Summary
Overview
Work History
Education
Skills
Timeline
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Monica Drury

Southington,CT

Summary

Highly motivated and detailed-oriented candidate passionate about using data to improve business performance and customer experience. Skilled at leveraging data to develop actionable solutions to business challenges and utilizing data mining and data visualization to create meaningful insights. Excellent technical aptitude and knowledge of programming languages, data analytics and data visualization.

Overview

21
21
years of professional experience

Work History

Lead Director, Medical Economics

CVS
05.2021 - Current
  • Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
  • Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
  • Established a culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas.
  • Cultivated a positive work environment that fostered employee engagement, increased retention rates, and boosted overall team morale.
  • Monitored and coordinated workflows to optimize resources.
  • Facilitated cross-functional collaboration for improved decision-making processes within the organization.
  • Optimized staff performance by designing comprehensive training programs tailored to individual needs.
  • Lead team of 9 analysts who manage Value Based Contracts (VBCs) for Aetna’s provider partners. Responsible for oversight and direction for contract execution and adherence. Partner with network leadership to ensure strategic vision is reflected in VBC contracts. Audit reconciliation results per contract provisions. Provide guidance for ad hoc analytics to support external inquires. Actively identify areas for streamlined performance across broader team.

MEDICAL ECONOMICS MANAGER

CVS
11.2019 - 05.2021

Responsible for the design of clinical analytics used to develop initiatives that improve the healthcare for members while lowering medical costs. These initiatives involved medical policy, population health programs, healthcare quality and fraud and abuse. Used advanced analytic techniques to extract claim line level data and transform that data in useful models and reporting. Data extraction methods included SAS EG, Tableau and MS Access. Collaborated with cross functional teams across the enterprise to identify, understand and implement initiatives.

SENIOR BUSINESS CONSULTANT

Aetna
10.2016 - 11.2019

Externally facing role, providing dedicated analytic consulting services to National Accounts Plan Sponsors (5,000+ lives). Responsible for coordinating monthly data reviews of medical cost trends and population health. Excelled in data mining and trend driver identification. Partnered with sales team on solution implementation for cost mitigation efforts and health outcomes improvement.

  • Formulated recommendations and effective solutions to improve [Business Name] overall profitability and success.
  • Leveraged data analytics tools to track performance metrics, identify areas for improvement, and inform strategic decision-making processes.
  • Mentored junior consultants by providing guidance on best practices in consulting methodologies, aiding professional growth, and career development.
  • Strengthened client relationships through effective communication, understanding their needs, and delivering tailored solutions.
  • Analyzed and interpreted data to determine any problems or areas that need improvement.

SENIOR INFORMATICS CONSULTANT

Aetna
10.2015 - 10.2016
  • Collaborated with cross-functional teams to successfully deliver comprehensive solutions for clients.
  • Assisted clients in navigating complex industry challenges, offering expert guidance and strategic recommendations.
  • Supported clients with business analysis, documentation, and data modeling.
  • Delivered high-quality presentations to stakeholders, effectively communicating project objectives and results.
  • Analyzed data sets to identify trends and opportunities for process improvements within client organizations.

Served as main informatics contact for 5 major Accountable Care Organization (ACO) contracts. Evaluated the data needs of assigned accounts ensuring data integrity and accuracy.

Conducted monthly meetings with ACO executives to review medical cost trends and contract performance providing education and guidance on data utility. Collaborated with internal clinical and network partners in the design and execution of analytic studies to answer business questions.

Completed quarterly financial reconciliations for ACO contracts, presenting these results to ACO executives. Performed complex ad hoc programming and analytic support with large datasets using SAS EG and MS Access.

INFORMATICS CONSULTANT

Aetna
04.2014 - 10.2015

MEDICAL ECONOMICS SENIOR CONSULTANT

Aetna
01.2007 - 04.2014

MEDICAL ECONOMICS CONSULTANT

Aetna
10.2004 - 01.2007

BUSINESS INFORMATION SPECIALIST

Aetna
05.2003 - 10.2004

Education

Bachelor of Science - Health Administration

Quinnipiac University
Hamden, CT

MBA - Data Analytics

Quinnipiac University
Hamden, CT

Skills

  • Team Management
  • Staff Development
  • Relationship Building
  • Performance Improvement
  • Data Analysis
  • Root Cause Analysis
  • Medical Cost Analytics
  • Predictive models
  • SAS Enterprise Guide/SQL
  • Advanced excel
  • Consultative analytic support
  • Contract Analytics

Timeline

Lead Director, Medical Economics

CVS
05.2021 - Current

MEDICAL ECONOMICS MANAGER

CVS
11.2019 - 05.2021

SENIOR BUSINESS CONSULTANT

Aetna
10.2016 - 11.2019

SENIOR INFORMATICS CONSULTANT

Aetna
10.2015 - 10.2016

INFORMATICS CONSULTANT

Aetna
04.2014 - 10.2015

MEDICAL ECONOMICS SENIOR CONSULTANT

Aetna
01.2007 - 04.2014

MEDICAL ECONOMICS CONSULTANT

Aetna
10.2004 - 01.2007

BUSINESS INFORMATION SPECIALIST

Aetna
05.2003 - 10.2004

Bachelor of Science - Health Administration

Quinnipiac University

MBA - Data Analytics

Quinnipiac University
Monica Drury