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Kinga ConklinKinga Conklin

Senior Consultant

Kinga Conklin, Senior Health Plan Services Consultant, is an experienced Managed Healthcare professional with more than 15 years of management experience in Medicare Advantage and Commercial Health plans and seven years in Managed Health Care consulting including resolving compliance and service issues, identifying root causes, and creating solutions for continuous improvements. Kinga is a solutions-oriented innovator who can streamline processes, reduce costs, minimize risks, and improve quality and service. Kinga is recognized as a transformational and empowering leader who builds cohesive, cross-functional teams.

Prior to joining BluePeak Advisors, a division of Gallagher Benefit Services, Inc., Kinga served as a Healthcare Executive within a Managed Care Organization where she led cross-functional departments including End-to-End Claims, Vendor Management & Oversight, Collections, and both Medicare and Health Plan Audits. Kinga also oversaw and contributed to testing, configuration, and implementing a new claims processing platform. Kinga was instrumental in developing workflow tools, inventory management dashboards, and re-engineering claims distribution, which optimized timeliness for prompt pay metrics and quality. Additionally, Kinga has led Organization Determinations, Appeal and Grievances (ODAG) audits and Annual Health Plan audits. Kinga’s solutions-oriented approach has reduced provider denials, decreased Accounts Receivable (AR), and increased profitability for the organization.

At BluePeak, Kinga serves as the Senior Health Plan Services Consultant over Medicare and commercial plan issues, audits, and interim staffing support. Kinga is the primary account manager and contact for multiple clients of varying sizes with a focus on ODAG and Part C support. Kinga serves as a primary claims auditor for claims operations audits and assessments. Kinga also supports Part C operational gap analysis, policy and procedure reviews, Medicare Advantage training, Project Management, Part C audit remediation support, building operational oversight dashboards, data mining and analytics.

Kinga holds a bachelor’s degree in management from the University of South Florida.

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