Guided a team of analysts responsible for TME and quality reporting to internal and external customers. Managed the on-time production of numerous monthly and quarterly deliverables as well as ad hoc analyses. Acted as a SME in the realm of acuity documentation and Medicare Advantage and Commercial risk adjustment; led the organization's efforts to educate providers about accurate and complete diagnosis coding. Assisted with a vendor-run Medicare Advantage chart review.

Developed and implemented innovative programs to ensure that members' risk scores accurately reflected their acuity. Maintained oversight of all risk adjustment analytics (DxCG and ACA HCCs) for internal and external customers. Educated providers about the importance of accurate and thorough documentation and diagnosis coding. Acquired CRC certification through the AAPC.

Worked in the finance department monitoring healthcare cost and trend data for a leading health insurer with Medicaid, health care reform, and commercial programs. Developed and maintained regular reporting for risk-adjusted provider contracts.

Analyzed enrollment and financial data for Massachusetts Commonwealth Care health care reform program; developed a monthly reporting process for senior management and CFO. Wrote custom, complex SAS programs for standardized reporting and ad hoc analyses. Implemented a new risk adjustment capitation process as primary technical user of DxCG predictive modeling software. Evaluated programmatic and policy changes for operational and fiscal implications. Investigated claims data; created quarterly claims reporting structure and metrics for management and managed care organizations. Worked with state Medicaid agency; coordinated data requests and analytic projects.

Analyzed clinical, financial, and demographic data for the Uncompensated Care Pool. Provided analytical support for regulatory and legislative initiatives, including Massachusetts health care reform. Assisted in the development of claims adjudication system; led technical advisory group with hospital provider stakeholders. Created and presented data analyses to senior management, Commissioner, and state agencies, including Executive Office of Health and Human Services. Trained and supervised junior analyst in data analysis tools and reporting process. Collaborated on significant program policy implementations.

Supervised menu planning and nutritional assessment for home-delivered non-profit meals program for people with HIV/AIDSSupported client services department; assisted with regular reporting to assure compliance with state and federal funding requirementsDesigned and provided nutrition education materials for clients with significant medical and nutritional issues