* Manage a team of 5 data analysts to ensure accuracy and timeliness of all analytical requests made by both internal and external customers * Work as the liaison between all department leads within the organization as well as our corporate partners to prioritize and deliver requested reporting needs to help drive business decisions* Oversee the accurate and timely submission of more than 30 monthly, 60 quarterly and 70 contractually required reports* Presented and defended plan reporting logic during state and federal audits with external auditors to support Pay for Performance measure validation* Create high level dashboards utilizing advanced SQL to analyze provider and member data to be distributed to excecutive leadership

* Developed and implemented a multiple step internal business process to decrease the rate of returned reportsneeding correction from 11% to less than 5%* Maintain a strong working relationship with state reporting lead including monthly face to face meetings to assistwith the creation of new required reports as well as work through identified discrepancies in established reports* Successfully created a standardized internal document for technical specifications for all required reports to ensureconsistent and optimal reporting* Produce a monthly medical trend analysis to highlight spend and claim variance by procedures performed, providerpayment and provider specialty for all product lines: Medicaid, Medicare and Market Place* Review and analyze potential financial impact of multiple state policies to identify additional risks that may affect thehealth plan budget* Work with external vendors to ensure all requirements are met when data is necessary for inclusion in specific reports* Utilize advanced SQL and BI software to produce as-hoc reports and dashboards for leadership

* Provide advanced analytical support for business operations in all of the following areas: claims, provider data, member data and external reporting* Completed 33% of a $1.2 billion health plan state reporting requirements on a weekly, monthly, quarterly and annual basis* Responsible for the accuracy, timeliness and submission of more than 30 monthly, 60 quarterly and 70 annual state required reports* Ensure compliance with federal and state reporting requirements by performing data quality audits and analysis* Built and maintain strong working relationships with multiple external state government employees* Presented and defended plan reporting logic during state and federal audits with external auditors* Complete advanced SQL in Teradata and Golden for multiple required and ad-hoc reports ensuring quality and accuracy to assist management in driving business decisions

* Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes* Reviewed and performed high dollar claim projects for accurate financial impact* Reviewed claims data to ensure proper provider payment and used to resolve outstanding provider issues* Perform detailed analysis on multiple projects, recommended potential business solutions and ensured successful implementation and revisions to business requirements* Determine process improvement opportunities through claim process review, claim rejections and multiple other reports

In this position I reported to the AVP of Market Intelligence with the following responsibilities:* Obtain and analyze competitive data and identify high value market opportunities* Liasie and collaborate with software developers and engineers to execute market targets* Design and develop complex high-level excel workbooks illustrating company and industry competitive positioning* Provide expertise in areas of business/competitive analysis and drive business process change when necessary* Generate creative and innovative technology ideas improving reporting and transparency of the intelligence process* Provide critical analysis and data to optimize delivery of business cases* Primary relationship manager for multiple external vendors

* Identified project requirements from initial business requirements through to full development life cycle and implementation* Successfully programmed, tested and implemented products for various illustration software systems* Developed business specifications, functional requirements, and user acceptance testing in conjunction with overall project teams* Responsible for identifying and delivering documentation to effectively support changes required by both internal and external business audits* Provided effective communication to keep business, IT and key project personnel up to date to enhance the implementation process* Successfully updated and tested company websites and administrative systems to account for new key products, change projects or enhancements

* Supported change requirements through business analysis, workflow analysis, and change specifications* Successfully performed technical support for multiple users by identifying client needs and utilizing tools available to aid in communication and resolution of problems* Maintained benchmarking spreadsheets to assist in the implementation process through accurate process definition and data mapping* Developed detailed functional testing specifications leading to successful implementation of production initiatives* Successfully programmed, tested and implemented products for various illustration software systems and company quoting websites