Areas of Strength

• Healthcare Analytics

• Value-Based Care

• Medical Economics

• Data Storytelling

• Data Governance

• Predictive Modelling

• Strategic Decision Support     

• Performance Optimization

• Market Growth Strategy

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

• Developed multiple regression predictive models to predict chronic disease mortality based on CDC social determinants of health.

• Primary analyst modeling cost savings following use of pharmacogenetic testing in a regional Accountable Care Organization.

• Developed Python based analysis to evaluate the correlation between convenience restaurant density and heart disease death rate. Analysis showed a statistically significant, moderately strong correlation between convenience food restaurant density and heart disease death rate.

• Developed R analysis to evaluate the correlation between investment in cost reduction and quality improvement activities at a health plan and growth. Used public ACA data to evaluate the correlation.

• 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