Raeann GrossmanBS, MS
Ms. Grossman is one of the nation’s foremost experts on Medicare Advantage, Medicaid, and Commercial risk adjustment models, strategies implementation and integration. She is a thought leader in healthcare business strategy and product development. Her expertise extends to provider engagement, member outreach, HEDIS, STARS, QRS, analytic design, care impact, and best practices implementation. She has more than 20 years of professional experience in a wide variety of healthcare organizations that include Health Plans, Medical Groups, Physician Hospital Organizations (PHOs), start-ups, Integrated Hospital Systems, and the Institute of Health Professionals Education.
Ms. Grossman has held executive positions that encompass her areas of expertise which include: Hierarchical Condition Category (HCC) and Medicaid Risk Adjustment, network management, executive client relationship management, predictive modeling, reimbursement modeling and implementation, business development, strategic planning, Centers of Excellence execution, financial analysis, acute and chronic care pathway creation, and product development and marketing for healthcare companies.