Lindsay Gleeson

PROFESSIONAL EXPERIENCE

Lindsay Gleeson is a Managing Director in Protiviti’s St. Louis Internal Audit & Financial Advisory (IAFA) practice and serves as Protiviti’s Healthcare Payer Practice Leader. She has more than 18 years of experience helping healthcare organizations navigate operational, technology, regulatory, and risk-related challenges. As Healthcare Payer Practice Leader, Lindsay advises health plans on operational and technology risk, regulatory readiness, risk assessments, process improvement, and transformation initiatives. She also focuses on leveraging emerging technologies, including artificial intelligence and automation, to enhance business processes, strengthen risk management, and drive greater operational efficiency.

MAJOR PROJECTS

• Managed multiple assessments, for example: Claims Operations (Encounters, Enrollment, Coordination of Benefits, etc), Claim Audit and Internal Audit. Each assessment consisted of a deep dive into current state processes, along with policies and procedures. Any applicable regulatory compliance was also considered. The deliverables consisted of a full gap analysis, automation opportunities (RPA, D&A, etc.) future state workflows, policies and procedures, training materials and a quality assurance program.
• Conducted a critical, time-sensitive validation of Medicare and Marketplace claims configurations for a large healthcare company to ensure that claims for the upcoming plan year would process correctly. Identified over 600 issues and provided dynamic reporting to the client using data visualization tools. Identified key control and process gaps within the process and provided key recommendations to improve the process. Managed multiple teams through validation and remediation of issues, as well communicating with key stakeholders directly throughout the process.
• Led multiple innovation projects for Healthcare clients. These projects included the use of the following innovation tools: Intelligent Automation (RPA, Copilot, etc) and Data and Analytics (D&A) utilizing Alteryx/Anaconda/PowerBI. The main objective of the projects were primarily to ensure healthcare claims quality. For example, proper payment, accurate benefit configuration (including cost share), and timeliness based upon serval conditions: state/regulatory rules, provider contracts, fee schedules, associated benefit plans, etc.
• Performed large annual ICFR, MAR, and SOX compliance efforts for several clients, including large year one initiatives.. Managed teams of client and Protiviti individuals through planning efforts, document requests, staffing assignments, testing efforts, and issue identification and remediation efforts. Additionally provided detailed documentation review for all control testing and provided status reporting to client management.
• Provided IT internal audit services to multiple national and global clients. Led projects related to Risk Assessments,  ITGC testing, controls integration and rationalization due to mergers, application reviews, database reviews, and specialty audits such as claims system segregation of duties reviews and system development lifecycle reviews.

Areas of Expertise

• Healthcare Payer
• IT Audit
• Healthcare Innovation (RPA / D&A)
• Sarbanes-Oxley Compliance
• Project Management
• Business Process Improvement

Industry Experience

• Healthcare
• Hospitality and Gaming
• Financial Services
• Manufacturing

Education

• MBA, University of Missouri, Columbia
• BS – Industrial Engineering, University of Missouri, Columbia

Professional Memberships & Certifications

• Certified Information Systems Auditor (CISA)
• Member, Information Systems Audit and Control Association (ISACA)
• Certified in Internal Audit Quality Assessment (QAR)
• Six Sigma Black Belt
• Project Management Professional (PMP)