Adolfo Das Neves
Assistant Vice President (Acting), Risk Adjustment @Blue Cross NC
Signup · Get unlimited contacts
WORK HISTORY
Assistant Vice President (Acting), Risk Adjustment @Blue Cross NC
Lead enterprise risk adjustment strategy across Medicare Advantage and ACA lines of business, driving performance improvement and sustainable growth.* Oversee initiatives influencing $300M+ in revenue outcomes, including coding optimization, prospective/retrospective programs, and provider engagement.* Advise executive leadership on risk score performance, financial outlook, and strategic investments.* Establish governance frameworks to ensure accuracy, compliance, and scalable performance.* Lead strategic initiatives balancing financial impact, provider capacity, and member experience.* Selected as acting successor to AVP role to ensure leadership continuity during transition.
EDUCATION
Florida State University
MS, Economics
Northern Illinois University
BS, Economics
SKILLS
ABOUT ADOLFO DAS NEVES
Senior healthcare strategy and analytics leader with over 15 years of experience driving performance across Medicare Advantage and ACA lines of business. Proven track record of leading enterprise initiatives that improve revenue outcomes, optimize risk adjustment performance, and enhance quality and member experience.Currently serving as Assistant Vice President (Acting), Risk Adjustment, leading enterprise strategies that influence multi-million-dollar financial outcomes. Partner closely with executive leadership to prioritize investments, align cross-functional stakeholders, and execute high-impact initiatives across clinical, provider network, operations, and analytics teams.Recognized for combining strategic vision with disciplined execution—translating complex challenges into actionable programs that deliver measurable results. Trusted advisor to senior leaders on risk adjustment performance, revenue optimization, and enterprise strategy.Core areas of focus include:* Medicare Advantage & ACA Strategy* Risk Adjustment (HCC) Optimization* Revenue Performance & Growth* Enterprise Program Leadership* Strategic Investment & ROI* Cross-Functional Execution & Governance
This profile is compiled from publicly available professional sources. Unifers is not affiliated with or endorsed by LinkedIn. Request removal of this profile.