Greg Bourke Email & Phone Number

Louisville, Kentucky Area

Data Analytics lead for Cost of Care Analytics / Provider Insights for the Anthem Blue Cross Blue Shield.Led Cost of Care scoping, evaluation and implementation for Kentucky market and collaborated extensively with Health Economists across the Anthem Enterprise to drive management of CoC efficiencies. DRG Outlier Targeted patient review saving $.6MAssessed and implemented Milliman specs for 2-day Observation diagnoses with projected savings of $1.2MInitiated Emergency Room Frequent Utilizers Analysis and Customer Contact saving $.4MIdentified and assessed faulty reimbursement rate load and modeled $4.8M recovery effort.Collaborated with enterprise Data Science team to evaluate and refine First Defense prepay claims audit model.Extensive use Teradata SQL Assistant accessing Enterprise Data Warehouse, Enterprise Data Models and Tableau. Cited as 2019 Person to Know in the Insurance Industry by Business First

Louisville, Ky

Key member of multifunctional team securing T2017 TRICARE contract valued at $58 billion.Honored to receive Star Awards for saving $1MM in TYA billing securing $1.5MM HEDIS incentives.Led Utilization Management team with award winning HEDIS Quality Report Card and Annual Reports.Widely recognized as Subject Matter Expert for TRICARE military enrollment and eligibility.Innovative leadership with Launch Team initiating Data Analytics for TRICARE military population. Experienced SQL programming in Microsoft Visual Studio, preparing visualizations in Tableau/Qlikview.Extensive mainframe programming in FOCUS, JCL, Easytrieve. Broad Microsoft Office skills, highly proficient with MS Access queries and Excel pivot tables.Pioneered framework for and executed clinical studies and government Focus Reviews.Developed a range of ad hoc medical utilization and enrollment reports turned to production.Project management for Executive Team, Finance, Actuarial, and Medical Management. Founding member Pride (LGBTQ) ERG which has grown to over 2000 members and achieved perfect 100 score on HRC Corporate Equality Index five consecutive years.First recipient of the Pride NRG Gregory Bourke Community Service Award (2018)

Louisville, Ky

Managed Data Center operations and data analysis staff of the Office of Stewardship & Development. Raisers Edge and Crystal Reports used extensively for pledge reminders, annual tax statements.Executed annual Catholic Services Appeal and Salute to Catholic School Alumni fundraisers exceeding goals and achieving record results.

Appliance Park, Louisville Ky

Established the competitive intelligence function for GE unit offering service contracts. Led the primary research efforts for new product development and distribution channel strategies. Utilized focus groups, phone and mail surveys, and interviews with customers and consumers.

Ma, Sociology, 3.5 Gpa, Full Academic Scholarship

Associate Of Science (A.S.), Computer Science, 4.0 Gpa

Mba, Business Administration, 3.8 Gpa

Bs, Sociology, 3.9 Gpa, Full Academic Scholarsip

Master Of Business Administration - Mba