Jonathan Tate Email & Phone Number

Us

Us

PINNACLEHEALTH SYSTEM & RIVER HEALTH ACO Healthcare Utilization AnalystImplemented the analytics and reporting structure for River Health aco, a Medicare Shared Savings Program (MSSP) and a NextGeneration ACO: • analyzed the quarterly and annual financial, utilization, and beneficiary attribution reports from CMS • assisted with the implementation of NextGeneration ACO waivers and risk sharing agreements• implemented the Crimson Population Risk Management and Milliman’s MedInsights analytical tools• assisted with the submission of GPRO quality metrics to CMS• analyzed beneficiary utilization for Chronic Kidney Disease, Hospice, Heart Failure, and our Care Management programAnalyzed Pinnacle’s performance in the CMS Bundled Payment program for Hip and Knee replacement

Pittsburgh, Pa, Us

PINNACLEHEALTH SYSTEM & RIVER HEALTH ACO Healthcare Utilization AnalystImplemented the analytics and reporting structure for River Health aco, a Medicare Shared Savings Program (MSSP) and a NextGeneration ACO: • analyzed the quarterly and annual financial, utilization, and beneficiary attribution reports from CMS • assisted with the implementation of NextGeneration ACO waivers and risk sharing agreements• implemented the Crimson Population Risk Management and Milliman’s MedInsights analytical tools• assisted with the submission of GPRO quality metrics to CMS• analyzed beneficiary utilization for Chronic Kidney Disease, Hospice, Heart Failure, and our Care Management programAnalyzed Pinnacle’s performance in the CMS Bundled Payment program for Hip and Knee replacement

Harrisburg, Pa, Us

Senior EIM Production & Support AnalystDirector, EIM Production & SupportDirector, EIMImplemented the current Data Governance program for the corporate data warehouse: • established executive support for the initiative• identified the Information Stewards from the functional areas within the company• assisted the Information Stewards with identifying their Data Stewards• implemented the use of Informatica’s Metadata Manager for data warehouse data dictionaryResponsible for multiple expansions of the corporate data warehouse:• recently led the inclusion of vision and dental data into the data warehouse• coordinated the monthly data warehouse releases - prioritized requests, reviewed requirements, worked with the ETL manager for resources, identified business testers, and implemented the release• researched data quality issues and worked with the business area to reduce occurrences through changes in procedures or education• familiar with Agile and waterfall software development practices• continually reviewed operational changes and how they may impact the data warehouse - responsible for prioritizing the changes and implementing them if appropriate into the data warehouse• responsible for the monthly data warehouse load and balancing process• converted a legacy managed care data warehouse into the existing corporate data warehouse

Director, Health Care Research and AnalysisManager, Network Performance EvaluationDatabase Analyst • planned, organized, and directed health services research including research and development of new disease management programs, quality improvement activities, and cost effectiveness analysis• instrumental in the development of the disease management stratification program• managed the development of a predictive model based on Johns Hopkins ACG grouper• responsible for HEDIS submission, the quantitative analysis of quality improvement activities, and the over and under utilization analysis for NCQA accreditation• responsible for a $1.5 million budget• researched, analyzed, and assisted in the implementation of risk sharing arrangements with specialty providers • researched and implemented a new primary care physician quarterly bonus• performed cost analysis on the KHPC network• managed and implemented a provider profiling system and physician report card

Master Of Science, Industrial Administration

Bs, Computer Science