As a Sr. Director Analyst on the Gartner healthcare industry research team, Connie Salgy focuses on payer core technology and interactions to advance stability, growth and digital transformation in a rapidly evolving market. Connie brings a depth of experience to the role in product development, product management, health care technology and operations. To help payers adapt to changing conditions while innovating to better serve consumer needs, she proactively analyzes impacts of users, clients, regulatory and industry trends to address clients' market, product, technology, and consumer engagement needs.
Connie's research agenda is focused on transformation to health value management business models, healthcare administration modernization and automation, as well as the integration of provider and payer health data to improve experience, outcomes, and cost.
Key technologies and capabilities that align to her coverage include core administration processing solutions (CAPS, commonly referred to as claims engines), product and benefit configuration, clinical data integration, and payment integrity solutions for payers.
In prior roles Connie led included operations, regulatory and compliance, product strategy, product development, product management, product implementation, vender integrations, and client implementations. Her expertise includes government programs and commercial (ASO and fully insured) payer administration, medical and behavioral benefit plan design and administration, healthcare technology, digital, health and wellness, and complex care.
Sr. Director of Product Development
Director of Product Development
Director of Product Innovations
Healthcare and Life Science Digital Optimization and Modernization
Healthcare and Life Science Digital Transformation and Innovation
Bemidji State University, Bemidji, Minnesota, Bachelor of Science, Business Administration and Computer Information Systems
1U.S. System optimization, future technology needs and vendors for next-generation core administrative processing systems (CAPS) including functions such as case installations, benefits administration
2U.S. Modernization of payer administrative systems to achieve transformational goals such as consumer-centric care models, value-based care and price transparency
3Emerging technologies and vendors which allow improved collaboration between U.S. healthcare payers and providers
4Helping U.S. health insurers comply with federal and state regulations in areas like No surprise Act, Transparency in Coverage (TiC) and prior authorizations and consumer price transparency
5Helping U.S. payers understand the giant (Amazon, Google, Walmart) impacts and considerations that should be planned with business strategy and with technology