Lauren Haight
Sterling Heights,MI
Summary
Highly productive and efficient Healthcare Analyst with expertise in data analysis, healthcare policy interpretation, project management, and developing innovative solutions. Proven track record of analyzing trends, enhancing healthcare delivery systems, and providing precise decision-making support through exceptional communication, problem-solving, and teamwork abilities.
Overview
8
8
years of professional experience
Work History
Innovation Analyst
Emergent Holdings (BCBSM)
Southfield, MI
01.2023 - Current
- Conduct research as directed by executives
- Acted as project manager
- Facilitated research into caregiver solutions, including building out a universe of issues and solutions
- Collaborate with Senior Health Services via work groups
- Mentored an intern in market research, solutions, and building wireframes around caregiver solutions
- Coordinated and organized a catalogue of health equity work being done throughout the organization
- Serve as liaison between EM and SHS through attendance of Health Equity workgroups, Cost of Care workgroups, and supporting SHS through solution research
- Designed and presented with the Learning and Organizational Development team around Core Values, Internship presentations, and Leadership Learning Series
- Collaborate with Communications on articles around innovation in the company
- Developed a white paper around labor shortage in health care and market trends
- Partnered with MA Risk Adjustment and Quality on Direct-to-EMR connectivity
- Conducted market research on competitors and EMR platforms
- Assisted in ROI development
- Assisted in building a business case for implementation of direct-to-EMR capabilities
- SME for procurement related needs
- Developed process mapping and timeline maps for engaging procurement.
Advanced Business Analyst
Blue Cross Blue Shield
Southfield, MI
01.2022 - 12.2022
- Manage invoicing for seven vendors to ensure timely payments for services
- Communicate financial updates as well as engagement measures for bi-weekly meetings
- Compile and analyze outcome data reports from vendors for external care management programs into one dashboard
- Assist in monitoring program compliance to ensure KPI and SLAs are met
- Work with vendor contacts to address any concerns and resolve those concerns timely
- Created job aids for invoicing.
Regulatory Quality Improvement Coordinator
Meridian Health Plan
Detroit, MI
11.2019 - 12.2021
- Responsible for data collection, qualitative and quantitative analysis, and reporting of programs to NCQA as well as ad hoc to community partners, MDHHS and CMS including but not limited to NCQA reports, annual evaluation, work plans, and ad hoc reports
- Work with market specific population health program managers and corporate population health program managers to ensure data is correctly evaluating market
- Write yearly analysis for the NET, QI, PHM, and ME NCQA reports
- Created an internal compliance tracker that ensured Medicaid, Marketplace, and Dual contracts were followed and all quality activities were completed resulting in the QI department getting off of a Corrective Action Plan
- Assist in quality activities (ex
- HEDIS outreach, provider education, member education) to achieve benchmarks for withholds/pay-for-performance programs and maintaining STARS rating
- Identify, present, and implement process improvements regarding quality activities and health initiatives to reduce duplicative work and increase efficiency
- Manage project plans for quality related initiatives around HEDIS/STARS, P4P, PIP, and various other quality initiatives from beginning to end to ensure all activities are completed
- Working with director and managers on identifying and pursuing opportunities for collaboration to meet business objectives
- Attend internal workgroups as the regulatory liaison to reiterate requirements and messaging
- Sit on an internal engagement team as representative to identify staff exceeding expectation and provide department recognition.
Care Coordinator
Meridian Health Plan
Detroit, MI
04.2018 - 11.2019
- Manage an assigned caseload of 100-300 Medicaid, Medicare, and Dual Meridian members
- Conduct complete, timely, and accurate program specific assessments through telephonic outreach
- Connected members to resources such as Meals-On-Wheels, housing resources, transportation resources, financial resources, etc
- Assist in HEDIS and market population health programs for Illinois members such as smoking cessation, SDOH needs, maternity program, opioid programs, and individualized care plans
- Assist in reporting population health program data for my team (Ex
- Transition of Care, Opioid, and SDOH)
- Assisted in creating trainings around LGTBQA+ and Trans Cultural Competency and benefit navigation for Growth Program, Team Lead Track
- Responsible for assisting population health program implementation and data collection.
Population Health Research for Mobile Health Clinic
McLaren Oakland
Pontiac, MI
01.2018 - 04.2018
- Researched and developed a report for social determinants of health in Pontiac
- Helped design an outreach plan and materials along with an action plan
- Created a final report for McLaren.
Technician
Center of Advanced Orthopedics
Auburn Hills, MI
08.2016 - 04.2018
- Assists therapists with patient flow by aiding in exercises, ultrasounds, preparing dressing changes, billing, and maintaining inventory
- Perform chart audits to ensure HIPAA and other external audit processes were followed
- Helping to establish a standard operating procedures handbook for training purposes.
Health Educator for Breast Cancer
McLaren Oakland
Pontiac, MI
05.2017 - 11.2017
- Worked on a team under the Susan G
- Komen Sister-to-Sister grant awarded to McLaren Oakland Foundation to create and implement an outreach plan to stakeholders of Pontiac
- Coordinated a variety of external community events to support the goals of McLaren Oakland Foundation and the Sister-to-Sister grant
- Identified and created a contact list of 100 stakeholders in Pontiac (churches, senior living centers, homeless shelters, and women support group/centers)
- Developed a presentation and performed 1 hour educational classes around breast cancer, screenings, and services available through the grant in partnership with stakeholders and gatekeepers in Pontiac
- Performed 20 educational classes in various locations around Pontiac in addition to multiple community health fair events
- Created an evaluation survey for presentations that looked at pre and post data for each educational class
- Assisted in quantitative data analysis of pre and post data to measure effectiveness of classes
- Compiled a list of qualitative data to provide common themes, concerns, and questions provided on the pre and post surveys.
Student Grant Writer
Gary Burnstein Community Health Clinic
Pontiac, MI
01.2017 - 04.2017
- Met with stakeholders to design Pediatric intervention
- Worked with 3 other students to write an RFP to expand services to cover Pediatric services.
Student Researcher for Community-Based Participatory Research
Inner Door
Royal Oak, MI
09.2016 - 12.2016
- Meet with stakeholder and develop an appropriate research study
- Analyzed Pre and Post tests for patients
- Created an evaluation report on the quantitative and qualitative data to show effectiveness of yoga and mindfulness treatment with treating eating disorders.
Education
Master’s in Public Health - evidence-based practice
Oakland University
Rochester, MI04.2018
B.S. Health Sciences - exercise science
Oakland University
Rochester, MI04.2015
Skills
- Design Thinking Methods
- Process Mapping and Improvements
- Job Aid Creation
- Visio proficient
- Analyzing and document business processes
- Team Collaboration and Leadership
- Report Preparation and Presentation
- MS proficiency
- Meeting facilitation
- Project Management, Planning & Tracking
- Strategic Planning
- Data Collection and Analysis
- Innovation and Creativity
- Contract Management
Timeline
Innovation Analyst
Emergent Holdings (BCBSM)
01.2023 - Current
Advanced Business Analyst
Blue Cross Blue Shield
01.2022 - 12.2022
Regulatory Quality Improvement Coordinator
Meridian Health Plan
11.2019 - 12.2021
Care Coordinator
Meridian Health Plan
04.2018 - 11.2019
Population Health Research for Mobile Health Clinic
McLaren Oakland
01.2018 - 04.2018
Health Educator for Breast Cancer
McLaren Oakland
05.2017 - 11.2017
Student Grant Writer
Gary Burnstein Community Health Clinic
01.2017 - 04.2017
Student Researcher for Community-Based Participatory Research
Inner Door
09.2016 - 12.2016
Technician
Center of Advanced Orthopedics
08.2016 - 04.2018
Master’s in Public Health - evidence-based practice
Oakland University
B.S. Health Sciences - exercise science
Oakland University
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