Risk Adjustment Social Media

JOHVENSKY PLAISIME

Brooklyn, NY ***** 609-***-**** **********@*****.***

Professional Summary

Lean Six Sigma Certified Risk Adjustment Specialist with expertise in the healthcare industry, committed to driving process efficiency and improving customer insights. Work History

Risk Adjustment Specialist 09/2022 to Current

Healthcare Partners – Garden City, NY

Develop and implement presentations and educational programs for healthcare providers to enhance coding and documentation skills, assisting in a proactive approach to addressing patient population health risks.

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Work with third-party vendors to maintain and optimize risk adjustment processes, ensuring compliance with CMS regulations and deadlines.

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• Engage with healthcare providers to optimize patient access and utilization of available healthcare services. Support the identification and execution of risk adjustment strategies across Medicare, Medicaid, and Commercial health plans.

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Project Analyst 08/2021 to 09/2022

Flywheel Partners – New York, NY

Supported the launch of an FDA-approved liquid biopsy test by engaging stakeholders, overseeing the development of marketing content, and ensuring the quality of client deliverables.

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Designed and implemented an internship program to provide students with hands-on experience in pharmaceutical marketing as an alternative to traditional STEM career paths.

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Led multiple workstreams for pharmaceutical vendors, advising on social media strategies, promotional marketing materials, and go-to-market timelines.

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Research Intern 06/2019 to 08/2019

Horizon Blue Cross Blue Shield of NJ – Newark, NJ

• Supported research initiatives focused on addressing social determinants of health in underserved communities.

• Assisted in data collection, analysis, and project development to inform strategic interventions.

• Created reports and presentations to synthesize findings and support senior staff in decision-making.

• Engaged in workshops and presentations to enhance understanding of healthcare challenges and solutions. Education

Master of Healthcare Administration 12/2021

Rutgers, The State University of New Jersey - New Brunswick, NJ GPA: 3.75/4.0

Bachelor of Arts: Public Health 05/2020

Rutgers University - New Brunswick, NJ

GPA: 3.41/4.0

Certifications

• BrainStation Data Analytics - 2024

• Lean Six Sigma (Green Belt) Certification - 2021 Skills

• Microsoft Excel • Data Visualization (Tableau)

• Data analysis • Teamwork and collaboration

• Problem-solving • Time management

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