Bryan Campbell Email & Phone Number

Media, Pennsylvania, United States

Contribute to efficiencies of Cost Leakage Consultants (CLC) through prospect and account management Supporting clients and prospects on the financial leakage that occurs in specific programsResearch, benchmark, and analyze data to set strategic priorities and help identify areas of undiscovered opportunity

Manage all aspects of the Informatics process in support of risk adjustment, HEDIS, STARS, and other quality programsProvide methodological guidance, strategic vision and leadership to Quality Management and Risk Analytics toward development of the best practice protocols and standardsOversee and monitor technical, clinical, and analytical development within the departmentEnsure timely and accurate submission and reconciliation of Medicare and Health Exchange risk adjustment and encounter dataEnsure encounter data is monitored and tracked to comply with reporting and contracting requirements as neededProvided guidance and support in establishing the HEDIS quality performance initiatives at the health plan levelIdentify the impact of HEDIS/QRS measures on vendor certified analytic and data collection toolsFacilitate and support in the design, collection, and analysis of HEDIS data and member/provider satisfaction studies to monitor or improve performanceParticipate in NCQA HEDIS or Health Plan auditsProvide leadership, direction, and administrative oversight of approximately 50+ associates across 3 teamsEnsure proper allocation of financial and human resources to meet changing business needs

Government markets risk AnalyticsOversee provider reportingRecruitment and implementation of EMR to store in data warehouseCMS risk adjustment Responsible for overseeing audit related to risk AnalyticsChronic condition initiative Analytics

Responsible for leading and overseeing a team of analysts concentrated on supporting the company's provider incentive programs. Responsible for developing and presenting analytical reports to assist providers in lowering cost and improving quality of care. Incorporate predictive modeling into reporting. Responsible for presenting analytics to physician groups through onsite executive presentations.Study trends in medical management, claims, and health economics.Interpret results and make recommendations.Research and develop recommendations for updates to the physician incentive programs.Responsible for developing and monitoring clinical alerts for IBX physiciansDevelop reports regarding provider specialties, Jefferson University Physicians, and Women’s Health Work with SAS, Enterprise Guide, Access, and Excel on a daily basis

Work with SAS and SQL by generating reports for analysis concerning different areas of company records Oversee areas of company operation to track metrics of productivity and develop ideas for future implementationsHave been working as vendor manager to serve as an intermediary for Wells Fargo and vendorServe on various project teams to provide guidance and recommendations for current and future productsWork on a team that develops logic and monitoring activities for current and future products concerned with auto financeAnalyze, interpret, and underwrite consumer credit reports Interact with auto dealers on a regular basis to negotiate and sell business programMonitor and focus on assigned territory for business development

Statistics

Business Analytics Certificate

Mba

Bachelor Of Science In Business Administration, Major In Finance Minor In Risk Management

Activities and Societies: Phi Kappa Theta