Will Brigham
Rules Architect Lead at R1 RCM
- Role
- Rules Architect, Lead at R1 RCM
- Location
- Athens, GA, US
- LinkedIn followers
- 500 followers
About Will Brigham
I specialize in leading projects that blend rules-based system design with data-driven execution in the healthcare space. With a strong foundation in project management, SQL, analytics, and AI tools, I guide a versatile team that develops commercial insurance contract models for healthcare systems across the country. We work at the intersection of complex agreements and large-scale data, using both to drive meaningful financial results for our clients. We build scalable, logic-driven models that support accurate reimbursement and consistent revenue recovery. I’m passionate about turning complexity into clarity and delivering results that make a real impact in healthcare.
Experience
Rules Architect, Lead
May 2023 — Present · Atlanta, GA, US
Oversee creation and delivery of comprehensive commercial contract modeling, rules, and analytics to identify +$100M in monthly targeted underpayment opportunities and maximize revenue for hospital systems in the Southeast, Mid-Atlantic, and Midwest.• Increase yearly inventory production 127% in two years since stepping in as Lead on the Mid-Atlantic and Midwest regions.• Drive strategic quarterly audit planning for a portfolio of forty hospital systems, accounting for model complexity, re-forecasted goals, and client sensitivities.• Cultivate relationships with internal and client-facing stakeholders, proactively driving support, training, and collaboration.• Pioneer the integration of large language models into contract modeling, determining the strategy, Microsoft Azure OpenAI Service prompt engineering, and maintenance for automated provision rate extraction.• Implement systems improvements and data enhancements, disseminating updated best practices to internal team members.
Education
University of Georgia - Terry College of Business
Bachelor of Business Administration - BBA
2016 — 2020
University of Georgia - Institute for Leadership Advancement
Certificate in Personal and Organizational Leadership
2019 — 2020
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