Electronic Document Management, RPA, and AI/ML.
The implementation of the US Affordable Care Act (ACA) has enabled millions of Americans to gain access to health insurance, addressing coverage gaps that previously left many without healthcare. However, before coverage is granted, eligibility issues often arise that must be resolved. Serco, the eligibility determination contractor for the ACA, is responsible for managing and resolving these issues.
This presentation will explore the critical role Serco plays in processing millions of pages of consumer-submitted documentation each year. It will focus on how advanced technologies such as Optical Character Recognition (OCR), Robotic Process Automation (RPA), and Artificial Intelligence/Machine Learning (AI/ML) are leveraged to automate and streamline the eligibility determination process. Attendees will gain insights into how these innovative solutions drive efficiency, reduce manual intervention, and enhance the accuracy of eligibility assessments, ultimately helping to deliver timely health insurance coverage to consumers.
Project managers will learn how these automation techniques integrate into large-scale operations, addressing the challenges of high-volume data processing while ensuring compliance and quality standards in the healthcare sector.
Presentation Learning Objectives:
- Understand the Role of Automation in Eligibility Determination
Participants will gain a comprehensive understanding of how technologies like OCR, RPA, and AI/ML are applied to automate the processing of consumer-submitted documentation for eligibility under the Affordable Care Act. - Explore the Benefits of Automation in High-Volume Operations
Attendees will learn how automation reduces manual intervention, improves efficiency, and enhances the accuracy of determining consumer eligibility in large-scale healthcare programs. - Examine Project Management Implications in Automated Systems
Participants will identify key project management challenges and strategies for implementing and overseeing automation solutions in complex, high-volume, compliance-driven environments like healthcare.
Presenter Bio:
Robert Weiner is a seasoned leader in the computer industry with over 40 years of expertise in business process automation, information management, and emerging technologies. Throughout his distinguished career, Robert has specialized in electronic document and records management, workflow automation, robotic process automation (RPA), and is now deeply focused on harnessing the power of artificial intelligence (AI) and machine learning (ML) to drive advanced process automation.
Robert has held several high-level positions, including U.S. Vice President roles for three public software companies and innovative startups. His vast experience spans across software development, marketing and product management, systems engineering, professional services, and regional sales. As a project manager, he has successfully led numerous high-profile federal and commercial information management initiatives, demonstrating his ability to deliver results in complex and regulated environments.
Currently, Robert serves as Senior Solutions Architect at Serco, a multibillion-dollar business process outsourcing company, where he oversees the automation of consumer eligibility determination under the U.S. Affordable Care Act. His extensive experience and forward-thinking approach to leveraging AI and RPA have positioned him as a thought leader in the field of business process transformation.
That’s Amore Restaurant, 15201 Shady Grove Rd #1, Rockville, MD 20850 (Downstairs Banquet Entrance)
Speaker will be in-person at restaurant with simulcast video option available via Zoom
SCHEDULE OF EVENTS
Registration Check-In Opens at 6:00pm (Social Hour Begins)
Dinner Services starts no later than 6:45pm
Zoom Meeting Room opens up at 7:15pm
Chapter Business Remarks No Earlier Than @ 7:30pm
Mr.Weiner’s Presentation w/ Q&A to follow – NLT 7:40pm