Karen D.

Karen D. is a seasoned healthcare professional with extensive experience in various roles focusing on payment integrity and utilization management. Currently serving as Senior Director of Business Solutions at Zelis, Karen has progressed through multiple positions including Director and Senior Solution Advisor for the Hospital Bill Review product. Concurrently, Karen works as a PRN Nurse Analyst for Litigation Management, Inc., providing critical analysis of medical records for legal purposes. Previous roles include Utilization Review Supervisor at Shriners Hospitals for Children, where promotion occurred within six months, and RN Appeals Coordinator at The University of Vermont Medical Center, managing the appeal process for denied claims. Karen's background includes positions in nursing supervision, clinical content editing, and direct patient care, complemented by advanced degrees in nursing and psychology.