Paul A. Palombo III
Buffalo,New York
Summary
Dynamic Senior Decision Support Consultant/Analyst with over 15 years of experience, excelling in healthcare analytics and report design. Proven track record of enhancing client presentations and uncovering cost-saving opportunities. Skilled in data manipulation, presenting, garnering trust, and delivering actionable insights that drive decision-making, while improving population health outcomes, and reducing expenses.
Overview
20
20
years of professional experience
Work History
Senior Decision Support Consultant – Client Analytics and Consulting
Highmark BlueCross BlueShield of WNY
Buffalo, New York
01.2014 - Current
- Create and present clinical and financial analysis to employer groups (self-funded and large fully insured) with the goal of improving population health, quality of care, and decreasing expenses
- Provide support on Requests for Proposals (RFPs) with customized analysis
- Created templates which reduce data extraction time and potential user error
- Lead role in revamping external presentation to improve flow and highlight internal programs
- Designed new reports and graphics to be used in Health Plan Performance Review presentations
- Analyze and interpret healthcare data to identify potential areas for medical and drug cost improvements via products, services and other market trends, including return-on-investment projections
- Design and develop client reports with a key focus on cost and utilization trends, pharmacy management, quality assurance programs, clinical outcomes, and wellness management
- Effectively present external presentations, with actionable recommendations for decision makers and C-Suite Executives
- Working knowledge of underwriting and actuarial principles
- Strong analytical and problem solving skills necessary to anticipate client questions
Research Analyst – Informatics (Employer Group Consulting)
Independent Health
Williamsville, New York
01.2011 - 01.2014
- Lead data integrity tester for data migration of new software implementation
- Compile and present analysis monthly to key employer group and broker
- A trusted source of quality assurance for all team members
- Created templates, queries, and macros which reduced data gathering time by 80%
- Created various marketing improvements to current presentations leading to increased retention rate
- Discovered and corrected errors within existing data sets
- Named as subject matter expert for employer group data reporting
Data Analyst II – Employer Group Reporting & Financial Operations
BlueCross BlueShield of WNY
Buffalo, New York
01.2008 - 01.2011
- Lead analyst responsible for clinical and financial analysis of employer groups
- Created and presented analysis to employer groups and brokers in a clear and concise presentation
- Analyzed key performance indicators including budget variances to senior management and made recommendations
- Led project to re-locate Jamestown satellite office to a more suitable and sustainable location
- Uncovered claims fraud which led to company wide policy change
- Promoted to Analyst II after 15 months
Financial/Accounting Analyst II - Mortgage (Secondary Marketing)
M&T Bank Corporation
Buffalo, New York
01.2005 - 01.2008
- Lead role in data validation of new risk software (QRM), while performing daily FAS 133 accounting
- Discovered over $1 million of improper investor fees and received full company reimbursement
- Implemented various process improvements to ensure data accuracy, profit maximization, and expense minimization
- Promoted to Analyst II after nine months and Bank Officer after two years
Education
Masters of Business Administration - Concentration in Finance
Canisius University
08.2004
Bachelors of Arts - Major in Communications (Broadcasting track), Minor in Political Science
State University of New York College at Brockport
05.1999
Skills
- Data analysis
- Healthcare analytics
- Report design
- Presentation skills
- Excel - Advanced
- SAS Enterprise Guide
- MS Office Suite
- SQL - Proficient
- Multiple industry BI Platforms
- Client relationship management
- Statistical analysis
- Trend identification
- Data integrity
Affiliations
- Board of Directors: Touching Bases Softball League of Erie County, 2007-Current
- Board of Directors: Englewood Medication Center, 2024-Current
- Board of Directors: Yoga Parkside Foundation, 2020-2023
Timeline
Senior Decision Support Consultant – Client Analytics and Consulting
Highmark BlueCross BlueShield of WNY
01.2014 - Current
Research Analyst – Informatics (Employer Group Consulting)
Independent Health
01.2011 - 01.2014
Data Analyst II – Employer Group Reporting & Financial Operations
BlueCross BlueShield of WNY
01.2008 - 01.2011
Financial/Accounting Analyst II - Mortgage (Secondary Marketing)
M&T Bank Corporation
01.2005 - 01.2008
Masters of Business Administration - Concentration in Finance
Canisius University
Bachelors of Arts - Major in Communications (Broadcasting track), Minor in Political Science
State University of New York College at Brockport
Similar Profiles
Louis JosephLouis Joseph
Blue Card Senior Claims Processor at Highmark BlueCross BlueShield of WNYBlue Card Senior Claims Processor at Highmark BlueCross BlueShield of WNY
Jamar PankeyJamar Pankey
Operations Analyst at BlueCross BlueShield of South CarolinaOperations Analyst at BlueCross BlueShield of South Carolina
TOMEIKA MOORETOMEIKA MOORE
Claims Customer Service Representative at BlueCross BlueShield of SCClaims Customer Service Representative at BlueCross BlueShield of SC