Monique Tucker
Monique Tucker
About
Detail
Senior Revenue Cycle Relationship Manager | Enterprise Client Success & Solution Deployment at Qualifacts
Charleston, South Carolina, United States
Healthcare technology leader who takes solutions from concept to scaled deployment. 25+ years embedded with enterprise healthcare clients — defining what gets built, directing the build, leading the go-live, and staying through adoption until the numbers move.
I currently own a $475M managed revenue portfolio across 18 enterprise behavioral health organizations at Qualifacts, leading implementations and go-lives across CareLogic, Credible, and InSync. My function is translation: I sit between healthcare operations and engineering, turn client requirements into configuration specs technical teams can execute, then own readiness through launch and stabilization. Deployments fail when nobody in the room knows both sides. That's the gap I fill.
I've done this from inside the vendor, the consultancy, and the health system:
- Net-new HealthEdge HealthRules Partner implementation on a national payer engagement — adjudication rules, configuration, testing, QA through go-live
- Enterprise Epic revenue cycle upgrade for a major academic health system — SME across claims and billing
workflows, risk mitigation, end-user readiness
- Epic Resolute, Cadence, and Prelude optimization across dental and vision managed care
- Multi-site dental and orthopaedic operations; workers' comp claims with 22 direct reports
What I bring to a deployment team is pattern recognition. After enough go-lives across enough platforms, you know which client statements predict scope creep, which workflows users abandon in week three, and which requirements are real versus inherited. I feed that back to Product instead of solving it silently in the field.
I also apply AI and automation tools across my portfolio and train client stakeholders on them. I deploy and enable these tools; I don't build them.
Platforms: Epic (Resolute, Cadence, Prelude) | CareLogic | Credible | InSync | HealthEdge HealthRules Partner | NextGen | Dentrix Enterprise | Salesforce | EDI/X12
Outcomes: $3.8M cash flow improvement | 33% AR reduction | 27% denial reduction | 22% first-pass resolution improvement | 100% clean claim rate | 40+ payer relationships | 9-state operations
Core Expertise:
- Solution Deployment & Implementation Leadership
- Go-Live Ownership & Post-Launch Adoption
- Business-to-IT Requirements Translation
- Enterprise Customer Success & Executive Stakeholder Management
- AI & Automation Enablement for Revenue Operations
- Revenue Cycle Transformation & Revenue Integrity
- EDI, Claims & Denial Prevention
- Cross-Functional Delivery with Product, Engineering & Suppo
I currently own a $475M managed revenue portfolio across 18 enterprise behavioral health organizations at Qualifacts, leading implementations and go-lives across CareLogic, Credible, and InSync. My function is translation: I sit between healthcare operations and engineering, turn client requirements into configuration specs technical teams can execute, then own readiness through launch and stabilization. Deployments fail when nobody in the room knows both sides. That's the gap I fill.
I've done this from inside the vendor, the consultancy, and the health system:
- Net-new HealthEdge HealthRules Partner implementation on a national payer engagement — adjudication rules, configuration, testing, QA through go-live
- Enterprise Epic revenue cycle upgrade for a major academic health system — SME across claims and billing
workflows, risk mitigation, end-user readiness
- Epic Resolute, Cadence, and Prelude optimization across dental and vision managed care
- Multi-site dental and orthopaedic operations; workers' comp claims with 22 direct reports
What I bring to a deployment team is pattern recognition. After enough go-lives across enough platforms, you know which client statements predict scope creep, which workflows users abandon in week three, and which requirements are real versus inherited. I feed that back to Product instead of solving it silently in the field.
I also apply AI and automation tools across my portfolio and train client stakeholders on them. I deploy and enable these tools; I don't build them.
Platforms: Epic (Resolute, Cadence, Prelude) | CareLogic | Credible | InSync | HealthEdge HealthRules Partner | NextGen | Dentrix Enterprise | Salesforce | EDI/X12
Outcomes: $3.8M cash flow improvement | 33% AR reduction | 27% denial reduction | 22% first-pass resolution improvement | 100% clean claim rate | 40+ payer relationships | 9-state operations
Core Expertise:
- Solution Deployment & Implementation Leadership
- Go-Live Ownership & Post-Launch Adoption
- Business-to-IT Requirements Translation
- Enterprise Customer Success & Executive Stakeholder Management
- AI & Automation Enablement for Revenue Operations
- Revenue Cycle Transformation & Revenue Integrity
- EDI, Claims & Denial Prevention
- Cross-Functional Delivery with Product, Engineering & Suppo
Contact Monique regarding:
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