Alivia Analytics

#CelebratingFreedom #Juneteenth #OneAmerica

SourcEdge, An Alivia Analytics Company, was Cognizant’s First #Healthcare Certified Consulting Partner. During this 4-day event, SourcEdge and Alivia will discuss its combined products and services for commercial and government health plans. This will include a Session and Facets Case Study about masking PHI using #Deidentification for #Cybersecurity. Here are the details… SourcEdge’s specialized IT and connectivity expertise plus Cognizant’s TriZetto Healthcare Products (Facets / QNXT) modernizes outdated claims systems to improve insurance payments, productivity, value-based care, and integration with other applications. Alivia’s #AI powered Healthcare Payer Analytics Platform and tech-enabled services help health plans address growing #PaymentIntegrity challenges of #FraudWasteAbuse #FWA plaguing the healthcare system. Analytics modules also include #ClaimsEditing and #VBCmodeling. These solutions demonstrate the efficiency of modern #healthcaretechnology and digital transformation. SESSION & CASE STUDY: Facets & PHI DeIdentification For Your Non-Production Environments, Where Data is Exposed Presented by: Stephen Sideris, Data security expert and VP of Health Plan Services. Formerly SVP at Visiant Health. Brad Hutson, Cyber security expert and Chief of Cyber R&D for the Cyber Security Forum Initiative. Learn More: https://lnkd.in/eVy-3Hiz See you in Orlando! #CognizantHSC

#HPRIEast. Discuss the latest #PaymentIntegrity solutions across our Payer Analytics Platform and Tech-Enabled Services. Visit our event page: https://lnkd.in/e2svFUs3 See you in Boston! Booth 4 Healthcare Payment & Revenue Integrity Series #savings #recoveries #efficiencies #FWA #improperpayments #casemanagement #valuebasedcare #frauddetection #fraudprevention #SIUservices #AI #healthcare

Recent data breaches highlight the increased and constant attack that #healthcare is under. Let us share our data management solution and success stories for masking PHI, including X12 EDI, using #deidentification to ensure patient privacy and maintain regulatory compliance. Hear from our experts in a productive discovery call: Brad Hutson -- Professional “white hat” hacker and Chief of Cyber R&D for the #CyberSecurity Forum Initiative. Stephen Sideris -- Data security expert and Vice President of #HealthPlan Services. Formerly SVP at Visiant Health. Formerly SourcEdge, acquired by Alivia in February 2024. We have unique expertise in all claims systems – AMISYS, Cognizant TriZetto Facets / QNXT, HealthEdge / HealthRules, Conduent HSP, PowerMHS / PowerSTEPP. [Learn More. Schedule Meeting.] https://lnkd.in/eyhxNp4F #PHIsecurity #paymentdata #healthtechnology #dataanalytics

Prevent and recover healthcare fraud, waste, and abuse (FWA) and incorrect payments. #FWAFinder is a key component of Alivia’s Analytics Platform. It leverages advanced AI and Machine Learning technologies to go beyond post-payment recovery and empower users to isolate FWA cases before payment, putting them one step ahead of the problem. Real-Time Analytics Intuitive Dashboards AI-Powered Detection #GenerativeAI Query Industry-Leading Speed and Accuracy Seamless Integration Learn More: https://lnkd.in/eYGADSgR #Healthcare #PaymentIntegrity

HITRUST Certification furthers Alivia’s commitment to deliver rapid transformation to the #healthcare industry while maintaining data security and equity.   Learn More: https://lnkd.in/gzurWSf7   #HITRUST #HealthTechnology #ClaimsManagement #GenerativeAI #PaymentIntegrity #FraudDetection #CostContainment #CaseManagement #DataAnalytics 

Seamlessly manage fraud cases in our Payment Integrity Platform, or yours. Alivia #CaseManager ties it all together with our pre-pay #ClaimsEditing modules, post-pay #FWAFinder, and existing workflows, providing a comprehensive solution.   More Cases, Faster Real-Time Analytics Intuitive Dashboards Seamless Integration Very Easy to Use   Learn More: https://lnkd.in/eNE8nbfG #Healthcare #PaymentIntegrity #GenerativeAI

#himss2024 | Connect with Stephen Sideris, Lucas Gallardo, and Kleber Gallardo to discuss our solutions for #healthcare payers -- #AI powered data and analytics platform for #paymentintegrity / #FWA / #casemanagement. Dive deeper into our unique expertise for claims system IT modernization, #deidentification / #PHIsecurity, and #valuebasedcare accelerators. Learn more: https://lnkd.in/eFKnJUC4 #claimsmanagement #healthtechnology #paymentdata #frauddetection #fraudprevention 

Join Alivia, a fast-growing #healthcaretechnology company with products and services that power commercial and government healthcare payers across the claims lifecycle. We are currently looking for the following positions: -- Project Manager, #PaymentIntegrity Platform -- Senior Financial Analyst (Newtown Square, PA) View the job descriptions and submit your qualifications here: https://lnkd.in/e67Qcfd3 #hiring / We are not accepting resumes from recruiters.

Welcome Lynn Crowell MHA, RN, CPC, CRC, CPCO as Director of Services for Alivia’s Tech-Enabled Services practice that leverages our #Healthcare #PaymentIntegrity Platform supporting commercial and government payers with SIU / fraud #FWA investigative resources, pre-pay clinical reviews, post-pay recovery audits, and ESRD premium protection. More about Lynn… Lynn is an accomplished leader with over 25 years of experience in healthcare with a strong track record of success in managing large-scale operations and delivering exceptional results. She is a registered nurse and Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), and Certified Professional Compliance Officer (CPCO). Lynn has a master’s degree in healthcare administration. Prior to joining Alivia, she was manager of DRG Coding & Complex Clinical Audits (Elevance Health) and held several Clinical Operations roles (Humana). Lynn is a graduate of the University of Wisconsin-Green Bay and LSU Shreveport (MHA). https://lnkd.in/eG7m5W_t #welcometotheteam #claimsmanagement #healthtechnology