Payment Integrity Executive to Lead HealthEdge Product Division

Ryan Mooney to tackle waste and inefficiencies in claims payment systems

HealthEdge®, a healthcare innovator providing next-generation technology and solutions, announced today that Ryan Mooney has joined the company as Executive Vice President and General Manager for its Payment Integrity product division. Burgess Source® is an innovative payment integrity software solution that improves healthcare payment operations for payers.

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Ryan Mooney has joined HealthEdge as Executive Vice President and General Manager for its Payment Integrity product division. (Photo: Business Wire)

In this role, Mooney will emphasize customer satisfaction, recognizing that providers want to be paid accurately and members want the claims payment process to be low stress during a time of uncertainty. Mooney’s visionary, best-in-business mantra places an emphasis on customer delight, genuinely partnering with payers, and driving transparency into payment practices. He is responsible for scaling the Burgess Source product and brings a renewed discipline, focus and innovative approach to the organization. Prior to joining HealthEdge, Mooney worked as a business advisor for multiple private equity firms. For nearly 22 years, he also held a variety of positions at Cotiviti, including Senior Vice President of Healthcare Operations. He has a bachelor’s degree in philosophy from the University of Washington.

“Ryan understands our passion in designing and delivering the industry’s first cloud-native payment integrity ecosystem,” said Steve Krupa, CEO of HealthEdge. “Working together, we will accelerate our shared vision to challenge the inefficient status quo in claims administration. By harnessing cloud technologies, we will bring data integration, reimbursement accuracy, and accountability to an elevated level of precision, empowering the industry to realize point-of-service payments.”

“Through our collaboration, we can address the over $1 trillion in wasteful spending in the U.S. healthcare system,” said Mooney. “We are at the precipice of a paradigm shift in how healthcare is delivered and managed. Our goal is to deliver significant value to health plans beyond what is available in the market today. We want to shift from fixing and exploiting what goes wrong, to getting it right out of the gate.”

About HealthEdge

HealthEdge provides modern, disruptive healthcare IT solutions that health insurers use to leverage new business models, improve outcomes, drastically reduce administrative costs, and connect everyone in the healthcare delivery cycle. Its next-generation enterprise solution suite is built on modern, patented technology and is delivered to customers via the HealthEdge Cloud or onsite deployment. In 2020, Blackstone became majority owner. HealthEdge, along with its portfolio of mission-critical technology assets for payers including The Burgess Group and Altruista Health, are collectively driving a digital transformation in healthcare. Follow HealthEdge on Twitter or LinkedIn.

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