Adam Robison Email & Phone Number

Florida, United States

Long Beach, California, United States

• Oversee the design of information in a unified corporate data lake to ensure the data both ties to financial information and is comparable/relatable across health plans.
• Translate technical documentation into business documentation to be used by analysts.
• Help business define new use cases and translate those use cases into requirements for the data lake.

Doral, FL

• Led a team of 50 analysts/developers and 9 managers across all health plans covering 14 states.
• Team was responsible for the accurate and timely submission of over 500 state compliance reports and extracts as well as the development and maintenance of health plan specific operational reporting.
• Responsible for reporting and analytics portions of all ITN/RFP bids as well as implementation/consolidation of reporting and analytics for new health plans and acquisitions.

Doral, Florida

• Responsible for monthly presentations on MTD/YTD operational and financial performance.
• Worked closely with actuaries and financial controllers on month-end close activities and determining IBNR/reserves.
• Participated in rate setting and all financial reporting related to State requirements.
• Participated on committees and developed plans for profit improvement as required to maintain/exceed planned fiscal year guidance.
• Created budgets and forecasts for health plans based on medical cost trends and administrative expenses.

Doral, FL

Led a team of 15 analysts/managers. Directed Health Plan strategic analysis and plans. Coordinating across business units to meet business needs. Coaching staff and providing guidance as needed. Reviewing high-priority reporting and analysis for accuracy, completeness, return on investment, and compliance with regulatory requirements.

Doral, FL

As manager, oversaw a team of 9 Analysts. Primary focus was on management, distribution, and quality of request resolution. Also responsible for training of new staff as well as continuing education for current analysts.

Doral, FL

Continued work as a Healthcare Analyst from Ohio, but this time for the Florida health plan. Implemented many best practices that I had developed in Ohio. Supported data and reporting requests as needed from across the health plan.

Columbus, Ohio

Worked for the Director of Provider Services, delivering ad-hoc analysis, streamlining processes through automation, and production of customized reports as needed. Work included auditing both claims and provider information, analyzing changes to our prior auth list, identifying potential provider fraud, analyzing survey results, developing an automated.

Managed performance based regulatory requirements contained in Molina’s Mediciad provider agreement, and ensured timely and accurate completion of ODJFS audits, performance improvement plans, and corrective action plans. Work also included providing analysis and reconciliation for state-reported performance results. Designed business requirements and.

Columbus, Ohio

Consulted at Molina Healthcare of Ohio in the Quality Improvement Department. Work included NCQA preparation, analysis of HEDIS-related data, design of Game of Work charts, tracking and trending of quality of service complaints, Access databases, and meeting preparation.