Peter Janelle
Risk Adjustment Executive
- Role
- AVP, Risk Adjustment at Molina Healthcare
- Location
- Minneapolis, MN, US
- LinkedIn followers
- 500 followers
About Peter Janelle
I’m a results-driven healthcare leader with experience transforming risk adjustment, analytics, and strategic operations across payer and SaaS organizations. I’ve consistently delivered scalable growth, operational efficiency, and data-informed decision-making.With deep knowledge of Medicare Advantage, ACA, and CMS regulatory environments, I excel in bridging the gap between technical insight and executive strategy. My leadership spans cross-functional teams, C-suite strategy planning, and clinical/provider engagement with a relentless focus on measurable impact.Let’s connect if you’re interested in healthcare innovation, value-based care, or building analytics-driven health systems that outperform expectations.
Experience
AVP, Risk Adjustment
Jan 2023 — Present · Minneapolis, MN, US
I lead enterprise risk adjustment strategy for the ACA Marketplace across multiple markets, ensuring accurate clinical documentation and margin performance. I partner with regional and national leadership to drive growth, innovation, and operational excellence.• Design a scalable provider engagement strategy to support rapid membership growth and improved documentation accuracy• Develop targeted analytics and interventions to improve risk documentation for renewing and newly enrolled members• Manage vendor relationships and SLAs to ensure seamless delivery and program success
Education
University of Minnesota
Master of Public Policy, Public Policy Analysis
Moody Bible Institute
Bachelor of Arts - BA, Theology/Theological Studies
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