Vice President, Healthcare Analytics & Risk Adjustment Solutions
Jessica Smith is Vice President of Healthcare Analytics and Risk Adjustment Solutions at Gorman Health Group (GHG). In this role, she is responsible for the execution and oversight of risk adjustment consulting services for managed care, provider practice, and commercial market clients and leading and integrating cross-functional teams to ensure superior performance outcomes related to risk adjustment operations.
Jessica brings GHG clients more than 10 years of experience as one of the nation’s leading experts on risk adjustment knowledge that bridges the gap between Medicare and commercial risk adjustment. She has experience developing strategies, initiatives, and end-to-end support for risk adjustment operations. Major emphasis is placed on warehouse development to support Affordable Care Act (ACA) deliverables and analyses.
Prior to joining the GHG team, Jessica led health plan efforts to implement commercial risk adjustment operations and technical support. In this role, Jessica was responsible for the overall strategy, design, and performance of the risk adjustment program. She led a cross-functional technical team of data analysts, solution architects, developers, testers, and business colleagues to implement all ACA data needs throughout the organization.
In addition to risk adjustment, Jessica also brings strong experience developing and operationalizing data governance, cost share reduction operations, regulatory compliance, and vendor management. For the past decade, she has been focused on public-private healthcare market interactions, all in the context of an ongoing analysis of key financial and public policy trends as they impact profitability in the industry. Jessica is passionate about the healthcare industry and delivering quality care to all members.
Jessica received her Bachelor of Science degree from the University of South Florida.