Chadra Pinkston, MBA
Philadelphia,PA
Summary
Proactive Senior Data Analyst with 17+ years' experience and a proven track record in healthcare analytics, adept at leveraging data to drive strategic decision-making. Demonstrated expertise in optimizing processes, collaborating cross-functionally, and creating impactful business intelligence visualizations. Proficient in SQL, MS Excel, QLIK, SmartSheet, and various data analytics tools. Accomplished in leading data-driven initiatives to achieve measurable results.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Senior Data Analyst (Remote - Contract)
InHealth Medical Alliance
04.2023 - 09.2023
- Gathered business requirements for diabetes disease management program.
- Created and maintained SmartSheet surveys to track patient referral coordination.
- Established insurance plan contacts, enhancing electronic file transfer process.
- Documented departmental processes using process flow diagrams, identifying automation opportunities.
- Maintained daily hospital census file ingestion using SSIS package.
- Became QLIK subject matter expert, creating business intelligence visualizations.
- Developed and implemented Diabetes Scorecard QLIK application, improving program stability.
- Achieved 20% reduction in patient referral coordination time through optimized survey processes.
Senior Professional Data Analyst (Remote)
Gainwell Technologies
01.2022 - 11.2022
- Applied data analytics tools to identify fee rate discrepancy trends, presenting findings to finance team.
- Collaborated with senior staff to perform stakeholder analysis and provide recommendations.
- Utilized SmartSheet to track weekly agendas and change management requests with NJ state government client.
- Consulted with IT team for HMS system migration and software updates.
- Created interactive SmartSheet dashboard for New Jersey State Department of Health client, resulting in 15% improvement in audit claim visualization efficiency.
- Collaborated cross-functionally to identify 10% revenue opportunity in outstanding AR for State Government COB yield project.
Community Behavioral Health
Provider Network Management Analyst (Remote)
11.2020 - 10.2021
- Optimized SQL data extracts for OLAP Cubes and Power BI Dashboards in collaboration with Informatics and IT teams.
- Extracted and presented provider network utilization data, contributing to weekly network adequacy team meetings.
- Acted as subject matter expert on SmartSheet, assisting teams in data analysis for network adequacy assessments.
- Implemented SmartSheet dashboard for mental health sub-populations, improving analysis and reporting efficiency by 25%.
Operations Analyst
Independence Blue Cross
02.2018 - 11.2020
- Conducted preventative maintenance on group setup, avoiding problematic overages.
- Translated statistical data into trends and projections for operational strategy.
- Selected for Know Your Value program, enhancing networking and leadership skills. Maintained high level of industry competence through ongoing professional development opportunities, including workshops and conferences.
- Led development of software application to assess pharmacy benefit manager (PBM) overages, resulting in 15% reduction in overages. Performed requirements analysis, planning, and testing for developed software.
Revenue Cycle Analyst
Cotiviti
11.2015 - 02.2018
- Scheduled and conducted meetings with Medicare Administrative Contractors to resolve outstanding accounts receivable.
- Reconciled CMS Medicare claims, increasing departmental revenue by $1M monthly.
- Prepared executive-level presentations to openly communicate with CMS intermediaries, leading to 20% reduction in outstanding AR.
Mental Health Intake Counselor (Contract)
Optum
10.2014 - 06.2015
- Exceeded key performance indicator metrics, achieving 15% improvement in average handle time.
- Ensured HIPAA compliance and education during mental health and substance abuse telephonic intake.
- Improved client satisfaction by providing thorough intake assessments and identifying appropriate resources.
- Conducted comprehensive assessments of client needs, skillfully navigating sensitive topics while gathering essential information for accurate evaluation purposes.
CMS Provider Services Rep (Contract)
Connolly Healthcare
04.2014 - 10.2014
- Resolved provider inquiries regarding CMS RAC audit process, criteria, and appeal rationale.
- Solved escalated executive inquiries regarding RAC audit, demonstrating expertise in information breach documentation.
Regional Registration Specialist
DaVita Healthcare
10.2011 - 02.2014
- Coached teammates on avoidable claims denials, contributing to 10% reduction in denials.
- Established cross-functional relationships with clinical staff to ensure patient administration follow-up.
Call Center Rep (Billing SME)
Independence Blue Cross
09.2007 - 10.2011
- Audited patient billing for discrepancies and compliance checks, ensuring accuracy in billing processes.
- Led department as Billing Expert, resolving executive inquiries, escalated issues, and creating training materials.
Education
MBA - Health Sector Management
Penn State University
Malvern, PA05-2016
Master of Science - Psychology
University of Pittsburgh
Pittsburgh, PA05-2007
Skills
- QLIK
- SmartSheet
- MS Access
- MS Excel (V-lookup, Pivot tables, functions/formulas)
- SharePoint
- MS Visio (process flow diagrams)
- Tableau (interactive dashboards, basic statistics)
- Power BI
- SQL (Teradata, Oracle, MS SQL server, TOAD)
- HDI Customer Service certified
- Advanced Excel
- Business Intelligence
- Strategic Planning
- Competitive Analysis
- Requirements Analysis
Certification
- Data Science Certificate | September 2023 | University of North Florida
- Project Management Certificate | August 2022 | Penn State University- PMP expected Fall 2024
Timeline
Senior Data Analyst (Remote - Contract)
InHealth Medical Alliance
04.2023 - 09.2023
Senior Professional Data Analyst (Remote)
Gainwell Technologies
01.2022 - 11.2022
Community Behavioral Health
Provider Network Management Analyst (Remote)
11.2020 - 10.2021
Operations Analyst
Independence Blue Cross
02.2018 - 11.2020
Revenue Cycle Analyst
Cotiviti
11.2015 - 02.2018
Mental Health Intake Counselor (Contract)
Optum
10.2014 - 06.2015
CMS Provider Services Rep (Contract)
Connolly Healthcare
04.2014 - 10.2014
Regional Registration Specialist
DaVita Healthcare
10.2011 - 02.2014
Call Center Rep (Billing SME)
Independence Blue Cross
09.2007 - 10.2011
MBA - Health Sector Management
Penn State University
Master of Science - Psychology
University of Pittsburgh
- Data Science Certificate | September 2023 | University of North Florida
- Project Management Certificate | August 2022 | Penn State University- PMP expected Fall 2024
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