Eric Enriquez     

Chief Risk Officer
Sacramento Native American Health Center

Forum Agenda
Thursday, November 20

8:00   REGISTRATION AND WELCOME COFFEE

8:55   OPENING REMARKS & PROGRAM WELCOME

9:00   EXECUTIVE DISCUSSION: LEVERAGING AI & ANALYTICS TO ENHANCE REVENUE CYCLE & FINANCE
Explore how leading organizations are using AI and advanced analytics to scale revenue cycle operations; augmenting teams, reducing labor dependency, and improving accuracy without removing the human element. This executive-led discussion will examine how to prioritize high-impact use cases (e.g., coding, CDI, and revenue integrity), build a practical decision framework for evaluating solutions, and drive measurable ROI through disciplined vendor selection and proof-of-concept validation. Join peers to discuss how to balance people, process, and technology while upskilling teams, managing change, and building a sustainable, future-ready operating model.
Tami Mc-Masters Gomez, Executive Director, Mid-Revenue Cycle, Coding & HIM
UC Davis Health
Mukesh Sanghvi, Vice President
Rush University System for Health

10:00   NETWORKING & COFFEE BREAK

10:30   PREVENTATIVE MEASURES TO REDUCE & MANAGE DENIALS
This discussion group will delve into the root causes of claim denials, ranging from coding errors and documentation deficiencies to lack of prior authorization and eligibility issues. Through interactive discussion, attendees will collaborate on preventative strategies aimed at addressing these underlying causes and minimizing denial rates. This discussion group will also explore best practices for denial management, including the implementation of robust processes for claim tracking, follow-up, and appeals
Alexander Forbis, Associate Director, RN Denials Management, Banner Health   

11:15   NETWORKING & COFFEE BREAK

11:45   DRIVING MARGIN THROUGH REVENUE INTEGRITY: BRIDGING THE GAP BETWEEN DENIALS, BILLING, & CONTRACTING 
Driving margin through revenue integrity requires tight alignment between billing, denials management, and managed care to address gaps between expected and actual reimbursement.  We will examine how organizations can build governance structures that connect contract modeling, charge capture, and denial insights to proactively identify revenue leakage and respond to evolving payer behavior. Attendees will gain perspective on aligning clinical workflows, ownership models, and cross-functional accountability to move from reactive denial management to strategic margin protection.
Kristien Karmarkar, Executive Director, Revenue & Billing Integrity, Stanford Children’s Hospital

12:30   LUNCHEON

1:45   ALIGNING MANAGED CARE STRATEGY WITH ORGANIZATIONAL OBJECTIVES
Misalignment between managed care strategy and broader organizational priorities can quietly erode margin, growth, and patient access. This discussion will explore how leading organizations are aligning contracting strategies, payer relationships, and reimbursement models with enterprise goals around service line growth, clinical operations, and financial performance. Attendees will share approaches to strengthening collaboration between finance, revenue cycle, and managed care teams to drive more coordinated, data-informed decision-making.
Rylan Smith, COO, WoundCare Advantage

2:30   NETWORKING & COFFEE BREAK

3:00   REDUCING FRONT-END ERRORS THROUGH LEADERSHIP & ACCOUNTABILITY
Front-end errors remain a leading driver of denials, rework, and patient friction, often rooted in gaps in ownership and accountability. We will focus on how strong leadership, clear performance expectations, and real-time feedback loops can improve registration accuracy, eligibility verification, and upfront financial clearance. Attendees will share strategies for building a culture of accountability across access teams to reduce downstream revenue leakage and operational inefficiencies.
Eric Enriquez, Chief Risk Officer, Sacramento Native American Health Center

3:45   NETWORKING & COFFEE BREAK

4:15    ALIGNING CODING, QUALITY, & OPERATIONS TO CAPTURE MISSED REVENUE
Missed revenue often stems from disconnects between coding, quality, and operational workflows that impact documentation accuracy and reimbursement. This session will highlight how organizations are better aligning these functions to capture clinical complexity, reduce undercoding, and ensure quality metrics reflect true patient acuity. Participants will exchange practical approaches to strengthening collaboration, improving documentation, and using data to close revenue gaps while maintaining compliance.
Esteban Guerrero, Chief Operations Officer, Connected Health Family Care

5:00   NETWORKING & COFFEE BREAK

5:30   CREATING SUCCESSFUL POPULATION HEALTH MANAGEMENT PROGRAMS TO IMPROVE CARE AND REDUCE COST
This discussion group will focus on designing and implementing population health management programs that improve patient outcomes while controlling costs. Participants will share best practices for care coordination, risk stratification, and leveraging data to drive measurable results across populations.
Robert Young, VP, Patient Financial Services
AltaMed

6:30   PROGRAM CONCLUSION 

Who should attend:

Executives that will find this program of greatest relevance are those currently working to discover new and innovative methods to advance the healthcare finance industry through active discussion and an open mind to new or different ideas. Job titles of those executives that will find this program to be most applicable to the job function include:
• Vice President of Revenue Cycle Operations
• Vice President of Finance
• Director of Health Information Management
• Director of Patient Access
• CFO, COO, CRO
• Director of Finance or Financial Operations
• Director of Patient Financial Services
• Director of Revenue Cycle
• Director of Coding
• Director of CDI
• Revenue Cycle Manager/Senior Lead