BluePeak Advisors assists health plans, pharmacy benefit management companies, pharmaceutical companies and health care alliance companies with Medicare Parts C and Part D operational and compliance issues. BluePeak employees, with experience from CMS and the industry, perform many mock audits and CMS validation audits each year, assist with actual CMS audits onsite, design staffing plans and act as interim staffing, and assist with remediation efforts.

Analysis of prompt responses from LLMs.Assess output for quality and other metrics based on client rubrics.Peer review work from other analysts.

Led three product owners on enterprise portfolio projects. In this role, worked with Accenture as a product owner on Cigna’s integration with Express Scripts. Also coordinated with Cigna’s legal department on reporting for the FTC and the DOJ.Led multiple scrum teams and product owners on calendar year projects to enable business to perform analytics and reporting from the corporate data warehouse.Built product roadmaps from project submissions from business partners.Composed Epics based on portfolio submissions then decomposed those Epics into features and user stories in consultation with business partners, product owners, and software engineering teams.Coordinated data mapping and modeling activities based on current best practices of data warehouse. Performed systems analysis and production support activities by examining current code base of Teradata stored procedures and SQL code.

Transitioned to the Information Management Department to work on a Pharmacy Benefit Manager implementation related to reporting for Pharmacy Claims and EGWP business.Took responsibility for BI reporting related to CMS Stars initiative working with operations to define needs and solutions. Worked closely with ETL and data modeling team to deliver reports.

Worked on clinical reporting for the Pharmacy Operations department. Heavy use of Microsoft SQL as well as Crystal Reports and Cognos.Helped design and redevelop reports due to a switch to a new pharmacy claims processor. Worked with pharmacists, nurses, and other users to examine clinical initiatives defined by the department and by Center for Medicare and Medicaid Services guidelines. Developed Part-D reporting for CMS Stars Quality program.

Business Analyst on an ADP Payforce and TimeSaver implementation project.

Placement at Take Care Health Systems. Working as a Business Anaylst on various SharePoint development efforts for the company.

Placement at Corrections Corporation working as a business analyst on in-house development efforts.

Business Analyst on an HR software development effort. Worked on gathering requirements to build a web-based software to process SAP transactions.

Business Analyst for an e-filing project for the appellate courts.

Software implementation for prison management company. Installed DSI's Offender Management System and Allscripts' Touchworks.