Fernando Ramirez
Lake Wales
Summary
Solution-driven healthcare professional with 10+ years of diverse experience across clinical operations, data analytics, and workforce management. Proven track record of driving cost savings, improving healthcare delivery, and leading cross-functional teams. Expert in SQL, Power BI, and R for advanced data analysis, risk stratification, and performance optimization.
Overview
8
8
years of professional experience
Work History
Health Services Analyst
Ultimate Health Plans
01.2023 - Current
- Lead the roadmap and delivery of analytics tools across Case Management, Utilization Management, and Claims Utilization.
- Designed and developed dynamic Power BI dashboards, enhancing visibility into clinical and operational KPIs.
- Spearheaded CMS-compliant Part C vendor reporting solutions, achieving full compliance with zero issues.
- Conducted stakeholder interviews, requirements gathering, and UAT testing to ensure alignment with business needs.
- Utilized SQL Server to conduct trend analysis and identify areas for process and product improvements.
Data Analytics/Consultant
Advanced Doctors ACO
01.2022 - 01.2023
- Generated $4.86M in cost savings across Medicare and BCBS through physician-focused analytics initiatives.
- Developed quality and population health dashboards to improve physician engagement and care outcomes.
- Partnered with clinicians, analysts, and leadership to streamline data reporting and increase data transparency across 20+ Physician Projects.
- Interpreted claims and patient-level data to inform strategic decisions in clinical and operational settings.
Staffing Communications Coordinator
BayCare Health System Inc.
01.2021 - 01.2022
- Led the rollout of KRONOS workforce software across three hospitals, enhancing scheduling efficiency.
- Trained 500+ clinical team members on new tools, ensuring high adoption rates and minimal disruptions.
- Delivered real-time technical support during implementation go-live.
- Leveraged workforce analytics to inform staffing policies and improve operational performance.
Staffing Coordinator
BayCare Health System Inc.
10.2019 - 01.2021
- Managed scheduling and compliance for 100+ clinical staff using KRONOS software.
- Provided real-time data insights using SQL to nursing leaders to optimize resource allocation.
- Conducted workflow assessments and recommended system improvements to drive efficiency.
Imaging Technologist Assistant
BayCare Health System Inc.
09.2017 - 10.2019
- Supported imaging departments (MRI, XRAY, CT, Ultrasound, Nuclear Medicine) to streamline patient throughput and ensure data accuracy.
Education
Bachelor of Science - Business Administration And Management
Polk State College
Winter Haven, FL06.2019
Skills
- Data Analysis & Querying: SQL, R, Statistical Analysis
- Visualization & Reporting: Power BI, Dashboard Development
- Healthcare Metrics: HEDIS, Risk Stratification, Predictive Modeling
- Project Leadership: Change Management, UAT Testing, Product Strategy
- Operational Excellence: Cost Reduction, Workforce Optimization
- Healthcare Focus: CMS Compliance, Value-Based Care, Claims Analytics
Timeline
Health Services Analyst
Ultimate Health Plans
01.2023 - Current
Data Analytics/Consultant
Advanced Doctors ACO
01.2022 - 01.2023
Staffing Communications Coordinator
BayCare Health System Inc.
01.2021 - 01.2022
Staffing Coordinator
BayCare Health System Inc.
10.2019 - 01.2021
Imaging Technologist Assistant
BayCare Health System Inc.
09.2017 - 10.2019
Bachelor of Science - Business Administration And Management
Polk State College
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