CERIS
Julie McGaughey currently serves as Vice President of National Accounts at CERIS since May 2023. Prior to this role, Julie McGaughey spent nearly two decades at Optum, where notable positions included Director of Payer Market Solutions, Associate Client Director, Associate Director of Business Process, and Operations Manager. Responsibilities at Optum involved conducting Payment Integrity assessments, client management, overseeing inter-company agreements, and managing operations across various applications. Earlier in Julie McGaughey's career, significant experience was gained at UnitedHealthcare as a Sales Support Analyst, and at UnitedHealth Group in account management and human resources. Julie McGaughey holds a Bachelor of Arts in Sociology from the University of Minnesota, obtained in 1992.
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CERIS
CERIS serves healthcare payers in excelling with paying medical claims correctly the first time. We drive business and policy strategies through technology to detect and resolve pre and post payment issues for health claims. Our team of policy and payment integrity leaders deliver savings through the prevention of improper payments and recovery of overpayments. Our multi-faceted processes and relationships with the medical community makes CERIS a partner of choice for state agencies, commercial health payors, managed care organizations, and third party administrators across the nation. Come visit us on the web, review our services, from Itemization Solution to a new out of network repricing method sure to support financial responsibility.