Cotiviti Appoints Raeann L. Grossman as Executive Vice President of Risk Adjustment and Quality to Drive Continued Success and Growth of Company’s Leading Solutions Lines

By AIT News Desk On Apr 22, 2021

Seasoned Healthcare Veteran Brings Decades of Experience to Support Company Mission of Lowering Healthcare Costs and Improving Quality for Health Payers, Broader Industry

Cotiviti, a leader in data-driven healthcare solutions, bolstered its executive team with the appointment of one of the nation’s premier health plan experts to the role of executive vice president, risk adjustment and quality. RaeAnn L. Grossman brings more than two decades of deep industry experience to the role to support the ongoing success of these key lines of business. The addition of this new senior leader marks a new phase of growth and expansion for Cotiviti, as well as a renewed focus on further optimizing its quality and risk offerings to meet rising market demand.

“This is a pivotal moment for the healthcare industry, between navigating the late stages of the pandemic, while also starting to recover and rebuild. In the current landscape, quality gaps and outcomes, risk stratification, and value have become more important than ever”

“This is a pivotal moment for the healthcare industry, between navigating the late stages of the pandemic, while also starting to recover and rebuild. In the current landscape, quality gaps and outcomes, risk stratification, and value have become more important than ever,” said Emad Rizk, M.D., chairman, president, and CEO of Cotiviti. “With the addition of RaeAnn Grossman to this critical role, we are well positioned to fulfill our mission of delivering rich insights and services to help health plans achieve success in key areas such as quality improvement, risk adjustment, and network performance.”

As Cotiviti’s new executive vice president, risk adjustment and quality, Grossman is responsible for leadership and management oversight of financial performance and operations, as well as strategic and business planning. Grossman will leverage her past experiences at a number of payer and healthcare organizations to ensure continued success of Cotiviti’s industry-leading Risk Adjustment and Quality and Analytic solutions focused on member health and provider performance. With her extensive track record of customer focus and value creation, along with government program and industry experience, Grossman will help Cotiviti enhance its portfolio to optimize financial metrics, reduce inefficiency, and improve overall healthcare performance.

Grossman is a renowned industry expert in healthcare innovation and transformation, product strategy, partnership development, and risk adjustment and quality. She has more than 25 years of experience in executive roles at an array of organizations, including commercial and government health plans as well as medical groups, integrated hospital systems, startups, and physician hospital organizations. Most recently, she was President of Medicare Advantage/COO of Bright Health Plan, managing a multi-state Medicare Advantage plan. Prior to that she held C-suite roles at various healthcare technology and consulting firms for nearly two decades, including extensive time with Gorman Health Group, which consults for government-sponsored healthcare programs.

“After dedicating my professional career to uncovering new opportunities for growth and innovation in healthcare, this chance to join the Cotiviti team and collaborate on achieving these shared goals is an exciting next step,” said Grossman. “From my years working with government and commercial health plans, as well as provider groups and the wider healthcare community, I thoroughly understand how important risk and quality excellence are to overall performance. I am eager to bring these experiences to tap into new avenues of success and growth for Cotiviti and our clients alike.”

Cotiviti offers a robust suite of Risk Adjustment and Quality services, fueled by sophisticated analytics and extensive data, to its client base of more than 200 regional and national health plans. Its comprehensive Risk Adjustment solutions ensure appropriate, compliant reimbursement based on member risk, and include prospective and retrospective risk adjustment solutions driven by in-depth analytics and artificial intelligence. The company’s leading Quality and Performance offerings drive utilization of high-value care and help shift to value-based models by providing unparalleled quality measurement and reporting, enabling network management, and supporting industry collaboration.

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