Catherine Ryan Email & Phone Number

Lemoyne, Pa, Us

Lemoyne, Pennsylvania, United States

Lemoyne, Pa

• Leading, collaborating and developing Population Health Management dashboard that provides a powerful visual summary of active members with chronic conditions, high utilization indicators (Acute IP, ED visits, total claims paid), case management engagement, clinical engagement, and open gaps in care to assist in the targeted management of members with complex chronic conditions.• Served as project manager and lead Tableau developer for the Caremore Clinical Model Redesign project, a large enterprise-wide process improvement initiative, responsible for delivering insightful and actionable reporting for several functional areas, including At-Home programs, Care Management, Disease Management, and more. • Supported clinical and operations team efforts to engage 80% of patients via Healthy Start/Healthy Journey/Annual Wellness Visit by collaborating with business process owners to build accurate and insightful logic, analytics and reporting for all regions. • Responsible for development and maintenance of comprehensive Executive Summary KPI Tableau dashboard that compiles metrics from 10+ data sources. Providing senior leadership with a dynamic, self-service report on Tableau server, and producing a KPI slide deck for Monthly Operations Review meetings.• Provide Tableau development support and guidance to less experienced associates.

Lemoyne, Pa

• SME of Clinical Productivity responsible operations reporting in Tableau and collaborating with data warehouse team to ensure accuracy of the productivity semantic layer data source.• Automated senior leadership team Monthly Operations Review KPI slide deck production from time consuming, manual process to dynamic Tableau dashboard connected directly to KPI data sources for all markets. • Assisted with Clinical Analytics and Reporting team ad hoc reporting requests.

Lemoyne, Pa

• Serve as a key liaison and SME between third party vendors and Anthem Vendor Management in the process improvement of HEDIS Medical Record Review (MRR) leading to a 50% increase in chart retrieval from HEDIS MY 2019 to HEDIS MY2020 for Commercial and Medicare lines of business.• Enhance HEDIS MRR Operational Reporting for the Anthem Senior Leadership Team by migrating existing, static reports into Tableau that allows for on demand analysis that is critical for strategic decision-making.• Facilitate reporting efficiencies across multiple data streams by developing SAS programs that integrate claims and membership databases.• Automate and perform source code validations on HEDIS Rate Reporting through SAS programming which decreased validation time from three business days to one hour.

Lemoyne, Pa

• SME for Medicare/Commercial Copy-Service vendor file processes during HEDIS production season by processing over 20k chart requests in support of NCQA Accreditation and Enterprise STARs goals. • Manage [analytics vendor] Non-Supplemental Data Project by developing SAS programs to efficiently intake non-supplemental data critical to achieving Enterprise STARs goals.• Lead Copy-Service Vendor Reporting migration to Tableau through standardizing multiple data streams to support HEDIS Medical Record Review (MRR) operations.• Provide SAS programming support or guidance for less experienced associates to improve their business processes and skillsets through automation and decreased processing time from days to less than five minutes.

Harrisburg, Pennsylvania Area

• Lead programmer/analyst for Dasher assisting outside peer review organization with annual HEDIS and EQR audit of Medicaid MCO-conducted performance measures required by the PA Department of Human Services (DHS) Office of Medical Assistance Programs (OMAP).• Perform thorough data and source code validation of MCO physical and behavioral health quality measure submissions and document validation issues to provide MCO with feedback. • Produce complex and efficient SAS programs based on quality measure specifications to validate and analyze large volumes of healthcare data (millions of records). • Extensive reporting, research and ad hoc reporting.• Extract clinical, financial, enrollment and other healthcare data from multiple sources and payer systems to create integrated analytical data sets.• Assisted with advanced analysis and predictive modeling studies pertaining to a large PA healthcare provider’s (confidential) emergency room (ER) utilization and major disease state outcomes.• Completed geographic analyses and mapping with healthcare data to support key decisions like provider access evaluations or identifying potential “hot spots” for disease incidence and service utilization patterns.• Capable of translating complex business problems into technical specifications and SAS/SQL programs.• Capable of working independently or remotely with a team.• Business-to-business experience and business-to-state government experience.

Baltimore, Maryland Area

• Responsible for performing geographic and non-geographic data manipulation, mapping, CAD/GIS conversions, and database development using a wide variety of software environments.• Participated in various projects across multiple industries pertaining to imagery analysis, data collection, web-based mapping applications, QA/QC, geographic analysis, and cartography.• Assisted with data collection, validation, and analysis to produce a geographically accurate map of broadband infrastructure within Missouri for the MoBroadbandNow project. Chosen to present results of geographic study to several regional planning commissions across the state. • Responsible for managing all in-house engineering support work and participating in interoffice teams for GIS specific projects. • EQuIS (Environmental Quality Information System) technical lead of major site remediation project (confidential) responsible for EQuIS database management, mapping, statistical analysis and reporting. • Recognized for several client commendations and community service.

Carlisle, Pa & Chambersburg, Pa

• Updated/ maintained District Land Units map layer and attribute table that represent land area participating in the Conservation Reserve Enhancement Program (CREP). • Completed map layer corrections for Cumberland County and Franklin County.