Chip Fernandez
Concord,CA
Summary
Skilled business analyst with consulting experience utilizing a unique combination of skills in Lean, Agile, and Human Centered Design techniques while measuring performance through engaging data visualization.
Considers stakeholders as customer-partners in order to discover innovation solutions resulting in optimized business outcomes for value realization.
Overview
26
26
years of professional experience
Work History
Performance Improvement Analyst II
Donor Network West
05.2021 - Current
- Developed custom analytical tool to identify and resolve problems through root cause and analysis used by several departments
- Played a key role in ideation processes, contributing original concepts that led to a flexible framework to capture critical time measurement intervals used by leadership to monitor financial outcome performance
- Demonstrated innovation by designing and implementing custom alerts to reduce missing a critical step by 80%
- Identified clear connections between policies and business results to eliminate or reduce confusion and help employees achieve goals
- Cultivated relationships with external industry leaders and within company to share tips and information
Performance Improvement Analyst I
Donor Network West
11.2018 - 05.2021
- Utilized Agile development methods to collaborate with stakeholders to discover novel key performance indicators, business best practices, business definitions, and business intelligence modeling
- Designed Power BI Dashboards heavily used by departments and teams across entire organization
- Proficient knowledge of data warehousing methodologies and concepts, including star schemas, snowflake schemas, dimensional modeling, and reporting tools
- Provided data reporting testing and troubleshooting support
- Responsible for driving Lean projects across departments and teams to improve operations and business processes from ideation through implementation to measuring results
Electronic Health Record and Project Manager
Donor Network West
10.2016 - 11.2018
- Developed Electronic Health Record (EHR) management program to ensure access to 175 hospitals for over 200 users
- Designed reports to facilitate EHR access availability metrics
- Facilitated change management projects related to quarterly electronic health record software updates
Business Analyst
Donor Network West
10.2013 - 10.2016
- Provided analytical, problem-solving, and project implementation for multiple departments
- Established Kanban project management to increase team productivity
- Work closely with Reporting and Data Management team to design reports, ensure data quality and management
Business Analyst Consultant
Paul Hastings
04.2013 - 10.2013
- Performed business needs and vendor selection analysis for litigation support software
- Developed and delivered Preferred Vendor Program on time to measure performance and optimize contract negotiations
Software Product Manager
MMC 20/20
09.2007 - 09.2012
- Analyzed evolving Medicare rules and regulations to identify, evaluate, and create software requirements for a financial reconciliation web application used by Medicare health plans
- Developed short and long term product feature roadmaps
- Managed an off-shore team of 5 programmers and 8 testers from inception to release
- Implemented use of team collaboration, requirement management, and issue tracking tools; resulted in improved defect awareness, test case coverage, traceability, and prioritization
- Presented software product in sales demonstrations and training sessions to multiple staff levels including upper management
- Held software elicitation workshops with external customers and internal resources
- Identified and documented user and data workflows to create use cases
- Implemented test plan and test case peer review resulting in decreasing testing costs
- Provided product support management including identification, prioritization, research, and resolution
Staff Consultant
MMC 20/20
01.2004 - 08.2007
- Kaiser, UnitedHealthcare, HIP NY)
- MMC 20/, Implemented process improvements in Medicaid, State and County Code, and Institutional special statuses resulting in increased Medicare payment for the health plan
- Created software requirements for AccuTraq, a CMS payment reconciliation software
- Authored training guides and led training programs
Business Analyst
Blue Shield of California
08.2002 - 12.2003
- Provided data analysis to assist pharmacy department administrators in monitoring drug cost andutilization
- Identified a key regional drug utilization pattern which led to the re-design of a large employee groupdrug benefit
- Designed and automated reports identifying utilization and benefit trends.
Staff Consultant
MMC 20/20
10.1999 - 07.2002
- Consultant to multiple clients to manage proprietary business process improvement projects
- Used MS Access to design and create tools to assist in data collection and transformation tasks
- Performed audit of Medicare Cost Reports for 6 million member health plan in California
- Facilitated vendor selection of claims payment collection system for 3 million member health plan in New York
- Implemented data collection process to submit risk adjustment medical diagnosis data to CMS resulting in positive $18 million payment adjustment
Programmer Analyst
Epsilon Software
05.1999 - 09.1999
- Developed data migration tool and claims processing application within contractual time frame in order to collect $1.5 million in medical claims.
Business Analyst
AIDS Healthcare Foundation
03.1997 - 04.1999
- Designed Medicaid health plan member database to monitor $3 million of annual revenue
- Co-managed and implemented data collection system to secure $1.25 million federal grant to demonstrate outcomes of AIDS patients in a capitated managed care setting
- Managed internal marketing program of electronic health record pilot program exceeding physician participation goal
Education
Certification - Agile Management
University of California, Berkeley - Extension
Berkeley, CA06.2016
Certification - Business Analysis
Villanova University
Online02.2012
Bachelor of Science -
California State University - Northridge, CA
Northridge06.1996
Skills
- Agile and Lean Methods
- Process Improvement
- Human-Centered Design
- Business Analysis
- Microsoft PowerBI Dashboard and DAX
- Microsoft Excel and PowerQuery
- Microsoft SharePoint, Teams
- Jira, Confluence
- Project Management
- Microsoft SQL Server, Oracle SQL
Timeline
Performance Improvement Analyst II
Donor Network West
05.2021 - Current
Performance Improvement Analyst I
Donor Network West
11.2018 - 05.2021
Electronic Health Record and Project Manager
Donor Network West
10.2016 - 11.2018
Business Analyst
Donor Network West
10.2013 - 10.2016
Business Analyst Consultant
Paul Hastings
04.2013 - 10.2013
Software Product Manager
MMC 20/20
09.2007 - 09.2012
Staff Consultant
MMC 20/20
01.2004 - 08.2007
Business Analyst
Blue Shield of California
08.2002 - 12.2003
Staff Consultant
MMC 20/20
10.1999 - 07.2002
Programmer Analyst
Epsilon Software
05.1999 - 09.1999
Business Analyst
AIDS Healthcare Foundation
03.1997 - 04.1999
Certification - Agile Management
University of California, Berkeley - Extension
Certification - Business Analysis
Villanova University
Bachelor of Science -
California State University - Northridge, CA
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