Senior Director, Operational Performance
Katie Lepsevich is Senior Director of Operational Performance at Gorman Health Group (GHG). As one of GHG’s most versatile consultants, she brings GHG clients more than 20 years of experience with health plans. Katie’s background includes Corporate Policy and Training, Cross Functional Leadership, Healthcare IT, Original Medicare, Medicaid, Medicare Advantage, Prescription Drug, Special Need Plans (SNPs), governance, compliance, risk management, product development, enrollment, reconciliation, appeals and grievances, premium billing, claims adjudication, vendor management, and offshore services management.
Katie comes to GHG from a technology solutions company, where for four years she was responsible for managing the organization’s corporate compliance program, and providing leadership in day-to-day compliance activities. Katie’s career includes serving as National Operations Manager for one of the nation’s largest health insurers.
Katie’s consulting experience includes assisting health plans in interpreting regulatory requirements and implementing best-practice operational policies, procedures, and workflows. She supports clients with integrating regulatory requirements into operational procedures and work processes in all functional areas: Sales, Enrollment, Member Service, Claims, Appeals & Grievances, Billing, Healthcare Services, and Reconciliation.
Katie has numerous certifications, including Certified Corporate Compliance & Ethics Professional, CMS Certified in Data Validation, and Project Management.