Kevin Stoner
Export,PA
Summary
Dynamic data analytics leader with extensive experience at Highmark Wholecare/enGen, excelling in compliance reporting and stakeholder engagement. Proven track record in project management and performance monitoring, implementing quality control measures that enhanced service delivery. Proficient in SQL Server and skilled in team leadership, fostering collaboration across multidisciplinary teams.
Overview
26
26
years of professional experience
Work History
Manager Data Reporting and Analytics
Highmark Wholecare/enGen
Pittsburgh, PA
05.2020 - Current
- Lead a multidisciplinary team of Team Managers, Decision Support Analysts, Data Analysts, and Senior BI Engineers
- Led data initiatives for the Center for Medicare and Medicaid Services and Department of Health and Human Services audit activities, managing reports, data validation, and discussions with auditors for compliance and accuracy.
- Provide and oversee analytics reporting for clinical activities across Medicaid/DSNP populations including chronic disease management, C2V reporting, population health, quality, model of care, appeals and grievances, care management and member utilization
- Oversee the provision of compliance reporting to State Agencies for Pennsylvania, West Virginia and Delaware along with Federal Agencies
- Oversaw implementation and functionality of data feeds to vendors and provider partners, ensuring timely and accurate data exchange
- Lead teams through the implementation of two clinical platforms including migration of data and remediation of more than 600 regulatory and operational reports
- Developed and maintained relationships with over 300 business partners to assess and address reporting needs for operational and regulatory functions
- Work with senior leadership to develop budgets, business plans to ensure functionality, compliance, and member management across the organization
- Develop policies and desk level procedures for all functional areas under my purview
- Implemented quality control measures to maintain high standards of care and service delivery.
- Evaluated staff performance through regular assessments to identify areas for improvement. and addressed issues.
- Analyzed customer feedback data to develop action plans for improving services offered.
- Led team meetings and one-on-one coaching sessions to continuously improve performance.
Manager II
Magee-Women's Research Institute
Pittsburgh, PA
10.2010 - 05.2020
- Managed CLIA-certified laboratory for STI testing and HIV prevention research, ensuring adherence to regulatory standards.
- Coordinated large-scale flow cytometry study across dual sites in Pittsburgh and Zimbabwe.
- Oversaw budget development and audits for multiple research projects, optimizing resource allocation and compliance.
- Conducted site monitoring trips between Zimbabwe and US, verifying compliance with testing protocols and enhancing operational integrity.
- Collaborated with study monitors and inspectors during site visits to maintain regulatory standards.
- Authored standard operating procedures for laboratory studies to standardize practices.
- Facilitated training sessions for new employees to ensure understanding of institutional research protocols. to facilitate understanding of institutional research protocols.
- Performed annual performance reviews for research assistants and associates, ensuring effective team management.
Senior Research Assistant-Research Associate
Magee-Women's Research Institute
Pittsburgh, PA
04.2000 - 09.2010
- Designed and conducted studies on bacterial survival in transport media, contributing to understanding of sample stability during transport.
- Identified vaginal microform through 16S rRNA sequencing and curated bacterial sequence catalog to enhance research accuracy.
- Created and managed freezer inventory of over 100,000 bacterial isolates and human samples.
- Established comprehensive maintenance program for laboratory equipment, ensuring optimal functionality and reliability for ongoing research.
Education
M.P.H. - Health Policy and Management
University of Pittsburgh Graduate School of Public Health
Pittsburgh, PA04.2019
B.S. - Biology and Chemistry
University of Pittsburgh
Pittsburgh, PA04.2002
Skills
- Microsoft suite
- Data analysis
- Compliance reporting
- Process optimization
- Policy development
- Project management
- Performance monitoring
- Stakeholder engagement
- Team leadership
- Problem solving
- Performance management
- Staff development
- Project planning
- Recruiting and interviewing
- Coaching and mentoring
- Workforce management
- Verbal and written communication
- Regulatory compliance
- Prism Graphpad
- LDMS
- STATA
- Maptitude
- SAS
- SQL Server
- ArcGIS
- R Project for Statistical Computing
- Tableau
- Power BI
Training
- Blood Born Pathogen
- LSRII/Fortessa/CantoII Flow Cytometers
- Chemical Safety
- Radiation Safety
- Research Integrity
- Dangerous Goods Shipping Class A and B
- Human Subjects Research Training
- HIPAA Privacy Training
- UPMC Management Courses
- Trained Focus Group Facilitator
- Lean Six Sigma Green Belt
- Agile and Scrum
Accomplishments
Awarded second place in the Annual Dean’s Day Competition University of Pittsburgh Graduate School of Public Health. April 10-12, 2019
Awarded best abstract at the Infectious Disease Society of Obstetrics and Gynecology Annual Meeting. August 11-13, 2016, Annapolis, M.D.
Awarded best abstract at the Infectious Disease Society of Obstetrics and Gynecology Annual Meeting. August 5-7, 2010, Santa Fe, N.M.
Awarded best abstract at the Infectious Disease Society of Obstetrics and Gynecology Annual Meeting. August 11-13, 2016, Annapolis, M.D.
Awarded best abstract at the Infectious Disease Society of Obstetrics and Gynecology Annual Meeting. August 5-7, 2010, Santa Fe, N.M.
Timeline
Manager Data Reporting and Analytics
Highmark Wholecare/enGen
05.2020 - Current
Manager II
Magee-Women's Research Institute
10.2010 - 05.2020
Senior Research Assistant-Research Associate
Magee-Women's Research Institute
04.2000 - 09.2010
M.P.H. - Health Policy and Management
University of Pittsburgh Graduate School of Public Health
B.S. - Biology and Chemistry
University of Pittsburgh