10 Medicare Advantage risk adjustment experts
Medicare Advantage risk adjustment work in this group covers HCC coding, encounter and supplemental data submissions, chart reviews, RADV audits and risk adjustment revenue, in director and vice president titles at Aetna, Alignment Health, Johns Hopkins Health Plans, EmblemHealth/ConnectiCare, UCLA Health and others. Two list CareMore Health roles and two list Johns Hopkins Health Plans roles; they suit plans preparing for a RADV audit or rebuilding coding accuracy programs.
Professionals to explore
Christy Szolis
LinkedInExperience: Former Manager Medicare Risk Adjustment & Coding · CareMore Health
Christy Szolis held Manager Medicare Risk Adjustment & Coding (2021-2023) and Director Risk Adjustment Programs (2023-2025) at CareMore Health and has been Sr Director Risk Adjustment Government Revenue & Education at UPMC since May 2026. Highmark roles as Supervisor Strategic Risk Adjustment and Quality (2016-2021) and Clincal Quality Management Analyst (2009-2016) suit questions on coding education and quality programs.
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Eyosef Bogdanov, CPC
LinkedInExperience: Vice President, Risk Adjustment · Alignment Health
Eyosef Bogdanov, CPC has been Vice President, Risk Adjustment at Alignment Health since May 2022, after Sr Director, Risk Adjustment Operations there (2020-2022), and cites 20 years of hands-on work with the Centers for Medicare and Medicaid Services (CMS) Risk Adjustment/Hierarchical Condition Categories (HCC) model and RADV and RAPS experience. CareMore Health titles were Coding Analyst Manager (2009-2014), Director, Risk Adjustment & Coding (2014-2018) and Staff Vice President, Medicare Risk Adjustment & Coding (2018-2020).
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Gerardo Zuleta
LinkedInExperience: Medicare Risk Adjustment Director · Solis Health Plans
Gerardo Zuleta, based in the Miami area, has held Medicare Risk Adjustment Director at Solis Health Plans since October 2023. Director of Risk Adjustment at VivaMas Medical Centers (2023), Risk Adjustment Quality Director roles at MMM of Florida, Inc. (2021-2023) and InnovaCare Health (2020-2023), and Risk Adjustment Manager New York Connecticut - Medical Economics at Anthem, Inc. (2016-2020) suit questions on risk adjustment quality programs.
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Hyasmin Riddle
LinkedInExperience: Director of Risk Adjustment · Banner Health Plans
Hyasmin Riddle has been Director of Risk Adjustment at Banner Health Plans since August 2025, after Senior Director of Risk Adjustment at Arkos Health (2023-2025). Risk Adjustment Director at Humana (2016-2023) and Director, HCC and Star Program at ARIZONA PRIORITY CARE (Heritage Medical Group Affiliate) (2012-2016) sit behind a summary citing 15 years in risk adjustment and value-based care across Medicare Advantage, Marketplace and Medicaid.
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John Barkley
LinkedInExperience: Vice President, Enterprise Risk Adjustment & Data Integrity · EmblemHealth/ConnectiCare
John Barkley has held Vice President, Enterprise Risk Adjustment & Data Integrity at EmblemHealth/ConnectiCare since September 2019 and lists Director of Medicare and Commercial Risk Adjustment at ConnectiCare since 2011. Aetna, a CVS Health Company titles include Director of Forecasting & Reporting-Risk Adjustment Revenue (2010-2012) and Head of Medicare Risk Adjustment Revenue Department (2006-2010), with a summary citing risk adjustment payment methodologies, forecasting and audit.
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Kari M.
LinkedInExperience: Director of Risk Adjustment · UCLA Health
Director of Risk Adjustment at UCLA Health since September 2022, Kari M. took the role after Regional Director of Risk Adjustment and Quality Solutions at Molina Healthcare (2021-2022). West Region Risk Adjustment Manager at Molina (2020-2021) and Optum roles as Medicare Risk Adjustment Client Program Outcomes Manager (2018-2020) and Medicare Risk Adjustment and Quality Program Consultant (2013-2015) fit questions on pairing risk adjustment with quality work.
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Karl W.
LinkedInExperience: Medicare Risk Adjustment Lead Director (NY NJ) · Aetna, a CVS Health Company
As Medicare Risk Adjustment Lead Director (NY NJ) at Aetna, a CVS Health Company since April 2020, Karl W. describes an individual contributor role directing Aetna's Medicare risk revenue and coding accuracy strategies for the NY/NJ Medicare market. UnitedHealth Group titles include Director, DSNP & Medicare Stars Member Navigators (2015-2019) and Director, Quality Consumer Assessment of Healthcare Providers and Systems (CAHPS) (2013-2014).
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Kwame Appiah-Yeboah, Ph.D., CPC., CRC
LinkedInExperience: Director, Risk Adjustment · Johns Hopkins Health Plans
Optimizing MA risk adjustment revenue is the focus Kwame Appiah-Yeboah, Ph.D., CPC., CRC gives for Director, Risk Adjustment at Johns Hopkins Health Plans, held since January 2026, after Director, Risk Adjustment and Revenue Management at SENTARA HEALTH PLAN (2020-2025). AVP Finance - Risk Programs at Virginia Premier (2014-2020) and Senior Health Economist at Verisk Health (Health Risk Partners) (2010-2013) add a health economics view to revenue modeling questions.
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Ramil Berner
LinkedInExperience: Former Director, Medicare Advantage Revenue · Johns Hopkins Health Plans
Ramil Berner was Director, Medicare Advantage Revenue at Johns Hopkins Health Plans (2023-2025) and has been Director Risk Adjustment at CareFirst BlueCross BlueShield since October 2025, covering ACA, Medicare and MD Medicaid risk adjustment. PA Health & Wellness titles were Director Risk Adjustment (2022-2023), Senior Manager, Risk Adjustment (2020-2022) and Manager, Risk Adjustment (2019-2020), a fit for revenue and multi-program questions.
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Uttam Singh
LinkedInExperience: Former Director, Risk Adjustment · Curana Health
Uttam Singh was Director, Risk Adjustment at Curana Health (2022-2023), describing management of Medicare Advantage encounter and supplemental data submissions, error corrections, analytics, chart review programs and CMS RADV audits. Uttam also held Director titles in risk adjustment process and operation at Horizon Blue Cross Blue Shield of New Jersey (2021-2022), analytics at Gateway Health Plan (2020-2021) and strategy and performance at Advantasure (2019-2020).
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Choose the right perspective
For RADV audits and encounter data, Uttam Singh and Eyosef Bogdanov, CPC describe that work directly. John Barkley, Kwame Appiah-Yeboah, Ph.D., CPC., CRC and Ramil Berner fit revenue forecasting and finance questions, Karl W. fits market-level coding accuracy, Gerardo Zuleta fits risk adjustment quality, and Hyasmin Riddle, Kari M. and Christy Szolis fit documentation, quality and coding education programs.
Questions to take into the conversation
- 01How should a Medicare Advantage plan prepare medical records and coding support before a RADV audit sample arrives?
- 02What controls stop encounter data errors from reducing a plan's RAF scores and risk adjustment revenue?
- 03When does a retrospective chart review program stop paying for itself compared with prospective provider documentation work?
About this directory
This is a professional research starting point based on business profile data retrieved on . Titles and companies reflect that source snapshot; roles marked former had ended by then. Check the linked profiles for current details. Inclusion does not imply Instant Expert membership or availability.