Julia Karess

Designed and led execution of enterprise-wide product roadmap, enhancing CMS reporting compliance and reducing audit risk by 92%.
Delivered $8M in operational efficiencies by streamlining cross-functional reporting systems using automation and KPI dashboards.
Orchestrated $30M+ in new client wins by aligning technical product capabilities to emerging RFP opportunities.
Directed budget forecasting and planning, ensuring 100% alignment with CMS guidelines and internal strategic priorities.
Built and deployed Salesforce CRM system that improved account manager efficiency by 41%.

Founded a tech-enabled parenting startup focused on digital tools for baby care and caregiver collaboration. Currently leading development of a mobile app with a targeted App Store launch in Summer 2025.

• Spearheading the design, build, and pre-launch strategy for a mobile app offering behavioral cue tracking, AI-powered insights, and co-caregiver syncing.
• Built and manage a cross-functional development team (UX, engineering, content).
• Leading branding, subscription model design, and go-to-market strategy.
• Developed monetization pathways including premium tiers and affiliate partnerships to support early-stage revenue.

Generated over $1B in ROI through technology product adoption and national rollout of EPIC-based solutions.
Maintained #1 national performance in network adoption metrics for three consecutive years.
Directed cross-functional deployment of Azure cloud migration and digital health integration tools.
Led training programs and created national product playbooks adopted across all regional markets.
-Served as U.S. SME for EPIC integration strategy; guided 100+ health systems through digital transformation.

• Managed relationships with over 200 providers, achieving a 15% improvement in satisfaction scores through enhanced claims support and engagement.
• Led contract support and negotiation for both facility and physician groups, contributing to a 10% increase in network retention.
• Oversaw resolution of claim processing issues across 3 key lines of business (Medicare, Medicaid, Commercial), reducing average turnaround time by 22%.
• Supported quality program execution (HEDIS, RAF, MCAIP, MAPCPI), leading to measurable improvements in coding accuracy and incentive attainment.
• Streamlined provider onboarding and technical support processes, enhancing CMS compliance and reducing escalations by 30%.
• Utilized systems including NDB, ISET, COSMOS/CPA, Facets, and Spire for end-to-end provider lifecycle management.

Developed forecasting tools using AWS that optimized labor allocation, improving output by 33%.
Led 5 direct reports and improved team performance rankings to Top 50 across five consecutive peak seasons.
Delivered 100% on-time project execution for five seasonal campaigns, ensuring seamless fulfillment operations.