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Documented Client Outcomes

25 years. Named engagements. Real numbers.

Every engagement below has a client, a scope, a methodology, and a documented outcome. This is what "founder-led boutique consulting" actually produces when the founder has spent two decades inside payer operations, learning platforms, and now AI-native SMB systems.

From HealthRules payer implementations to enterprise learning transformations during financial turnaround, to a full-stack construction business built from an idea to a bookable brand in weeks. Each case links to the full write-up, either here or on the personal portfolio at glendagierbolini.com/casestudies.

Payer System Implementation
Metropolitan Jewish Health System (Elderplan)

HealthRules® payer platform migration from MCO.

Led UAT efforts, coordinated with Highpoint Solution consultants, validated system configuration, and ensured accurate claims processing, clinical editing, and benefit rule setup across Medicare and Medicaid dual programs. Stabilized post-conversion through SQL crosswalk validation, regression testing, and defect triage.

✓ Successful MCO → HealthRules conversion · dual-eligible programs live · post-conversion stability
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Hosted on glendagierbolini.com portfolio

Enterprise Learning · Change Management
UCare · Enterprise Realignment

Change in Motion. Learning framework during financial turnaround.

Built a fully integrated learning and engagement framework to guide employees and leaders through a major organizational realignment. Strategy, design, cross-functional collaboration, and change management practices that transformed uncertainty into clarity across the enterprise.

✓ Enterprise learning framework · employee + leader dual-track · financial turnaround support
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Hosted on glendagierbolini.com portfolio

Workflow Modernization
Claims Reconsideration Operation

Paper-based, backlogged, and non-compliant to fully digital in one turnaround.

Led the full modernization of a paper-based, high-volume claims reconsideration operation. Built a digital intake pipeline, redesigned workflows, trained a specialized allocation team, implemented end-to-end aging and reporting, and aligned cross-functional partners. Transformed a severely backlogged, high-risk process into a streamlined, transparent, compliant, high-performing operation used enterprise-wide.

✓ Digital intake pipeline · trained allocation team · executive-grade reporting · regulatory compliance restored
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Hosted on glendagierbolini.com portfolio

Systems Implementation
Provider Network Management · ServiceNow

ServiceNow PNM workflow implementation.

Developed, structured, and supported the Provider Network Management workflow within ServiceNow. Created structured processes, routing logic, and documentation tools to streamline provider contract updates and operational requests. Cross-department collaboration between provider network, contracts, credentialing, and operations teams.

✓ Structured PNM workflow · routing logic · cross-department alignment · user-focused training
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Hosted on glendagierbolini.com portfolio

eLearning Curriculum
CCO · Complex Claims Processing on HealthRules®

Complex claims workflows into clear, self-paced eLearning.

Transformed complex claims workflows into clear, interactive, self-paced modules. Storyline simulations, system demos, integrated job aids, and SCORM delivery gave cross-trained staff the skills and confidence to accurately process high-complexity claims. Covered COB, DRG, PCA, LTC, IHS, MN Medicaid DRG, Modifier GA Review, High Dollar Claims, and HRP Upgrade content.

✓ 20+ SCORM-packaged modules · Storyline simulations · 40-60% reduction in SME-led repeat sessions
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Hosted on glendagierbolini.com portfolio

Workforce Onboarding
NTT DATA + UCare · CCO Workforce

End-to-end onboarding academy for new Claims Processors.

Delivered clear, practical, and confidence-building instruction for new Claims Processors. Each learner gained the systems knowledge, workflow understanding, and hands-on practice needed to succeed from day one. Integrated Articulate Storyline modules, system simulations, standardized mock member data environments, and job-aid libraries.

✓ Systems knowledge + workflow + hands-on practice · day-one productivity · standardized onboarding at scale
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Hosted on glendagierbolini.com portfolio

Named Frameworks Applied

Every case ran on at least one of these methodologies.

These aren't proprietary black boxes. They are documented, trademark-protected frameworks with defined deliverables.

Cost-to-Revenue Method™ Operational Translation Sprint™ Change Impact Crosswalk™ The Five Pillars of AI Maturity™
See the full methodologies →
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