Rich is an expert in encounter submissions and risk adjustment efforts. He has managed encounter submission and risk adjustment analytics teams across Medicare Advantage, ACA and Medicaid programs, along with risk adjustment operations and RADV for the ACA Marketplace.
He has designed, deployed, analyzed, and refined prospective and retrospective programs. Rich draws on his extensive experience with data for continuous improvement and optimization of risk adjustment efforts, aimed at maximizing ROI and minimizing costs.
Rich has also served as an encounter (EDPS/Medicaid) and Edge Server platform product-owner, managing requested or required changes to software.
Prior to working in the healthcare industry, he spent 15 years using advanced quantitative analytics to improve customer loyalty and retention across banking, market research and database marketing agencies.