Mislaidy Pujol
Business Consultant @HealthEdge
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WORK HISTORY
Business Consultant @HealthEdge
Specializes in providing guidance and support for HealthRules Payor, CAPS system implementation. Works closely with insurance professionals and Product team to assess each organization’s unique needs and provides expert advice on deploying the HealthRules Payor system effectively. Understands the intricacies of HealthRules Payor and ensures seamless integration with each organization’s specific requirements. Through the implementation process, places significant emphasis on data security and compliance with industry regulations. Leveraging its profound understanding of HealthRules Payor and domain expertise on the insurance industry empowers organizations to optimize Claims management, reduce operational costs, and deliver exceptional services to policyholders through successfully utilization of the HealthRules Payor. • Subject matter expert on most functional areas of HealthRules Payor: product development, network development, provider operations, accounts operation, member enrollment, premium billing, medical management, claims processing and finance.
EDUCATION
Miami Dade College
Associate of Arts (A.A.)
Miami Dade College
Associate of Science (A.S.)
Florida International University
Master of Business Administration - MBA
Miami Dade College
College Certificate
College of Nursing & Health Sciences at Florida International University
Bachelor's Degree
ABOUT MISLAIDY PUJOL
Resolute, business consultant and register nurse with more than ten years of experience…
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