Summary
Overview
Work History
Education
Skills
Languages
Software
Timeline
Generic

John Feliu

Miami

Summary

Data Analyst with solid background in data analysis and business intelligence. Known for translating complex data sets into actionable business insights and contributing to strategic decision-making processes. Demonstrated expertise in statistical analysis and data visualization.

Overview

23
23
years of professional experience

Work History

Data Analyst

SafeGuard LLC
05.2012 - 06.2024
  • Responsible for extracting Medicare and Medicaid data in Business Intelligence , One Program Integrity (One PI) and/ or SAS which will be used to identify potential fraud, waste, and abuse.
  • Responsible for completing Medicare and Medicaid Request for information (RFI) requested from outside entities, specifically from Federal Law Enforcement, to assist in their investigation of potential fraud,waste, and abuse.
  • Perform deep analysis of established Medicare and Medicaid data to identify potential fraud, waste, and abuse.
  • Responsible for completing Medicare and Medicaid internal data requests solicited from internal investigators to assist in their analysis of potential fraud, waste, and abuse.
  • Responsible for the research and analysis of established Local Coverage Determinators ( LCD)
  • Responsible for performing quality assurance reviews of analysis performed by other analysts.
  • Responsible for write ups and presentations of provider referrals to internal investigators or outside entities such as Office of the Inspector General(OIG), Law Enforcement and the MEdicare Administrative Contractor (MAC)

Data Analyst

Miami Dade County Eleventh Judicial Circuit
01.2001 - 02.2012
  • Possess excellent communication and interpersonal skills. Interact with a wide range of professionals, such as Law Enforcement Officials, Prosecuting Attorneys, Judges etc.
  • Prepare statistical reports for distribution and presentation to the States Attorney's Office and a number of other City, State, and Federal agencies.
  • Analyze statistical reports in order to address departmental challenges and make predictions on future outcomes.
  • Possess excellent data gathering, organizational and analytical skills, able to comprehend and execute complex written and oral instructions, able to secure the cooperation of others and deal effectively with the public.
  • Act as a liaison between our review team and the different agencies that are involved in specific domestic violence related incidents.
  • Conduct daily meetings with judges,physicians, attorneys and other professionals in determining the facts about specific abuse cases.
  • All other duties as assigned by the courts



Education

Bachelors - Management Information Systems

Saint Thomas University
Miami, FL
04-1991

Skills

  • AD-HOC statistical criminal analysis using SQL, SAS, and Cobol
  • Established procedures and programs of periodic quality control analyses
  • Analyzed large data sets using statistical techniques such as general linear and mixed models, analysis of variance, covariance, etc
  • Provide criminal statistical consulting to different State and county agencies, as well as analysis and interpretation of study data
  • Perform data checks, studied the nature of the raw data by plotting individual task and analyzing outcomes
  • Responsible for records management and computerized statistical processes

Languages

English
Native or Bilingual
Spanish
Native or Bilingual

Software

BUSINESS INTELLIGENCE, SQL, SAS, ACCESS, MICROSOFT OFFICE

Timeline

Data Analyst

SafeGuard LLC
05.2012 - 06.2024

Data Analyst

Miami Dade County Eleventh Judicial Circuit
01.2001 - 02.2012

Bachelors - Management Information Systems

Saint Thomas University

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John Feliu