Summary
Overview
Work History
Education
Skills
Certification
Skillset Updates
Timeline
Generic

Eny Ibiok

Houston,TX

Summary

Highly knowledgeable health data analyst with wealth of healthcare experience and expertise in problem-solving. Talented in maintaining complex and comprehensive databases covering patient information. Dedicated to proactive monitoring and thorough reporting using top-notch technical abilities.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Clinical Technical Integration Specialist

Otsuka Pharmaceuticals
05.2022 - Current
  • Maintained existing applications and designed and delivered new applications.
  • Worked closely with clients to establish specifications and system designs.
  • Contributed ideas and suggestions in team meetings and delivered updates on deadlines, designs and enhancements.
  • Collaborated with cross-functional development team members to analyze potential system solutions based on evolving client requirements.
  • Managed visual analytic business specification activities with input from cross functional study teams to determine study level dashboards to be utilized for monitoring/oversight during the study.
  • · Lead development & implementation of ePlatform components to ensure efficient performance of the integrated platform.
  • · Lead communication pathways for new and established integration data streams in collaboration with internal and external stakeholders.
  • · Was the Liaison with internal and external project teams to manage the integration of new ePlatform components and associated training.
  • · Managed weekly integration meetings to review integrated vendor timelines and processes to ensure seamless execution of technology.
  • · Reported on vendor progress, delays or challenges to define mitigation strategies with the project team.
  • · Performed Oversight of the study and the build of integrated technologies through successful deployment to ensure that study build supports protocol specifications.
  • · Performed Oversight of integration document completion to include delivery of specifications.
  • · Participated in the development and execution of User Acceptance Testing (UAT) plan for assigned study to ensure technology integration is in alignment with the study protocol.
  • · was the Key contact for in internal/external audits and findings related to technology integration

Health Data Analyst

Moda Health
10.2021 - 04.2022
  • Created and maintained version description documents and worked with version control library.
  • Implemented change control, configuration status accounting and configuration audits.
  • Communicated and explained business requirements to team members to understand and implement functional demands.
  • Analyzed existing systems and databases and recommended enhancements to solve business needs
  • Developed diagrams to describe and lay out logical operational steps.
  • Resolved problems, improved operations and provided exceptional service.
  • Created plans and communicated deadlines to complete projects on time.
  • Performed HEDIS abstraction for data conversion into codes

Health Data Analyst

Credible Behavioral Health Inc
03.2021 - 09.2021
  • Kept CM work aligned with project's configuration management plan.
  • Created and maintained version description documents and worked with version control library.
  • Implemented change control, configuration status accounting and configuration audits.
  • Oversaw document development across project workstreams to create internal control statements per compliance and regulatory standards.
  • Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting.
  • Improved operations through consistent hard work and dedication.
  • Enhanced project management skills by defining and presenting system solutions and timelines for business needs or technical problems.
  • Communicated and explained business requirements to team members to understand and implement functional demands.
  • Configured tool to better capture data during HEDIS abstraction

Health Data Analyst

Vaco Houston
07.2019 - 10.2020
  • Investigated and addressed HL7 and system interface issues to enhance usability and improve functionality across disparate systems
  • Corrected any data entry error to prevent later issues such as duplication or data corruption
  • Created and improved intelligence resources to facilitate consistent documentation outcomes
  • Produced monthly Charge Description Master updates for integrated delivery network
  • Identified LOINC error codes in HL7 reports
  • Correlated HCPCS codes to NDC product codes
  • Correlated ICD-10 codes to SNOMED nomenclature
  • Worked with third parties to resolve RX claims data
  • Used HEDIS to review full story and extract information from clinical reports
  • Produced biweekly Unknown Charge Code reports and interface error reports using advanced Excel spreadsheet functions
  • Orchestrated smooth and effective flow of interface data to support Coders users in coding and billing process
  • Reviewed and updated Quarterly Drug Formularies
  • Investigated and addressed interface error system issues to enhance usability and improve cross functionality
  • Updated organizational and joint venture crosswalk correlation subsystems to improve and streamline clinical, pharmaceutical, and business data collection and accurate data mapping from disparate systems
  • Created various Excel documents to assist with pulling metrics data and presenting them to give concise understanding of best placement for needed resources
  • Recommended data standardization and usage to ensure data integrity
  • Documented business workflows for stakeholder review
  • Created Reports and Dashboards using Power BI
  • Built and maintained charge code databases for Joint Venture Partners
  • Applied pricing and mark ups to charge codes aligned with each Joint Venture Partner
  • Maintained Joint drug formularies for each Joint Venture
  • Updated database for CMS ICD-10, CPT, HCPCS annual updates
  • Performed monthly Auditing on charges coded and billed for by coding and billing department
  • Communicated and Coordinated with joint venture teams to resolve any issue that arose from interfaces during data transfer
  • Investigated and resolved clinical input errors hindering accurate data to ensure correct billing and foster satisfaction with business partners
  • Identified and resolved process issues to encourage smoother procedures, more efficient workflow and overall business growth
  • Developed and executed targeted relationship and account development strategy
  • Use of SQL and Excel for analysis and reports
  • Evaluated quality problems and initiated protocol to identify and resolve issues
  • Partnered with cross-functional teams to conduct thorough discovery and due diligence on existing processes
  • Verified patient data and billing information to discover and resolve erroneous bills due to system errors.
  • Maintained accuracy, completeness and security for medical records and health information.
  • Updated pharmacy formulary every quarter
  • Verified medicare claims data.

UBT-LMP Project Management Co-lead/Sponsorship Coordinator

Kaiser Permanente
11.2016 - 07.2019
  • Raised 3 teams to LMP level 5. And maintain 4 teams at level 5 for 2 years until end of contract
  • Worked with third parties to resolve RX claims data
  • Tracked and updated each Rx Teams progress in proposed goals met
  • Reviewed performance benchmarks and established metrics for future tracking
  • Cross referenced NDC codes to HCPCS for medicare Part D claims.
  • Applied SNOMED codes to ICD-10 codes where missing
  • Performed HEDIS abstraction from
  • Reviewed CPT codes for claim errors
  • Used SQL and Excel to work with data
  • Utilized effective mapping skills to holistically examine business processes and identify improvement opportunities
  • Monitored tasks of employees to assess information processing and performance to gauge business functions and inefficiencies
  • Investigated and addressed system issues to enhance usability and improve functionality
  • Assessed business needs and problem areas to create focused solutions like increasing JD Power score
  • Developed flowcharts and diagrams to describe and lay out logical operational steps
  • Gathered and defined customer requirements to develop well-organized project plans based on clear specifications
  • Created dashboards for presentation using Tableau to upper management for decision making
  • Identified new targets, developed new business opportunities and presented product lines to customers
  • Collaborated with managers to provide client feedback and recommend operational changes to meet emerging trends
  • Used consultative sales approach to understand patient needs and recommend relevant offerings
  • Provided observations, took measurements and performed tests at various stages according to quality control plan
  • Investigated and resolved patient complaints to foster satisfaction
  • Performed monthly ROI reports for pharmacy departments
  • Performed monthly evaluations of competitor pharmacy actions, legislative changes and collective bargaining results in order to make sound decisions about future company benefits and compensation
  • Managed quality assurance program, including on-site evaluations, internal audits and customer surveys
  • Drove operational improvements which resulted in savings and improved profit margins
  • Participated in medications ordering and logistic process

Technician

WellStar Health System
10.2013 - 11.2016
  • Updated Formulary and NDC database quarterly
  • Worked with LOINC codes on laboratory data
  • Identified and documented project constraints, assumptions, business impacts, risks and scope exclusions
  • Documented business workflow for stakeholder review
  • Identified and documented detailed business rules and use cases based on requirements analysis
  • Improved data collection through implementation of organizational subsystems
  • Coordinated statistical data analysis, design, and information flow
  • Participated in requirements meetings and data mapping sessions to understand business needs
  • Reviewed files, records and other documents to obtain business information and key data in order to respond to development requests
  • Created workflow diagrams and Gantt charts to clearly demonstrate project processes and timeline
  • Maintained drug inventory levels by ordering necessary medications and supplies
  • Answered incoming phone calls and addressed questions from customers and healthcare providers
  • Resolved non-routine issues like third-party billing, computer system and customer service issues
  • Maintained proper drug storage procedures, registries, and records for controlled drugs
  • Communicated with prescribers to verify medication dosages, refill authorizations and patient information
  • Used reference material to facilitate accuracy, clarity and completeness of reports.

Suppervisor Clinical Business Unit

Xerox Healthcare Services/Caremark
09.2012 - 08.2013
  • Provided business operational support for high-volume client in set 72 hour turn around time
  • Worked with ICD-10 , NDC, CPT, HCPCS, SNOMED codes to resolve billing and coding issues
  • Led cross-functional teams to analyze and understand enterprise-wide operational impacts and opportunities of technology changes
  • Performed Medication Therapy Management with third party payers, pharmacists, and patients
  • Planned and executed events and training programs, producing 3 times goal of qualified leads
  • Mapped process activities to identify shortfalls and identify options to rectify operational inefficiencies
  • Evaluated consistency and importance of different BI data against needs to determine optimal courses of action
  • Mapped current business and operational processes and offered recommendations for improvement
  • Worked on Pharmacy billing and coding data-sets for claim processes to minimize billing errors
  • Worked on Rx billing and coding datasets to minimize errors
  • Fixed code errors using As400
  • Managed quality assurance program, including on-site evaluations, internal audits and customer surveys
  • Developed team communications and strategy information for weekly meetings

Education

Graduate Certificate - Project Management

UC Berkeley
Berkeley, CA
2019

Graduate Certificate - Health Informatics

UTHealth School of Biomedical Informatics
Houston, TX
2015

MBA - Healthcare Management

Davenport University
Grand Rapids, MI
2015

Skills

  • Self-Motivated
  • Problem-Solving
  • Attention to Detail
  • Teamwork and Collaboration
  • Critical Thinking
  • Decision Making
  • Metrics analysis
  • Workflow processes
  • Information system expertise
  • Clinical process knowledge
  • Quality assurance
  • HEDIS
  • SQL
  • Methodology implementation
  • HCPCS, CPT, SNOMED, LOINC

Certification

AHIMA CPHI - Certified Professional In Health Informatics.

Certified Pharmacy Technician (CPhT) PTCB

Skillset Updates

DAT201x: Querying Data with Transact-SQL - Issuing authority - Microsoft

SQL & Database Design A-Z™: Learn MS SQL Server + PostgreSQL - Issuing authority - Udemy

Population Health During A Pandemic: Contact Tracing and Beyond - Issuing authority - University of Houston

Health Data 101 - Issuing authority - Udemy

EdX Verified Certificate for Data Science Orientation - Issuing authority - edX
ONC Workforce Development Program - Health Informatics and Training for Transformation - Issuing authority - Office of the National Coordinator for Health Information Technology

Querying Microsoft SQL Server - Issuing authority - Simplilearn.com

Timeline

Clinical Technical Integration Specialist

Otsuka Pharmaceuticals
05.2022 - Current

Health Data Analyst

Moda Health
10.2021 - 04.2022

Health Data Analyst

Credible Behavioral Health Inc
03.2021 - 09.2021

Health Data Analyst

Vaco Houston
07.2019 - 10.2020

UBT-LMP Project Management Co-lead/Sponsorship Coordinator

Kaiser Permanente
11.2016 - 07.2019

Technician

WellStar Health System
10.2013 - 11.2016

Suppervisor Clinical Business Unit

Xerox Healthcare Services/Caremark
09.2012 - 08.2013

Graduate Certificate - Project Management

UC Berkeley

Graduate Certificate - Health Informatics

UTHealth School of Biomedical Informatics

MBA - Healthcare Management

Davenport University

AHIMA CPHI - Certified Professional In Health Informatics.

Certified Pharmacy Technician (CPhT) PTCB

Eny Ibiok