Brian Shelley Email and Phone Number

• Oversee all client deliverables of real-world data / real-world evidence.• Managed the pharmaceutical clinical trial enrichment programs.• Lead and manage the research of pharmaceutical non-interventional studies.• Led cross functional groups in the functions of data management organizing EHR, laboratory and pharmaceutical data to build molecular data warehouses.• Led data scientist teams in research driven HEOR studies, outcomes, reporting and analytics.• Responsible for building and maintaining relationships with clients from all the business domains, understanding and predicting insights and needs of the business while helping to refine demand for data services.• Develop and implement performance and service standards.

• Managed client deliverables of real-world data / real-world evidence.• Set the strategic direction and vision for the corporate data roadmap.• Oversee data analytics on patient outcomes and patient journeys.• Deliver market insights to pharmaceutical organizations on patient populations.• Build the internal infrastructure capabilities, training and mentoring resources for the data modeling, ETL and analytics teams.• Responsible for the development, implementation, quality, and effectiveness of the analytics projects. • Oversee the delivery management and presentation of quantitative methodologies and analyses results to internal and external clients.

• Oversee a large analytical team in the extraction, aggregation and quality assurance of data from multiple sources in support of performing analytical reporting, operational reporting and quantitative analysis of the data.• Combined multiple areas that included inpatient, pharmacy, mental health, ED, outpatient, professional and hospital billing into a single cohesive analytical unit.• Lead the data governance committee.• Oversee HEDIS Quality reporting, grant reporting, core measures, Meaningful Use along with all clinical and billing analytics.• Lead numerous process improvement and result measurement initiatives. • Direct the development and execution of analytical and research activities to provide senior leadership with information and tools for strategic decision making. Lead initiatives in health care utilization and costs, affordability opportunities, reimbursement projects, population health, clinical outcomes, provider patterns and forecasting.

• Successfully led a team that manages all health plan analytics and reporting. • Built embedded web health portal tag management system to mine for customer and physician behavior.• Designed and develop embedded analytical dashboards focusing on member enrollment, claims, provider data and portal usage to show financial benefit and impact.• Increased corporate cost savings and higher platform reliability to customers by migrating database and analytic applications to cloud based solutions.• Designed and built a suite of Tableau and Power BI visualizations for sales, product and marketing divisions.• Oversaw the building of the corporate data mart combining data from numerous sources such as Redshift, SQL Server, Tealium and Salesforce.

• Managed staff development, department goals and daily operations of four large health plan teams, increasing productivity and employee satisfaction. • Designed metrics to compare cost of care and utilization between in-network hospitals by region and compared against national benchmarks. • Demonstrated ability to manage multiple projects, including CMS Pioneer Model and Next Gen ACO. • Created financial comparison analytics to incentivize PCP practices for managing costs while still providing optimal care. • Designed cost analytics focusing on trend drivers and utilization management and benchmarks. • Built dashboards and SSAS tabular cubes to analyze gaps in care, cost of care and patient risk scores. • Managed data of four large health plans by collecting and building analytics on CMS Medicare Shared Savings Program data to provide health care savings.

• Managed a team responsible for overseeing ACO programs, including CMS Bundled Payments and Shared Savings programs. • Created approaches to estimate opportunities for improved care management, utilization management, and interpreted resulting financial impact. • Developed application of risk adjustment models for estimating clinician performance and future risk. • Developed dashboards focusing on inpatient, outpatient, professional services and prescription costs.

• Implemented a health plan data warehouse leading the efforts in design, architecture, data models and implementation.• Led efforts in building dashboards and analytics for commercial, Medicare and Indiana Medicaid populations.• Built a risk analysis application that was used for sales, health plan utilization and member stratification. The business intelligence system provided comprehensive dashboards and reports to provide analytics on gaps in care, cost of care, member risk scores, comorbidity risk stratification and health plan readmit rates.• Managed the creation of a data model that integrated clinical inpatient, outpatient, pharmacy, provider, case management and disease management data sets.• Oversaw the analysis on healthcare data for areas including finance, plan design sales, quality improvement and health plan member utilization.• Designed reporting and analysis for wellness and disease management programs by applying predictive modeling layers to forecast costs and future illness burdens.

• Implemented a health plan data warehouse leading the efforts in design, architecture, data models and implementation.• Led efforts in building dashboards and analytics for commercial, Medicare and Indiana Medicaid populations.• Built a risk analysis application that was used for sales, health plan utilization and member stratification. The business intelligence system provided comprehensive dashboards and reports to provide analytics on gaps in care, cost of care, member risk scores, comorbidity risk stratification and health plan readmit rates.• Managed the creation of a data model that integrated clinical inpatient, outpatient, pharmacy, provider, case management and disease management data sets.• Oversaw the analysis on healthcare data for areas including finance, plan design sales, quality improvement and health plan member utilization.• Designed reporting and analysis for wellness and disease management programs by applying predictive modeling layers to forecast costs and future illness burdens.