Insurance
10 payment integrity experts
These ten professionals have led payment integrity at health plans and health insurers, with payment integrity named in their own job titles. A reader can learn how health plans organize payment integrity programs to improve claims payment accuracy.
Professionals to explore
01—10Brian Mackey
LinkedInExperience: Director, Payment Integrity · IEHP
Director, Payment Integrity at IEHP since April 2026. Former Manager, Payment Integrity Operations (2020–2026) and Senior, Payment Integrity Analyst (2018–2020) at L.A. Care Health Plan. The profile describes payment integrity work spanning analytics, edit development, internal controls, vendor oversight, coding/billing and regulatory compliance, along with driving recovery strategies.
Cindy Stoltz Drexler
LinkedInExperience: Vice President National Programs and Payment Integrity · Excellus BCBS
Vice President National Programs and Payment Integrity at Excellus BCBS since January 2022, and Director National Programs and Payment Integrity there from 2018 to 2022. The profile describes oversight of departments including National Programs such as BlueCard and FEP and Over Payment Recoveries. Other listed roles include Director Claims Cost Containment at Excellus BCBS (2013–2018).
Connie Clem
LinkedInExperience: Director, Payment Integrity · Centene Corporation
Director, Payment Integrity at Centene Corporation since December 2023, and Senior Manager there from 2021 to 2023. The profile describes driving payment accuracy, policy governance and financial integrity across healthcare, and claims accuracy and medical policy work. The listing also shows Manager Payment Integrity at Wellcare Medicare (2018–2021).
David Dawson
LinkedInExperience: Director Payment Integrity · Excellus BCBS
Director Payment Integrity at Excellus BCBS since July 2022, and Manager-Payment Integrity at Highmark Western and Northeastern NY from 2016 to 2022. The profile describes a focus on health insurance payment integrity, specifically Fraud, Waste and Abuse, Clinical Editing, pre/post pay auditing, Code Governance and Other Party Liability/Coordination of Benefits. The listing also shows COB OPL Supervisor at HealthNow New York Inc. (2011–2012).
Evelyn Rodriguez
LinkedInExperience: Director, Claims Payment Integrity · Florida Blue
Director, Claims Payment Integrity at Florida Blue since January 2017, a role the profile describes as providing program direction and oversight of the Claims Payment Integrity Post-Payment Team, which handles post-payment review and processing. Other listed roles at Florida Blue include Sr. Manager Healthcare Provider Audit (2002–2017) and Audit Supervisor (2000–2002).
Holly Brese
LinkedInExperience: Director of Payment Integrity · WellSense Health Plan
Director of Payment Integrity at WellSense Health Plan since September 2024, and Payment Integrity Operations Manager there from 2023 to 2024. The profile describes operational oversight of the WellSense Payment Integrity claim audit and review programs, including claim audit concept lifecycle management and claim audit supplier management. The listing also shows Manager, Payment Accuracy at Cotiviti (2016–2020).
Jonique Dietzen
LinkedInExperience: Director of Payment Integrity · Providence Health Plan
Director of Payment Integrity at Providence Health Plan since January 2026, a role the profile describes as being recruited to establish and lead a newly created Payment Integrity department supporting Commercial, Medicare, Pharmacy, and Behavioral Health lines of business. Director of Payment Integrity at CareOregon from 2022 to 2026. Other listed roles include Revenue Cycle Project Manager, Lead Medical Coder at Multnomah County Health Department (2014–2019).
Kimberly Jones Schneider
LinkedInExperience: Director of Payment Integrity Operations & Recoveries · Blue Cross Blue Shield of Michigan
Director of Payment Integrity Operations & Recoveries at Blue Cross Blue Shield of Michigan since January 2016. The profile headline describes coordinating Payment Integrity programs across the Enterprise to lower healthcare costs. Other listed roles at Blue Cross Blue Shield of Michigan include Managing Director of BlueCard (2004–2016) and Assistant Manager (1999–2004).
Kristina Johnson Rose
LinkedInExperience: Director, Payment Integrity · Premera Blue Cross
Director, Payment Integrity at Premera Blue Cross since January 2018. The profile describes leading enterprise cost stewardship across pre-payment, post-payment and advanced analytics capabilities within a large regional health plan. Other listed roles at Premera Blue Cross include Manager to Director, Risk Adjustment Analytics (2014–2020) and Healthcare Analytics Payment Integrity Foundations (2008–2010).
Nabila Rahman
LinkedInExperience: Director, Payment Integrity · CareFirst BlueCross BlueShield
Director, Payment Integrity at CareFirst BlueCross BlueShield since May 2020, with Director, Payment Integrity, Operations Reporting, Vendor Management there also listed since February 2022. Other listed roles include Manager- Mandates Strategy, Delivery & Oversight at CareFirst BlueCross BlueShield (2016–2020) and Senior Consultant- States Market at The Lewin Group (2013–2016).
Choose the right perspective
Match the person's setting to yours, since payment integrity at a large multi-state insurer differs from a regional or Medicaid health plan. Also decide whether your question is about prepayment edits and clinical editing, postpayment audit and recoveries or vendor oversight, and pick the role closest to it.
Questions to take into the conversation
- 01How do you split payment integrity work between prepayment edits and postpayment audits?
- 02How should a health plan manage and measure its payment integrity vendors?
- 03How do you run overpayment recovery and coordination of benefits without damaging provider relationships?
Reaching payment integrity experts
How can I contact one of these payment integrity experts?
Pick one of the 10 people on this page and choose "Book a paid call", or describe your project to find others. You offer a fee for a 15-minute call or a written answer, Instant Expert finds the person's work email and sends the invitation, and they decide whether to accept. The list covers 9 companies, including IEHP, Excellus BCBS and Centene Corporation, based on profile data retrieved on October 4, 2026. Being listed here doesn't mean someone has agreed to take calls.
How much does it cost to reach payment integrity experts?
You choose the offer, starting at $5 per person. It includes Instant Expert's 20% fee, so an offer that pays the person $100 costs you $125. You're charged only when the person books the call or sends the answer.
What if they don't reply?
You pay nothing. Instant Expert sends follow-up reminders, and if the person hasn't booked or answered within 7 days, the request expires and any hold on your card is released. You can invite several of the 10 people on this list at once and cap your total spend, so you pay only for the ones who accept.
About this directory
This is a professional research starting point based on business profile data retrieved on . Titles and companies reflect that source snapshot and may describe past or present roles. Check the linked profiles for current details. Inclusion does not imply Instant Expert membership or availability.
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