Raul Caldera - Clinical Services Consultant, InnovaCare Health

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Work Background

InnovaCare HealthRisk Adjustment Operations Consultant

Feb. 2023United StatesIn my role as a Risk Adjustment Clinic Consultant, I provide strategic and operational services to enhance healthcare practices. I use my expertise in risk adjustment to improve patient acuity capture and population health management, aligning performance improvements with corporate strategy. My responsibilities span across various acquired practices, where I identify improvement areas, implement MRA strategies, and ensure critical deliverables. I maintain key performance indicators for risk adjustment programs, provide strategic recommendations, conduct data analysis for provider outreach, and develop interventions for acuity capture and risk adjustment outcomes. My role requires strategic decision-making, interpretive analytics, and strong organizational abilities, all while striving to improve patient outcomes in a dynamic healthcare setting.