As a strategic partner to the Health & Risk Solutions business units, I lead the development and execution of a comprehensive financial business intelligence and analytics framework. I collaborate with C-level executives to deliver an advanced analytics suite, enabling data-driven decision-making through interactive dashboards, KPIs, and streamlined reporting. • Built the Financial Analytics business unit from the ground up, including a roadmap, framework, and team. Within the first six… Show more As a strategic partner to the Health & Risk Solutions business units, I lead the development and execution of a comprehensive financial business intelligence and analytics framework. I collaborate with C-level executives to deliver an advanced analytics suite, enabling data-driven decision-making through interactive dashboards, KPIs, and streamlined reporting. • Built the Financial Analytics business unit from the ground up, including a roadmap, framework, and team. Within the first six months, developed and launched three Tableau dashboard suites that delivered significant savings for the Stop Loss business. • Established and implemented data governance procedures, widely adopted across the U.S. division, which improved data continuity and accuracy, resulting in measurable time and cost savings for analysts and actuaries. • Led the automation of data systems, improving financial and operational reporting efficiency and eliminating manual inefficiencies. • Developed benchmarks for financial metrics, and implemented tracking systems to monitor actual vs. expected outcomes, ensuring continuous improvement. Show less

Led the successful implementation of key initiatives for internal and external clients at this leading information and technology-enabled health services organization. As the primary technology point of contact and outward-facing leader, I fostered strong relationships with clients and cross-functional teams, ensuring seamless service delivery and alignment with business objectives. • Supervised end-to-end technology coordination, supporting issue resolution and mitigation planning… Show more Led the successful implementation of key initiatives for internal and external clients at this leading information and technology-enabled health services organization. As the primary technology point of contact and outward-facing leader, I fostered strong relationships with clients and cross-functional teams, ensuring seamless service delivery and alignment with business objectives. • Supervised end-to-end technology coordination, supporting issue resolution and mitigation planning alongside implementation teams to ensure successful launches. • Translated complex technical information for non-technical audiences, including C-level executives, fostering understanding and alignment on technical processes and goals. • Orchestrated near-flawless 1/1 product launches for external clients, implementing comprehensive end-to-end processes and building strong client relationships that positioned technology at the forefront of business success. Show less

Directed the operational reporting for Customer Care and AARP centers, overseeing the design and launch of Medicare/Medicaid compliance reporting. Led a cross-functional team to prioritize reporting requests, gather requirements, and develop self-service tools to improve efficiency and reduce manual reporting efforts. • Led the transition from manual reporting to automated, self-service reporting, resulting in significant time and cost savings across multiple business… Show more Directed the operational reporting for Customer Care and AARP centers, overseeing the design and launch of Medicare/Medicaid compliance reporting. Led a cross-functional team to prioritize reporting requests, gather requirements, and develop self-service tools to improve efficiency and reduce manual reporting efforts. • Led the transition from manual reporting to automated, self-service reporting, resulting in significant time and cost savings across multiple business units. • Designed and launched Medicare and Medicaid compliance reporting, ensuring adherence to regulatory standards and improving the accuracy and timeliness of reports. • Collaborated with internal teams to gather requirements and implement solutions, saving $600K annually by migrating reporting suites and transitioning clients to enterprise-wide standards. • Maintained a $2.3M budget, optimizing resource allocation between onshore and offshore teams to ensure project success. Show less

Led and completed projects involving business requirements gathering, data visualization, and report generation using Tableau and SSRS. Collaborated with management and clients to analyze business needs and deliver actionable insights through advanced reporting solutions. • Saved $100K annually by creating new SSRS and Tableau reports following the acquisition of a Behavioral Health client, which enhanced executive decision-making. • Developed and launched a comprehensive reporting… Show more Led and completed projects involving business requirements gathering, data visualization, and report generation using Tableau and SSRS. Collaborated with management and clients to analyze business needs and deliver actionable insights through advanced reporting solutions. • Saved $100K annually by creating new SSRS and Tableau reports following the acquisition of a Behavioral Health client, which enhanced executive decision-making. • Developed and launched a comprehensive reporting plan for the Behavioral Health department, streamlining operations and automating processes, resulting in $300K annual savings. • Authored business requirement documents (BRDs) and functional specifications to ensure clarity and alignment across stakeholders, enabling timely and efficient project execution. • Created user acceptance testing (UAT) plans and collaborated with QA teams to ensure the quality and functionality of deliverables. Show less

Led data management, reporting, and integration projects to improve business processes and operational efficiency across the organization. Worked closely with cross-functional teams to streamline data workflows and develop reporting tools that drove strategic decision-making. • Managed the data transfer, deployment, and archival processes between multiple databases, ensuring data integrity and accessibility. • Developed and maintained over 100 SSRS reports across two companies… Show more Led data management, reporting, and integration projects to improve business processes and operational efficiency across the organization. Worked closely with cross-functional teams to streamline data workflows and develop reporting tools that drove strategic decision-making. • Managed the data transfer, deployment, and archival processes between multiple databases, ensuring data integrity and accessibility. • Developed and maintained over 100 SSRS reports across two companies, reconciling business rules to ensure consistency and accuracy in data reporting. • Consolidated 700 reports into a streamlined 100-report suite, reducing overhead costs and boosting operational efficiency for the finance and product departments. • Optimized data workflows by designing SSIS packages for automation, enabling the timely and efficient processing of production data on a daily, weekly, and monthly basis. Show less

Designed and developed a cutting-edge Microsoft .NET E-Commerce platform, leading projects that included both web and Windows-based applications. Partnered with cross-functional teams to create systems that streamlined operations and supported the company’s rapid growth. • Led the development of a custom Warehouse Management System, improving shipping efficiency and saving the company significant time and resources. • Created a state-of-the-art Customer Relations System… Show more Designed and developed a cutting-edge Microsoft .NET E-Commerce platform, leading projects that included both web and Windows-based applications. Partnered with cross-functional teams to create systems that streamlined operations and supported the company’s rapid growth. • Led the development of a custom Warehouse Management System, improving shipping efficiency and saving the company significant time and resources. • Created a state-of-the-art Customer Relations System, streamlining order processing for a rapidly expanding business. • Developed over 100 custom reports in SSRS to improve data-driven decision-making across multiple departments. • Collaborated with business leaders to develop the E-Commerce platform, integrating ERP, warehouse management, and customer relations systems, resulting in significant operational improvements. Show less

Managed daily operations of the Billing Department, ensuring accurate medical coding, charge entry, claims processing, and payment posting. Maintained compliance with hospital policies and federal regulations, while driving efficiency and reducing outstanding balances. • Oversaw all aspects of billing, including medical coding, claims submission, payment posting, and reimbursement management, ensuring timely and accurate processing. • Reviewed and reconciled diagnosis and procedure… Show more Managed daily operations of the Billing Department, ensuring accurate medical coding, charge entry, claims processing, and payment posting. Maintained compliance with hospital policies and federal regulations, while driving efficiency and reducing outstanding balances. • Oversaw all aspects of billing, including medical coding, claims submission, payment posting, and reimbursement management, ensuring timely and accurate processing. • Reviewed and reconciled diagnosis and procedure codes against services rendered, ensuring accuracy in billing and compliance with insurance company requirements. • Utilized electronic charge capture practices, including billing and account receivables (BAR) systems and medical billing clearinghouses, to submit codes and invoices on time. • Reduced unpaid and outstanding balances by following up on past due invoices and delinquent accounts. • Conducted routine audits of patient records and billing data to ensure compliance with HIPAA and other federal regulations. • Provided administrative support to physicians, interpreting medical reports and assigning accurate ICD-9 codes to ensure correct billing. Show less

Expertly managed patient account payments, claims submissions, and coding accuracy, ensuring compliance with healthcare regulations and seamless clinic operations. Provided administrative support to both staff and patients, contributing to an efficient and patient-centered environment. • Collected, posted, and managed patient payments while preparing and submitting claims forms to insurance companies and third-party payers. • Performed insurance verification, pre-certification, and… Show more Expertly managed patient account payments, claims submissions, and coding accuracy, ensuring compliance with healthcare regulations and seamless clinic operations. Provided administrative support to both staff and patients, contributing to an efficient and patient-centered environment. • Collected, posted, and managed patient payments while preparing and submitting claims forms to insurance companies and third-party payers. • Performed insurance verification, pre-certification, and pre-authorization to ensure accurate billing and service eligibility. • Entered procedure and diagnosis codes into billing software, including modifiers, to streamline invoicing and account management. • Answered inquiries from staff and clients regarding CPT and diagnosis codes, providing accurate and timely support. • Greeted and checked-in patients, collecting personal, medical, and insurance information to ensure accurate records and seamless patient flow. • Scheduled and verified patient appointments, coordinating with secondary care providers and ensuring efficient physician schedules. • Utilized EMR software to manage patient records, maintaining strict confidentiality in compliance with HIPAA and clinic policies. Show less