True professional business leader with extensive experience in business systems analysis, applications and reports development, and business intelligence & analytics. Strong interpersonal and communications skills. Highlights include serving in several performance improvement initiatives and committees, development of hundreds of ad hoc analysis and productions reports, multiple successful regulatory audits, and nominated and awarded by company for contribution to the organization.
Qualifications
Advance database management and development
Experienced in financial and performance analysis and development of strategies
Perform effective project management and process improvement
Effective coordination between multidisciplinary teams including IT Support, Clinical team, and business operations to create solutions to meet company goals
Responsible for identifying opportunities to improve health care quality and affordability through analysis of data and transforming business intelligence actionable reports.
Integral in obtaining high quality rating (CMS Five-Star Quality Rating System) which resulted in a substantial revenue increase for the last several years.
Functions as subject matter expert on multiple topics related to healthcare and clinical data.
Development of recommendations and strategies from in-depth analysis of data trends.
04/2008 to 03/2009
Health Data Analyst – , ,
Work with business users to define, develop, and document consistent data standards and definition for reporting and analysis.
Develop analysis to quantify performance and uncover underlying trends to better understand costs and clinical efficiency.
Perform modeling ad analysis of healthcare utilizations and cost from claims, authorizations, laboratory results, pharmacy claims, and other healthcare data.
Execute all regulatory and quality initiatives including NCQA HEDIS, DMHC/DOI filling, CCIP, QIP, CMS Plan Reporting, etc.
Provide ad-hoc support to multiple departments and executive management.
01/2007 to 04/2008
System Administrator & AnalystLogistics Management Institute – Seneca, PA,
Systems administration of an enterprise application.
Develop and streamline current processes and workflow to facilitate processing and instituted quality control measures.
Developed and maintain a system of reports that was distributed to various departments and levels of management.
Database design and administration in Microsoft SQL Server and Oracle 9i.
10/2004 to 01/2007
Programmer – , ,
Project leader of an ASP.net web application, involved in the full-cycle development of the project.
Maintain and develop several web and windows-based applications to facilitate daily business activity.
Provide several levels of management with extensive reports to identify performance trends.
Administration of database and web servers to optimize performance.
Support all levels of the company in location and/or designing solutions for essential business functions.
07/2002 to 10/2004
Programmer Analyst IIIMatric Limited – Vernon, CA,
Assist management by providing technical documental used in grant proposals and budgeting.
Gather user specifications and requirements.
Develop data statistics reports.
Designed and developed web-based data entry system.
Administer database and web servers and provide technical support for network.
Act as project leader with responsibilities of delegating tasks and maintaining communication with business users.
07/2001 to 04/2002
Software DeveloperCarillion Health System – City, STATE,
Managed the implementation of extract and import programs to support electronic digital interfaces.
Maintained documentation, update data feed statistics, and update procedures and define new interfaces.
Modified and maintained online reports containing statistics based on our data to support sales and patient/client relations team.
Developed the internet-based front-end integrating COM, ASP, JavaScript, and VBScript.
Education and Training
Expected in
Bachelor of Science: Computer Information Systems California State Polytechnic University - Pomona, CA GPA:
Expected in
: Microsoft SQL Server 2012 Virtual Training Company - , GPA:
Expected in
: Six Sigma Green Belt Certified Management and Strategy Institute - , GPA:
Expected in
: Project Management Professional (PMP) Vision Training Systems - , GPA:
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