Priyatam Piya

Sr. Risk Adjustment Analyst @ Cambia Health Solutions

About Priyatam Piya

Priyatam Piya is a Senior Risk Adjustment Analyst at Cambia Health Solutions, where he has worked since 2016. He specializes in optimizing risk adjustment factors and has extensive knowledge of CMS-HCC methodologies.

Work at Cambia Health Solutions

Priyatam Piya has been employed at Cambia Health Solutions since 2016, serving as a Senior Risk Adjustment Analyst. In this role, Piya focuses on optimizing risk adjustment factor increases while ensuring accuracy in plan payments. Piya collaborates with various business associates across departments to identify needs and develop effective system solutions. Responsibilities include creating dashboards and reports that pertain to risk adjustment activities, utilizing statistical software such as SAS for data management and analysis.

Education and Expertise

Priyatam Piya holds a Bachelor of Engineering (BE) degree in Industrial Production Technologies from Manipal Institute of Technology, where studies were completed from 2000 to 2004. Piya furthered education by obtaining a Master's degree in Business Administration and Management from Cambridge College between 2005 and 2008. Piya possesses expert knowledge of CMS-HCC risk adjustment methodologies, including Medicare Advantage, Medicare Part D, and ESRD models.

Background

Priyatam Piya has a strong educational foundation in engineering and business administration, which supports the analytical skills required for the role of Senior Risk Adjustment Analyst. The combination of technical and managerial knowledge enhances Piya's ability to recommend and guide process improvements within the healthcare sector.

Responsibilities and Skills

In the capacity of Senior Risk Adjustment Analyst, Priyatam Piya is responsible for recommending process improvements aimed at optimizing risk adjustment factor increases. Piya's role includes managing and analyzing risk adjustment data using statistical software such as SAS. The ability to create insightful dashboards and reports is crucial for tracking risk adjustment activities and supporting decision-making processes.

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