Lori Craft
Senior Director - Clinical Claim Review at Gainwell Technologies | Omaha, Nebraska, United States
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Lori Craft serves as the Senior Director of Clinical Claim Review at Gainwell Technologies, where she leverages over 30 years of progressive healthcare experience to drive excellence in clinical audits and compliance initiatives. With a robust background that spans 25 years in conducting fraud audits and compliance investigations, Lori is adept at navigating the complexities of healthcare regulations, including the U.S. Health Insurance Portability and Accountability Act (HIPAA). Her leadership extends to managing a diverse team of over 100 professionals, including nurse reviewers, DRG auditors, certified coders, and appeal reviewers, all dedicated to delivering high-quality retrospective reviews and utilization management services.
Under Lori's guidance, the team excels in critical areas such as prior authorization, DRG validation, and appeals, ensuring that healthcare clients receive comprehensive support tailored to their unique needs. Her proven ability to analyze business requirements enables her to identify opportunities for improvement, fostering an environment of continuous enhancement that not only increases revenue but also enhances competitiveness in the ever-evolving healthcare landscape. Lori's expertise in data analysis and risk management empowers her to develop cost-effective solutions that drive operational efficiency and compliance, ultimately leading to improved patient outcomes.
As a strategic leader, Lori is committed to building cohesive teams that thrive on collaboration and innovation. Her focus on program management and budget oversight ensures that projects are executed within scope and on time, reinforcing Gainwell Technologies' reputation as a trusted partner in the healthcare industry. With her extensive knowledge and experience, Lori Craft is a pivotal force in shaping the future of clinical claim review and compliance within the organization.
Senior Director - Clinical Claim Review at Gainwell Technologies in August 2008 to Present
Director of Vendor Management and Medicare Audit and Recovery at UnitedHealthcare in January 2005 to January 2008
Medicare Audit and Reimbursement Regional Manager at Mutual of Omaha in January 1991 to January 2005
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Medicare
Insurance
Medicaid
Auditing
Customer Service
HIPAA
Analysis
Team Building
Healthcare
Program Management
Data Analysis
Risk Management
Leadership
Financial Analysis
Budgets
Business Process Improvement
U.S. Health Insurance Portability and Accountability Act (HIPAA)
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Discover more about Gainwell TechnologiesWhat is Lori Craft email address?
Email Lori Craft at [email protected]. This email is the most updated Lori Craft email found in 2026.
What is Lori Craft phone number?
Lori Craft phone number is +14027319707 and +14028964059.
How to contact Lori Craft?
To contact Lori Craft send an email to [email protected]. If you want to call Lori Craft try calling on +14027319707 and +14028964059.
What company does Lori Craft work for?
Lori Craft works for Gainwell Technologies
What is Lori Craft's role at Gainwell Technologies?
Lori Craft is Senior Director - Clinical Claim Review
What industry does Lori Craft work in?
Lori Craft works in the Hospitality industry.
Lori Craft Email Addresses
Lori Craft Phone Numbers
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