Casi Vician
Verified Expert in Management Consulting
Management Consulting Expert
Painesville, OH, United States
Toptal member since January 9, 2026
Casi is a healthcare executive and former clinician who leads enterprise platform modernizations and AI-driven transformations across payer, provider, and PBM ecosystems. She specialized in executive governance, audit-ready execution, and cross-functional alignment. Casi has delivered over $10 million in savings and led more than $2 million in EBITDA turnarounds by modernizing regulated workflows and implementing clinical automation, while maintaining high clinician engagement.
Career Highlights
Education Highlights
Case Studies
$2 Million EBITDA Clinical Intake Automation (40% Cycle-time Reduction)
Intelligent Prior Authorization Verification (Reduced Administrative Waste)
Clinical Admin Approval Automation (Audit-ready Throughput Gains)
Expertise
- Automation & AI Implementation
- Clinical Operations & Transformation
- Clinical Platform & Product Strategy
- Cross-functional Team Leadership
- Enterprise Transformation
- Regulatory Compliance Governance
- Strategic Value Realization
- Vendor Management
Work Experience
Vice President (VP) of Clinical Systems Operations
Trillium Health Resources (Medicaid Tailored Plan)
- Directed enterprise clinical systems and vendor teams supporting more than 60,000 members across nearly 50% of North Carolina.
- Drove the replacement of a clinical management platform across behavioral and physical health programs, aligning artificial intelligence, robotic process automation (RPA), security, and compliance.
- Embedded RPA and predictive analytics into UM, claims, and pharmacy workflows, reducing cycle times and stabilizing operational throughput.
- Modernized enterprise clinical SaaS platforms with predictive dashboards and member-facing tools, improving engagement, transparency, and executive decision-making.
- Built executive governance cadences and cross-functional alignment to deliver compliant outcomes under NCQA, URAC, CMS, HIPAA, and state rules.
- Enabled operational scale across behavioral and physical health programs without proportional headcount growth.
Senior Digital Transformation Consultant
Amitech Solutions
- Delivered more than $10 million in savings for a major payer by scaling RPA and AI across clinical and operational workflows.
- Directed a multi‑workstream automation portfolio, balancing velocity, risk, and ROI across concurrent initiatives.
- Spearheaded an automation portfolio of more than 125 use cases from intake to production, increasing throughput and reducing errors across workflows.
- Standardized delivery patterns to prevent team burnout while sustaining high throughput across engagements.
Senior Director, Clinical Business Systems
Elixir
- Owned the prior authorization (PA) hub modernization, streamlining thousands of prior authorizations weekly, reducing processing times, and boosting provider satisfaction.
- Rebuilt Medicare compliance and CMS reporting infrastructure, strengthening audit readiness and regulatory resilience for PA operations.
- Designed PA analytics and dashboards that provided executives with real-time visibility into utilization, appeals, and compliance performance.
- Directed cross-functional teams translating subject matter expert requirements into configurable PA logic, reducing denials and improving throughput.
Enterprise Clinical Transformation Lead
University Hospitals
- Oversaw a multi-site paper-to-digital transition for a major academic health system, increasing portal adoption by 60% and improving continuity of care across all clinical sites.
- Orchestrated the full implementation lifecycle of an enterprise physician portal, streamlining clinical workflows and delivering measurable gains in patient throughput and error reduction.
- Established executive governance and adoption dashboards that secured physician buy‑in and long‑term ROI.
Education
Bachelor's Degree in Clinical Psychology
Ursuline College - Pepper Pike, OH, USA
Certifications
Scrum Product Owner Certified (SPOC)
VMEdu
Certified Scrum Master (CSM)
Scrum Alliance
Skills
Industry Expertise
Healthcare
Finance
ROI
Data & Analysis Software
Salesforce
Other
Enterprise Transformation, Clinical Platform & Product Strategy, Automation & AI Implementation, Clinical Operations & Transformation, Vendor Management, Strategic Planning, Regulatory Compliance Governance, Strategic Value Realization, Cross-functional Team Leadership, Healthcare Services, Business Transformation, Automation, Digital Transformation, Executive Leadership, Executive Consulting, Enterprise Change Management (ECM), Strategic Consulting & Delivery, Workflow Optimization, Business Process Re-engineering, Business Requirements, Stakeholder Management, Clinical Workflow Automation, Agile Delivery, Application Lifecycle Management (ALM), Digital Transformation Program Management, Azure DevOps, Automation & AI, Data Analytics, Value Management (VM), Data Integration, RPA Solution Architecture, SharePoint Online, Microsoft Teams, Business Processes, Healthcare IT
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