Jeffrey De Los Reyes
About Jeffrey De Los Reyes
Jeffrey De Los Reyes serves as the Director of Risk Adjustment for Government Programs at EmblemHealth and has extensive experience in healthcare analytics and risk adjustment solutions. He holds an MBA from the University of Connecticut and has held various leadership roles at UnitedHealth Group and MetroPlus Health Plan.
Work at EmblemHealth
Jeffrey De Los Reyes has been serving as the Director of Risk Adjustment for Government Programs at EmblemHealth since 2016. In this role, he oversees various initiatives related to risk adjustment strategies within government programs. Additionally, he holds the position of Assistant Vice President for Product Operations, Analytics, and Reporting for Government and State Sponsored Programs, contributing to the organization's efforts in enhancing healthcare delivery and operational efficiency.
Education and Expertise
Jeffrey De Los Reyes earned a Master of Business Administration from the University of Connecticut School of Business, where he studied Finance from 2001 to 2004. He also holds a Bachelor's degree from Springfield College. Furthermore, he completed a Master's program at Boston University, expanding his academic qualifications and expertise in healthcare analytics and risk adjustment.
Background
Prior to his current roles at EmblemHealth, Jeffrey De Los Reyes held several positions at UnitedHealth Group. He served as Senior Director of Strategy, Risk, Quality, and Network Solutions at Optum from 2010 to 2016, and as Senior Director and Risk Adjustment Consultant in Network and Population Health Consulting from 2015 to 2016. He also worked as Director of Market Consultation from 2008 to 2010. Earlier in his career, he was the Associate Executive Director at MetroPlus Health Plan from 2006 to 2008.
Achievements
Since joining Gorman Health Group in 2019, Jeffrey De Los Reyes has held the position of Senior Vice President for Healthcare Analytics and Risk Adjustment Solutions. His extensive experience in healthcare analytics and risk adjustment has positioned him as a key figure in developing solutions that address the complexities of healthcare delivery and risk management.