Healthcare operations and compliance leader with 15+ years of experience driving claims adjudication, provider enrollment, benefit configuration, and audit functions across Medicaid, Medicare, commercial, and TPA lines of business. Proven expertise in HIPAA, CMS, and state regulatory compliance, healthcare revenue cycle management, and EDI transactions (834/835/837/278). Skilled in process improvement, workflow optimization, and cross-functional collaboration to enhance data quality, operational efficiency, and regulatory adherence. Known for analytical thinking, adaptable problem-solving, and a commitment to continuous improvement in payer environments.