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Click here or scroll down to respond to this candidateCandidate's Name
Oak Park, IL Street Address (708)646-2873 EMAIL AVAILABLE https://LINKEDIN LINK AVAILABLEHEALTHCARE RISK MANAGEMENT CONSULTANTAs a Healthcare Risk Management Consultant, excelled in analyzing claims against coverage standards, optimizing risk management strategies, and minimizing client exposure. Developed Python and Tableau automation tools, drastically reducing processing times and enhancing data analysis capabilities. My role involved fostering cross-functional teamwork, organizing risk management meetings, and streamlining complaint and subpoena processes in collaboration with legal teams.KEY SKILLSAgile and Scrum Principles ISO Software Architecture Performance Analytics Tableau Python R Project Management Website Building Software Power BI SQL Server Reporting Services Database Management Software Technical SupportPROFESSIONAL EXPERIENCEAON, Chicago, IL June 2022 - August 2024Healthcare Risk Management ConsultantAnalyzed claim validity against coverage standards, enhancing risk management strategies and minimizing exposure for healthcare clients.Developed and implemented Python and Tableau automation for reporting, drastically reducing processing time and enhancing data analysis capabilities.Fostered teamwork by arranging risk management meetings, preparing materials, and facilitating discussions to drive strategic decision-making.Streamlined complaint and subpoena management processes by collaborating with legal teams to ensure timely and effective resolutions.Conducted gap analyses to identify improvement areas and proposed innovative solutions that aligned with healthcare industry best practices.Spearheaded project initiatives by defining objectives with stakeholders and applying problem-solving skills to overcome operational challenges.Analyzed healthcare claims against coverage standards, enhancing risk management strategies and minimizing exposure for clients.Led project initiatives by defining clear objectives with stakeholders and applying problem-solving skills to overcome operational challenges.Evaluated healthcare claims against coverage standards, enhancing risk management strategies and minimizing client exposure through data-driven insights.Facilitated cross-functional teamwork by organizing risk management meetings, preparing materials, and fostering discussions for strategic decision-making.NATIONAL ASSOCIATION BOARD OF PHARMACY February 2021 - June 2022Project Manager/Digital Health InvestigatorStreamlined audit processes and maintained regulatory compliance, ensuring timely completion of audits and accurate documentation for pharmaceutical accreditation.Developed and implemented Python and Tableau automation for reporting, drastically reducing processing time and enhancing data analysis capabilities.Meticulously reviewed and evaluated company SOPs for FDA and DEA compliance, maintaining high standards of regulatory adherence in pharmaceutical operations.Led accreditation reviews for online pharmacies, ensuring compliance with FDA, DEA, and other regulatory bodies, while streamlining audit processes.Coordinated audit documentation and timelines, ensuring audits were completed within established timeframes and maintaining regulatory compliance.Worked with stakeholders and customers to complete accreditation, reviewing documentation and providing application details for accuracy.ADVANCED HEALTH CHIROPRACTIC July 2019 - February 2021Chiropractic Patient AssistantAnalyzed patient insurance claims, optimizing processing efficiency and enhancing accuracy in coverage statements, resulting in improved patient financial clarity.Explored SWOT analysis applications to boost patient retention, identifying key areas for practice improvement and strategic growth opportunities.Participated in cutting-edge health fair conference, fostering partnerships and gathering insights on industry advancements for practice evolution.Studied physical therapy exercises, integrating knowledge into patient care to enhance rehabilitation outcomes and support long-term wellness.Meticulously drafted and dispatched coverage statements, ensuring patients received clear, accurate information about their financial responsibilities.GIRLS IN THE GAME January 2017 - July 2019Project ManagerManaged requirement gathering and vendor recommendation for a cash flow level risk management system.Spearheaded Lean Training project, driving 32% quality improvement, 21% lead time reduction, and 48% cost savings over three years.Orchestrated 'Field of Dreams' initiative, creating recreational spaces for 20 non-profit organizations, fostering community engagement.Managed project artifacts and lifecycle, ensuring compliance with Change team guidelines and GBIS project management standards.Led requirements gathering and vendor selection for innovative cash flow risk management system, enhancing financial oversight.Utilized PRIME and local reporting tools to monitor project execution, providing data-driven insights for strategic decision-making.SAINT MARY & ELIZABETH HOSPITAL February 2016 - July 2019Health Information Management TechnicianLeveraged SQL expertise to extract and analyze healthcare data, streamlining report generation and enhancing decision-making processes.Partnered with IT to implement new data systems, significantly reducing report generation time and improving overall efficiency.Pioneered data management solutions, transforming raw healthcare information into actionable insights for improved patient care.Facilitated smooth policy transitions by effectively communicating changes, ensuring compliance with health system requirements.Drove process improvements through data-driven strategies, contributing to measurable enhancements in departmental productivity.HUMBOLDT PARK DISTRICT June 2013 - August 2016Recreation Project CoordinatorSpearheaded annual operating plan preparation, ensuring alignment with long-term goals and capital planning initiatives for improved park district operations.Implemented rigorous safety protocols, overseeing compliance for leadership team and personal adherence to all safety-related training and rescue procedures.Streamlined opening and closing procedures, introducing efficient methods that enhanced overall park security and visitor experience.Fostered interdepartmental cooperation to develop comprehensive 5-year strategic plans, addressing community needs and resource allocation effectively.Conducted thorough analyses of park usage patterns, informing data - driven decisions for facility improvements and program expansions.Analyzed park usage patterns to inform data-driven decisions, optimizing facility improvements and program expansions for enhanced community engagement.EDUCATIONMaster of Science, MS: Data Science, August 2022- December 2023Eastern University, Wayne, PAMaster of Arts, MA: Sports and Business Leadership, October 2020 - July 2021Concentration in project managementGraduated with honorsConcordia University, Forest Park, ILBachelor of Science, BS: Kinesiology, August 2015 - May 2019University of Illinois at Chicago, Chicago, ILCoursesCSM CAPM coursesSimplilearnCertified Scrum Master Power BI DashboardProjectsDeveloped predictive modelsUtilized matplotlib to make real-time ROI graphs.Constructed operational reporting in Tableau.Implemented various time series forecasting techniques.Aggregated data.Data Analyst projects: https://onedrive.live.com/?authkey=%21AJnvYgxy4aP8w80&id=C664AC94FBEB9EC2%211478&cid=C664AC94FBEB9EC2. |
