
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.
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.
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.
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.