Caroline Hebron
Strategic Leadership | Performance & Operational Excellence | Engagement & Collaboration
- Role
- Sr Manager, Quality & Risk Adjustment at Cedars-Sinai
- Location
- Los Angeles, CA, US
- LinkedIn followers
- 500 followers
About Caroline Hebron
Healthcare Executive | Risk Adjustment & Quality Performance | Value-Based Care StrategistStrategic healthcare leader with 10 years of experience driving enterprise-wide risk adjustment and quality performance initiatives across diverse, value-based care models. Deep expertise in Medicare Advantage Risk Adjustment (CMS-HCC), IHA AMP, MA 5-Star programs, MIPS, and CMMI payment models. Skilled in aligning clinical, operational, and analytics functions to deliver measurable outcomes—leveraging advanced data analytics and workflow optimization, in a highly matrixed environment.Trusted by executive teams and clinical partners to lead cross-functional initiatives, manage vendors, and implement high-impact programs. Committed to advancing value-based care through strategic leadership, operational excellence, and meaningful clinical engagement.
Experience
Sr Manager, Quality & Risk Adjustment
Dec 2022 — Present
Spearheads complex governmental programs involving physicians, analysts, and leadership to meet aggressive regulatory deadlines- Leads and manages a team of improvement professionals responsible for data analysis and validation, program management, population health innovation, product development, quality reporting and auditing- Integrates with cross-functional teams while ensuring path from ideation to strategic direction achieves annual goals coupled with high quality, cost-effective and patient-centered care- Drives efficiencies by leveraging data analyses, financial acumen, clinical insights, payer expectations, operational synergies in supporting vision and strategies- Advises senior and executive leadership on key concerns and solutions, practicing LEAN methodologies, creating KPIs and visualizations, leading tests of change and model projections- Collaborates with contracting & payors to evaluate current state, express limitations, advocate for improvements, and uncover actionable performance gaps.
Education
University of Victoria
Bachelor of Science (BS), Biology, General and Math minor
2003 — 2008
California State University, Northridge
Master’s Degree, Public Health Education and Promotion
2012 — 2015
British Columbia Institute of Technology
Financial Management Diploma, Taxation
2010 — 2011
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