Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Technology
Timeline
Generic

Prajakta Parab

Irvine,California

Summary

Experienced and passionate Healthcare leader with ten plus years of demonstrated history in operations, managed care and health information technology industry. Strong professional background with proven track record of successfully leading complex initiatives in healthcare delivery, performance improvement and health outcomes domain.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Principal, Data Governance and Curation

Optum
Irvine, CA
03.2021 - Current
  • Established Data Governance - Access, Security, Compliance policies and guidelines for a commercial cloud based data management platform supporting 29 CDO and 10 million plus lives
  • Led meetings to convey policies, train and socialize Governance practices and identify alignment with enterprise program
  • Led, coached and managed effective team of Analysts for Data Lineage activities of Membership, Eligibility and Provider Domains
  • Designed End to End User Acceptance testing workflow for multiple complex product features

Manager, National Analytics

Optum
Costa Mesa, CA
03.2017 - 03.2021
  • Perform Strategist role for Data Analytics Programs and Own End to End Implementation of multiple organization wide initiatives
  • Expanded cross-disciplinary, cross-sector coalitions and partnerships with various departments, teams and vendors to resolve data and process gaps on day to day basis
  • Build and Execute Processes for “Pay for Performance” Programs and Annual Physician Bonus Payout
  • Evaluated employees' strengths and assigned tasks based upon experience and training to raise team performance

Health Information Consultant

CareMore
Cerritos, CA
12.2014 - 03.2017
  • Provided analytical expertise on various programs optimizing Care Quality and Chronic Disease Management
  • Designed standardized process for paneling beneficiaries to Providers impacting access to care and member satisfaction
  • Collaborated with clinical leaders and cross functional teams to develop KPI and tools impacting STARS
  • Utilized Risk Prediction tools to identify high risk unengaged members for targeting member outreach efforts

Data Consultant

Pro Swift Consulting LLC
San Francisco, CA
01.2014 - 12.2014
  • Collaborated with customers/ clients concerning data exchange and technology integration
  • Managed workflow, data process models, accuracy verification for large data projects impacting End User experience strategies
  • Documented business rules to guarantee development met requirements

Clinical Strategy Analyst

Kaiser Permanente
Los Angeles, CA
05.2012 - 01.2014
  • Serve as component of Core Clinical Strategic Goals team supporting performance on HEDIS
  • Lead statistical aspects of multiple quality improvement projects
  • Performed complex statistical analysis to identify trends and factors contributing to all cause readmissions
  • Contributed in launching and sustaining various initiatives relative to post hospital discharge visit among surgery and orthopedic discharges

Research Assistant

University Of Souther California
Los Angeles, CA
09.2010 - 05.2012
  • Worked with principal investigators to coordinate qualitative research investigating effects of metabolic syndrome on ectopic adiposity
  • Prepared materials for reports, presentations and submission to peer-reviewed journal publications
  • Generated data models, performed biostatistical analysis and helped produce reports outlining results
  • Evaluated potential subject participants to assess suitability for planned studies

Education

Master of Public Health - Biostatistics And Epidemiology

University of Southern California
Los Angeles, CA
05.2012

Bachelor of Ayurvedic Medicine And Surgery - Integrative Medicine

Mumbai University
Mumbai, India
05.2006

Skills

  • Managed Care
  • Data Governance
  • Health Policy
  • Data Analytics
  • Process Improvement
  • Health Information Technology
  • Relationship Building
  • Critical Thinking

Affiliations

Member of American College of Healthcare Executives - Active

Certification

Institute of Industrial Engineering (IIE) — Six Sigma Green Belt Certification for Healthcare, 2016

Technology

  • Collibra
  • Snowflake
  • SQL Reporting Services
  • SQL Server Management Studio
  • Analytical Tools - SAS, Tableau, DOMO

Timeline

Principal, Data Governance and Curation

Optum
03.2021 - Current

Manager, National Analytics

Optum
03.2017 - 03.2021

Health Information Consultant

CareMore
12.2014 - 03.2017

Data Consultant

Pro Swift Consulting LLC
01.2014 - 12.2014

Clinical Strategy Analyst

Kaiser Permanente
05.2012 - 01.2014

Research Assistant

University Of Souther California
09.2010 - 05.2012

Master of Public Health - Biostatistics And Epidemiology

University of Southern California

Bachelor of Ayurvedic Medicine And Surgery - Integrative Medicine

Mumbai University

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Prajakta Parab