Erin N Smith Email & Phone Number

New Orleans, La, Us

New Orleans, Louisiana, Us

Conduct comprehensive reviews of healthcare claims for accuracy, completeness, and overall quality, ensuring compliancewith regulatory standards.Develop and implement automated quality review routines and processes, resulting in an increase in data accuracy.Lead efforts to investigate and resolve claims quality issues, providing actionable feedback and recommendations to partners.Successfully manage multiple projects, ensuring alignment with project requirements and timelines, and coordinating withstakeholders to meet project goals.Collaborate with end-user analysts to develop and enhance data warehouse quality processes, improving data integrity.Manage the technical aspects of partner data and workflow, ensuring timely and accurate data processing.Engage directly with partners to coordinate onboarding and provide feedback on data suitability, improving partner satisfaction.Participate in daily standups, manage tasks in Jira, and maintain catalogs in Alation, enhancing team collaboration andproductivity.

New Orleans, Louisiana, Us

Develop databases and analytic tools to support disease management program development, clinical excellenceinitiatives, population management, quality metrics reporting, and requirements research.Design ongoing reports, high impact dashboards and visuals that effectively communicate quality performance to operational and clinical leaders.Own Population Health analytics initiatives, including member attribution, utilization management, and medical expense management.Ensures data sources are sufficient to effectively conduct measures, clinical performance and designated clinical strategic target activity.Strategize and scope with external vendors to ensure data accuracy and resolve data questions.Strategize and scope with Data Management teams to pull data from insurance payors across network to support quality measure management.Manage multiple projects and analyses simultaneously while meeting key deadlines and deliverables

New Orleans, Louisiana, Us

Implemented processes and logic to extract, transform, and distribute data across one or more data sources.Optimized data integration platform to provide optimal performance under increasing data volumes.Led data analysis, validation, and support around the data and how it is integrated.Designed requirements for Extract, Transform, Load (ETL) solutions.Strategized and scoped with business and technology departments to understand system data.Monitored production systems for issues and elevate them for resolution.

Baton Rouge, Louisiana, Us

Developed, tested, debugged, and created documentation for new and/or existing business applications and information systems including database management systems.Maintained and owned test cases and test execution statuses using Jama.Executed functional, system and performance testing activities including analyzing and reporting test results anddriving solutions.Maintained and owned new and existing databases to help users retrieve data effectively.Resolved software application problems in compliance with established IT standards, policies, and authorizedapplication approaches.

Armonk, New York, Ny, Us

Developed, tested, and debugged existing business applications and information systems including database management systems.Defined, analyzed, and executed business requirements and functional requirements for system integration.Led project execution and delivery and help project teams maintain an overall project vision with supporting projectplans.Maintained and owned databases to help users retrieve data effectively.Proven ability to take leadership role in projects, execute deliverables in a timely manner, and thrive in a fast-paced agile environment. Led and developed new procedures for application interfaces: including requirements gathering, analysis, testing, and documentation of the newly designed application resulting in the improvement of interface functionality. Facilitated daily defect triage calls to ensure that project issues and gaps were resolved resulting in a resolutionimprovement for defects by 30%.Initiated and managed the quality of migrated data and the validity of the processes and operation increasing the efficiency of the newly developed data storage tool.