Annie Shmookler
Columbus
Summary
Health Plan Quality Analyst specializing in data analysis and business intelligence at Mount Carmel Trinity Health. Demonstrated success in improving operational efficiency through strategic planning and proficient use of Tableau for HEDIS/Stars Reporting. Strong nursing background and meticulous attention to detail drive quality outcomes in healthcare projects.
Overview
10
10
years of professional experience
Work History
HealthPlan Quality Analyst
Mount Carmel Trinity Health
Columbus
01.2017 - Current
- Audited data for effectiveness, efficiency, and quality to identify care quality gaps.
- Developed health plans for clinical information systems projects to improve outcomes.
- Created provider scorecards and Tableau dashboards for Part C and D HEDIS/Stars Reporting.
- Contributed to strategic planning initiatives that enhanced operational success.
Alternative Dispute Resolutions (ADR) Medical Case Specialist
Careworks
Columbus
01.2016 - 01.2017
- Improving the company’s effectiveness and efficacy by providing quality assurance resource and utilization review of medical documentations submitted by physicians and attorneys in the appeals process within 21-days.
Education
Master’s in science - Healthcare Admin
Franklin University
Columbus, OH01.2015
Pursued Nursing and Cardiovascular Perfusion -
Chamberlain College of Nursing & Midwestern Univ.
Columbus, OH01.2014
Bachelor of Science - Health and Rehabilitation Sciences
The Ohio State University
Columbus, Ohio01.2012
Skills
- Nursing and pharmacy knowledge
- Business intelligence tools
- SQL proficiency
- EPIC systems expertise
- Data visualization with Tableau
- Microsoft Office suite
- Data analysis techniques
- Medicare and CMS policies
Leadership Awards
- Accelerate Leadership Program for Frontline and Future Managers, 2025
- GEM Award- Colleague Recognition for Going the Extra Mile, 2018, 2024
Skills
Russian and English Proficient
Timeline
HealthPlan Quality Analyst
Mount Carmel Trinity Health
01.2017 - Current
Alternative Dispute Resolutions (ADR) Medical Case Specialist
Careworks
01.2016 - 01.2017
Master’s in science - Healthcare Admin
Franklin University
Pursued Nursing and Cardiovascular Perfusion -
Chamberlain College of Nursing & Midwestern Univ.
Bachelor of Science - Health and Rehabilitation Sciences
The Ohio State University