Ramil Berner

Director, Risk Adjustment

Role
Director Risk Adjustment at CareFirst BlueCross BlueShield
Location
Philadelphia, PA, US
LinkedIn followers
500 followers

About Ramil Berner

An ambitious and optimistic Business Professional with proven abilities in program management, business development, strategic planning, team building, Data Analysis and detailing project information to determine effective functions and courses of action. Quickly grasps complex concepts, analyzes and interprets ideas into a logical strategy. Able to identify areas of strength and weakness and implement company policies and standards. Expansive thinker with outstanding record of achievement implementing innovative approaches and out-of-the-box thinking. Demonstrated ability to motivate staff to maximum productivity and control costs throughout the most effective uses of manpower and available resources with a high level of ethics and risk management alternatives.Specialties: Risk Adjustment, Strategic Planning, Manager/Motivator, Project Restructuring, Querying SQL Databases, Effective Communication, Program Development/Management

Experience

  1. Director Risk Adjustment

    CareFirst BlueCross BlueShield

    Oct 2025 — Present

    ACA, Medicare and MD Medicaid Risk Adjustment.

Education

  • University of Massachusetts Lowell

    MS, MATHEMATICS

    2004 — 2005

  • Drexel University

    Graduate Coursework in Mathematics

    2008 — 2009

  • Penn State University

    BS, MATHEMATICS

    1998 — 2002

  • Drexel University

    M.S., Information Systems

    2012 — 2014

Skills

  • Project Planning
  • Medicare
  • Strategic Planning
  • Management
  • Leadership
  • Program Management
  • Analysis
  • Integration
  • Medicaid
  • Project Management
  • Data Analysis
  • Hyperion Interactive Reporting
  • Sql
  • Mathematics
  • Mathematical Analysis
  • Risk Adjustment
  • Data Mining
  • Data Modeling
  • Team Leadership
  • Staff Development
  • Databases
  • Cross-Functional Team Leadership
  • Analytical Skills
  • Business Process Improvement
  • Qlikview
  • Problem Solving
  • Analytical Reasoning
  • Analytical

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Ramil Berner — Director Risk Adjustment at CareFirst BlueCross BlueShield in Philadelphia, PA, US | Unifers