Kristen N Sottile
Mahopac Falls,NY
Summary
To secure a position in an environment where I can best demonstrate my leadership, motivation, teamwork and analytical problem-solving skills.
Overview
18
18
years of professional experience
Work History
Senior Analyst/Manager
Summit Health
01.2022 - Current
- Manages 10 value-based programs, to drive success in making our Quality performance and goals (supplemental/gap lists)
- Uses Agile Jira, Confluence, GitHub and Visio to document tasks and projects
- Team effort on building Quality Engine project for Hedis measures to drive Physician Compensation scorecards and bonuses
- Uses Snowflake, powerbi and Tableau to give insights into the data and visualizations.
- Created Python programs to automate processes
- Projects: Inbox Management, Hedis Gap list (Commercial/Medicare Advantage) Dashboard), SNF LOS Reporting, Care Management, Connect Care Ratio for Marketing, Payer Attribution, Marketing campaigns and outreach for letters/ emails, RCM coding change and RPM initiatives
- Manages one employee on projects, tasks, and performance.
- Leads several Key Projects for the stakeholders to move forward in a timely manner and move on track
Senior Analyst
WESTMED Medical Group
01.2018 - 01.2022
- Nominated/Awarded for 914 INC Wunderkind Magazine (Q2-2018)
- HCC and Quality VBC reporting/supplemental data submissions
- Understand Insurance contracts and build models on what we are predicted to receive at the end of the year (HEDIS programs)
- Build reports and Dashboards based on HEDIS specs and guidelines, to close gaps for star ratings (work with insurance companies and doctors)
- Maintain day to day, scheduled, monthly reports
- Transfer data from one insurance back and forth and follow their requirements on quality metrics such as Hemoglobin A1c, Mammograms etc. (.txt or pipe delimited formats)
- Use claims data, to look at leakage outside our company on cancer patients.
- Financial Data on our value-based programs, to make sure we are getting everything in the contract and getting paid based on our star rating
- SSRS, SSIS, Presentation Designer and Precision BI/SQL were tools I used to give business insights
Healthcare Associate Analyst
WESTMED Practice Partners
08.2012 - 01.2017
- Evaluate and gather data to look at trends in the company
- Ad hoc Reporting and Dashboard
Collection Assistant Manager (Intern)
Westmed
06.2012 - 08.2012
- Analyze statistical data for a call center to improve customer service (average minutes collections were on phone with patient)
Health Info. Management Medical Associate (Temp)
Westmed
01.2012 - 06.2012
- Sort, scan and download paper documents into the patient’s chart, to make electronic.
Pharmacy Technician
CVS Pharmacy
02.2008 - 05.2012
- Dispense Medications/Prescriptions
- Utilize cash register& provided customer service
Teacher Assistant/helper
Mount Kisco Daycare
01.2008 - 01.2012
- Supervised daily activities for children ages 1-13 years old.
- Organized projects and activities for the children to participate in.
- Supported lead teacher in educational activities to give different learning styles
Education
Bachelor of Arts - Mathematics
Pace University
Pleasantville, NY06.2012
Skills
- Proficient in Microsoft Word, PowerPoint, Excel (VLookup, Pivot tables, graphs & formulas) Microsoft SQL server, Visual studios, On-base and GE Precision BI/Presentation Designer Snowflake, Power BI, Tableau, Jira, GitHub, Confluence and Visio Some Knowledge in Python
Timeline
Senior Analyst/Manager
Summit Health
01.2022 - Current
Senior Analyst
WESTMED Medical Group
01.2018 - 01.2022
Healthcare Associate Analyst
WESTMED Practice Partners
08.2012 - 01.2017
Collection Assistant Manager (Intern)
Westmed
06.2012 - 08.2012
Health Info. Management Medical Associate (Temp)
Westmed
01.2012 - 06.2012
Pharmacy Technician
CVS Pharmacy
02.2008 - 05.2012
Teacher Assistant/helper
Mount Kisco Daycare
01.2008 - 01.2012
Bachelor of Arts - Mathematics
Pace University
Community Service
- Putnam Hospital, 2005, 2006
- Mahopac Public Library, 2005-10
- Women’s Resource Center, 2005-12