Jesse F Montgomery
About Jesse F Montgomery
Jesse F. Montgomery serves as the Director of Payment Integrity & Shared Savings at Cambia Health Solutions, where he has worked since 2020. He has extensive experience in healthcare analytics and payment integrity, having held various leadership roles in organizations such as Stella, Medica, and OptumInsight.
Current Role at Cambia Health Solutions
Jesse Montgomery serves as the Director of Payment Integrity & Shared Savings at Cambia Health Solutions. In this role, he is responsible for aligning strategic goals with decisions regarding audit functions and provider-facing functions. He leads the identification and implementation of technologies and workflows aimed at enhancing payment integrity operations. His work focuses on ensuring that the organization meets its objectives in payment accuracy and efficiency.
Previous Experience at Stella
Before joining Cambia Health Solutions, Jesse Montgomery worked at Stella in various capacities. He served as the Payment Integrity Analytics Director from 2018 to 2020 and as the Director of Healthcare Analytics from 2017 to 2018. His tenure at Stella was marked by a focus on analytics and operational integrity within healthcare payment systems.
Experience at Medica
Jesse Montgomery held the position of Director of Business Informatics and Healthcare Economics at Medica from 2011 to 2017. During his six years at Medica, he contributed to the organization’s understanding of healthcare economics and business informatics, which are critical for informed decision-making in healthcare management.
Background in Insurance and Finance
Jesse Montgomery's career began in the insurance and finance sectors. He worked as a Commercial Liability Adjuster and Claims Representative II at ESIS / ACE Insurance Company of North America from 2003 to 2005. Prior to that, he was a Subrogation Specialist at GE Commercial Finance from 2000 to 2002. This experience provided him with a solid foundation in claims management and financial processes.
Expertise in Analytics and Business Processes
Jesse Montgomery has extensive expertise in bridging the gap between business and technical interests, particularly in clinical information and analytic systems. His previous roles at OptumInsight included Director of Fraud Analytics Programming and Program Manager, where he focused on analytics and business processes. This background supports his current efforts in enhancing payment integrity through effective technology and workflow implementation.