A health policy analyst and regulatory expert, Kristie Lee has worked on the analysis and implementation of federal regulations from a health plan perspective. She has a deep understanding of the actions required when new regulations are released and experience establishing oversight and project management-driven initiatives.
Kristie joins HMA after serving with an information technology/health plan operations vendor supporting Medicare Advantage health plans, where she was manager of the internal regulatory operations team. In this role, she monitored and analyzed the latest federal Medicare regulations that informed strategic and tactical business implementations. Kristie was the primary lead for health plan operations-related topics, such as enrollment, billing, claims, risk adjustment, and quality.
At the start of the COVID-19 pandemic, Kristie led and implemented a cross-functional oversight workgroup to review the unprecedented influx of federal regulations that were released during the first few months of the public health emergency. She also supported internal and client audits, including an Office of Inspector General risk adjustment payment audit, maintained the vendor’s Third Party Administrator license in more than 40 states, and triaged compliance issues.
Kristie also has experience with strategic business implementations of Affordable Care Act (ACA) requirements and analyzing ACA regulations at a large Blue Cross Blue Shield health plan. She also has developed internal training programs and employee communications while working at a local hospital revenue cycle consulting firm.
Kristie earned a bachelor’s degree in political science at Duke University and Master of Public Health from the University of Michigan School of Public Health.