Carrie Rager, MBA, RHIA, CCS
Healthcare Strategy & Payment Integrity Advisor
Carrie Rager helps healthcare organizations turn complex operational challenges into practical strategies for growth, efficiency, and measurable value. Her experience spans health plans, healthcare technology companies, and provider organizations, bringing a broad perspective on how products, processes, and people work together.
Carrie has held senior leadership roles at Centene, Machinify, Elevance Health, and Change Healthcare. Her executive experience includes responsibility for a payment integrity portfolio delivering more than $2 billion in annual impact and an organization of approximately 650 professionals. She has led enterprise transformation, operational improvement, clinical and coding audit programs, vendor optimization, and technology-enabled change across Medicare Advantage, Medicaid, Marketplace, and commercial business.
At Machinify, Carrie worked within the product organization, leading subject matter experts who translated healthcare policy, clinical and coding expertise, and operational requirements into product capabilities. She also served as a consultant and advisor to Centene on payment integrity transformation before joining the organization as Vice President of Payment Integrity Operations.
Through Vector Logic Labs, Carrie advises healthcare organizations, technology companies, and investors on business strategy, product development, operating models, and performance improvement. She connects strategic decisions with the realities of implementation—helping clients evaluate opportunities, prioritize investments, strengthen delivery, and scale effectively.
Areas of advisory focus
- Payment integrity strategy: Program design, clinical and coding audits, prepayment and postpayment approaches, appeals, and recovery operations.
- Operational transformation: Organizational design, workflow improvement, quality assurance, productivity, and change management.
- Product and technology strategy: Healthcare use cases, product requirements, automation opportunities, and alignment between technology and business needs.
- Vendor and sourcing strategy: Capability assessment, vendor selection, performance optimization, and decisions about internal versus outsourced delivery.
- Growth and investment advisory: Market perspectives, service expansion, operational scalability, and assessment of healthcare technology and service businesses.
Carrie holds a Master of Business Administration and the Registered Health Information Administrator and Certified Coding Specialist credentials. Her approach combines strategic perspective with hands-on operating experience and a clear focus on sustainable results.
