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Aileen Lyons Rn, Bsn

Director Of Risk Adjustment Operations at Excellus BCBS

Aileen Lyons, RN, BSN, MBA has a diverse work experience in the healthcare industry. From 2014 to 2017, they worked as a Registered Nurse at the University of Rochester Medical Center, where they coordinated care for critically ill patients in the Level 1 Trauma Center. Aileen also worked as a Utilization Management RN, assessing level of care determination and ensuring compliance with regulations.

In 2019, Aileen joined Excellus BCBS as the Manager of Clinical Quality Measurement, overseeing the Medical Record Review portion of HEDIS submission and collaborating with a multidisciplinary team to improve quality trends. Aileen was promoted to Director of Risk Adjustment Operations in September 2021, where they are responsible for supporting the day-to-day operations of various teams and driving process improvement initiatives.

Throughout their career, Aileen has demonstrated a passion for process improvement, cross-functional collaboration, and team development. Aileen holds a Bachelor of Science in Nursing and an MBA degree.

Aileen Lyons, RN, BSN, MBA, has a diverse education history that spans several years. Aileen began their educational journey in 2010 at Monroe Community College, where they obtained an Associate of Science (A.S.) degree. From there, they went on to pursue a Bachelor of Science (BS) in Registered Nursing/Registered Nurse at SUNY Brockport, completing their studies in 2014.

In 2015, Aileen continued their education at the University of Rochester - Simon Business School, where they obtained a Master of Science (MS) degree in Medical Management, which they completed in 2017. Aileen furthered their studies at the same institution, earning a Master of Business Administration (MBA) degree in Healthcare Management in 2018.

Alongside their formal education, Aileen has also obtained several certifications to enhance their professional skills. These include certifications such as Lean Six Sigma Green Belt from the RIT Center for Quality and Applied Statistics, Unconscious Bias, Human-Centered Leadership, Improving Your Listening Skills, Learning to Say No, Being a Good Mentee, and Excel and Visio: Generating Diagrams Automatically, all from LinkedIn.

Aileen is also a Registered Nurse (RN) certified by the New York State Education Department, highlighting their commitment to professional competence and continuous learning. Additionally, they hold a Certified Risk Adjustment Coder (crc) certification from AAPC.

Overall, Aileen Lyons has progressed through their education to obtain both clinical and management-oriented degrees, indicating their dedication to expanding their knowledge and expertise in healthcare and leadership.

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Timeline

  • Director Of Risk Adjustment Operations

    September, 2021 - present

  • Manager Of Clinical Quality Measurement

    July, 2019

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