Gartner Expert

Connie Salgy

Sr Director Analyst

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.

Previous experience

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.

Professional background

UnitedHealth Group

Director of Product Development

PointClick Care

Director of Product Development

Kaiser Permanente

Director of Product Innovations

Areas of coverage

Healthcare and Life Science Digital Optimization and Modernization

Healthcare and Life Science Digital Transformation and Innovation

Education

Bemidji State University, Bemidji, Minnesota, Bachelor of Science, Business Administration and Computer Information Systems

Read More Read Less

Top Issues That I Help Clients Address

1System optimization, future technology needs and vendors for next-generation core administrative processing systems (CAPS) including functions such as case installations, benefits administration

2Modernization 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 health insurers comply with federal and state regulations in areas like interoperability and consumer price transparency

5Helping payers understand the giant (Amazon, Google, Walmart) impacts and considerations that should be planned with business strategy and with technology