Aishwarya Mathur is a Risk Adjustment Analyst at Boston Medical Center Health System (BMCHS), supporting risk adjustment initiatives across the health plan’s Commercial, Medicare Advantage, and Medicaid products, as well as risk adjustment analytics for the hospital’s ACO risk-sharing contracts. Her work focuses on identifying and prioritizing risk adjustment opportunities through suspecting and member targeting, evaluating vendor and program performance, and analyzing risk score, recapture, and coding trends. She partners with clinical, operational, and finance teams to support accurate capture of population acuity and improve performance across risk adjustment initiatives.
