“Nimitt” means catalystrenewal, or progress. Our team’s mission is to be change agents to ensure that providers can care for their patients in the best way possible. We do this by working to improve coverage, removing day-to-day operational barriers, and improving coding and reimbursement. We also seek to improve the patient journey by increasing collaboration across all health care stakeholders, including providers, payers, industry, and government.


Jugna Shah, MPH, CHRI

Jugna Shah is a nationally recognized expert in health care policy who has been deeply involved with Medicare payment systems throughout her entire career.

Valerie A. Rinkle, MPA, CHRI

Valerie brings extensive experience in and knowledge of hospital revenue cycle and finance operations and CMS payment methodologies for hospital and other services, including professional and laboratory services.

Stephanie Farnia, MPH

Stephanie brings extensive expertise in cell and gene therapy reimbursement and access to Nimitt’s industry and provider association clients.

Amy Rinkle

Amy applies her analytic and strategic skills to synthesize and communicate coding, billing, and reimbursement policy to Nimitt’s industry and provider clients—with a particular focus on novel cell and gene therapies.

Kristen Muncy, MHA

Kristen leverages her extensive background and exceptional problem-solving skills to help clients reduce provider burden, optimize reimbursement from all payers, and expand patient access in a sustainable way.

Claire White, MSN, RN

Claire brings comprehensive and wide-ranging knowledge of cell and gene therapy provider and patient access operations to Nimitt’s industry and provider clients.

Susan K. Flinn, MA

Susan helps Nimitt’s team to work with our clients effectively and efficiently through expert program coordination services, including writing, editing, researching, and meeting planning.

Rachel Oxenden, eMPA, LLB

Rachel supports Nimitt with research, communications, educational offerings, reviewing regulations, operational strategies to enhance internal processes, and information management.

Charlee Roberts, MPH

Charlee provides high-level internal support to Nimitt’s leadership and team members, ensuring they have maximal ongoing capacity to provide top-notch technical assistance and consultation to our clients.