Fran Coury, as Principal at Courtech, LLC, leverages over three decades of extensive experience in the development and operation of Medicaid Management Information Systems (MMIS). His expertise spans critical areas such as Third Party Liability (TPL), program integrity services, and fraud and abuse prevention, making...
Fran Coury, as Principal at Courtech, LLC, leverages over three decades of extensive experience in the development and operation of Medicaid Management Information Systems (MMIS). His expertise spans critical areas such as Third Party Liability (TPL), program integrity services, and fraud and abuse prevention, making him a pivotal figure in enhancing the operational efficiency of State Medicaid Agencies. Currently, Mr. Coury plays a vital role in assisting the Washington DC Medicaid program, where he focuses on maximizing efficiency and implementing best practices within the TPL program.
One of his key projects includes the creation of a comprehensive Request for Proposal (RFP) for TPL services, which has significantly streamlined vendor selection processes and improved service delivery. Additionally, Mr. Coury developed a detailed TPL Handbook that serves as a crucial resource for staff training and operational guidance. His commitment to continuous improvement is evident in his ongoing analysis of existing TPL processes, where he identifies opportunities for enhancement, particularly in vendor management and program integrity.
Fran's skill set is robust, encompassing Medicaid compliance, Software Development Life Cycle (SDLC) methodologies, and a deep understanding of HIPAA regulations. His proficiency in healthcare information technology, business analysis, and project management enables him to drive impactful process improvements and change management initiatives. By fostering collaboration among stakeholders and leveraging data-driven insights, Mr. Coury is dedicated to advancing the effectiveness of Medicaid programs, ultimately ensuring better health outcomes for the populations they serve.