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Data Analysis Experience:Senior Health Informaon Consultant AIM Specialty Health (Elevance Health), New Soluons; Chicago, IL 01/2022- PresentObtain, verify, analyze, and model nancial target outcomes such as return-on-investment (ROI) using medical claims and authorizaon dataProvides business experse regarding the appropriate use if data element and cooperates with reporng personnel from other areas to establish and maintain these common business rulesLead and acvely parcipate in new soluon strategy sessions with AIM medical directors and Soluon Design consultantsTranslate data trends into strategic recommendaons for program development and acon plansPartner with Actuarial team members to validate cost model outcomes, savings modeling assumpons, and ROI recommendaonsIdenfy medical cost, service ulizaon, service intensity, unit cost, and membership trends to idenfy new opportunies for product expansionPerforms strategic data analysis (data mining) and research as appropriate to support business needsDevelops detailed understanding of relevant business process, goals and strategy in order to provide analysis and interpretaonSenior Data Analyst BlueCross BlueShield Associaon, Oce of Commercial Markets; Chicago, IL 04/2020- 12/2021Lead program refresh by applying univariate and multivariate analysis to determine thresholds for quality, business, and cost metricsContribute to development of project plans, identify and define critical pathsCollaborate closely various business entities such as Clinical and Operations to develop analytical solutionsPrepare and deliver effective summaries for various audiences and make recommendationsWrite Standard Operation Procedure to fully document details of analytic evaluation processGuide junior/new staffs for any analytic related tasks Analyst BlueCross BlueShield Associaon, Oce of Commercial Markets; Chicago, IL 06/2015 03/2020Utilize SAS functionality to create efficiencies and to enhance automation which significantly improves customer satisfaction to benefit national Plans and healthcare providersCreate interactive visualization dashboards via Tableau to enhance overall client experience of data outcomes presentationsPerform statistical analysis and provides recommendation to management based on data findingLeads reporting and analyze of a national program with 23 million membersManage appeal and reconsideration process for healthcare providers who failed the initial scoring processGather and analyze data on health care markets, policy reform, competitors, and health plan performance to improve national Plan membershipImplement Survey Methods to analyze hospital networkManage internal clients to identify needs per ProgramComplete documentation of Clinical and Analytics Processes for publicationMentor contingent staff and internsData Analyst Chicago Public Schools, Oce of Early Childhood Educaon; Chicago, IL 10/2012 05/2015Produce various reports such as early childhood enrollment reports, attendance reports, and demographics reports by using SAS to improve overall reporting efficiency of departmentDisseminate the reports to program directors, chief officers, and the Mayors officeData cleaning and manipulation of Early Childhood datasets for approximately 120,000 student, using SAS and Microsoft ExcelMatching preschool application data in FileMaker against IMPACT SIM enrollment data and Head Start COPA systemMonitoring key performance indicators such as student chronic absenteeism and student outcomes by using Teaching Strategies GOLDManage the Classroom Assessment Scoring System (CLASS) observation data to observe interactions between teachers and students by established the reporting system; making sure data accuracy, creating SAS code for scoring and school rating, producing pdf reports using SAS ods layout for teachers, and tracking on observation progressWork closely with Governors office data team to make sure CPS preschool rating is aligned with ExceleRate Illinois rating systemHandle data request in a timely mannerCreate data flow chart for Community Partnership Program(CPP) to monitor data collection process and data locationOther Job Experience:Math Tutoring Internship DePaul University Math Department; Chicago, IL 09/2008- 03/2009Multitasked and managed tutoring multiple math subjects to each studentAble to manage and successfully tutored a small group of college students Sales Internship Grubhub.con; Chicago, IL 06/2008-09/2008Successfully executed and signed five contracts for the start-up company under a short period timeMade calls to set up meetings with clients, negotiated deals, and taking customer service inquiries Educaon:DePaul University, Chicago Illinois: 2007-2010; Bachelor of Statistics; GPA: 3.24/4.0 Related courses taken: Probability & Statistics I II & III, Actuarial Science I, Numerical Analysis I, Linear Algebra, Data Analysis, Applied Regression Analysis, Applied Time Series/Forecast, Data Analysis/Statistical Software II, Programming in JAVA INortheastern Illinois University: 2005-2007; Sophomore Standing of Education; GPA 3.23/4.0 Skills:SAS Enterprise Guide, SAS in UNIX Environments, SAS Windows BaseTableauMicrosoft Suite (advanced Excel user and advanced PowerPoint user)Experiences with SQL, MS AccessGreat interpersonal skills gained from previous working experiencesReference available upon request |
