Monique Pierce has 25+ years of experience building and leading payment integrity teams. She has worked for both start-up regional health plans including Oxford Health and Devoted Health, as well as for large national health plans like UnitedHealthcare. Monique also has extensive leadership experience in the vendor partner space, with Optum, SCIO Health Analytics, and EXL. She is known for her vision, ability to execute, and passion for metrics. In her role at Cohere Health, Monique drives strategies to improve payment integrity by designing and developing solutions that intelligently bridge the gap between prior authorization and claim reconciliation.
By using AI-powered intelligence to shift clinical and coding validation earlier in the healthcare continuum, and unlocking upstream clinical data to inform downstream payment workflows, organizations can proactively prevent errors, reduce downstream churn and friction, and support more predictable, accurate, and timely payments.