Speakers 2025 | Kisaco Research

Health Plans & Government Officials

Christopher Draven

Christopher Draven

Senior Director of Payment Integrity Analytics & AI

HCSC

Christopher Draven

Christopher Draven

Senior Director of Payment Integrity Analytics & AI
HCSC

Christopher Draven is Senior Director of Payment Integrity Analytics & AI at HCSC where he leads a cross-functional team focused on delivering actionable insights and savings. He has over 25 years experience in healthcare, starting in direct patient care.

Crystal Son

Crystal Son

Executive Director of Enterprise Data Analytics Solutions

HCSC

Crystal Son

Crystal Son

Executive Director of Enterprise Data Analytics Solutions
HCSC

Crystal Son is an Executive Director of Enterprise Data Analytics Solutions at Healthcare Service Corporation (HCSC), the largest customer-owned health insurer in the United States. HCSC provides access to care nationwide through Blue Cross Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma and Texas as well as through its broad portfolio of companies. Crystal has 20 years of experience in deriving intelligence from data and mobilizing teams to action.

At HCSC, she leads the Strategic Initiatives & Partnerships team, which leads key programs such as Payment Integrity, Responsible AI and AI Literacy and Workforce Readiness. She is passionate about real-world applications of data-driven insights, storytelling through data, and building high-performance teams. 

Prior to joining HCSC in October 2022, Crystal held several roles at previous organizations, including delivery of data science advisory services, management of healthcare and government customer portfolios, and the development and launch of several new products.  She began her career in data as an epidemiologist, first for the City of New York, then with Memorial Sloan-Kettering Cancer Center but has called downtown Chicago home for the last 11 years.

Monique Pierce

Monique Pierce

Payment Solutions & Operations

Cohere Health

Monique Pierce

Monique Pierce

Payment Solutions & Operations
Cohere Health

Monique started her Payment Integrity career in COB at Oxford HealthPlans.  After the merger with UnitedHealthcare, she led multiple teams and was responsible for creating innovative programs. Monique joined SCIO Health Analytics in 2014 and was responsible for system and process improvements before being promoted to VP of client engagement and business optimization   In 2020, Monique joined start-up Devoted Health and created a full suite of programs from the ground up.   Based on a passion for metrics and measuring performance, she centralized and standardized all programs reducing implementation time and maximizing savings.   Today, Monique is driving opportunities to improve claim payment by designing and developing new prior auth and claim reconciliation products at Cohere Health.  

Simi Binning

Simi Binning

Responsible AI Lead

HCSC

Simi Binning

Simi Binning

Responsible AI Lead
HCSC

Simi Binning is an accomplished healthcare professional with over a decade of experience in developing and executing successful strategies that drive business growth. Currently serving as a Responsible AI lead at HCSC, her focus is on AI governance and innovative problem solving.

Novelette Wallace, MPH, PMP, CSSBB

Novelette Wallace, MPH, PMP, CSSBB

Head of Payment Integrity

Johns Hopkins Healthcare

Novelette Wallace, MPH, PMP, CSSBB

Novelette Wallace, MPH, PMP, CSSBB

Head of Payment Integrity
Johns Hopkins Healthcare

Novelette Wallace is a distinguished Payment Integrity Leader with a rich background spanning over 30 years in the healthcare industry. Her extensive experience includes leadership roles within payment integrity, where she has played pivotal roles in both payment integrity vendor organizations and health plans. Throughout her career, Novelette has demonstrated a remarkable ability to build and lead Payment Integrity departments from their inception. Her expertise has been instrumental in establishing robust processes and strategies to identify and recover inaccuracies in claims, contributing significantly to cost of care savings for health plans year after year.

Novelette has held key leadership positions with industry-leading organizations, including Performant Corp, United Healthcare, and Aetna (previously Coventry). In each role, she has consistently delivered results by optimizing payment integrity processes and driving operational excellence. Currently serving as the Assistant Vice President (AVP) of Payment Integrity for Johns Hopkins Health Plans, Novelette continues to bring her wealth of knowledge and leadership acumen to the forefront. Her dedication to achieving and surpassing cost of care savings goals exemplifies her commitment to advancing the financial health and efficiency of healthcare organizations.

With a proven track record of success and a comprehensive understanding of payment integrity within the healthcare landscape, Novelette Wallace stands as a respected leader in the industry, contributing significantly to the success of the organizations she serve

Josh Miller

Josh Miller

Director, Payment Integrity

Prominence

Josh Miller

Josh Miller

Director, Payment Integrity
Prominence

Stephanie Sjogren

Stephanie Sjogren

Director, Coding and Provider Reimbursement

EmblemHealth/Connecticare

Stephanie Sjogren

Stephanie Sjogren

Director, Coding and Provider Reimbursement
EmblemHealth/Connecticare

Stephanie Sjogren is a director of coding and provider reimbursement, working with payment integrity to ensure proper claims adjudication and to prevent fraud, waste, and abuse. Prior to joining ConnectiCare/EmblemHealth, she performed provider audits and education at a women’s healthcare group. Sjogren has also worked with physicians and staff to integrate and use electronic health record systems effectively and to stay in compliance with the Centers for Medicare & Medicaid Services’ rules and regulations. Her areas of specialty are payment integrity, auditing, and clinical documentation improvement. 

Michael Devine

Michael Devine

Director Special Investigations Unit

L.A Care

Michael Devine

Michael Devine

Director Special Investigations Unit
L.A Care

Jonique Dietzen

Jonique Dietzen

Payment Integrity Director

CareOregon

Jonique Dietzen

Jonique Dietzen

Payment Integrity Director
CareOregon

With over 18 years of experience in healthcare billing and finance, I am a certified professional coder dedicated to ensuring accurate claims and proper reimbursement for providers. Having worked extensively on the provider side in finance and revenue cycle, I bring wealth of knowledge to the table, particularly in processing and payment integrity.
Throughout my career, I have gained a comprehensive understanding of billing challenges from both perspectives. This unique insight drives my commitment to improving billing practices and advocating for provider education. I continue to leverage my expertise to enhance billing processes and support providers in navigating the complexities of healthcare finance.

Jordan Limperis

Jordan Limperis

Data Scientist

LA Care

Jordan Limperis

Jordan Limperis

Data Scientist
LA Care

Highly motivated Data Scientist with a strong background in healthcare data and systems. Experienced in Inpatient Hospital and Laboratory Epic Systems, where I applied data-driven insights to improve clinical and operational efficiency. Currently, I am pursuing my career at L.A. Care, focusing leveraging advanced machine learning techniques to analyze noisy data, ensuring accuracy and efficiency in healthcare operations, particularly in payment integrity.

Saikiran (Sai) Vodela, MPA, MS, PharmB

Saikiran (Sai) Vodela, MPA, MS, PharmB

Advisor and Manager, HealthIT

L.A. Care Health Plan

Saikiran (Sai) Vodela, MPA, MS, PharmB

Saikiran (Sai) Vodela, MPA, MS, PharmB

Advisor and Manager, HealthIT
L.A. Care Health Plan

Saikiran (Sai) Vodela is an Advisor and Manager of HealthIT at L.A. Care Health Plan, where he leads strategic efforts in Health Information Exchange (HIE), California’s Data Exchange Framework (DxF), and interoperability initiatives that support care coordination for Los Angeles County’s safety net population.

Sai previously spearheaded the implementation of a clinical data repository under the Transforming Clinical Practice Initiative (TCPi), a nationwide effort by the Center for Medicare & Medicaid Innovation (CMMI) aimed at improving healthcare delivery through data-driven transformation. The program achieved $196 million in cost avoidance for the health plan. Earlier in his career, he developed performance monitoring solutions for Accountable Care Organizations (ACOs) and Medicare providers at an electronic health record company.

He holds a Master of Public Administration (MPA) in Healthcare Management, a Master of Science (MS) in Pharmaceutical Chemistry, and a Bachelor of Pharmacy (PharmB).

Mandi Heiple

Mandi Heiple

Director of Payment Integrity

Medica

Mandi Heiple

Mandi Heiple

Director of Payment Integrity
Medica

Rae A. McIntee, DDS, MD, MBA, FACS, CPE

Rae A. McIntee, DDS, MD, MBA, FACS, CPE

Medical Director Clinical Solutions (Supporting Payment Integrity & SIU)

Louisiana Blue

Rae A. McIntee, DDS, MD, MBA, FACS, CPE

Rae A. McIntee, DDS, MD, MBA, FACS, CPE

Medical Director Clinical Solutions (Supporting Payment Integrity & SIU)
Louisiana Blue