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Employee Spotlight | Juliana Vallarino

Juliana Vallarino understands the power of being proactive. That’s why she excels as a Medical Coder II at Advantasure, working from an assigned roster and reviewing medical records to ensure doctors are reporting chronic conditions. Her work makes an impact for customers and their members by confirming accurate insurance coverage, preventing hospitalizations, and meeting compliance […]

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Employee Spotlight | Raven Hemphill

These days, compassion can be difficult to come by. However, for Raven Hemphill, an Operations Quality Audit analyst, compassion not only comes naturally, but it’s a trait that allows her to produce quality outcomes that lead to member and client satisfaction and overall excellence. On the Business Platforms Performance team, Raven has jurisdiction over several […]

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Risk Adjustment & The Health Plan-Provider Partnership

Today’s health plans are becoming advocates for proactive care models—trailblazing new ways of monitoring and improving member outcomes. As part of this initiative, the health plan-provider relationship is being reframed as a true partnership designed to deliver the highest level of patient-member care. At the forefront of proactive care models, is the quest to reduce […]

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Member Acquisition & Engagement Platform Helps Upstart North East Plan Exceed Enrollment Expectations

Summary With 73% of U.S. seniors using the internet, today’s health plan cannot obtain a thriving acquisition and engagement rate without a competitive digital approach. Advantasure’s Member Acquisition & Engagement platform uses machine learning to craft messages and micro-segment target populations to turn health plan data into actionable insights. When our platform was used during […]

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Employee Spotlight | Patrick Herbez

Patrick Herbez, manager, Application Development, Advantasure may have only been employed at Advantasure for five years, but the skills, expertise and leadership he’s displayed in that time make him an integral part of the team. He’s too modest to tell you himself, but his colleagues credit him for helping to build many of the products […]

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Employee Spotlight | Karleigh Hoss

Karleigh Hoss, took some time out during a busy HEDIS season to tell us all about what she does as an Expert Analyst for Advantasure’s HEDIS Performance Improvement team. If you ask her what she does every day, jokingly, she might say, “everything” and in reality, her role could be considered a “catch all” for […]

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Employee Spotlight | Thannia Rosa

A former flight attendant, Thannia Rosa is a natural explorer. She loves traveling to different places and discovering new foods and cultures. So of course, it makes perfect sense that she’d get to do a few of her favorite things in her career. Thannia is a Provider Engagement Coordinator (PEC), a part of Advantasure’s Risk […]

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Employee Spotlight | Elizabeth Waldman

The qualities of any exceptional employee include having the necessary experience to fulfill the needs of the position, a burning desire to impact and change health outcomes for members and the innate ability to be given something and make it better.
Elizabeth “Liz” Waldman checks every box in her role as supervisor of the Stars Initiatives Data and Analytics team. As a bonus, Liz’s personal connection to her role is also what drives her work.

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Leveraging AI & Machine Learning

Artificial intelligence and machine learning are changing the ways that Medicare Advantage plans attract new members, retain their existing members and close care gaps.

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Advantasure Achieves Veracode Verified Standard Status

Veracode Verified helps companies prove commitment to produce secure software   GLEN ALLEN, Va. – Nov. 1, 2019 – Advantasure today announced that it participates in Veracode Verified, a program that validates a company’s secure software development processes. With approximately 30% of all breaches occurring as a result of a vulnerability at the application layer, […]

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