Elizabeth Ellis
Fishkill,NY
Summary
Creative Technology Leader with a strong track record in problem-solving and innovative thinking. Expertise in health care claims and clinical data enables the optimization of complex data sets into actionable models that drive value. Demonstrates exceptional communication and client relationship skills, consistently achieving departmental objectives. Career aspirations include leveraging technology to further enhance operational efficiencies in the healthcare sector.
Overview
18
18
years of professional experience
Work History
Director of Data Science
Freedman HealthCare, LLC
Newton, USA
01.2021 - 02.2025
- Designed and built complex data models to support optimal performance
- Built interactive visualizations using Tableau, PowerBI and other visualization tools for states to use internally to manage Medicaid and health exchange operations, as well as public-facing reports
- Developed interactive data platforms to inform value-based payment models
- Collaborated with senior leadership to set long-term objectives for the company.
- Recruited, trained, supervised, evaluated and mentored a department of 20+ data engineers, architects, analysts and statisticians
Senior Technical Consultant
Freedman HealthCare, LLC
04.2017 - 01.2021
- Created suites of Tableau and PowerBI dashboards for state government health departments in Rhode Island, Delaware and Oregon
- Established data science practice within the organization
- Conducted in-depth technical needs assessments for clients to identify critical technical requirements and solutions.
- Performed quality assurance reviews of code written by other developers and provided feedback on improvement opportunities.
- Provided expert guidance on system architecture and infrastructure planning to support scalable growth.
Director of Product Development
Archetype Consulting
Boston, USA
04.2015 - 04.2017
- Re-architected the existing data model at the Department of Vermont Health Access to deliver comprehensive operational and analytic dashboards and automated CMS reporting to the Vermont Health Connect
- Led the development of a provider-focused healthcare financial management accelerator for value-based care, built on the Hyperion Planning and Budgeting Cloud Service platform
- The solution facilitates compliance with new MACRA regulations including MIPS and APMs, and extends to bundled payments and other pay-for-performance initiatives
- Developed a data modernization roadmap for the State of Rhode Island Health and Human Service data ecosystem
- Served as functional lead in the transformation of Archetype’s on-premise health exchange analytics solution to a cloud-based solution, which was implemented in Massachusetts
Managing Consultant
Optum Consulting
Wakefield, USA
10.2013 - 03.2015
- Product Owner for Financial Management for the Patient Protection Affordable Care Act (PPACA) healthcare.gov delivery execution team, delivering features and functionality to support Federal Government goals of keeping premiums reasonable and enabling accurate policy-level payments
- Managed risk adjustment and reinsurance data collection in both cloud-hosted and on-premise edge servers
- Managed implementation of Oracle-based enrollment and payment system, which will be the source of truth for $24B annual payments to 400+ health insurance issuing entities of premium tax credits and cost-sharing reductions
- Advised United Healthcare Clinical Data Exchange and Integration team on optimizing business architecture for acquiring and consolidating clinical data to improve STARS ratings for Medicare Advantage programs
Senior Director, Business Intelligence
Optum Consulting
Wakefield, USA
01.2013 - 10.2013
- Led ongoing development and scope expansion of Business Intelligence Global Data Warehouse, which captures data from 40+ finance, CRM, and marketing systems across OptumInsight, OptumHealth, and OptumRx ($46B annual revenue)
- Managed staff of 3-6 business and data analysts and up to 20 technical contractors
- Developed Client 360 Report which runs in
- Prior reporting took 2-3 weeks to prepare and was typically incomplete and outdated when distributed
Associate Director, Business Analytics
OptumInsight
Wakefield, USA
01.2011 - 01.2013
- Conceived, designed, developed and deployed a single data repository for sales, budget, revenue, and marketing data from 12 acquired companies, which grew to become the Optum-wide source of truth for client and product reporting
- Piloted Optum Client Relationship Management (CRM) Center of Excellence
- Rolled out data warehouse phase one in under three months with a budget of $250k, replacing failed $1.8M data warehouse which was never used
IT Business Analysis Consultant
Ingenix (rebranded as OptumInsight)
Wakefield, USA
02.2010 - 01.2011
- Created scorecard, dashboard, analytical & production reports to help align KPIs to strategic priorities
- Developed consolidated weekly pipeline reporting from seven unrelated acquired companies, enabling newly formed sales organization to achieve their budget targets
Senior Business Systems Analyst
Picis, Inc. (acquired by Ingenix)
Wakefield, USA
06.2007 - 02.2010
- Improved business processes, and supported critical business reporting strategies by reviewing, analyzing and documenting business processes and user needs, and by developing, testing, implementing, and maintaining reports in various formats (flat, drillable, graphic, charts, dashboards, KPIs) drawn from inter and intra application data stores and made available through various methods
- Prepared 15-year forward-looking market analysis in preparation for IPO
Education
Bachelor of Fine Arts -
Corcoran School of the Arts and Design at George Washington University
01.1989
Skills
- Value-based healthcare
- Public and private health insurance cost trends
- Social determinants of health
- All-payer claims databases (APCD)
- Health information exchanges (HIE)
- Health insurance exchanges (HIX)
- Hospital discharge data
- Medicaid
- Medicare
- Database architecture
- Data modeling
- SQL Server
- Amazon Redshift
- Tableau, Power BI
- Advanced SQL, Python, R
- Team leadership
- Coaching and mentoring
Timeline
Director of Data Science
Freedman HealthCare, LLC
01.2021 - 02.2025
Senior Technical Consultant
Freedman HealthCare, LLC
04.2017 - 01.2021
Director of Product Development
Archetype Consulting
04.2015 - 04.2017
Managing Consultant
Optum Consulting
10.2013 - 03.2015
Senior Director, Business Intelligence
Optum Consulting
01.2013 - 10.2013
Associate Director, Business Analytics
OptumInsight
01.2011 - 01.2013
IT Business Analysis Consultant
Ingenix (rebranded as OptumInsight)
02.2010 - 01.2011
Senior Business Systems Analyst
Picis, Inc. (acquired by Ingenix)
06.2007 - 02.2010
Bachelor of Fine Arts -
Corcoran School of the Arts and Design at George Washington University
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