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
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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