Centene Corporation

- Oversee the creation and implementation of programs relevant to the organization's strategic initiatives involving Health Services, clinical and operational quality administration.

- Design and facilitate the development of various programs/systems, work flows, and integration efforts in alignment with Corporate, market, contractual, regulatory and quality requirements.

- Act as the content and technical subject matter expert to the operation managers and directors for key project initiatives, including the development of detailed work plans, facilitating root-cause-analysis, identifying and socializing process enhancements, setting deadlines, assigning responsibilities, and monitoring/summarizing project progress.

- Prepare strategic analysis of potential business and/or operational opportunities in relation to new business, rebids, and QI targets using customized solutions.

- Conduct needs assessments and identification to ensure the program teams and other external stakeholders receive information in a timely manner.

- Partner with leaders and members of the Quality Analytics and Improvement Teams and determine data needs, as well as assist in designing tools and reports as necessary.

- Collaborate with clinical and operations staff through consulting and analysis services to support initiatives intended to achieve breakthrough or incremental process improvement in patient quality of care.

Quality Program Development Manager

Optum

- Managed, maintained, documented, and assisted in developing a suite of internally developed and third party applications to support reporting and business analytics solutions for various stakeholders across Optum. 

- Performed a variety of reporting and analytical tasks to provide industry insights or project operational risks, including operations/financial analysis, testing the accuracy and completeness of periodic/ad-hoc deliverables across ETL, data conforming, data integration, and reporting.

- Assisted in mapping, documenting, and source code management for Medical Economics deliverables.

- Reviewed claims, premium, capitation and membership data in support of underwriting, actuarial and utilization analyses.

- Created and updated automated processes.

- Analyzed reporting tools utilized by internal customer groups.

- Produced, reviewed, and presented reports to leadership.

- Preformed research and investigated key business problems through quantitative analyses of utilization and healthcare costs data.

- Provided management with statistical findings and conclusions.

- Identified potential areas for medical cost improvements and alternative pricing strategies.

Medical Economics, Sr. Analyst - OptumCare Florida

BayCare Health System

- Provide advanced technical and analytical support for the Accountable Care Organization (ACO) and Clinical Integrated Network (CIN).

- Develop reports consisting of financial and clinical analyses, along with cost and utilization trends related to payers, employers, and health plan data. 

- Contribute to and provide accountability for leading small and medium size projects and/or supporting portions of large projects.

- Utilize databases and reporting tools to extract data, generate reports, perform complex data analysis and draft system/process improvement recommendations. 

- Manage updates and maintenance for over 9+ reports published to Tableau Server.

- Interface with, gather information from and make presentations to various levels of management, internal and external leaders, network medical directors and network physicians.

- Incorporate operational or consulting experience in managed care data, statistical analysis, and medical economics reporting.

- Participate in the development and maintenance of standard data definitions and reporting methodologies.

- Develop, manipulate and utilize large data sets.

- Conduct system/data integrity and quality checks/audits.

Population Health / Medical Economics Analyst - BayCare Physician Partners

- Responsible for managing and implementing various programs instrumental to BayCare Physician Partners' operational success. 

- Worked with internal and external stakeholders to coordinate programs as determined by the operations team.

- Oversaw day-to day administrative, technical, and advisory support for all programs, projects and key strategic initiatives.

- Maintained an account of reports and ad hoc analysis, allowing for the tracking of team productivity among data analysts.

Program Coordinator - BayCare Physician Partners

Responsible for clinical operations initiatives, including clinical quality improvement projects.

Coordinated and provided alternative training to team members on utilizing HealtheIntent, a data warehousing platform for reviewing/managing clinic and provider data on registry measures approved by CMS, PQRS, and ACO.

Collected, organized, and produced ad hoc reports that were distributed to health system providers and staff.

Collaborated with other health system divisions to improve clinical workflow or healthcare data management.

Managed NCQA recognition programs and conducted periodic site audits on the compliance of program standards while sharing results with key stakeholders. 

Achieved Level 3 Patient-Centered Medical Home (PCMH 2014 Standards) recognition renewal for 20+ primary care clinics.

Facilitated the quality improvement cycle. 

Participated on project teams and worked concurrently on multiple projects and initiatives within the department.

Clinical Operations Specialist - BayCare Medical Group

Scanned documents into an electronic document management system according to established procedure. 

Prioritized daily tasks to meet the goals of the scanning section.

Performed functions through various electronic applications. 

Trained team members to locate patient data/information in an electronic medical record.

Developed tools to streamline department functions and new workflow. 

Identified errors and initiated corrections and resolution; communicating to appropriate managers. 

Provided customer service for the HIM Department and was responsible for filing or retrieving medical records. 

Retrieved and confirmed information within the computer systems, such as matching unprocessed healthcare data to patient records.

Maintained medical record filing systems. 

Performed other duties as assigned.
 
Given previous authorization of floating to various clinics throughout the Pinellas county.

Health Information Management Technician - BayCare Medical Group

Stony Brook Medicine

Using health information management practices, oversaw all Risk Reduction Center outpatient records through the release of information process, legally releasing patient clinical reports to the public.

Researched and prepared patient medical records to ensure scheduled appointments remained productive for the medical staff and patients within the physician offices.

Prioritized document imaging and other workload amongst student assistants, temporary employees and volunteers.

Experience with EHR interfaces and programs.

Developed reports and instructions to decrease time needed in completing tasks around the outpatient offices.

Cross-trained to provide support for any administrative staff facing current or upcoming inundation.

Participated in the monitoring of EHR message centers.

Assisted with the confirmation of Gastroenterology appointments for weekly procedures and visits by calling patients.

Took messages for incoming calls through the Risk Reduction Call Center.

Clerk II

Achieved daily functioning of multiple projects around office departments in a solo and team-working capacity.

Took part in assisting with pilot EMR implementation project through Urology Department.

Floated between various Internal Medicine divisions to oversee and standardize data entry in the electronic medical record databases.

Responsible for daily scanning of patient records into hospital databases and processed paperwork for archiving.

Supervised and trained employees in purging, scanning, and archiving of medical records.

Liaison for various Administrative, HIM, and Nurses Managers.

Continually interacted with diverse medical and administrative personnel on a daily basis.

Rectified certain problems on document scanning systems.

Trained and knowledgeable in HIPAA confidential laws and policies.

Performed special projects as assigned.

Transported medical records to storage facilities, utilizing room space and providing consolidation.

Project Aide

     I am a university graduate in health informatics. I have 12 years experience in healthcare administration and data analysis. 
     Over time, I have developed interests in healthcare IT, clinical information systems, and population health. Some of my current responsibilities are to update recurring reports (managed through Tableau, Alteryx and/or Microsoft PowerBI/Excel), validate data models (designed in Microsoft SQL Server, Teradata, Domo, Snowflake, Cerner HealtheIntent, etc.), collaborate on various levels of population health analysis (assessing EHR, claims, vendor, risk and administrative data) and oversee weekly project meetings (quality improvement, cost/utilization, Medicare strategy, etc.).
     I present and develop population health insights that are used by various health system teams, such as pharmacists, physicians, executives, and other administrative/clinical teams.

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