Experienced analyst with over six years of experience in healthcare solutions and analytics. Excellent reputation for resolving problems, collaborating on projects, and driving overall operational improvements.
Overview
6
6
years of professional experience
Work History
Data Analyst
CVS HEALTH CORPORATION
Full Time Remote
10.2021 - Current
Built and maintained custom targeting programs using SQL Server and SAS designed to identify fraud, waste, and abuse
Collaborated with Clinical Pharmacists, Investigators, Auditors, and other Data Analysts for continual innovation in program offerings and other ad hoc data requests
Responsibilities included utilizing multiple systems to mine large amounts of data, ensure the integrity of the data, identify trends, and make proactive recommendations to both internal and external stakeholders
Created complex visual dashboards in Tableau used for identifying FWA, drug cost inflation, and multiple other monthly and quarterly reports
Used advanced analytical programming skills to provide insights and recommendations on the clinical effectiveness of the program and projects
Provided monthly and quarterly summary statistics for each department
Analyst /Application Administrator
Main Line Health
Wayne, PA
11.2019 - 10.2021
Developed Cognos business intelligence dashboards & reports comprising several lists, charts, and cross-tabs in a single page as well as multiple pages
Performed optimization on existing reports to decrease run time to meet presentation time requirements and made changes to existing reports for good look and feel
Supported Business Users in generating AdHoc Reports using Cognos and MS Excel
Created dynamic MS Excel reports with PivotTables
Managed large datasets with functions: IF, SUM, INDEX, MATCH, VLOOKUP
Delivered training, documentation and end-user support
Payment Accuracy Specialist
Cotiviti Healthcare
Blue Bell, Pennsylvania
06.2016 - 11.2019
Recovered over $8 million in overpayment for multiple clients
Improved Employment Verification process by implementing new field, leading to a $100,000+ recovery at months end to exceed clients budget
Investigated data quality issues and worked with data engineers to correct problems
Participated in various stages of SDLC for new auditing applications
Used creativity to help generate new ideas for claim concepts and recovery opportunities
Used SQL to pull high priority members to assign to global workforce team
Continually learned and used various computer software, systems, and technologies
Served as a subject matter expert in Coordination of Benefits Commercial Concepts