Heidi Kriz
Prior Authorization Transformation, AI in Healthcare, Payer-Provider Alignment using Technology
- Role
- Vice President of Payer Success at Humata Health
- Location
- Bend, OR, US
- LinkedIn followers
- 500 followers
Experience
Vice President of Payer Success
Jul 2025 — Present
Team Leadership and Development: Recruit, mentor, and lead a high-performing team focused on payer success. Foster a culture of continuous improvement, customer-centricity, and innovation within the payer success team.Financial/Commercial Accountability: Own the financial performance and growth targets for the payer solution portfolio. Develop and manage budgets for the payer success function.Strategic Partnerships: Identify and cultivate strategic alliances and partnerships within the payer ecosystem to expand market reach and product offerings.Market Analysis and Competitive Intelligence: Conduct ongoing market analysis to identify new opportunities, competitive threats, and emerging trends in the payer landscape. Translate market insights into actionable strategies for product development and sales.Cross-Functional Collaboration: Collaborate closely with product, engineering, sales, and marketing teams to ensure alignment and successful execution of payer strategies. Serve as the voice of the payer within the organization, advocating for their needs and feedback to inform product development.Regulatory and Compliance Oversight: Ensure all payer solutions and operations comply with relevant healthcare regulations and industry standards.Data-Driven Decision Making: Establish key performance indicators (KPIs) and metrics to measure the success of payer initiatives and inform strategic adjustments. Leverage data analytics to identify areas for improvement in payer implementations and relationships.
Education
Barry University
Master of Public Health (M.P.H.), Epidemiology and Healthcare Administration
University of Idaho
Bachelor of Science (B.S.), Dietetics and Clinical Nutrition Services
Skills
- Leadership
- Grant Writing
- Clinical Research
- Public Health
- Strategic Planning
- Healthcare
- Medical Policy
- Community Outreach
- Team Building
- Program Development
- Epidemiology
- Evidence Informed Practice
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