Jeff De Los Reyes is the leader of the Risk Adjustment division at Pareto's sister company, GHG Advisors. In this role, health plans and providers look to Jeff to enhance, optimize, and ensure superior outcomes related to revenue accuracy and compliance across all government- and state-sponsored programs (Medicare, Medicaid, and ACA).
projected in incremental PY2021 RAF opportunity for an MA plan
approximately identified for an ACA plan for additional retrospective targeting
of the top national health plans served
Enhance Your Strategic Planning and Revenue Outcomes
Our team of healthcare industry veterans have spent decades serving leading health plans, providers, law firms, financial institutions, and medical device companies. Backed by our suite of data products, our advisors merge their expertise with leading technology-based solutions to empower clients at every decision-making level.
Qualitative and Quantitative Risk Adjustment Assessments
- Performance Improvement and Execution
- Risk Documentation Improvement
- Data Integrity and Revenue Projections
- RADV and Audit Preparedness
- and more
We bring 25+ years of extensive industry expertise, including consulting leading health plans, PBMs, and state and federal agencies.
Solution + Service Model
Our expertise is paired with artificial intelligence and machine learning technology for a comprehensive business strategy.
Speed and Transparency
We accelerate data processing and analysis down to a matter of days, not weeks, all while providing complete transparency and access.
Meet Our Advisors
Rick brings over 20 years of experience to Pareto Intelligence and GHG Advisors, with extensive experience in leading, developing, and executing on strategic initiatives within the healthcare ecosystem. This includes more than 15 years of dedicated emphasis in government programs, specifically assisting health plans design analytic strategies for comprehensive and accurate data capture to support risk adjustment and organizational initiatives. In his current role as Principal, Rick is responsible for executive client management, analyzing and planning business strategy, and advising clients on analytic solutions.
Eric is responsible for the execution and oversight of risk adjustment projects across all government and state-sponsored programs (Medicare, Medicaid, and ACA). Eric brings over 15 years of healthcare experience to Pareto, working closely with health plans, health services organizations, and independent physician associations. Eric has extensive insight into risk adjustment activities including medical record retrieval, diagnosis coding solutions, provider engagement, and suspecting analytics.
Austin is a Client Advisory Manager, focused on the implementation and delivery of Pareto's solutions as well as ongoing industry advisory to various healthcare clients. His combined engineering and business backgrounds allows him to bring an analytical approach to solving problems and supporting revenue management improvement activities for clients.
KLAS Rated and Reviewed:
Top Performer for Risk Adjustment Solutions
"Pareto Intelligence offers consulting with their software, and that has been a really good fit for our organization. The other risk adjustment analytics solutions we looked at were more like software with a little consulting. The team we have is great, and they are doing the heavy lifting of a lot of the data work but are engaged with us on the interpretation as well." — KLAS Customer Review
Pareto Earns High Marks in KLAS Risk Adjustment Performance Report
Pareto Intelligence Recognized in Built In Chicago’s Best Places to Work List for 2022
A Powerful Foundation
Our Data Management Platform
Pareto’s Data Management Platform, the foundation to our solutions, is built around data lake, artificial intelligence, and open source big data technologies to allow us to effectively ingest data in all formats and types at scale, organize them with appropriate data governance mechanisms within our data catalog, and provide efficient configuration capabilities to democratize data access and analytics.LEARN MORE