Insight Research Group

- Provide strategy, operations, and analytics support to innovative healthtech (incl. VBC) and social impact orgs
- Past / current clients include: Optum, UCSF, Stupski, Honest
- Learn more at https://insightresearch.group

Principal

Flourish

- At Flourish, we offer programs to help leaders and executives prevent and manage burnout 
- We've worked with leaders and execs from world-class companies including: Google, Salesforce, Intuitive, Atlassian, and McKinsey
- Learn more at joinflourish.com

Co-Founder

Value-Based Care Partners

Consultant / Advisor

For A Reason

For A Reason provides life-long educational opportunities to children and young adults in Haiti. Learn more at forareason.org.

Board of Directors

DaVita Medical Group

Worked at the intersection of strategy and operations to develop and implement programs targeted at improving patient experience and retention.

Senior Analyst

Redwoods Analyst, Strategy and Special Projects

DaVita Kidney Care

Developed an updated comprehensive care management strategy to improve delivery of value-based care.

Redwoods Summer Analyst

Augmedix

Associate, Business Development and Business Intelligence

Intern, Business Development

I’m on a mission to help every human realize their full potential. I aspire to do this by vastly improving the delivery and outcomes of healthcare in the United States. 

I’m currently the CEO of Insight Research Group (boutique consulting practice helping healthtech and VBC companies grow) and co-founder of Flourish (evidence-based programs focused on fostering connection, promoting resilience and well-being, and helping individuals and teams flourish)

Prior, I worked on patient experience at DaVita Medical Group (acquired by United / Optum). I was also an early employee at Augmedix (Nasdaq: AUGX).

Richard Mancuso

Cambia Health Solutions

Program Director QIP

Certified Medical Coder

Optum

Responsible for Medicare Advantage HEDIS, RAF, and Patient Experience across 4 states, 193 provider groups spanning over 250k lives. Led a team of 13 individuals

Associate Director Idaho, Montana, Nevada, & Utah, Quality Field Operations

Manager, Clinical Quality

Medicare Consultant

HCC Risk Adjustment diagnosis code extraction, physician training on proper documentation per Medicare RAF guidelines

Coding Quality Analyst

University Medical Billing

Responsible for reviewing coding and clinical accuracy of E/M and surgical coding for multiple Pediatric physician groups, responsible for both CPT, ICD-9, and ICD-10 code assignment.

Medical Coder

Collected business requirements from internal and external clients and defined requirements for proprietary medical claims editing software (Medicare, Medicaid, Commercials, Fraud, Waste and Abuse).  Analyzed client issues and provided solutions and contributed to end user acceptance testing
•	Led project teams in the US and India to achieve critical product development  goals
•	Used Scrum, Waterfall and Agile methodologies 
•	Trained internal and external clients on use of proprietary software
•	Experienced with User Story and Use Case creation
•	Experienced Product Owner with Scrum Master training

Sr Business Analyst

Trained clients on use of proprietary claims editing software and coding software.
Training was provided on-site or remote, based upon client need.
Contributed to growth and development of the training department.
Developed training materials for end user consumption.
Participated in client implementations prior to training and support of clients after their go-live dates.

Training Consultant

Outcomes Health Information Solutions

Audit assigned medical records
Data entry of extracted ICD-9-CM codes
Instruct on correct charting techniques

Medical Records Auditor

ChartLogic, Inc.

Implementation Project Mangement:Coordination of proprietary software implementations and trainings, responsible for client implementation from purchase to go live 
Training: Train on BillingLogic software (PMS integrated with ChartLogic EMR)
Assist clients with all follow up training after initial training period
Assist with installation of software
Instrumental in development of training course for BillingLogic
Instrumental in product development and validation of BillingLogic product

Implementation Manager

Intermountain Healthcare

Assist all IHC Hospital and various other IHC facilities on collecting of Third Party Liability settlement claims, including Workers Compensation, personal injury, and some product liability. Also responsible for billing and follow up of all out of country insurance claims.

Patient Service Representative, Special Account Services

Completed patient check-in, scheduled appointments, and responded to calls from pharmacies, patients and other doctors’ offices.

Client Representative, Taylorsville Health Center

South Towne Surgery Center

Responsibilities included:  ICD-9 and CPT coding of OP reports, charge entry, claim submission (electronic and paper), medical record content accuracy, insurance follow up, all self pay aging and collections, prepared month end reports including any bad debt accounts, % of monies collected from collection agencies, outstanding OP reports, and unbilled claims. 
Assisted Office Manager with insurance contract management and Front Desk with patient check-in and scheduling of surgeries, and other misc office duties.

Billing and Collection Specialist/ Medical Coder

Entered charges, completed billing, coordinated surgery schedule and office activities and supervised medical assistant.  Prepared daily deposits, posted payments and reviewed explanation of benefits (EOB’s) and coordination of benefits (COB’s) with insurance companies and patients.  Posted payments and prepared accounts payable.

taplio

The Battle

Richard Mancuso

Britnie Sorensen

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