Sudha KishoreKumar
Oviedo,FL
Summary
Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Sr. Manager, Data & Insights
CVS HEALTH CORPORATION
06.2023 - Current
- Analyze data from a variety of sources to develop and operate meaningful data products for a variety of external customers including pharmaceutical manufacturers and payors
- Engage in requirements elicitation meetings to brainstorm on ideas to design the delivery strategy of data and insight products for our internal and external customers
- Perform data profiling on abandoned prescriptions to enable interventions to improve medication adherence rates
Lead Data Scientist
CVS HEALTH CORPORATION
11.2021 - 05.2023
- Design and analyze raw data to create longitudinal analytic datasets to cater to RWE project requirements
- Create complex algorithms, and data visualization using Tableau and Microsoft PowerBI
- Uses advanced programming in SAS to create complex algorithms, and data visualization using Tableau and Microsoft PowerBI to illuminate therapeutic and economic value to stakeholders’ organization
- Responsible for sharing the results and status of the research during the internal and external weekly meetings and prepare the final report to furnish the findings of the research
- Leading RWE feasibility studies which involve understanding the feasibility question to determine the clinical logic
- Work closely with the medical directors to finalize on the clinical code set
- Leading GCP Migration project for CTS RWE team that involves interacting with the solution architects, solution engineers and GCP migration project management team on the design and configuration of the GCP tenant
- Member of core technical committee overseeing CVS & Aetna analytics
- Created technical interview & onboard process; interviewed & onboarded many data scientists/analysts
- Designs data integrity documents (e.g., DMP, Validation Plan, Data Migration) and protocol amendments with Clinical Operations and client
- Manages junior data scientists; guides data analysis and validation plans; advises on data best practices
Sr. Manager, Informatics
CVS HEALTH CORPORATION
07.2018 - 11.2021
- Analyze, Design and Develop reporting solutions utilizing SAS, Tableau, Power BI, Hadoop, DB2 SQL, Alteryx, SSIS and MS SQL against the Enterprise data warehouse, Provider Reporting database, Utilization/Case management applications for regulatory entities
- Implemented process improvement strategies in the generation of CMS Medicare Universe that resulted in the decrease of the production time by up to 70% during internal and CMS quality/program audits
- Mentored and Managed regulatory resources on key project initiatives by performing code reviews, offering technical assistance and guidance, and point of contact for project status
- Responsible for Medicare pre-service OD Compliance reporting from Utilization management applications
- Implemented audit tool to identify errors in the clinicians/MDs workflow to ensure accurate reporting of ODs to CMS
- Responsible for summarizing the data from all applications prior to CMS submission
- Represent regulatory reporting team in the CMS HPMS audit
- Migrated Medical /Accreditation membership reports from Excel to Power BI dashboard
- Responsible for the submission of QHP and Commercial/Medicare membership in NCQA HOQ annually
- Migrated approximately about 25 Medical and BH Regulatory reports from MS Access to SAS
- Support HEDIS initiatives by executing the member mailings on those with a gap in HEDIS measures annually
- Provide the list of providers not abiding by the NCQA standards to the Provider outreach team for continuous education on the standards.
Informatics Analyst II
Capital District Physicians Health Plan
08.2008 - 06.2018
- Develop analytical and reporting solutions utilizing SAS, Oracle, Tableau, Cognos, R, Python, SSIS, SSRS, MYSQL and MS SQL against the Enterprise data warehouse, Facets Reporting database and CAE reporting database
- Technical Lead for HEDIS
- Developed ETL processes to create HEDIS extracts for vendor
- Planned, Designed, Developed and Implemented Medicaid PIP Perinatal Measures for 17-P and contraceptive care measures
- Responsible for Release Management activities – Release Planning, Release Building, User Acceptance Testing, Release Preparation and Deployment
- Planned, Designed, Developed, and Implemented the metadata layer for the Enterprise Data Warehouse
- Developed Cognos Reporting and Framework coding standards for BI Analysts/Developers
- Involved in preparing materials and training Cognos Business Authors
- Understand CAE CCA database and map it to the business requirements to identify the data that is to be brought into the Enterprise data warehouse for Person centric data mart
Senior Business Analyst
MVP
04.2008 - 08.2008
- Developed BRD for MVP Gold Program 2008 – Medicare HMO Expansion to 6 more counties and Medicare PPO Roll out by interviewing IT and Business stakeholders
- Involved in the development of process documents to be used in Requirements & Analysis Phase of the Projects by working in conjunction with the MVP and Preferred Care Process Focus group and trained Systems / Business Analyst on the usage of these templates
Project Manager
United Health Group
01.2006 - 03.2008
- Effort Estimation, Resource Management & Mentoring of offshore resources for the Portal Reporting team
- Worked with the Business customers, Upstream Project Managers and Program Managers on the project schedule, reporting the status of the project on a weekly basis, defect tracking and issue/ risk management
- Design and Review Cognos Reports & Cubes to ensure they meet up with the Coding standards and follow through the optimization techniques of development
- Publications
- Ray Sieradzan Andrew Thach, Pasha Javadi, Laura Lupton, Xiaowu Sun, Joaquim Fernandes, Sudha Kishorekumar
- Insulin pen needle fill rates among insured adults with type 1 and type 2 diabetes in the US, 2019-2021: a retrospective claims analysis at 2023 October AMCP Nexus Meeting in Orlando
- Published an article in the IBM Cognos Support site in January 2009 on how to use a prompt for connecting the same package to different databases and displaying the name of the database in the Cognos reports
Education
Master’s - Data science and Business Analytics
University of North Carolina at Charlotte (UNCC)
Charlotte, NCSkills
Base SAS, SAS Enterprise Guide, Python, GCP/Big Query, SQL, Hive, R, R Shiny, Tableau, Power BI, IBM Cognos 8 & 10, Crystal Reports, MongoDB, R Studio, SSRS, SSIS, Oracle, Tidal
Certification
- PMI Certified Project Management Professional
- IBM Certified Cognos 8 BI, Cognos 10 BI - Administrator, Designer, Metadata Developer
- SAS Certified Base Programmer for SAS 9
- SAS Certified Advanced Programmer for SAS 9
Affiliations
- Project Management Institute
- Toastmasters
- Blue Circle Leadership
- Enterprise Mentoring Program
Publications
- Ray Sieradzan Andrew Thach, Pasha Javadi, Laura Lupton, Xiaowu Sun, Joaquim Fernandes, Sudha Kishorekumar. Insulin pen needle fill rates among insured adults with type 1 and type 2 diabetes in the US, 2019-2021: a retrospective claims analysis at 2023 October AMCP Nexus Meeting in Orlando
- Published an article in the IBM Cognos Support site in January 2009 on how to use a prompt for connecting the same package to different databases and displaying the name of the database in the Cognos reports
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Every problem is a gift—without problems we would not grow.
Tony Robbins
Timeline
Sr. Manager, Data & Insights
CVS HEALTH CORPORATION
06.2023 - Current
Lead Data Scientist
CVS HEALTH CORPORATION
11.2021 - 05.2023
Sr. Manager, Informatics
CVS HEALTH CORPORATION
07.2018 - 11.2021
Informatics Analyst II
Capital District Physicians Health Plan
08.2008 - 06.2018
Senior Business Analyst
MVP
04.2008 - 08.2008
Project Manager
United Health Group
01.2006 - 03.2008
Master’s - Data science and Business Analytics
University of North Carolina at Charlotte (UNCC)
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