Carla Sexton

With over 27 years in healthcare IT revenue cycle project management, Carla is a dynamic force. She drives success through a unique blend of technical acumen and unparalleled leadership. Over the years, orchestration of multi-million-dollar projects, ensuring alignment with scope, budget, and timelines, has been her forte, working seamlessly with prominent healthcare IT systems like EPIC, Oracle Cerner, Meditech, MOSAIQ, and others.

Throughout her career, pivotal roles at T-Rex Solutions LLC., GeBBS Healthcare Solutions, and Elevance Health (formerly Anthem) have marked her journey. Achievements include leading electronic health record (EHR) interoperability initiatives, steering product development, implementing effective provider reimbursement strategies, creating outpatient CDI programs, and developing successful denial management programs. Her impact extends beyond projects; it’s about driving positive change and fostering collaborations with esteemed institutions like Dana Farber Cancer Institute, Stanford University, Duke University, Virginia Commonwealth University, and others.

Through a steadfast commitment to continuous professional development, she has acquired a diverse range of certifications, including PMP, SAFe 6, CSPO, CSM, CCS, CCS-P, CPC, and COC. Actively participating in professional associations like PMI, Scrum Alliance, AHIMA, and AAPC, allow her to stay at the forefront of industry best practices. This dedication extends to her passion for mentoring and coaching, as she guides and supports others, shaping a journey marked by shared innovation, collective growth, and positive impact.