Cara Carson Email & Phone Number

Tampa, Fl, Us

Indianapolis, Indiana, Us

► As a subject matter expert for data analytics and performance management, guided data-driven strategic planning and decision-making within the Medicare East division.► Developed and executed a three-year business roadmap governing Medicare programs across 15 states in the Central and East regions.► Measured progress for Medicare initiatives against goals and benchmarks by tracking KPIs. Influenced performance improvement initiatives through data analysis.► Collaborated with colleagues in Finance, Operations, and Healthcare to achieve Medicare goals. Worked closely with government agencies, community organizations, and healthcare providers.► Developed business cases, program plans, and analytics to support clinical team proposals to secure funding.☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲ABOUT ELEVANCE HEALTH (FORMERLY ANTHEM)Elevance Health is a health insurance provider and the largest for-profit managed health care company in the Blue Cross Blue Shield Association with 46.8 million members. The company rebranded from Anthem in 2022.

Indianapolis, Indiana, Us

► Assessed health economics factors to support negotiations for managed care contracts for the state of Florida, representing 1.25 million Medicare and Medicaid members.► Executed data warehouse design, data definitions, predictive modeling technologies, and data integrity standards.► Supported the creation and deployment of Health Economics and Market Access strategies.► Leveraged the use of statistical methods and health economic modeling to analyze large datasets, assess healthcare trends, evaluate market performance, and develop accurate economic forecasts. Modeled rates and reimbursement methods to identify opportunities for cost containment and top / bottom line growth.► Designed research studies to evaluate health outcomes, patient experiences, and the overall effectiveness of healthcare interventions.► Tracked policies and regulations with the potential to affect the Healthcare industry and the company’s interests.

Indianapolis, Indiana, Us

► Analyzed provider economics to identify trends in claims, member engagement, and encounters to support key strategic decisions. Used SQL, Microsoft Excel, Python, R, and Tableau.► Conducted business review meetings with hospitals, physicians, and other providers to discuss performance and identify opportunities for improvement.► Led Medical Loss Ratio analysis develop baselines of primary care provider financial performance.► Recognized as a subject matter expert on the performance of Value Based Contracts (or Risk Share Providers) and the Service Fund reporting process.

Lutz, Florida, Us

► Responsible for business operations, financial management, regulatory compliance, community engagement, and vendor relations.► Formulated financial analysis, forecasts, and models to influence strategic business planning..► Negotiated with payers leveraging a variety of reimbursement models in order to improve profitability.☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲☲ABOUT TAMPA CARDIAC SPECIALISTS LLCTampa Cardiac Specialists is a medical group practice that specializes in Interventional Cardiology and Clinical Cardiac Electrophysiology.