” Chance Adjustment Software Supervisor, Premera Blue Cross “ My favorite factor is the networking & Conference different vendors. I like to always see factors outside of the box and so we've seen some distinct suppliers that are presenting here about the factors I've thought about that might help us with hazard adjustment, so Assembly them and networking was the icing about the cake.” Statements Specialist, Blue Cross Blue Shield of Massachusetts
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Prior to this do the job, he worked on algorithms to allow reinforcement Finding out agents to know from human responses. In business, he has interned at Apple, Palantir and Microsoft wherever he labored on programs starting from organic language knowledge to anomaly detection.
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With heightened oversight and audit activity through the Office of Inspector Common (OIG) coupled with major variations in hazard adjustment and Star ratings with the Facilities for Medicare & Medicaid Services (CMS), and the continuous inflow of digital transformation out there, optimizing health and fitness plan operations is vital to maximizing returns and giving very best-in-class patient care amidst get more info frequent improve.
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He previously served the hospital given that the Main health-related information officer for Health and fitness Facts Innovation & Integration, in which he oversaw A variety of BH PeC responsibilities, including the neighborhood implementation of the Sunquest laboratory details system and integration with Epic, which has a novel constructive affected person identification specimen selection Resolution that has lessened laboratory specimen problems for inpatients.