Amy R. Wilson, Phd Email & Phone Number

Greenwich, Ct, Us

Lead an advanced analytics and machine learning team in support of Cedar Gate’s (CGT) analytics platform. Prototype and assess new content and processes for the application, and review existing content to confirm assumptions, utility, and methodology.•Lead unsupervised learning projects including approaches to patient segmentation that identify patterns of avoidable utilization, and that define patient populations that can enable matched cohort comparisons. •Direct supervised learning projects that seek to optimize CGT’s client data onboarding by reducing manual intervention for non-conforming file feeds and improving on a rules-based approach to optimizing processing cluster configuration.•Provide guidance to development team on implementation of CMS and NCQA quality metrics in support of CGT’s ACO Reach and HEDIS clients.

St. Louis , Us

Set an analytics and data science agenda for a new body of work and team focused on applying advanced techniques to the Cigna-managed prior authorization (PA) process. First assessments delivered many insights related to opportunities in data quality, PA workflows, and systems functionality.• Estimated improvements in PA decision accuracy that would result from incorporating claims information into the process, justifying the business case to implement that functionality.• Validated long-term effectiveness of prior authorization decisions and coverage policy criteria, giving medical directors grounds to maintain current practices.• Collaborated with data science colleagues and business stakeholders to develop a predictive model to flag PAs for fast tracking, creating potential for additional capacity in the system.

Charleston, Sc, Us

Created new vision for the MUSC Health Value Institute by integrating advanced analytics team with existing staff of Center for Evidence-Based Practice. Led development of charter emphasizing data- and evidence-driven priority setting, evidence-based clinical and business decision making, evaluation, and education.• Optimized dosing of several medications as part of a collaboration with Department of Pharmacy that benchmarked risk-adjusted utilization to other academic medical centers. • Developed methodology to identify priority patient populations for organizational initiative to reduce care variation. • Created and implemented evidence-based clinical decision support in the EHR for multiple patient populations.

Charleston, Sc, Us

Built new team responsible for analysis of hospital quality, financial, operational, and patient experience data, consolidating functions that had been spread across the organization. • Recognized as high potential leader. One of 5 non-physician hospital leaders selected to participate in inaugural class of year-long development program sponsored by the Department of Medicine.• Co-led pilot program to introduce the Choosing Wisely campaign to resident physicians, resulting in measurable reduction in inpatient routine laboratory tests and chest x-rays. • Initiated data-driven collaboration with hospital coding, CDI, and IT on data quality initiatives resulting in a 10% improvement in risk-adjusted hospital mortality rankings per University Health Consortium (UHC, now Vizient) in 2013, and significantly improved performance in the AHRQ PSI-90 composite.

Charleston, Sc, Us

Eagan, Mn, Us

Managed team whose responsibilities included program and benefit design evaluation, provider profiling, and survey design, implementation, and analysis.

Eagan, Mn, Us

Analyzed claims and secondary data in support of plan wellness and disease management programs.

Bachelor Of Science - Bs, Mathematical And Computational Sciences

Master Of Science - Ms, Industrial Engineering And Operations Research

Doctor Of Philosophy - Phd, Industrial Engineering And Operations Research