John Murphy
Principal at Risk Adjustment Consulting | Waltham, Massachusetts, United States
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As the Principal at Risk Adjustment Consulting, John Murphy leverages over two decades of extensive experience in the healthcare sector to drive transformative initiatives that enhance risk adjustment strategies and improve patient outcomes. His unique blend of creativity, change management, and analytical skills positions him as a thought leader in the field. John is currently spearheading key projects that focus on Medicare Risk Adjustment and State Exchange Risk Adjustment, where he utilizes his deep understanding of healthcare reform to navigate the complexities of regulatory compliance and reimbursement models.
John's role extends beyond project management; he is actively involved in fostering physician relations and enhancing performance improvement initiatives. His ability to negotiate effectively and analyze data-driven insights allows him to develop tailored solutions that address the unique challenges faced by healthcare providers. As a former Board Member of a community health center and a consultant at the National Perinatal Information Center, John has a proven track record of advocating for equitable healthcare access and implementing innovative strategies that align with the evolving landscape of health policy.
At Risk Adjustment Consulting, John is committed to empowering organizations to optimize their risk adjustment processes through comprehensive training and strategic planning. His expertise in informatics and sales management further enhances his capability to deliver impactful results, ensuring that clients not only meet but exceed their operational goals. As healthcare continues to evolve, John remains at the forefront, dedicated to driving meaningful change and improving the overall quality of care.
Principal at Risk Adjustment Consulting in January 2013 to Present
Director Risk Adjustment at Blue Cross & Blue Shield of Rhode Island in August 2014 to February 2015
Sr. Contract Manager at Neighborhood Health Plan in January 2012 to January 2012
Manager Informatics & Payor Relations at New England Quality Care Alliance in January 2010 to January 2011
Manager, Risk Adjustment Operations at Tufts Health Plan in January 2008 to January 2010
Director of Contract Settlement and Analysis at BCBSMA in January 2005 to January 2007
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Crisis Management
RADV Audits
Report Development
Financial Analysis
Data Querying
Contract Analysis
Creative Problem Solving
Value Based Contracting
Microsoft Office
BCBSMA Alternative Quality Contracts
PCMH Development and Analyses
Contract Negotiation
Contract Management
Informatics
Change Management
Healthcare Consulting
Organizational Design
Sales Management
Managed Care
Medicare Risk Adjustment
RADV
Medicare
State Exchange Risk Adjustment
Strategy
Leadership
Healthcare
Health Insurance
Data Analysis
Network Development
EHR
Insurance
Strategic Planning
Revenue Cycle
Healthcare Industry
Medicaid
Negotiation
Physicians
Health Policy
HIPAA
Management
Hospitals
Program Management
Analysis
Training
Healthcare Information Technology
Provider Relations
Healthcare Management
Process Improvement
Disease Management
Physician Relations
Quality Improvement
Performance Improvement
Credentialing
Utilization Management
Medicare Part D
EMR
Analytics
HMO
Health Care Reform
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What is John Murphy email address?
Email John Murphy at [email protected]. This email is the most updated John Murphy email found in 2026.
How to contact John Murphy?
To contact John Murphy send an email to [email protected].
What company does John Murphy work for?
John Murphy works for Risk Adjustment Consulting
What is John Murphy's role at Risk Adjustment Consulting?
John Murphy is Principal
What is John Murphy's Phone Number?
John Murphy's phone (413) ***-*171
What industry does John Murphy work in?
John Murphy works in the Insurance industry.
John Murphy Email Addresses
John Murphy Phone Numbers
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