analysts. I've worn many hats in my career. As a result, I have the unique ability to manage multi-disciplinary projects and navigate complex challenges. Actual experience has taught me that my professional value boils down to the following- I keep it simple. Over engineered solutions over complicate an already complex healthcare landscape- Lots of people have big ideas. Execution is what matters, I do execution- I don't care who gets credit. I just want to win.