Edin Bunic
St. Louis,USA
Summary
Senior Manager with strong background in product development and financial analysis in healthcare. Led teams to optimize reporting services, achieving improved performance assessments and operational efficiencies. Directed transition of reporting processes to Power BI, enhancing self-service capabilities for stakeholders. Created analytical strategies that uncovered cost-saving opportunities, driving revenue recovery and informed decision-making.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Director, Data Intelligence
Tangoe
Indianapolis, IN
04.2022 - 11.2024
- Managed team of analysts delivering reporting services for call center, provisioning, audit, pay, and logistics functions.
- Spearheaded report migration to Power BI, enhancing self-service capabilities and dynamic reporting.
- Redesigned provisioning reports to assess performance using operational data across three platforms.
- Onboarded and managed offshore resources in India to expand team capabilities.
- Consolidated three bank EDI files with internal sources to accurately calculate client rebates.
- Prepared executive-level reporting packages for monthly leadership meetings, tracking sales and client engagement metrics.
- Contributed to SLA engine development for tracking performance metrics across over 200 clients.
- Integrated insights with Salesforce segmentation and client risk stratification for improved decision-making.
Director, Data Intelligence
MTM Health
Lake St. Louis, MO
10.2018 - 12.2021
- Developed innovative analysis approach to identify providers with excessive profit margins.
- Aggregated real-time claims and credentialing data, highlighting above-average service costs.
- Projected annual savings between $10M and $15M through enhanced provider insights.
- Conducted study on long-term COVID impact on Medicaid membership in Rhode Island.
- Assessed risks from decline in claims and potential future increases.
- Recovered $2.2M in revenue by correcting contract interpretation for major MCO client.
- Presented rate increase requests to two clients, securing $10M in revenue.
- Led claims pricing configuration and provider contracts for Medicaid programs across six states.
Pricing Analytics Manager
MTM Health
Lake St. Louis, MO
07.2015 - 10.2018
- Aligned pricing functions with company objectives to ensure strategic deliverables.
- Collaborated with Marketing team to enhance proposal quality for RFP responses.
- Developed initial budgets for new opportunities, coordinating across HR, Operations, and IT.
- Created pricing strategies for two winning state contracts exceeding $25 million annually each.
- Revamped Medicare pricing for large MCO by incorporating over 130 market and benefit permutations.
Pricing Analyst II
MTM Health
Lake St. Louis, MO
11.2013 - 07.2015
- Developed tools and methods to establish MCO and state pricing strategies.
- Analyzed over $70M in accounts, designing pricing aligned with actuarial standards.
- Led negotiations with client representatives, achieving 10% revenue growth and positive net income.
- Created competitive pricing for state contracts exceeding $32M annually with RFP team.
- Utilized data modeling to present insights on underperforming New York contract to CEO.
- Communicated issues to client, enabling MTM to mitigate losses by redistributing work volume.
- Contributed to annual revenue increases of 17%–27% and net income growth of 18%.
Account Analyst
MTM Health
Lake St. Louis, MO
07.2011 - 11.2013
- Provided analytical support by creating reports for internal use and client delivery.
- Led team of 6 in drafting policies and workflows for advance funding processes.
- Negotiated with MoneyGram to enhance service offerings through collaboration.
- Designed change control process for client protocols, ensuring uniformity for over 1,000 users.
- Introduced automation that reduced report creation and delivery time by fifty percent.
- Developed application enabling 9,000 outbound calls monthly to members using advanced algorithms.
- Created comprehensive reporting package addressing requirements for client and MTM operations.
- Compiled and summarized data to ensure accuracy in quarterly financial statistical report for Texas HHSC.
Business Analyst/Software Developer
MTM Health
Lake St. Louis, MO
07.2010 - 07.2011
- Designed solutions for legacy system compatibility with web application business rules.
- Maintained open communication with stakeholders throughout project life cycle.
- Managed overhaul of external report delivery process, expanding report types through new software.
- Automated processes to reduce labor costs and enhance flexibility for new requirements.
- Oversaw billing for large MTM client generating $12M in annual revenue, processing ~50K claims monthly.
- Decreased denial rate from over 5% to below 1%, saving $0.5M annually.
- Streamlined billing administration from 20 hours to 4 hours weekly via process automation.
- Developed and implemented EDI files for external clients including 834, 835, 837, 820, and 997.
Education
Bachelor of Science - International Economics & Business Information
University of Rijeka
Rijeka, CroatiaCertified Electro-Automated Systems Technician -
Electromechanical And Computer Engineering School
Rijeka, CroatiaSkills
- PostgreSQL and SQL
- Power BI and R
- Robotic process automation
- Workday and Smartsheet
- Microsoft Office suite
- SAP BusinessObjects and Crystal Reports
- Salesforce management
- EDI X12 configurations
- ServiceNow expertise
- Data consolidation
- Cross-functional collaboration
- Performance metrics
- Data analysis
- Executive reporting
- Financial forecasting
- People management
- Decision-making skills
- Verbal and written communication
- Strategic planning
- Relationship building
- Budgeting and forecasting strategies
- Contract and vendor management
- Negotiation tactics expertise
- Financial budget oversight
Languages
- English, fluent
- Croatian, native
- Bosnian, fluent
Certification
- Milliman Actuarial & Underwriting Training Seminar - 2016
- Statistic One (Coursera - Princeton University) - 2018
- Executive Leadership Training - 2021
References
References available upon request.
Timeline
Director, Data Intelligence
Tangoe
04.2022 - 11.2024
Director, Data Intelligence
MTM Health
10.2018 - 12.2021
Pricing Analytics Manager
MTM Health
07.2015 - 10.2018
Pricing Analyst II
MTM Health
11.2013 - 07.2015
Account Analyst
MTM Health
07.2011 - 11.2013
Business Analyst/Software Developer
MTM Health
07.2010 - 07.2011
Bachelor of Science - International Economics & Business Information
University of Rijeka
Certified Electro-Automated Systems Technician -
Electromechanical And Computer Engineering School
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