Edward Harris, Mba Email & Phone Number

Mason, OH, US

Cincinnati, OH

• Maintained & Enhanced Reporting, standard and ad hoc, to support Clients
• Increased data integrity of information, establishing processes to review and validate data.
• Defined report catalog, categorizing types of reports and information available to Clients.
• Drove Reporting Committee standardization process, defining standardized list of codes and descriptions, facilitating information consistency in reports.
• Partnered with Stop Loss Committee, outlining processes and activities, evaluating opportunities and efficiencies.

Cincinnati, Ohio

• Sustained development and implementation of Bundled Payment Program
• Engaged providers in contract discussions by producing interim reports to illustrating the bundled payment experience of select provider organizations.
• Outlined methodology to calculate Bundled Payment target that creates an incentive for a provider organization to manage cost, but reducing the risks related to outlier cases.

Cincinnati, Ohio

• Oversaw contract negotiations, including reporting and analysis, to facilitate expansion of active ACO or PCMH provider contracts across enterprise.
• Implemented interim solution for producing a medical cost target (MCT) that resulted in over 100 provider agreements to be signed during initial 12 months, while supporting a transition to automated process.
• Created reporting tools and metrics to monitor performance, providing an early signal of material changes in experience that warrant further analysis.

Cincinnati, Ohio

• Served as key representative of the Provider Reimbursement Strategy & Analytics organization on the ICD-10 implementation team responsible for evaluating impacts to provider contracting and cost of care trends.
• Consulted with Deloitte, developing methodology and strategy for estimating the financial impact associated with transition from ICD-9 to ICD-10 coding on claims.
• Developed initial assessment of the financial impact with a transition to ICD-10 that included an outline of high-impact procedures.
• Created test cases to evaluate the impact of the transition to ICD-10 based on the coding submitted by partner provider organizations for each scenario.

Cincinnati, Ohio

• Provided reporting and analytic support on regional and Enterprise initiatives or ad hoc requests. Managed data integrity and defining key success metrics of project.
• Increased potential recoverable by more than $20 million by improving contract compliance efforts.
• Developed the ROI / savings estimates, and tracked performance, for large-scale and complex enterprise-wide cost initiatives, requiring broad collaboration and consensus-building on investment.

Cincinnati, Ohio

• Coordinated and managed information/analysis needs for the Ohio market to support leadership in strategic decision-making.
• Collaborated with local management teams to evaluate, manage, and forecast cost trends over an 18 – 24 month time horizon, supporting accurate and profitable product pricing.
• Led audit of underwriting policies and practices where recommended changes resulted in a $15 million increase to operating margin.

Master Of Business Administration (Mba)

Bachelor Of Business Administration (B.B.A.)

Pursuing Certification