As a Sr. Director Analyst on the Gartner healthcare industry research team, Connie Salgy focuses on payer core technology and interactions to advance stability, growth and digital transformation in a rapidly evolving market. Connie brings a depth of experience to the role in product development, product management, health care technology and operations. To help payers adapt to changing conditions while innovating to better serve consumer needs, she proactively analyzes impacts of users, clients, regulatory and industry trends to address clients' market, product, technology, and consumer engagement needs.
Connie's research agenda is focused on transformation to health value management business models, healthcare administration modernization and automation, as well as the integration of provider and payer health data to improve experience, outcomes, and cost.
Key technologies and capabilities that align to her coverage include consumer-centric products, core administration processing solutions and payer-provider collaboration tools. This includes provider data and network management, provider credentialling, health and wellness, product and benefit configuration, and prior authorization.
In prior roles Connie led included operations, regulatory and compliance, product strategy, product development, product management, product implementation, vender integrations, and client implementations. Her expertise includes government programs and commercial (ASO and fully insured) payer administration, medical and behavioral benefit plan design and administration, healthcare technology, digital, health and wellness, and complex care.
Kaiser Permanente , Director of Product Innovations , 2 years
PointClick Care , Director of Product Development , 5 years
UnitedHealth Group, Sr. Director of Product Development , 23 years
Healthcare Provider, Payer and Life Science Industries Ecosystem
Bemidji State University, Bemidji, Minnesota, Bachelor of Science, Business Administration and Computer Information Systems
U.S. System optimization, future technology needs and vendors for next-generation core administrative processing systems (CAPS) including benefits administration and provider data/network management
U.S. Modernization of payer administrative systems to achieve transformational goals such as consumer-centric care models, digital health navigation and value-based care
Emerging technologies and vendors which allow improved collaboration between U.S. healthcare payers and providers
Helping U.S. health insurers comply with federal and state regulations in areas like No surprise Act, Transparency in Coverage (TiC) and prior authorizations
Helping U.S. payers understand Industry trends such as ASO, digital giants (Amazon, Walmart) , Medicaid and Medicare impacts/considerations that should be planned with business strategy and technology