Summary
Overview
Work History
Education
Skills
Timeline
Generic

BRENNA SOLBERG

Minneapolis,MN

Summary

Accomplished healthcare professional highly skilled in developing cost savings initiatives, trend modeling, pricing and consulting analytics. Effective leader with strengths in communication and collaboration. Proficient in leveraging data mining and querying tools to optimize analytic insight. Adept at managing concurrent objectives to promote efficiency and influence actionable opportunities.

Overview

17
17
years of professional experience

Work History

Lead Healthcare Analyst

Medica
04.2023 - Current
  • Led implementation of inpatient concurrent review, preventive lab, and readmission affordability initiatives by guiding potential savings decisions through analytic insight.
  • Partnered with Enterprise Analytics teams to lead analytical research of key drivers in trend outliers and utilization patterns to answer executive leadership inquiries.
  • Presented to all facets of senior leadership actionable trend observations as well as opportunities for financial gain through site of service discoveries.
  • Developed complex SAS programs to be used when exploring data deviations and identifying variations in expected outcomes.

Lead Business Analyst

Bright Health
05.2021 - 03.2023
  • Analyzed participating hospitals’ contractual agreements with focus on standardizing coding across all provider agreements and produce cost savings.
  • Optimized contractual reimbursement terms across all agreements to develop short-term and long-term best practices for reimbursement rates and structure.
  • Identified and worked with Network/Market development teams to recontract and correct outlier terms to employ best practice in reimbursement methods.
  • Developed and maintained a contract terms, reimbursement methodology and unit cost management database for all Bright Health provider agreements.

Senior Analytics Consultant

Bright Health
03.2020 - 04.2021
  • Designed and developed Bright’s Outpatient Surgery Grouper, a contract evaluation model that promotes a consistent, standardized approach at reimbursing OP surgery services across Care Partner contracts.
  • Provided data driven insights to the Network Development team and facilitated Market Lead discussions with Care Partners on contract reimbursement structuring.
  • Developed models that evaluate reimbursement methodologies in Care Partner contracts through pricing formulas and analysis of variability in contract terms.
  • Developed site of service modeling across markets reflecting the financial impact of moving applicable surgical procedures from an Outpatient Hospital to an ASC facility.

Senior Pricing Analyst

Prime Therapeutics
05.2017 - 02.2020
  • Prime Therapeutics Platinum Award recipient for helping attain $90M in savings through network contracting initiatives.
  • Critical analytic partner in conjunction with Prime’s Network Management senior leadership in constructing models to determine strategic opportunities in recontracting network offerings with key providers.
  • Analytical owner of creating and presenting executive leadership with Prime Therapeutics Financial Value Statement savings due to network rate pricing and performance.
  • Analytical owner of modeling 3-year savings projections due to network initiatives by collaborating with Network Management on pricing recommendations and Client Engagement for network adoption trends.

Senior Health Data Analyst

Prime Therapeutics
02.2016 - 04.2017
  • Plan facing Subject Matter Expert of analytical methodologies and reporting for Prime Therapeutics client Blue Cross Blue Shield of Alabama (BCBSAL).
  • Analytical lead in performing disruption analysis and benefit design modeling for BCBSAL groups implementing the Prime-exclusive NetResults formulary.
  • Presented detailed analysis directly to BCBSAL on pharmacy benefit performance of the client, offering recommendations and consultation to help them make informed business decisions.

Actuarial Business Analyst II

Anthem, Inc
03.2013 - 01.2016
  • Actuarial lead in modeling forecast projections for Anthem's Dental insurance line of business.
  • Established claim and premium trend assumptions, along with other financial objectives, in collaboration with pricing Actuaries.

Actuarial Business Analyst

Anthem, Inc
02.2007 - 02.2013
  • Prepared pricing strategy reports for Dental management team.
  • Led creation and implementation of automated client reporting system.

Education

Bachelor of Science - Actuarial Science

University of St. Thomas
Saint Paul, MN

Skills

  • Cost Saving Execution
  • Financial Trend Modeling
  • Contract and Reimbursement Analysis
  • Analytic Tool Development
  • SAS and SQL Programming
  • Microsoft Office Proficiency, Excel Expertise

Timeline

Lead Healthcare Analyst

Medica
04.2023 - Current

Lead Business Analyst

Bright Health
05.2021 - 03.2023

Senior Analytics Consultant

Bright Health
03.2020 - 04.2021

Senior Pricing Analyst

Prime Therapeutics
05.2017 - 02.2020

Senior Health Data Analyst

Prime Therapeutics
02.2016 - 04.2017

Actuarial Business Analyst II

Anthem, Inc
03.2013 - 01.2016

Actuarial Business Analyst

Anthem, Inc
02.2007 - 02.2013

Bachelor of Science - Actuarial Science

University of St. Thomas

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BRENNA SOLBERG