John M. Barkley Recognized for Expertise in the Risk Adjustment Industry
Press Release April 30, 2026
John M. Barkley is the Vice President of Enterprise Risk Adjustment and Data Integrity at EmblemHealth
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EAST FALMOUTH, MA, April 30, 2026 /24-7PressRelease/ -- John M. Barkley has been selected for inclusion in Marquis Who's Who. As in all Marquis Who's Who biographical volumes, individuals profiled are selected on the basis of current reference value. Factors such as position, noteworthy accomplishments, visibility, and prominence in a field are all taken into account during the selection process.

Mr. Barkley has established a distinguished career in the health care and insurance industries, marked by his expertise in risk adjustment and financial management. Since 2019, he has served as Vice President of Enterprise Risk Adjustment and Data Integrity at EmblemHealth, where he manages a national team of 24 professionals working remotely from an office based in New York City. In this capacity, he oversees multiple vendors and leads initiatives that have positioned him as a recognized authority in Risk Adjustment. His leadership has been instrumental in shaping industry standards, and he is widely regarded as one of the foremost experts in the field.

In addition to his primary role, Mr. Barkley has served as Director of Medicare and Commercial Risk Adjustment at ConnectiCare since 2011. In this position, he managed a locally based team prior to the company's sale. His responsibilities included overseeing Risk Adjustment strategies and collaborating with various stakeholders to ensure compliance and accurate submissions.

From 2010 to 2012, Mr. Barkley was the Director of Forecasting and Reporting for Risk Adjustment revenue at Aetna, where he also led the Medicare risk adjustment revenue department from 2006 to 2012. Following the introduction of the Medicare Modernization Act in 2006, Aetna's leadership identified him to spearhead the company's risk-adjustment efforts. He worked closely with the Centers for Medicare & Medicaid Services, developed vendor programs and played a pivotal role in challenging and refining CMS methodologies. His contributions during these years were foundational to the evolution of risk adjustment practices across the industry.

Mr. Barkley's earlier roles at Aetna from 1990 to 2006 included serving as Business Unit Finance Director for Small Groups and Middle Markets, Head of Prudential Accounting and Reporting, Controller for Aetna US Healthcare of California HMO and Internal Auditor Manager. He began his professional journey as an Audit Supervisor at Deloitte & Touche from 1986 to 1990, where he honed his skills in public accounting before transitioning into the health care sector.

Throughout his career, Mr. Barkley has been recognized for his achievements and leadership within the Financial and Risk Adjustment industries. He is a member of customer advisory boards for both Optum and Edifecs, contributing his insights to advance best practices in health care data management and risk adjustment methodologies. He is also an active contributor to organizations like RISE, Wilmington PLC and Strategic Solutions Network, sharing his expertise through presentations at numerous conferences, including a notable appearance in March 2026. His thought leadership has earned him recognition from KLAS and long-term membership honors from RISE.

Academically, Mr. Barkley's foundation includes a Bachelor of Science in Accounting from Quinnipiac University School of Business in Hamden, Connecticut, conferred Magna Cum Laude in 1986. He is also a Certified Public Accountant, a credential that has underpinned his success across various financial leadership roles. His adaptability and collaborative mindset have enabled him to foster strong relationships with peers, superiors and team members alike—qualities that have been integral to his professional growth.

Beyond his corporate responsibilities, Mr. Barkley is civically engaged as a contributor to various food banks and Habitat for Humanity, as well as organizations related to Risk Adjustment. He remains committed to advancing knowledge within his field through ongoing participation as a presenter at industry conferences.

Born in Oceanside, California, Mr. Barkley enjoys boating during his leisure time. He shares his life with his wife, Karen, and their children and young grandchildren. Looking ahead, he aims to continue driving improvements within the Risk Adjustment industry while dedicating more personal time to family pursuits. His enduring commitment to excellence ensures that he will remain an influential figure as the field continues to evolve. With a strong dedication to his craft and industry, he has built and sustained long-term business relationships that support continued growth, while consistently collaborating with others and maintaining those relationships without compromise.

About Marquis Who's Who®:
Since 1899, when A. N. Marquis printed the First Edition of Who's Who in America®, Marquis Who's Who® has chronicled the lives of the most accomplished individuals and innovators from every significant field of endeavor, including politics, business, medicine, law, education, art, religion and entertainment. The suite of Marquis® publications, including Who's Who in America® and Who's Who in the World®, remains an essential biographical source for thousands of researchers, journalists, librarians and executive search firms around the globe. Marquis® publications can be viewed at the official Marquis Who's Who® website, www.marquiswhoswho.com.

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