Eric Pierson Email & Phone Number

Palm Springs, Ca, Us

EXECUTIVE LEVEL HEALTHCARE ANALYTICS CONSULTANTResults driven by strong industry expertise, creativity, and strategic planning skills. Leadership characterized by excellent intuitive, management, interpersonal, and communication skills.Working with organizations to capitalize on healthcare data, information, and analytic assets. Dedicated to transforming business strategies and operations from both a financial and clinical perspective. Over 26 years in healthcare working across a variety of settings: Payers & Health Plans, Employers & Human Resources, Healthcare Providers, Analytic Technology/Solution Vendors, Medical Devices.Expertise in helping clients to:Become insight-seeking by assisting organizations to develop the thirst for clinical and financial insights that can be used to enhance strategy.Become insight-driven by assisting organizations to become savvy users of healthcare analytics to evolve their clinical protocols and business operations.Analyze performance and opportunities by assisting organizations to evaluate effectiveness of existing practices, processes or programs.Utilize eLearning and knowledge management by assisting professionals to understand and apply healthcare information and analytics.

Minneapolis, Mn , Us

Product Lead, Performance Analytics TeamProduct manager positioned on the Bind analytics team which is tasked with proving that Bind works: that people really do consume healthcare differently when they are provided easy access to information on the wide variances that exist in price and quality, and when they are financially incented to choose efficiency.• Design and deliver. Responsible for ASO and fully insured information products that demonstrate plan performance and articulate the Bind value proposition. Includes standard monthly deliverables, strategic reporting libraries, custom reporting, and ad-hoc studies.• Platform migration. Successful in migrating information products away from highly customized, Excel-driven templates to an internally developed, automated system that is scalable, accurate, consistent, and reduces client risk. Reduced monthly production time from two and a half weeks down to two days.• Satisfied employers. Bind information products are well received not only because they achieve strong data trust from a start-up organization, but for being succinct and on-target with messaging.• One Bind voice. Successful in becoming the trusted, well integrated, and strategic partner to account management teams: evolving product, creating solutions around nuance, and communicating with employers and brokers/consultants.• Bind data assets. Strong internal promotion of Bind analytic assets (via Milliman’s MedInsight), internally developed Looker assets, and management of key data tables that drive Bind performance.

Bloomington, Minnesota, Us

Client: Bright Health Contract Oct 2016 – Dec 2018, FTE Apr 2018 – Apr 2019)Analytics leadership to startup, national health plan focused on rapid growth, exceptional member experience, and highly integrated relationships with narrow network care delivery partners. • Assisting the plan to capitalize on non-traditional data sources during “data poor” stages of plan growth. Includes HL7 ADT data from HIE vendors, care partner EMR data, health assessment, and other internal plan assets.• Key contributor as detailed product manager for development and delivery of Bright’s Early Warning System – a suite of analytics that focuses on non-claims and very early claims data to support risk identification, intervention strategies, and positive member experience.o Near real time out-of-network facility utilizationo Daily inpatient/outpatient facility utilizationo Early risk detection through current and historical HL7 ADT data, early Rx claims, early medical claims, health assessment, authorizations, and early lab results.• Development of Bright’s Identification/Stratification logics for program nomination to care delivery partners and health program vendors.• Assisting plan management in building an internal analytics team to support plan-wide needs for data and insight.• Subject matter expert on vendor analytics and reporting/analysis software systems.• Vendor relationship management for implementations, key subject matter expert on data availability, quality, and application to clinical/business initiatives.

Alpharetta, Ga, Us

Client: LexisNexis/MEDai (Risk Solutions – Health Care) July 2012 - December 2016Lead, client-facing consultant responsible for showcasing how the LexisNexis set of clinical analytics can be used in strategic combinations to support Population Health Management and Physician Efficiency (Practice Pattern Variation).• Overall forecast of patient risk • Patient motivation risk• Underlying clinical risk drivers • Patient risk movement patterns• Forecasted risk for acute services • Physician efficiency analytics• Risk driven by chronic conditions and compliance • Quality of care and patient compliance measurements• Pharmacy risk forecast • Externally positioned to assist clients and potential clients to recognize the value of the LexisNexis clinical analytics and software solutions, supporting client retention and new sales.• Internally positioned to ensure existing products and products in development will deliver value in accordance with evolving market expectations.• Leading client engagements that assist LexisNexis clients to transform their current business and clinical processes through the use of the clinical analytics.

Omaha, Ne, Us

Client: Blue Cross Blue Shield of Nebraska June 2006 – December 2012Responsible for providing management and analysts with subject matter expertise, strategic guidance and business process evaluation. Assisting the plan to capitalize on investments in technology to meet market expectations and to compete with top industry players.• Comprende® (Grow Forward solution) 2010 – 2012 to increase the plan’s level of engagement with employers and brokers.• Enterprise Visioning – partnering with management teams to analyze, define and document the organization’s current state while designing realistic road maps to the desired future state.• Business Cases for Funding Approval – using industry expertise to create initial drafts of business cases, navigate them to final draft and guide them through standardized approval processes.• Cross-Departmental Cohesion – mediating across plan departments to achieve common vision, aligned strategies and increased communication in relation to business use of healthcare analytics and reporting.• Enterprise Requirements – analyzing business requirements across departments, integrating them to represent the organization as a whole, and moving them into the plan’s standard I.S. documentation.• Requests for Information/Requests for Proposals – partnering with plan management and procurement teams to analyze available technologies, compare the solutions to business requirements and drive strong decision making in a timely fashion.

Client: UnitedHealth Group – Optum (& Carol Corporation) April 2011 – July 2012Assisting an accountable care (value-based care) consulting organization to define and develop a structured approach for using analytics to support provider care systems.• Optum – Subject matter expert consultant for Optum’s new Accountable Care Solutions technology platform, supporting product management and development teams.• Carol – Supporting sales teams to define and pitch analytics as key deliverables within proposed client engagements. Defining and documenting the organization’s use of analytics to support clinical and financial performance management for provider care systems.

Marlborough, Ma, Us

BOSTON SCIENTIFIC (Formerly Guidant Corporation), Arden Hills, MN 2004 - 2006World leader in the design and development of cardiovascular medical products and therapies.Business Intelligence ArchitectResponsible for advancing the organization’s ability to generate measurable business value from data.• Led the business architecture of new clinical business intelligence system – ADAM (Advanced Data Analysis & Management). System represents integration of patient data, clinical study data, and cardiac device data into a solid analytic design. Key business processes supported include analyzing physician programming patterns, analyzing compliance measures for facilities participating in clinical studies, and supporting product design efforts in analyzing opportunities for device automation.• Led the business architecture portion of the IAR Team’s Business Intelligence Competency Center. Focus on business value metrics, business process analysis, and implementation best practices.

Us

UNITEDHEALTH GROUP – INGENIX, INC., Minneapolis, MN 1999-2004Research and data solutions provider for the business management of healthcare organizations.Manager - Decision Support ConsultingResponsible for creating success stories for Unitedhealth Group and Commercial (non-United) clients who utilize Ingenix’ suite of analytics and data warehousing tools to solve complex healthcare challenges.• Physician utilization profiling • Campaign Management• Predictive modeling • Clinical quality profiling• Disease management • HEDIS reporting• Stop-loss and recovery • OLAP business-analysisSpecific responsibilities included: • Engaging clients and analyzing business needs to ensure that the design and delivery of the client’s business solution (comprised of analytics, data warehouses, data marts, and software applications) yields the expected results. (Pre- and post-sale)• Providing expertise to data mapping and data analysis decisions during implementation.• Directing the design and delivery of standard software training – facilitated by the Decision Support Consulting team.• Training clients directly on data analysis and reporting techniques around existing business-use programs.• Consulting engagements focused upon developing new business-use programs.• Regularly analyzing client data for new discoveries and ROI opportunities on their behalf. Communicating and discussing the discoveries to ensure clients saw value in the data and the software.Trainer/ConsultantAssisting Ingenix’ Commercial clients to apply decision management software to achieve business results. Responsible for managing curriculum design/delivery as well as providing consultative support for client implementations and platform migrations.• Managing training requirements across Ingenix’ commercial client base. Strategically utilizing web-conferencing and train-the-trainer approaches to support distanced-delivery methodologies.

Minnetonka, Mn, Us

ALLINA HEALTH SYSTEM, Medica Health Plans, Minneapolis, MN 1997-1999Integrated health care system comprised of the Medica Health Plans, Allina Hospitals, and Allina Clinics.Training ConsultantResponsible for developing and implementing training programs for numerous software, mainframe, and web-based business applications supporting all Health Care Service business units. Training presentation based upon a strong philosophy of needs-assessment and systematic evaluation.• Developed and implemented staff training curriculum related to Medica provider contracts and online systems to increase information sharing as well as staff development.Contract AssociateResponsible for integrating with contract teams during reimbursement negotiations to create contractual agreements with a strong emphasis upon mainframe system set-up and data research.

HEALTH SYSTEMS INTEGRATION, INC., Minneapolis, MN 1995-1997Claims adjudication software development and implementation.Client Service Bureau LeadResponsible for claims processing with additional supervisory responsibilities related to the development of a remote claims processing team within New Jersey client site.• Led a staff of 31 to full self-sufficiency on the HSII system, specifically targeting higher rates of auto-adjudication.