Optimizing your Claims Management | Kisaco Research

Optimizing your Claims Management

Medical Cost Containment Summit
5-7 February, 2025

Join us at the 7th Annual Healthcare Payment & Revenue Integrity Congress returning in Nashville!

Whether you’re looking for vendors with proven ROI or insourcing strategies from health plan leaders, this event has it all. Explore AI-driven solutions for improving data analytics, reducing FWA, and enhancing claims accuracy. Network with peers and collaborate with providers to drive efficiency and financial success for your plan!

Whats New for 2025?

Bigger, better audience

With now 3 separate curated topics, we aim to unite payers and providers across everything finance. Covering the liked of payment integrity and risk adjustment from the health plan side and revenue cycle management on the provider side, we include all aspects of payer-provider collaboration across healthcare finance.

Facilitated Networking

Trialled during our Vegas conference, returning even bigger in Nashville! We’re helping you keep up to date with solutions on the market and curating the conversations you have with vendors so you meet those who can really help your organisations save more.

More Innovation

We understand that many health plans don’t have the budget for new vendors, so we’re recruiting the best in the business to tell you how you can do it yourself. More insourcing, data analytics, AI use cases to help you improve your cost containment. 

Speaker Faculty Includes:

 

Bruce Lim

Deputy Director, Audits and Investigations
California Department of Health Care Services (DHCS)

Bruce Lim serves as the Deputy Director, Audits and Investigations, for the California Department of Health Care Services (DHCS) and is the designated Program Integrity Director for Medi-Cal, California’s Medicaid program. Mr. Lim is a certified public accountant (CPA) with over 32 years of audit and financial management experience in both the private and public sectors. Past employers include Kenneth Leventhal and Company, CPAs (Ernst & Young Kenneth Leventhal Real Estate Group), Packard Bell NEC, and the California Department of Food and Agriculture.

Bruce Lim

Deputy Director, Audits and Investigations
California Department of Health Care Services (DHCS)

Bruce Lim

Deputy Director, Audits and Investigations
California Department of Health Care Services (DHCS)

Bruce Lim serves as the Deputy Director, Audits and Investigations, for the California Department of Health Care Services (DHCS) and is the designated Program Integrity Director for Medi-Cal, California’s Medicaid program. Mr. Lim is a certified public accountant (CPA) with over 32 years of audit and financial management experience in both the private and public sectors. Past employers include Kenneth Leventhal and Company, CPAs (Ernst & Young Kenneth Leventhal Real Estate Group), Packard Bell NEC, and the California Department of Food and Agriculture.

 

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.

Christopher Draven

Senior Director of Payment Integrity Analytics & AI
HCSC

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

Executive Director of Enterprise Data Analytics Solutions
HCSC

Crystal Son is an Executive Director of Enterprise Data Analytics Solutions at Healthcare Service Corporation (HCSC). She has 19 years of experience in deriving intelligence from data. 

Crystal Son

Executive Director of Enterprise Data Analytics Solutions
HCSC

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). She has 19 years of experience in deriving intelligence from data. 

At HCSC, she leads the Strategic Initiatives & Partnerships team, a department that focuses on cross-functional, collaborative analytics delivery on key programs such as Payment Integrity and Stakeholder Engagement, enterprise data and analytics strategy and planning, as well as design and execution of HCSC’s Responsible AI program. She is passionate about real-world applications of data-driven insights, storytelling through data, and building high-performance teams.

 

Helen Liu, Pharm.D.

Health Plan Leader
Independent

Helen Liu, PharmD, brings 29 years of diverse pharmacy experience, blending clinical expertise, operational efficiency, technological innovation, and management across various healthcare settings.

Helen Liu, Pharm.D.

Health Plan Leader
Independent

Helen Liu, Pharm.D.

Health Plan Leader
Independent

Helen Liu, PharmD, brings 29 years of diverse pharmacy experience, blending clinical expertise, operational efficiency, technological innovation, and management across various healthcare settings.
Over the past four years, Helen has successfully led pharmacy operations at ATRIO Health Plans (Medicare), achieving significant milestones in PA/ST, FWA, MTM programs, resulting in over $4.5M in savings. She’s conducted formulary analyses to support actuary Medicare annual bid submissions, including IRA and M3P programs, collaborated with partners and the Pharmacy Benefit Manager (PBM) to identify cost-saving opportunities through formulary alternatives, biosimilars, and rebate strategies, and partnered in the RFP PBM selection process and resolved complex pharmacy-related issues through cross-departmental collaboration.
Before ATRIO, Helen spent seven years at Kaiser Permanente, where she served as Regional Assistant Director to implement hospitals Drug Use Management Program. Her efforts led to over $20 million in savings through inventory management, drug cost-saving initiatives, and the standardization of clinical content/practice guidelines.

 

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.

Jordan Limperis

Data Scientist
LA Care

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.

 

Kelly Bennett, JD, CFE, AHFI

Medicaid Program Integrity Chief
Agency for Health Care Administration

Kelly Bennett graduated from the University of Tampa and Florida State University College of Law.  She has been a member of the Florida Bar since 1997 and is a Certified Fraud Examiner and an Accredited Health Care Fraud Investigator.  She has worked at the Florida Agency for Health Care Administration since 2001 and has served in several roles, including as a Senior Attorney within the Medicaid Division of the Office of the General Counsel, the Assistant Bureau Chief for the Bureau of Medicaid Program Integrity, the Agency’s Medicaid

Kelly Bennett, JD, CFE, AHFI

Medicaid Program Integrity Chief
Agency for Health Care Administration

Kelly Bennett, JD, CFE, AHFI

Medicaid Program Integrity Chief
Agency for Health Care Administration

Kelly Bennett graduated from the University of Tampa and Florida State University College of Law.  She has been a member of the Florida Bar since 1997 and is a Certified Fraud Examiner and an Accredited Health Care Fraud Investigator.  She has worked at the Florida Agency for Health Care Administration since 2001 and has served in several roles, including as a Senior Attorney within the Medicaid Division of the Office of the General Counsel, the Assistant Bureau Chief for the Bureau of Medicaid Program Integrity, the Agency’s Medicaid
Fraud Liaison, and is currently the Chief of Medicaid Program Integrity, where she has served since July of 2014.  She is currently the President for the National Association for Medicaid Program Integrity and is an active participant in training and collaboration initiatives with the National Health Care Antifraud Association.

Don't Just Take Our Word For It

Large Health Plans in our Community

*large health plans are defined as payers who insure more than one million lives.

Small Health Plans in our Community

*small health plans are defined as payers who insure less than one million lives.

Meet our Partners

Want to learn more about partnering with us? 

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