● Build of Care Management Platform to allow for acuity, protocols, and documentation.● Design and Build of interactive Dashboards encompassing Risk, Attribution and KPIs.● Led company wide ad-hoc analyses for all data related needs of the business.● Revamp of Unique ID logic.

● Launch of NC Medicaid AMH Tier 3 Care Management Platform.● Integration of complex data sets from multiple sources: claims, clinical, and beneficiary assignment data.● Automation of Care Protocol assignment.

● Creation and delivery of monthly trend analysis reports to senior leadership for Molina OH and Molina NY.● Build of analytical framework to track savings initiatives and KPIs across lines of business.● Enhancement of existing processes by automation of manual reconciliations via MS Access and ANSI SQL.● Creation of Proof-of-Concept Documents, User Acceptance Testing and formalization of documentation.

● Analytics Build of new specialized Care Management Program.● Creation of Patient Identification and Eligibility Algorithm in SQL.● Responsible for Ingestion of Clinical EMR from multiple clients.● Documentation of HEDIS Measures.● Algorithm Development for identification and stratification of high risk and high cost patients for outreach.● Testing and improvements to Critical Data structure of Member ID and Allowed Amount.● Partnered with Primary Care Providers to… Show more ● Analytics Build of new specialized Care Management Program.● Creation of Patient Identification and Eligibility Algorithm in SQL.● Responsible for Ingestion of Clinical EMR from multiple clients.● Documentation of HEDIS Measures.● Algorithm Development for identification and stratification of high risk and high cost patients for outreach.● Testing and improvements to Critical Data structure of Member ID and Allowed Amount.● Partnered with Primary Care Providers to share appropriate data across multiple platforms.● Development of Monthly Reporting Structure to share with Stakeholders within Maestro and Parent Company AXA Insurance. Show less

● Reconciliation of banking transactions of all companies operating within the Wells Fargo umbrella.● Identification of breaks, and implementation of remedies.● Enhancement of existing processes by automation of manual reconciliations via MS Access and ANSI SQL.● Creation of Proof of Concept Documents, User Acceptance Testing and formalization of documentation.

● Using, SQL, Excel, and SAS, performed claims-based Statistical Analysis of data and metadata for Evaluation of Outcomes for CVS’s Population health management programs for treatment of patients with Rare Chronic Diseases.● Aggregated costs by member, place of service, service code type, and place of service. ● Created complex queries, joins, stored procedures, v-lookups, and created pivot tables in order to analyze data and present results as efficiently as possible within contractual… Show more ● Using, SQL, Excel, and SAS, performed claims-based Statistical Analysis of data and metadata for Evaluation of Outcomes for CVS’s Population health management programs for treatment of patients with Rare Chronic Diseases.● Aggregated costs by member, place of service, service code type, and place of service. ● Created complex queries, joins, stored procedures, v-lookups, and created pivot tables in order to analyze data and present results as efficiently as possible within contractual agreed upon analytical framework.● Calculated ROI, and created a coherent narrative of supporting evidence.● Summarized results in year-end financial reconciliation in a way that was understandable to both analytic leaders and decision makers at the client.● Presented final product to clients in both written Year End Financial Reconciliation Report and verbal presentation to stakeholders at our clients, usually Health Plans and Employer Groups.● Visually depicted outcomes using combination of Excel, Tableau, PowerPoint, and internal software for client facing delivery.● Identified and fixed data quality issues, working across teams both internally and with the client.● Produced urgent results that exceeded performance guarantees, avoiding client clawbacks and company financial loss.● Led Implementation of Process Improvements to Validation and Statistical Modeling.● Demonstrated Expertise in a variety of methodology: including Historical Control, Event Rate, Propensity Score Matched Pair Analysis, and Difference in Difference.● Delivered statistically valid and reproducible results that held up to scrutiny by the client. Explained methodology to client. Provided and presented analytics for annual reconciliation reports. Show less

● Managed Accounts Payable, Inventories and aging of Receivables with QuickBooks and Excel.● Using Excel, calculated valuation of Inventories based upon daily shipping operations and changing costs.● Adherence to existing, and revision of new sales contracts. Calculation of sales commissions in Excel.● Reconciliation of Intra-Company transactions and monthly banking statements. Investigating and adjudicating any discrepancies.● Collaborated with department leaders to analyze and… Show more ● Managed Accounts Payable, Inventories and aging of Receivables with QuickBooks and Excel.● Using Excel, calculated valuation of Inventories based upon daily shipping operations and changing costs.● Adherence to existing, and revision of new sales contracts. Calculation of sales commissions in Excel.● Reconciliation of Intra-Company transactions and monthly banking statements. Investigating and adjudicating any discrepancies.● Collaborated with department leaders to analyze and implement process improvements and to transition to a new inventory management software platform. Show less

Generated new sales agreements and provided service and assistance to clients on existing accounts.

Upscale Fitness Center in Greensboro NC

Researched equity investments via telephone and internetMonitored mutual funds to assist financial advisor