Keith Mcmaster Email & Phone Number

• Managed and oversaw Medicare Part-C/Part-D clinical and survey based measures to improve scores within the Star Ratings Program. Domains of care include Prevention and Screening, Chronic Conditions and Drug Pricing and.
• Lead data analytics effort to analyzed plan’s structured and unstructured data across different systems and platforms. Provided actionable recommendations and meaningful insights for quality improvement initiatives and.
• Performed a variety of high level statistical analyses and complex predictive modeling including, but not limited to, generalized linear modeling, non-parametric local regression modeling (LOESS), survival analysis.
• Reviewed formulary impact on quality measure performance (prior authorizations, quantity limits, cost of brand drugs and generic alternatives etc) and supplied cost-effective solutions.
• Managed necessary changes for operational processing, data flow, collection and distribution to positively impact HEDIS/QARR/Star results.
• Conducted evaluation studies and root-cause analyses to identify improvement areas. Evaluated program effectiveness for quality improvement projects and provided guidance for future activities.

• Used advanced analytics across diverse internal/external platforms to continuously improve the plan’s healthcare quality metric performance (HEDIS/QARR/Star).
• Maintained up-to-date knowledge on HEDIS/QARR/Star technical specifications.
• Generated measure profiles and statistical significance tools to assist in review of monthly rate and trending reports.
• Designed customized applications to support various ad-hoc requests. Generated targeted profiles with frequency, categorical and spatial analyses.
• Performed measure research and data-mining activities for quality metrics.
• Identified opportunities to drive and execute quality improvement outreaches and projects.

• Designed and analyzed an experiment to test the effectiveness of potential explanatory variables in improving the number of hatched chicks per pair for the Piping Plover.
• Modeled the data using parametric regression techniques (GAMLSS), showing convergence to the Beta-Binomial distribution.
• Worked extensively with R and SAS.

• Created/maintained databases and form-based tools to improve departmental efficiency.
• Automated tasks through the development of visual basic macros.
• Implemented new processes in associate offices and trained employees accordingly.
• Generated reports that captured information on business operations (Cognos).
• Examined activity-based cost models in order to prepare prices for personalized tariffs and bids.
• Reviewed existing tariffs to ensure continued profitability.

• Cleaned and prepared data for analyses designed to display compliance with affirmative action guidelines.
• Reconciled data in order to identify and eliminate inconsistencies.
• Assisted attorneys in creating a data structure.
• Conducted and interpreted a variety of complex statistical analyses.
• Prepared written and statistical reports describing the results of analyses.
• Inventoried and reviewed client documents for government submission.

Master Of Science (M.S.), Applied Mathematics And Statistics

Bachelor'S Degree, Mathematics