Rafi Cices is the Head of Risk Adjustment, Coding and Billing function at CityBlock Health, a tech-driven healthcare provider for those in underserved communities. Prior to joining Cityblock, Rafi led the Risk Adjustment strategy and analytics at Oscar Health for Medicare and ACA lines of business.
Rafi has experience managing an organization's performance in value based contracts where he successfully implemented contracts with insurers and CMS when he worked at Caremount Medical. He has an undergraduate degree in finance from Rutgers University and an EMBA from the Johnson Business School at Cornell University.
Dr. Shannon Decker is Founder & CEO at VBC One, a consulting firm assisting physician groups, health plans and vendors maximize the performance of their value based contracts and offerings. Dr. Decker has more than 25 years experience in health care and most recently led teams in risk, quality, data and analytics, telehealth, COVID response and delegation compliance. Of her more than 25 years of experience in healthcare--17 include working with risk adjustment, quality and Medicare. Dr. Decker has a PhD. in Interdisciplinary Studies, dual MBA degrees--in Finance and in Marketing, as well as an M.Ed. in Secondary Education and a M.Ed. in Administration and Leadership. Dr. Decker is on the faculty at Arizona State University and is also an associate professor in the social and behavioral sciences for Walden and Capella Universities where she chairs and oversees the dissertations of doctoral students. An author of two books and several peer-reviewed articles, and a prolific national public speaker, her interests include the study of human behavior and how social and behavioral theories may be brought to bear in value based care and population health management as a whole.
Aldiana Krizanovic
Senior Health Policy Consultant, Federal Government Relations
Sherri Directs Anthem’s Coordination of Benefits Strategy & Growth, Programs for all Anthem’s COB Efforts.
Anthem’s COB is unique in that all COB Operational, Prevention and Recovery Functions are consolidated, for all business, Commercial and Government, under the leadership of Program Integrity.
This includes Anthem’s Cost Containment Prevention Program; CMS HEW & MSP data match program, and the industry-wide CAQH COB Smart program.
Sherri has 30+ years of Health Insurance Industry experience. Her Leadership background includes leading highly productive operational teams and all functions of COB Operations within the Commercial, Medicare, Affordable Care Act, Medicaid, Subrogation and Senior market.
Sherri is a member of Anthem’s “Corporate Presenter” team, and enjoys developing training and motivational presentations as well as sharing her knowledge and best practices related to Health Coverage with groups, providers and other insurer peers.
Sherri achieved a personal MBA while working for Anthem, is an avid life-long learner and strongly encourages her teams to learn and grow through regular training programs and the educational opportunities Anthem provides.
On a personal note, Sherri has been a certified fitness trainer for 30+ years, enjoys Weight Training, Aerial Silks fitness, is a Master Swimmer, and sometimes likes a 5K run, and loves to cook.
