Cameron Lucey Email & Phone Number

Durham, North Carolina, United States

Raleigh-Durham, North Carolina Area

Raleigh-Durham, North Carolina Area

Durham, North Carolina

 Promoted to Team Lead May 2015 Lead, coach and develop a team of analysts supporting the Senior Market (SMA) line of business Translate concepts and goals into actionable plan and strategize the path forward to hit targets Focus on identifying trends, cost saving opportunities and support decision-making  Monitor network adequacy against Center for Medicare & Medicaid Services (CMS) standards to support compliance, contracting and marketing needs Set clear goals and expectations that are targeted and measurable for the team Move team up the analytic maturity life cycle toward more sophisticated analysis, modeling and forecasting Liaison with business and IT areas tailoring complexity level of communication to the audience Act as primary business and technical resource for the team and maintain responsibility for fulfilling advanced reporting needs Business Objects Web Intelligence & Universe Designer, Teradata, Tableau

Durham, Nc

 Responsible for coaching and development of new hire Led informatics support effort during a CMS audit earning an award and resulting in the capture of additional team responsibilities and the creation of two FTE positions Developed dashboard to monitor key performance areas and fill gaps in reporting with a focus on compliance metrics relating to areas of CMS guidelines Consulted with business principles making recommendations to improve data tracking and integrity Built team SharePoint site and tool to receive customer requests for improved tracking and organization Supported the service area expansion using Quest Analytics tool to ensure the necessary provider coverage met requirements; greatly improved efficiency by leveraging available tools Covered two plans with distinct business and customer practices and needs Received SAS training to support script necessary for care management reporting Responsible for improving efficiency and automation for the team’s existing deliverables; primarily by redeveloping reports in Business Objects

Burlington, Vermont Area

Supported critical information needs for key departments of the organization located across three states, including C-level, Accounting, Operations, Public Relations, Marketing, Clinical, Patient Accounts, and Scheduling Developed fee schedule tools for calculating new fees across all slide discounts, tracked pricing logic including RVU and cost based methodologies, and projected revenue impact for the fee changesResponded to political and media needs by providing analyses to political relations, politicians, and the pressModeled state policy changes to C-level as they arise in legislatureStandardized public relations materials and provided enhanced meta-data to ensure consistent communication to outside sources Furnished data needs for insurance application and reporting to the Planned Parenthood FederationResponsible for 100 standing reports produced daily, weekly, monthly, quarterly and annually used by all areas of the organizationProduced dashboard report for the Board of Directors illustrating key business drivers, such as collection cycle and days in A/RGenerated reports on the revenue cycle and coding practices for areas of revenue opportunity and to ensure compliance with coding standardsFormalized submission requests to improve organization and tracking of work

Colchester, Vt

• Develop reporting measures to identify candidates for case management based on risk level and other indicators; complimented with tracking and performance reporting• Lead reporting needs across the full project life cycle for the Chronic Care Enhancement Initiative• Designed reports for distribution to the provider network resulting in increased compensation for Primary Care Physicians with eligible patients• Implemented identification of applicable patients based on key triggers• Created measures to allow for tracking of the program's identified patients, their status within the program, provider compliance within the program's policies, as well as various demographic and performance metrics• Update, maintain, and produce the company's flash report for use at board meetings to give a snapshot of leading indicators, such as days of admission, long inpatient stays, case mix, and risk scores by all insurance plans in the network as well as various patient status measures• Facilitate transition to new software tool by developing reports and translating existing reports• Audit large dollar outlier claims for payment to account for the claim processing limitations of a particular insurance carrier when handling certain payer contract language• Code in SQL to fulfill reporting needs primarily in SLQ Query Analyzer and SQL Server 2005• Responsible for seeking out areas for analysis and process improvement• Present training class to data team on Excel pivot tables to assist in employee development

Williston, Vt

• Provide financial and reimbursement reporting and analysis for internal and external customers• Audit claim files to determine proper billing and reimbursement, pursuing any discrepancies• Meet with management and physician groups to present and discuss reports• Analyze billing and reimbursement activity for revenue opportunities and potential compliance issues• Work with Excel, Impromptu, Power Play, Access, and IDX programs to facilitate reporting needs• Train team members to create reports and use Cognos Impromptu/Power Play, Access• AAPC accreditation as a Certified Professional Coder