Product Management Director, Analytics and Methodologies with 14 years of experience in healthcare data solutions, specializing in roadmap development and advanced financial concepts. Demonstrates critical thinking, initiative, and leadership while managing multiple projects and conflicting priorities. Proven expertise in predictive models, data modeling, and Agile/Scrum practices, ensuring alignment with stakeholder needs and business objectives. Adept at leading cross-functional teams, managing product content, and enhancing methodologies for optimal outcomes.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Director Analytics and Methodologies
Health Data & Management Solutions, Inc. (HDMS)
04.2021 - Current
Responsible for driving overall Methods and Analytic strategy in support with Sales, CX and Product to drive the business value, prioritization and requirements.
Responsible for defining, managing, and communicating the Methods and Analytic roadmap for developing scaled HDMS solutions that serve all customers
Responsible for creating data requirements across engineering, data operations, and CX delivering common product assets that can support the varying use cases across HDMS
Responsible for the end to end business accountability starting with design through implementation including identifying critical data needs to make sure the business requirements are implemented correctly and the actual business outcomes are delivered.
Responsible for external vendor strategy and driving data partnerships with 3rd party data vendors in support of HDMS strategy
Coach, mentor, and develop a team of product and analytic professionals
Provide expert and strategic advice to members of the leadership team on the Methods and Analytic Strategy
Serve as a Product Manager for all methodological product content including episode groupers, predictive models, clinical categorizations, population-based risk assessment, machine learning and other market leading methods.
Participate in Agile/Scrum development activities
Product Manager
Health Data & Management Solutions, Inc. (HDMS)
04.2017 - 04.2021
Product Owner for all product content including front-end features, administration features, data and analytic content.
Participate in Agile/Scrum development activities as Product Owner.
Developed product documentation to communicate upcoming features and products to internal teams.
Established criteria for each milestone within product roadmap as means to measure developmental progress.
Responsible for maintaining product backlog and determining and prioritizing enhancements to product content by soliciting feedback from internal and external stakeholders.
Responsible for writing feature user stories and acceptance criteria, writing behavior-based testing scenarios and other product owner responsibilities
Lead meetings with business stakeholders, development team and operations regarding product features.
Independently manage midsize product enhancements and features.
Account Director Provider Client Services
Health Data & Management Solutions, Inc. (HDMS)
03.2014 - 03.2017
Client Implementation-5 Client’s main point of contact and lead during new implementation of HDMS products and services for Commercial, ACO, MSSP, Medicaid, Medicare lives. Ensure smooth data transmission, execute formal test plans. Work directly with the client to map additional fields and/or create and define custom fields and translate requirements to internal HDMS teams.
Established trusted relationships with key stakeholders by providing consistent communication and exceptional service throughout the account lifecycle.
Training-Lead and participate in training of client staff (all levels) including clinical mapping methodologies, data layout and design
Sales Support/Demos-Discuss client use cases to both internal and external prospects
Developed creative analytic solutions for complex client challenges, resulting in increased customer satisfaction ratings (Clients contributed to NPS score)
Vendor Relations-Integrate external data types (i.e. Case Management operational data, Quality Metrics and Disease registry)
Analytics Manager-Accountable Care Solutions
Aetna
07.2010 - 03.2014
ACO Prospect Development - Provide detailed, creative analytical leadership for the ACS Sales, Operations and Care Management teams to assist in the identification of ACO partners and the design of appropriate programs, targets and financial relationships. Play a lead role in bringing 4 ACO contracts to closure to meet ACO, membership, product growth, revenue, and P&L goals.
On-going ACO Management – Provide hands on consulting/analytical leadership to 4 ACO partners and internal Operations and CM Teams. Lead internal and external financial discussions designed to design to take broad look at ACO results
Medical Economics Team Lead
Aetna
05.2007 - 03.2014
Develop valuation metrics for existing medical management programs including Medicare and Commercial Concurrent Review, Case Management and others
Develop initial model development and success measures for the valuation of 3 new products/programs ie PCMH (Patient Centered Medical Home) arrangements and HPPIs (High Performance Provider Initiatives)
Multiple IT Project participant- Business participant/SME; End to end process design; Worked to understand data flowing into data mart.
Develop information in support of discussions around ACO feasibility
Support development, work flow and maintenance of member attribution
Create financial risk reconciliation model for Commercial and Medicare ACO arrangements
Create and support development of models part of the Tiered Network strategy
Renewal Operations Analyst at Rubrik India Private Limited (Cloud Data Management – Data & Cyber Security)Renewal Operations Analyst at Rubrik India Private Limited (Cloud Data Management – Data & Cyber Security)