Founder and Chief Disruption Officer, Care Bridge International
Summary of Qualifications
Deborah is a seasoned, results-oriented and versatile clinician and insurance executive; offering extensive experience in all facets of complex medical claims integrating technology, evidenced-based clinical and technical processes, quality assurance, case management and life care planning principles.
- Visionary Leadership of the company startup operations, including the delivery of outstanding global solutions for to forecast medical treatment and costs for claims using BIG data machine learning and dashboard analytics.
- Direct teams of experts in assisting businesses seeking to improve their claims automation while reducing costs in utilizing a scalable business method.
Deborah is the CEO of Care Bridge International, Inc., delivering Analytic- Powered Outcomes™ using Artificial Intelligence (AI) to forecast medical treatment and costs for Claims. As the Former CEO of the global leader in full service Medicare Secondary Payer Compliance, Deborah received the 2010 Oracle Titan Award and Gartner 1to1 CRM Silver Award for a technology, data analytics implementation. She spearheaded an effort with the National Council on Compensation Insurance (NCCI) to produce “Medicare Set Asides and Workers Compensation” presented at the 2014 Annual Issues Symposium and September 2014, Research Brief. She is experienced in claims management of catastrophic/complex/ chronic disease populations and recognized for excellence in clinical strategy and Return-to-Work outcomes. She has held key roles in major group health, workers compensation and group benefit insurance companies. Deborah was involved in the Federal Medicare+Choice pilot program, the precursor for Medicare Advantage Plans, and among the first to adopt case management for high risk Medicare patients utilizing patient centered medical home (PCMH) practices.
International Association of Industrial Accident Boards and Commissions (IAIABC)
American Association of State Compensation Insurance Funds (AASCIF)
Public Risk Management Association (PRIMA)
Claims Litigation Management (CLM)
Silicon Valley Insurance Accelerator (SVIA) NewTechMatch Partner
American Association of Nurse Life Care Planners (AANLCP)
Sigma Theta Tau International Nurses Honor Society (STTI)
Deborah has an executive master’s in healthcare leadership (MBA/MPH) from Brown University and a Master of Science in nursing.
- Member for
- 3 months 4 weeks