Gartner Expert

Mandi Bishop

VP Analyst

As a Vice President Analyst on the Gartner Healthcare Industry research team, Mandi Bishop supports CIOs in developing IT strategies to advance stability, growth and digital transformation in a rapidly evolving market. Ms. Bishop leads the Healthcare and Life Science Digital Transformation & Innovation research key initiative. Her research agenda is focused on transformation to health value management business models, healthcare administration modernization and automation, as well as the integration of clinical and social determinants of health data with administrative 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), clinical data integration (CDI) from electronic health records (EHR), emerging HL7 FHIR interoperability standards, and payment integrity solutions for payers. She additionally addresses automation (RPA as well as intelligent automation) and community resource network management (CRNM) across industry sectors.

Previous experience

Ms. Bishop led the Dell Services (now NTT Data) Health Plan Analytics Innovation practice, where she advised payer executives on achieving business transformation through enterprise data and analytics. At the Blue Cross Blue Shield Association, she managed the Blue Health Intelligence and Inter-Plan Performance data warehouses. For Florida Blue, she established the Delivery System Informatics and Clinical Data Integration programs. She brings significant additional experience and perspective to her payer coverage from the work she has done supporting provider organizations with IT and data initiatives.

Professional background

Dell Services

Practice Lead, Health Plan Analytics Innovation and Consulting

Baptist Health System

Consultant, Health Information Exchange Platform Integration

Florida Blue

Consultant, Information Management and Delivery System Informatics

Areas of coverage

Healthcare and Life Science Digital Optimization and Modernization

Healthcare and Life Science Digital Transformation and Innovation

Education

Master of Arts, Rhetoric and Composition, Florida State University

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Top Issues That I Help Clients Address

1Future technology needs and vendors for next-generation core administrative processing systems (CAPS) with functions such as claims processing, enrollment, billing, payment and payment integrity

2Automation for coding, claims editing, product configurator and other operational processes

3Digital business transformation including platform architecture and digital operating model

4Integrating and analyzing HL7 and other clinical data from electronic health records (EHR)

5Improving payment integrity and addressing fraud, waste, and abuse (FWA)