13point1 Advisors
The people best equipped to solve Payment Integrity challenges are the ones who’ve shaped the industry from the inside.
We transform healthcare payment accuracy, cost containment, and claim processing efficiency by leading journeys for clients that unlock incremental value and create lasting impact.
Our team has worked for and with the nation’s largest payers, providers, and payment integrity partners, and understands the motivations and business drivers of these stakeholders like no one else.
We tell you what you need to hear — not what you want to hear. Objectivity isn’t a talking point for us. It’s how we operate.
Payment Integrity is complex. We make it understandable. Our framework and common taxonomy cut through the noise so you can make decisions with confidence.
We don't boil the ocean. We identify what matters, build momentum, and drive transformation. Every engagement moves you forward.
Complex problems require resourceful people. That's who we hire and how we work. The people in the room are the people doing the work.
Why 13point1?
It takes 8 to 16 weeks of focused, disciplined training — and the commitment to that process is what transforms you. You're never too far behind to start, and you can always get better. That's how we think about the work we do.
Leadership
Managing Partner & Intelligence Practice Lead
Dan built a career guiding major initiatives for top payers, providers, and technology partners. Recognized across the industry for his expertise in payment integrity and data-driven change management, Dan's disciplined approach ensures that 13point1 can confidently deliver on even the most challenging healthcare technology projects.
View LinkedIn Profile →Technology Practice Lead
Neil helps clients modernize platforms, unlock data, and scale confidently by applying decades of technology leadership across healthcare, retail pharmacy, and SaaS. As former VP of Engineering and CTO, he has led AI-, ML-, and automation-enabled transformations that improved access, cut costs, and reduced risk.
View LinkedIn Profile →Content Practice Lead
Mark is an accomplished strategy and operations leader. He has guided organizations to maximize resources and align capabilities to evolving industry needs. His background spans technology consulting, content evaluation, and strategic advisory, making him adept at ensuring clients realize more value from their assets.
View LinkedIn Profile →Advisors
Sherri brings extensive leadership in healthcare insurance, with deep expertise in program integrity and operational efficiency across Medicare, Medicaid, and commercial sectors. She has led teams and strategic initiatives that enhanced compliance, improved coordination of benefits, and delivered billions in savings across stakeholders.
View LinkedIn Profile →Janet is a results-driven payment integrity executive with 20+ years leading claims operations, audit functions, and financial integrity programs across major payers including UnitedHealth Group, Cotiviti, Harvard Pilgrim, and BCBS of Rhode Island. She brings a proven track record of optimizing workflows, managing vendor relationships, and delivering significant cost savings.
View LinkedIn Profile →Corey is a seasoned executive with deep roots in payment integrity and cost containment. As former President of CERiS, a subsidiary of CorVel, he built and scaled a national prospective claim review organization recognized for industry-leading accuracy in itemized bill review and DRG validation.
View LinkedIn Profile →Scott is a financial operations and strategy executive who has created over $700M in realized value for payers through more accurate claim payment and enhanced recovery. A former McKinsey consultant and West Point graduate, he founded the payment integrity function at a large Blue plan and now focuses on developing methods for payers to actively solve Independent Dispute Resolution challenges.
View LinkedIn Profile →Margo brings decades of healthcare operations experience and deep market insight honed through years of proposal development and competitive positioning. At 13point1, she mentors our associate team and drives consistency across engagements — ensuring that the frameworks and standards the firm is built on are carried through in every deliverable.
View LinkedIn Profile →Associates
Ready to Talk?
