Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jennifer Galbraith

Lebanon

Summary

Experienced leader with over ten years of experience in healthcare solutions and analytics. Excellent reputation for resolving problems, collaborating on projects, leading teams, and driving overall improvements. Led two teams plus International Operations to identify over $54M in claim overpayments in 2025 within the Medicaid and Commercial lines of business while utilizing analytics to drive results, create efficiencies, and develop the team.

Overview

11
11
years of professional experience

Work History

Manager, Payment Accuracy

Cotiviti
07.2023 - Current
  • Helped drive growth of 41% in annual overpayment ID from 2019 to current on the Aetna Medicaid team
  • Delivered new scope expansion in 5 Medicaid markets valued over $3M
  • Researched and developed White Belt Six Sigma project to decrease time to letter generation
  • Established time management and productivity stands across teams leading to a reduction of non-production time
  • Created and maintained all budget, forecasting, and action plans across all 3 teams
  • Completed business travel to India in 2025 to support training on budgeting, forecasting, and the transition of additional operational responsibilities
  • Experience with Medicaid (QNXT), Commercial Duplicates (ACAS) and Medicare Duplicates (HRP)

Team Lead, Payment Accuracy

Cotiviti
06.2016 - 07.2023
  • Managed performance, coached, and developed 2 teams of 12 auditors to identify claim overpayments across various concepts
  • Maintained contact with clients via the client mailbox; Presented findings to state health plans and potential savings to the client
  • Responsible for collaboration with International Offshore team; partnered with Machine Learning to create efficiencies across both teams
  • President's circle nominee in 2020, Dragon award nominee in 2021
  • Certified Lean Six Sigma White Belt

Teaching Assistant

The Pennsylvania State University
08.2015 - 12.2015
  • Managed 105 students throughout the semester
  • Assisted in grading assignments, ensuring timely feedback and consistent evaluation standards

Administrative Intern

Juniper Village At Brookline
05.2015 - 08.2015
  • Reviewed organization policies; Determined compatibility with the Regulatory Compliance Guide
  • Developed multiple audit programs; Prepared for the Department of Welfare (DPW) inspections

Education

Bachelor of Science - Health Policy And Administration

The Pennsylvania State University
State College, PA
06.2016

Minor - Labor And Employment Relations

The Pennsylvania State University
State College, PA
06.2016

Skills

  • Healthcare Payment Knowledge
  • Data Analysis
  • Optimization & Innovation
  • Collaboration
  • Verbal & Written Communication
  • Client Support & Customer Service

Timeline

Manager, Payment Accuracy

Cotiviti
07.2023 - Current

Team Lead, Payment Accuracy

Cotiviti
06.2016 - 07.2023

Teaching Assistant

The Pennsylvania State University
08.2015 - 12.2015

Administrative Intern

Juniper Village At Brookline
05.2015 - 08.2015

Bachelor of Science - Health Policy And Administration

The Pennsylvania State University

Minor - Labor And Employment Relations

The Pennsylvania State University
Jennifer Galbraith