Evan Orem Email & Phone Number

Rochester, New York, United States

• Managed team of six members responsible for targeting, analyzing, and reporting on 70k prospective AWVs and IHAs and 350k retrospective chart reviews for Medicare, Medicaid, and Commercial lines of business annually• Supported Vendor Management and Program Operations teams to manage successful relationships and ongoing activities between vendors and providers including implementation of initiatives and identifying provider education opportunities• Led creation of dashboards for Medicare, Commercial, and Medicaid risk adjustment initiatives and associated ROI• Provided productivity tracking capabilities to our Program Operations team for coding accuracy and completion

Rochester, New York, United States

• Managed team of three analysts calculating risk scores for Medicare, Medicaid, and Commercial lines of business• Updated CMS-HCC, HHS-HCC, and CRG models in SAS to calculate risk scores and analyze impact of changes to revenue• Valued revenue impact of prospective and retrospective risk adjustment initiatives and claims audits• Supplied risk score data to aid ACQA partnerships, Medicare bids, case management, and Analytics & Data department

Rochester, New York Area

• Analyzed Medicare, Medicaid, and Commercial claims for risk adjustment, accurately capturing risk scores and revenue• Modeled the economic impact of the Accountable Care Act transfer payment on the commercial population• Managed Medicaid stop loss program analyzing claims data for program profitability and recovery opportunities • Using SAS, prepared all Medicaid, Family Health Plus, and Child Health Plus encounter data to be submitted to New York State for risk score calculations while auditing and correcting submission errors

-Coordinated the operation and successful execution of multiple projects such as a hand hygiene compliance campaign (increased hospital-wide compliance from 42% to 81%), infection reduction initiatives, and patient safety communication-Updated status of quality and patient safety initiatives communicated to the Rochester General Hospital and Newark Wayne Community Hospital boards of directors -Created a dashboard with performance indicators identifying opportunities to improve at both unit and organizational levels-Coordinated exchange of data and all reporting between the Patient Safety Institute and other departments and leaders-Managed $2,500,000 budget including annual proposals and variances

-Conducted market-based compensation analyses examining local, regional, and national markets to ensure competitive salaries, making adjustments as necessary-Managed health insurance for entire retiree population including enrollment and billing-Created and/or revised 600 job descriptions to conform to JCAHO, DOH, and DOL standards-Managed $1,000,000 tuition assistance program-Created and delivered presentations on compensation and benefits to new hires, employees, and leadership

Fairport, New York

•Created, updated, and organized job descriptions for all associates’ positions to bring the Belfast, Ireland office into compliance with ISO-9001 standards•Assisted in producing and editing the company’s 2007 sales compensation plan for all sales engineers and sales managers•Created a database to track training and development objectives on an individual basis. Features of the database included password-protected accounts for each employee, manager tools to edit and view the progress of employees reporting to them, and an easy user interface allowing employees to view assigned objectives and update completed training

Ithaca, New York Area

•Trained fellow cadets in military skills including formation marching, physical fitness, problem solving, and general knowledge of the military structure and history•Acted as a liaison between the Civil Air Patrol and Detachment 520 coordinating activities, teaching classes, and training CAP cadets in military knowledge and skills

Mba, Pricing, Competitive & Organizational Strategy, Finance

Activities and Societies: Beta Gamma Sigma Honors Society

Bachelor'S, Industrial And Labor Relations

Activities and Societies: •Alpha Phi Omega National Coed Service Fraternity – Vice President of Membership May 2007-January 2008.