Aaron Winkel Email & Phone Number

Boise, Id, Us

* Product Owner with responsibility for 2 products for the Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business* Lead team of Analysts and Developers

* Organized and distributed monthly Release Notes* Performed Return on Investment (ROI) analysis for intervention programs* Trained new team members

* Designed and built Critical to Quality (CTQ) metrics to ensure Quality Assurance (QA) of customer production run deliverables* Provided analysis and assisted with new customer implementations* Performed customer ad hoc analysis and impact analysis of CMS changes* Participated in customer calls to explain analysis and serve as a SME for questions relating to risk adjustment and analytic results

Portland, Oregon Area

• Oversaw and coordinated vendor selection, support, and monitoring for retrospective and prospective services• Collaborated with Finance department to assist with risk score forecasts and monitoring• Trained, supervised, and supported Risk Adjustment Analyst• Supported annual Medicare Advantage bid development process• Developed internal risk score reporting and analytics• Monitored CMS regulations related to risk adjustment submissions and reimbursement• Developed Risk Adjustment Data Validation (RADV) readiness plan

Portland, Oregon Area

• Managed team of up to 9 direct reports, including Analysts, SAS Business Intelligence Developers, and Encounter Data Coordinators• Served on Leadership Steering Committee for 2.5 years and facilitated leadership meetings• Worked with outside actuaries and provided data for annual Medicare Bids• Generated RAPS files and produced financial projections using CMS HCC model• Selected and managed risk adjustment vendors for Medicare line of business• Facilitated monthly meetings with Senior Management and made presentations regarding cost trends, utilization, and opportunities for savings initiatives• Worked with business units to understand reporting requirements• Produced tables, graphs, charts, and reports in a variety of formats

Portland, Oregon Area

• Built and maintained lag triangles and assisted Finance department with Incurred But Not Reported (IBNR) estimates• Provided data to re-insurance company for reimbursement of stop-loss claims• Performed contact analysis to advise management of the financial impact of various scenarios• Facilitated monthly meetings with Senior Management and made presentations regarding cost trends, utilization, and opportunities for savings initiatives

Portland, Oregon Area

• Performed all data extraction, auditing, dataset building, and analysis functions to meet clients analytical requirements• Developed company intranet to house electronic reports ans subsequently reduce paper report volume• Provided reports to management to assist in decision support• Analyzed data from a variety of sources: Phone records, Finance, Medical Billing/Claims• Managed duties of other Healthcare Analysts• Trained other SAS users• Developed Utilization and Cost reports to track expenditures• Developed production reports for providers to help them track Charges, Receipts, RVUs, Visits, etc.• Assisted in settlement functions of managed care contracts• Sent Encounter data to health plans as required by contracts• Extracted data from relational databases