Lisa Calicchio

Lisa Calicchio

Sr.Risk Adjustment Analyst (Exhange) @ EmblemHealth

About Lisa Calicchio

Lisa Calicchio is a Senior Risk Adjustment Analyst at EmblemHealth, where she has worked since 2008. She specializes in coordinating IT efforts for file resubmissions and producing analytics to support senior management in tracking performance metrics within the risk adjustment department.

Work at EmblemHealth

Lisa Calicchio has been employed at EmblemHealth since 2008, serving as a Senior Risk Adjustment Analyst in the Exchange division. In this role, she coordinates with the IT department to facilitate the resubmission of corrected files following the remediation of rejections. Her responsibilities include producing analytics for senior management, which help track submission and acceptance rates within the risk adjustment department. Prior to her current position, she worked as a Senior Revenue Management Specialist at EmblemHealth from 2008 to 2013.

Education and Expertise

Lisa Calicchio studied at Jersey City State College, where she gained foundational knowledge relevant to her career in risk adjustment and revenue management. Her educational background supports her analytical skills and understanding of the healthcare industry, which she applies in her current role at EmblemHealth.

Background

Before joining EmblemHealth, Lisa Calicchio worked at Star Ride Kids Inc. as a Manager of Credit from 2001 to 2008. This position provided her with experience in managing financial processes and collaborating with various stakeholders. Her career trajectory reflects a consistent focus on analytics and management within the healthcare and financial sectors.

Responsibilities and Collaborations

In her role as a Senior Risk Adjustment Analyst, Lisa collaborates with relationship managers and vendors to address and resolve file rejections that occur during the risk adjustment process. She conducts various analytics to ensure the success and reliability of the risk adjustment department, contributing to the overall efficiency of operations at EmblemHealth.

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