Jane Rider, RN CPC CRC CCM in

Jane Rider, RN CPC CRC CCM

Login to view DISC.
Director, Provider Performance for Quality & Risk Adjustment at Blue Cross NC
📍 Durham, North Carolina, United States

Jane directs Provider Performance for Quality & Risk Adjustment at Blue Cross NC. A Registered Nurse with CPC and CRC certifications, she specializes in CMS/HCC risk adjustment, medical coding, and developing clinical analytic tools. Her career bridges clinical practice with data-driven performance improvement, and she holds a BSN from Niagara University.

Jane uniquely combines her clinical background as a Registered Nurse with specialized certifications and expertise in risk adjustment coding and data analytics.

Read the full overview →
Experience
25 Years
Current Role
Director, Provider Performance for Quality & Risk Adjustment
Job Level
Mid-senior
Location
Durham, North Carolina, United States
Personality Overview

How Jane shows up

Communication Style
Decision Approach
Work Preference

Behavioral traits and communication patterns that shape how this person evaluates opportunities, builds trust, and makes decisions in professional settings.

Login to view personality overview.
Priorities

Topics Jane cares about

Risk Adjustment
Her entire career focuses on CMS/HCC Risk Adjustment and RADV processes, demonstrating deep expertise in this specialized area of healthcare finance.
Provider Performance
Her current director-level role is centered on improving provider performance for both quality and risk adjustment, a key priority in value-based care.
+6 more topics Login to view topics
Career

Work history

4-2021
Director, Provider Performance for Quality & Risk Adjustment
Blue Cross NC
7-2017
Manager, Clinical Coding
Blue Cross NC
2009 - 2011
Clinical Review Specialist
Cognisight, LLC
2009 - 2009
Clinical Director, Guidelines & Measures
Greater Rochester Independent Practice Association (GRIPA)
2007 - 2009
Director, Care Management Services
Greater Rochester Independent Practice Association (GRIPA)
In the press

Media appearances

No media yetWe could not find public media appearances for this person.
Education
Bachelor of Science (BSN)
Niagara University
Social presence
in
Behavioral profile

DISC profile (public)

DISC behavioral profile

Dominance, influence, steadiness, and calculativeness scores with guidance on how this person prefers to communicate and decide.

Login to view DISC.

Other Blue Cross NC Employees

Explore more public profiles from related professionals.

Michael Tompkins
Michael Tompkins
Principal Business System Analyst (Salesforce)
Blue Cross NC
 Moshe Moryosef
Moshe Moryosef
Manager of Emerging Technologies Services
Blue Cross NC
 Mike Doubintchik
Mike Doubintchik
Engineering Manager
Blue Cross NC
 Matthew Vona, ASA, MAAA
Matthew Vona, ASA, MAAA
Manager, Actuarial Services
Blue Cross NC

More profiles

Discover additional public profiles from our index.

Andrew Ostroff
Andrew Ostroff
Vice President of Sales
AppCard, Inc.
 Jordan Armstrong, MBA
Jordan Armstrong, MBA
Chief Revenue Officer (CRO)
ResultsCX
JB
Jackson Berman
Retail Brand Manager
Healthy Living
RB
Robert Boot
Director of Marketing
EisnerAmper
Unlock the full playbookSee exactly how to sell to Jane. Free, 10 seconds.