Linnea Evans, Msw, Ma, Crc Email & Phone Number

Direct Risk Adjustment Operations, Risk Adjustment Analytics, Medical Coding Quality (risk mitigation strategy)Direct Quality and Risk Adjustment Provider Engagement Program

• Manage Provider Clinical Consulting (PCC) program for Medicare Advantage, ACA/Individual, and commercial lines of business, including program strategy (transaction, transformational, and integrated) development and implementation through a team of nurse consultants working in the field with key and strategic providers across WA and AK.• Manage risk adjustment coding program, including direct supervision of medical coding auditors and coding quality educator, and coding quality oversight of 2 coding vendors, RADV vendor and NLP coding platform vendor.• Oversee risk mitigation program for MA and ACA risk adjustment; develop and deploy strategic educational campaigns including in depth provider performance review and feedback processes, manage annual coding guideline updates and approvals, vendor QA, two-way reviews, and provider supplemental data intake and validation processes.• Direct analytic activities for provider performance improvement in quality and risk, ensuring actionable, credible, and timely data is available to drive overarching program strategy as well as strategic provider conversations.• Lead ongoing, cross-divisional design and development of online provider population health platform and point of care tool used internally by case management and externally by provider partners; facilitate payer-provider conversations on data exchange interoperability.

Mountlake Terrace, Wa

Snohomish, Wa, Usa

Oversaw clinical and administrative operations for 5 providers: clinical QA, budgeting, A/P & A/R (including third party billing), marketing, HR, credentialing and clinic flow. Directed expansion of clinic operations by 200%, including development and implementation of new programs (medical nutrition therapy, IV therapy, acupuncture and medi-aesthetics), including budgeting, hiring and training personnel, advertising and reimbursement analysis. Directed implementation of all phases of transition to EMR including training of administrative and clinical staff on new software. Developed and implemented branding concepts; write website content and manage site; design all promotional materials for print. Manage Breast, Cervical and Colon Health Program contracts for King and Snohomish Counties.

Everett, Wa, Usa

Developed curriculum for Medical Spanish Interpreter certificate program. Taught Medical Spanish Interpreting and Administrative Medical Assisting courses including Office Management, Computer Applications and Practice Finance.

Omak, Wa, Usa

Directed countywide clinic operations including expansion of clinic operations in 2 locations and opening of a 3rd clinic site. Directed countywide education/youth outreach programming: developed and implemented youth development, peer education and community education programs in 7 school districts, tribal facilities, and juvenile detention. Other responsibilities included grant writing, reporting, and management; radio and print content development; coordination of Teen Health Task Force of Okanogan County; policy analysis.

Tacoma, Wa, Usa

Aurora, Co, Usa

Master Of Social Work, Management And Administration

Master Of Arts In International Development, International Development And Human Rights

Bachelor Of Arts, Geography; International Development