Senior Healthcare Outcomes Analyst (Mckesson Specialty Health)
SAS- & SQL-based report development and analysis for Medicare's Oncology Care Model (OCM) program at 16 practices within The US Oncology Network. I collaborated with clinical & non-clinical practice staff and internal quality & finance teams to deliver insights related to practice operations and total cost of care. For example:• predictive, claims-based eligibility, enrollment & billing reports for practice staff, with 96% accuracy rate;• total cost of care and hospice utilization… Show more SAS- & SQL-based report development and analysis for Medicare's Oncology Care Model (OCM) program at 16 practices within The US Oncology Network. I collaborated with clinical & non-clinical practice staff and internal quality & finance teams to deliver insights related to practice operations and total cost of care. For example:• predictive, claims-based eligibility, enrollment & billing reports for practice staff, with 96% accuracy rate;• total cost of care and hospice utilization evaluations;• practice-specific reports to identify missed revenue opportunities, within the constraints of Medicare billing rules; and• SAS-based ETL macros to ingest >300M quarterly & semi-annual claims data lines, with 21 different file layouts, to enable analysis & Tableau visualizations by my colleagues.I was also part of a cross-functional team that completed ad hoc analysis projects to support value-based care contract evaluations and practice/payer negotiations (e.g., collaborating with finance and clinical pharmacy colleagues to evaluate chemotherapy regimen selections by specific cancer type / stage / biomarker combinations for an episode-based contract proposal; identifying a patient population based on complex clinical & administrative eligibility criteria, for multiple practices; etc.). Show less