Alex Fritz Email & Phone Number

Wellesley, Massachusetts, United States

Lead team of 11 analysts and a manager to provide analytic support for our provider network across all New England and beyond. Lead team to improve on both quality of work and reduce turn-around time of analytics. Forged close relationship with IT team and implemented monthly checks of provider data downloads. Enhanced competitive reporting capabilities to improve action-ability of data and identify areas of opportunities.Accomplishments include:-Assisted in development and implementation of enhanced provider risk deal model-Worked with contracting and analyst to determine appropriate reimbursement methodology(s) (DRG/Per Diem/FFS/Bundles) for specific providers-Improved accuracy of regulatory reporting, including CHIA TME and Relative Price comparisons-Improved accuracy of reporting of members' risk scores (using DxCG software)-Provided both industry and technical training (SAS, Excel, VB) to staff-Enhanced internal tools/data sets used to understand providers' relative costs/utilization/trends.-Lead efforts on understanding and tracking of provider's charge master changes.

Manchester, New Hampshire, United States

Project managed an interdisciplinary team including Actuarial, Product, Marketing, Sales and Network Contracting as well as the Market VP to set the strategy for the NH segment to achieve membership and profitability goals. Achievements included supporting successful launch into the NH Individual Market, bringing a high performance network to market (ElevateHealth) and helped create the Benevera Health joint venture between HPHC and provider partners.

Manchester, Nh

A results-oriented health care finance professional with diversified experience in project management, financial modeling and analysis, provider negotiations, and changing reimbursement methodologies. Strong experience using publically available medical claims data for competitive analytics. Excellent multi-tasking and organizational skills. Effective communicator and problem solver. Technical expertise include Excel, Access, Visual Basics (Excel and Access) and SAS (including SQL).

Master Of Business Administration (Mba), Finance, General, A-

Bachelor Of Science (Bs), Occupational Therapy/Therapist, A-

Activities and Societies: Alpha Phi Omega