- Developing a roadmap for effective clinical data integration into pre-pay PI decision making and workflows
- Reimagining the PI process – new capabilities, collaboration, and upscaling staff
- Lessons learned while shifting from traditional post-pay operations and governance
In partnership with Claritev
Marla Ludacka-Dragovich
Marla Ludacka-Dragovich is Vice President of Payment Integrity Operations at Claritev, where she leads Payment & Revenue Integrity Services both Pre- and Post-Payment. Her leadership spans Advanced Code Editing, Itemized Bill Review, DRG Validation, Specialty Services, Coordination of Benefits, Data Mining, End Stage Renal Disease, and Medicare Secondary Payer programs. She also supports Clinical Negotiations and drives innovation across manual code editing, analytics, and product development.
With more than 25 years of healthcare experience, primarily within the Blue Cross and Blue Shield system, Marla brings deep expertise in network operations and payment integrity. She is passionate about advancing innovative solutions, improving operational performance, and delivering meaningful value across the healthcare ecosystem. Marla holds a Bachelor of Science in Finance and Economics from Elmhurst University.
Outside of work, Marla enjoys boating, golfing, biking, hiking, tennis, pickleball, and reading, and is the proud mother of two sons.
Karen S. Campbell
Karen Campbell is Senior Director for Payment Integrity at BlueCross BlueShield of South Carolina. She has been part of Payment Integrity team since early inception and helped develop core team capabilities from data mining to policy application and clinical support. Her recent focus has been on solution deployment that expands system edits, provider education and increases clinical claim reviews both pre-pay and post-pay. She has worked closely with Operations, Decision Support and Medical Affairs to help take new policies, technology and edits from inception to deployment throughout the organization.
