John Prater Email & Phone Number

Wylie, Tx, Us

Grand Prairie, Texas, United States

I provide strategic analytics and consultative support to some of the company’s largest self-insured employer group clients.

United States

• Pioneered the first generation of integrated client reporting, providing a panoramic view of Carelon performance across 8 business units and 20+ products, supporting 40M+ members across the Commercial, Medicare, and Medicaid lines of business.• Served as liaison between business leaders and operational teams: gathered requirements, wrangled data from disparate systems, prototypes new analytics, and developed new ways to meet analytics needs of Carelon customers.• Performed market profiling using a combination of claims, enrollment, social determinants of health, and product penetration data.• Supported the development of an analytics center of excellence to house reporting documentation, best practices, and other training resources for analytics teams.

Richardson, Tx

• Managed team of 8 consultants responsible for providing analytics, strategy, and plan review presentations to 70+ employer groups, representing nearly 1 million total covered lives.• Served as business partner to 4 sales and account management directors, ensuring the company was meeting the analytics needs of their markets.• Led complex, multiyear, cross-functional initiatives, including integration of medical and pharmacy analytics and the development of an analytics vertical for public sector clients.• Created support system for other people leaders by developing a comprehensive onboarding guide, streamlining performance goals for the department, building reporting tools to analyze team performance, and mentoring several new managers.

Richardson, Tx

• Served as dedicated data analyst and strategic consultant for some of company's largest self-funded employer groups.• Partnered with marketing, actuarial, clinical, and pharmacy teams to deliver comprehensive plan reviews to client.• Reviewed client claims, enrollment, and medical management data to monitor performance, identify issues, propose solutions, and develop multi-year client strategies.• Acted as team lead responsible for mentoring new employees. Created training curriculum from scratch, including self-evaluation process for employees to identify knowledge gaps and curation of 10 courses on relevant topics.• Collaborated with other teams within the company on analytics and report development projects.

Richardson, Tx

• Led the design and implementation of a cloud-based healthcare analytics solution for large U.S. health plans.• Coordinated end-to-end development cycle in the Agile method, including requirements gathering with client stakeholders, assisting with macro-level project roadmaps and micro-level sprint plans, partnering with engineering and QA resources to deliver new content, and monitoring the UAT process and overall user adoption.• Partnered with clients to integrate diverse data sources into a coherent, insightful view: membership, product line and market segmentation data, medical claims, pharmacy claims, premiums and ASO fees, medical management, utilization management, and population risk and clinical episode data.• Created and maintained comprehensive documentation for all aspects of each client solution.• Profiled new client data sources and monitored existing data sources for quality and consistency.• Drove innovation by building business cases for product and platform enhancements.• Served as mentor for other business analysts and interns, including new hire training and ongoing coaching.• Created training material and business process documentation to support standardized products across health plan clients.

Richardson, Tx

• Served as dedicated data analytic consultant for book of national and government accounts (300,000+ lives).• Partnered with marketing, actuarial, medical management, and pharmacy teams to deliver comprehensive health plan reviews to clients on annual, semiannual, or quarterly basis.• Routinely analyzed client's claims data to monitor plan performance, identify key trends, propose solutions, and develop long-term strategies.• Acted as team subject matter expert for healthcare analytics software, including report design and development, new hire training, software documentation, and periodic testing.

Richardson, Tx

• Provided customer support for internal and external users of healthcare analytics software tool.• Customized report design, delivery, and automation to meet client needs.• Participated in projects to develop new report packages and integrate new data sources.• Assisted with on-site and Web-based user training sessions as needed.

Richardson, Tx

- Supported account executives for non-regulated small groups (51 to 100 employees).- Coordinated new group enrollment, supported account retention for Houston-area insurance brokers.- Served along with account executive as first points of contact for 330+ accounts, managing customer satisfaction in all aspects of BCBSTX.

Richardson, Tx

- Provided sales delivery support for new small group accounts with 2 to 50 employees.- Coordinated as many as 150 account implementations per month.- Served as team lead for enrollment/workflow software issues, local advocate when requesting software enhancements from IT department.- Helped coordinate transition of operations for other states to Texas office, including testing, user training, and development of workflow and software documentation.

Hummelstown, Pa

• Served as patient advocate and team lead in occupational health clinic.• Responsible for monitoring daily operations, managing patient flow for multiple providers, account management for key clients, tracking clinic productivity, patient registration and discharge, and other marketing and financial projects as needed.