Eleonora Ruggieri
TULSA,Oklahoma
Summary
Detailed-oriented, accurate, dependable, and efficient. Ability to manage multiple projects simultaneously, and take on added responsibilities.
"Can do" mind set, dedicated to meeting team and company goals.
Overview
17
17
years of professional experience
Work History
Regulatory Adherence Analyst
Optum
01.2013 - Current
- Analyze regulatory rules, payer policies, and billing requirements with emphasys on revenue-cycle management impact
- Collaborate with and support teams across the organization to provide analysis of regulatory compliance, state reporting, quality measures (most recent focus on risk analytics and TCFR MRF)
- Design workflows to drive business processes related to data collection, processing, and distribution of payer data for use in billing software edits and integration into product facing applications
- Develop, deploy, and maintain AI NLP models structure, data architecture, and data scoring rules for qualitative analysis of payer and healthcare industry data
- Co-Owner of healthcare industry news product with consumer analytics features
- Self-motivated, with a strong sense of personal responsibility.
Adjunct Faculty Professor
Tulsa Community College
08.2006 - Current
- Lecture college level math courses (Statistics, Calculus, Business Calculus)
Education
Master of Science - Mathematics
Emporia State University
Emporia, KS08.2021
Bachelor of Science - Mechanical Engineering
Oklahoma State University
Stillwater, OK05.2005
Skills
- Data Analysis
- Data Modeling
- Data Reporting
- Regulatory Compliance
- Workflow Analysis
- Critical Thinking
Timeline
Regulatory Adherence Analyst
Optum
01.2013 - Current
Adjunct Faculty Professor
Tulsa Community College
08.2006 - Current
Master of Science - Mathematics
Emporia State University
Bachelor of Science - Mechanical Engineering
Oklahoma State University
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