Payment integrity is evolving from a downstream claims audit function to a proactive, critical lever for upstream cost avoidance. Payment integrity leaders note that ‘shifting left’ can cut administrative duties by at least 10-15%, in addition to improving provider abrasion. But evolving to cost avoidance not only requires a shift in mindset, but an evolution in how data, AI tools, and cross-functional collaboration are used to enable proactive decision making.
- Case studies: Critical strategies for launching pre-pay programs and measuring ROI
- How AI is expanding pre-pay capabilities and required governance
- Rethinking the impact and attribution of provider education initiatives
In partnership with Optum
Stephanie Jackson
Stephanie Jackson is Senior Vice President of Payment Integrity at Optum, where she leads strategy and growth across solutions that help health plans improve payment accuracy, reduce costs, and strengthen compliance across the claims lifecycle. She partners closely with payer organizations to deliver scalable, technology-enabled capabilities that drive operational efficiency, mitigate risk, and improve financial performance. Stephanie brings more than a decade of leadership experience at Optum, with a strong background spanning payer solutions, business development, and enterprise strategy. Stephanie holds a Bachelor of Science in Marketing and a Master of Business Administration from St. Cloud State University.
David Kagan
Linde Wilton
