Endorsements
Analytics & Health Economics
Cross-Functional Leadership & Process Improvement
Healthcare Domain Strategy
Data Integration & Healthcare Information Technology
SKILLS & QUALIFICATIONS
Provider and Health Plan data analytics
Analytics Tools: SQL, Python, R, SAS
Value Based Care Principles and Operations
Business Intelligence Tools: Tableau, Power BI
Financial Planning, Modeling & Variance Analysis
Advanced Analytics: Predictive analytics, regression, clustering, and time series
Data Governance, Visualization & Presentation
EXPERIENCE
Somatus Kidney Care: Senior Director of Analytics
Doubled VBC partnership base through analytics measuring key performance indicators.
Implemented machine learning admission probability prediction.
Implemented matched population VBC ROI Analysis.
Lead collaborative documentation of 600 metadata items.
Automate 85% of market segment KPIs requests using SQL server and Power BI.
Olive AI: Director, Customer Intelligence and Analytics, Customer Success
Resilient innovation through vision, strategy, data integration, and workflow understanding, transforming client billing and EMR data into standardized data solutions to meet client analytics initiatives.
Customer Data management to create data-driven insights dashboards, impacting 50% of company revenue.
Team development, prioritization, sales enablement, and client management for customer analytic team.
Synergy Informatix: Health Analytics Consultant
Provided ACO & Patient Centered Medical Home analytic consulting, Population Health Analytics, Payment Reform analysis, Medicare Revenue Optimization, and Patient Experience Analytics to health plans and provider groups.
Developed a quality, efficiency, and patient experience physician compensation model based on administrative quality and utilization metrics and CAHPS patient experience measures.
Developed a cloud-based information technology strategy and platform for a leading California Health Plan by applying a data interoperability approach to support a 360° view of a patient.
CareFirst Blue Cross Blue Shield: Vice President, Patient Centered Medical Home
Led large HMO and PPO Value Based Care Management team, driving a 32% efficiency gain by trimming care plan duration 22% and increasing patient activations 75% through disciplined data-based process management.
Engineered analytic data manipulation, unveiling business value ROI for PCMH care management through a controlled ROI model.
Strategic thinking to develop financial analysis, negotiating a 47% reduction in provider contract costs.
Health Net of California: Vice President, Commercial Strategy & Growth
Crafted and directed an analytical growth strategy for Commercial insurance lines, serving 650,000 members and generating $4 Billion annual revenue.
Analysis of competitive positioning and patient risk assessment to forecast future sales.
Worked cross-functionally with Finance, Value Based Network Contracting, Provider Relations, Medical Management analytics, Quality HEDIS, Medicare STARS analytics, and Product Development analytics teams.
Blue Shield of California:
Director, Medical Informatics, Product Innovation
Key member of a founding 4-person innovation team focused on new insurance product commercialization merging PCMH, ACO, and PPO networks.
Utilized claims-centered clinical support and evaluation of value-based insurance design.
Developed and led implementation of a cloud-based PCMH/ACO data warehousing platform through agile methodologies, enabling a 360-degree member health view and care gap alerting.
Directed strategic plans and staff development for a customer-facing analytics team. Introduced analytic automation, reducing routine reporting workload by 75%.
Implemented a large-scale self-service cost and quality analytic platform, enhancing team efficiency by 50%.
Developed financial analyses for physician group value algorithm, optimizing rate negotiations.
Expanded analyst team's role from ad hoc operations to scalable, systematic processes for Network Management Division.
EDUCATION
San Francisco State University, San Francisco, CA, Master of Business Administration, Management
University of Connecticut, Storrs, CT, Bachelor of Science in Business Administration
Coursera, Data Science Professional Certificate, Data Analysis with R Programming