Laila Begum
Summary
With 16 years of data analysis experience, including 10 years specializing in healthcare data, I bring extensive expertise to drive impactful research and address critical health challenges. As a dedicated healthcare data analyst, my objective is to improve care quality and promote access through evidence-based strategies. I have a strong analytical background and have successfully identified care gaps, created dashboards, collaborated with provider groups, and collected EMR data. Utilizing data-driven approaches, I strive to enhance health outcomes and ensure equitable access to care. My passion lies in advancing behavioral and mental health research, exemplified by my doctoral capstone research focused on increasing mental health awareness and improving access to mental health resources.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Principal Data Analyst
Fallon Health
12.2022 - Current
- Primarily responsible for HEDIS reporting and submission to NCQA every year
- Develop and deliver various monthly quality dashboard reports for internal senior executives and various accountable care organization partners detailed with race, ethnicity, language breakdowns to identify care gaps, prioritize resource allocation and support health equity initiatives
- Develop MS Access databases to support in house member data collection to improve HEDIS compliance rates
- Work on various quality improvement interventions for CMS star measures to improve measure compliance rates
- Produce EMR data exchange control file complying with the MassHealth Data Consortium guidelines and ensure HIPAA Compliance
- Collaborate with various provider groups in network on EMR data exchange initiatives to collect members' health and demographics data to enhance HEDIS reporting accuracy and completeness
- Closely work with Information Technology on data mapping logics and file creation for HEDIS software vendor
- Perform extensive quality data checks on EMR data exchange files received from provider groups to ensure data conform to data collection guidelines
- Produce various Roadmap documents for NCQA and take lead in collecting HEDIS Roadmap responses required as part of HEDIS submission
- Produce gaps-in-care reports for various cancer and immunization measures and distribute to plan members and providers, ensuring timely interventions to close care gaps, improving population health outcomes
Senior Data Analyst
Fallon Health
01.2017 - 11.2022
- Principally responsible for HEDIS reporting to NCQA (National Committee of Quality Assurance) to report our plan member's health outcomes on various healthcare measures
- I mainly focus on prevention and access to care measures such as cancer screenings, immunizations, and prenatal and postpartum care
- Some of the analyses I do help improve our member's access to the healthcare they need and address some of the disparities our current healthcare system is encountering
- Producing monthly dashboard reports for senior management to help identify opportunities for quality interventions and make evidence-based decisions
- Working with various healthcare provider groups to collect our member's healthcare data from their EMR systems to improve our healthcare reporting accuracy
- Collaborating with HEDIS auditors and producing roadmaps for the HEDIS project to create project transparency
- Producing quarterly healthcare gap analysis and reminding plan members and providers to close the identified care gaps to ensure our plan members achieve their best health
Data Analyst
UMass Memorial Health Care
05.2015 - 12.2016
- Provided support for various internally housed MS Access databases
- Designed a MS Access database for Medicaid Disease Management team to help better manage the health of our most vulnerable high risk high-cost patients
- POC for all data related issues for BCBS Commercial payer
- Produce Tableau profiling to QA Medicaid data to identify data discrepancy
- Producing EOY clinical registries for BCBS Commercial patients to close gaps in care and keep our patients healthy
Business Analyst
Ocwen Loan Servicing, LLC/GMAC ResCap
08.2007 - 05.2015
- Research and analyze delinquent Freddie Mac, Fannie Mae loan portfolios
- Performing code cross testing to ensure action codes are reporting correctly as specified in the Investor guidelines
- Determine system logic enhancement and proactively work to implement changes
- Work with internal auditors/Investors on Freddie Mac audit findings and loan inquiries
- Work on various workarounds throughout the month to resolve reporting discrepancies
- Monitor project progress by tracking activity; resolving problems; publishing progress reports; recommending actions
- Perform extensive reconciliation of all loan statuses for Freddie Mac delinquent portfolio before submitting the final reporting at month end to investor to minimize edit exceptions and improve reporting accuracy
- Work with various departments to discuss issues with department processes and to improve reporting compliances, complying with the loan investor guidelines
- Work with development team on various reporting logics and issues to implement logic changes to improve reporting accuracy
- Updating reporting policies and procedures every6-12 months
- Cross train other analysts within the group on various reporting
- Maintain a Tier1 score for Freddie Mac Investor
Business Analyst
PHH Mortgage
01.2007 - 08.2007
- Responsible for developing, analyzing, maintaining, and modifying accurate and complete operational reports for the business
- Perform analysis and generate reports in a comprehensive, accurate, and timely fashion
- Assist and identify in efforts to innovative methods of efficient and accurate reporting techniques
- Develop and produce new reports using software such as Brio, excel, access, Centre-Vu, CPI (fidelity), passport, Midanet
- Perform and test mass updates, run and update scripts, update query logics to capture new information
- Work on projects to improve the business process, perform query audits for the department, create call campaign reports, and perform other duties as assigned by the manager
Education
Doctor of Health Science
Massachusetts College of Pharmacy And Health Sciences
Worcester05.2025
Master of Science - Healthcare Administrations
Worcester State University
05.2015
B.S. - Management Information Systems
George Mason University
05.2004
Skills
- Data quality management
- HIPAA Compliance
- SAS programming
- Strong work ethic
- Problem-solving
- Attention to detail
- SQL
- MS Excel
- Data collection
- Data analysis
- Gap analysis
- Database management
- Microsoft Access
- Statistical analysis
- Data profiling
- Microsoft Visio
- PowerPoint
Certification
- Lean Six Sigma Yellow Belt
- Access 2013 Advanced online
Languages
English
Bangla
Hindi
Timeline
Principal Data Analyst
Fallon Health
12.2022 - Current
Senior Data Analyst
Fallon Health
01.2017 - 11.2022
Data Analyst
UMass Memorial Health Care
05.2015 - 12.2016
Business Analyst
Ocwen Loan Servicing, LLC/GMAC ResCap
08.2007 - 05.2015
Business Analyst
PHH Mortgage
01.2007 - 08.2007
B.S. - Management Information Systems
George Mason University
Doctor of Health Science
Massachusetts College of Pharmacy And Health Sciences
Master of Science - Healthcare Administrations
Worcester State University
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