Eric Wilson Email & Phone Number

Fort Lauderdale, Florida, Us

I lead the Medi-Centrix Analytics team in the development and establishment of standard reporting packages for all existing and new clients. I automated existing reports that were created manually via SQL queries and Excel pivot tables into SSRS reports and consolidated combined client reports into PowerBI Dashboards. Successfully trained the Analytics team in using Microsoft SQL Server, Microsoft Visual Studio, and PowerBI to develop more advanced, scalable, and automated reporting.I developed new KPI reports for all clients to measure key Revenue Cycle metrics consistently across clients and established goals and thresholds for each KPI. From these KPI reports I lead the development of drill-down and root-cause analyses and reporting to better identify key areas for the operational leaders to gain actionable insight. I also developed new reports and measures in areas of the company that previously had no consistent reporting structure in place. Areas such as Provider Enrollment , UnBilled Charges, and Call Center statistics.

New York, Ny, Us

I developed and implemented analyses for healthcare claims, membership data, and provider data. I've devloped processes to create Contract Rate sheets defined from existing healthcare contracts to apply different payment mechanisms to the claims to determine payment accuracy and areas for improvement. In addition to contract modeling, I have performed Rate Benchmarking analyses for comparison to Market rates in the same regions. I've also worked on solutions for Patient Access including Volume Leakage and Scheduling/Cancellation Analytics.Additional Project experience and Responsibilities include:Develop Claim Modeling and Audit SystemsDevelop visualizations, dashboards, and advanced analytics to gain insight and promote more efficient consumption and usage of data.Healthcare Data Analysis - Worked extensively with claims doing payment audits, rate parity analysis, savings analysis, contract modelling, rate benchmarking, and trend analysis.Work with IP, OP, and Professional claims including Radiology, Cardiology, Oncology, ER, Transplant, Dialysis, Sleep and Pain Management service lines.Experienced working with Commercial, Medicare, and Medicaid claims data.Data Validation - Extensive experience validating data from different sources and streamlining the data QA process. Experience performing ETL tasks for claims and other healthcare data types including unstructured data.Have worked on several Revenue Cycle projects dealing with raw 835/837 data submissions.

Bluffton, Sc, Us

Responsible for managing all data analysis processes supporting new contract pricing, existing client utilization management, referring and rendering provider profiling and other reporting requirements critical to contract compliance. Provides leadership and guidance to the Data Analytics department in their use, manipulation and understanding of eviCore's transactional data. Lead transition from legacy SSRS reporting environment to Microstrategy business intelligence suite.

Bluffton, Sc, Us

Manage processes with direct reports to implement new business information systems and reporting procedures designed to improve efficiency and accuracy of contractual reporting. Coordinate the efforts of other analysts toward the goal of consistent, accurate, and efficient reporting designed to satisfy contractual requirements of the clients. Prepare reporting and analysis for CareCore's clients and partners.

Bluffton, Sc, Us

Prepare reporting and analysis for CareCore's clients and partners. Review utilization management and claims data to provide existing and prospective clients with a summary outlining the expected and actual value of CareCore's products. Manage creation and distribution process to ensure all contractual obligations are met with regard to data content and timeliness constraints.Provide support on projects designed to improve cost effectiveness and quality of care.

Bluffton, Sc, Us

Process periodic reports, write queries in Microsoft SQL Server for AD Hoc requests, write stored procedures in SQL to create new reports, and analyze health care data.

Bluffton, Sc, Us

Managed contact center queues and staffing needs. Built reports showing organizational performance and forecasting expected case volumes.