Lead a team of four to implement a claims grouper for episodes of care using PySpark, Python, SQL and Jupyter notebooks and perform validation. Design and develop a streamlined process to ingest and transform data in order to calculate total cost of care and quality measures for providers and practices in Scala. Collaborate cross-functionally with engineering, product, and solutions to successfully plan and deliver various customer requirements.

Improve primary care physician auto-assignment machine learning models by researching social determinants of health, and enhance models by A/B testing new features. Optimize provider performance in value-based care contracts through analyzing trends to lower cost of care and present findings on provider facing dashboards. Create an end to end data flow to process claims, member, and provider data to quantify provider performance through various healthcare and quality metrics on reports.

Develop new features for machine learning models to improve health outcomes. Conduct analysis on Meaningful Matches product and new features to improve algorithms for matching health plan members to PCPs. Improve data pipelines in order to make Meaningful Matches a scalable product. Collaborate cross functionally with Engineering and Product Management to continuously enhance the Meaningful Matches product.

Provide consulting and advisory services including complex data analysis and expert reports. Communicate with counsel and clients to understand needs and suggest methods of solution. Collaborate with teammates to create course of action and perform analyses.Health Plan Investigation for Medicare Claims • Analyze Health Plan Premium, Benefit Enrollment and Supplemental Claims Submission data to identify payment patterns and by dates of service per member using SQL• Investigate claims by combining multiple datasets to determine overpayment based on reporting to the state by Place of Service and Revenue Codes• Create visualizations and walk downs of data in Excel to aid in the understanding of payments and activity at a big picture levelOverdraft Fee Litigation for Credit Unions• Identify transactions in which retry fees were assigned due to an account having a lower balance than what is charged using regular expressions• Append retry fee refunds to transactions that triggered an overdraft fee using a cursor in SQL• Determine damages and exposure due to improper charges of overdraft fees to accounts by matching account information and transaction detailsClass Action Litigation for Wage & Hour Violations• Lead analyses using R to determine meal break violations and underpayment of regular time, overtime and double time by comparing timekeeping data and payroll data• Draft memorandums with explanations of results from analyses and summary tables paired with graphs created in ggplot to create a holistic view of patterns found in the data to provide to counsel• Assist in drafting and preparing expert report and testimony to use in deposition and trial

Analyzed and filtered data from applications to aid in the identification of recurrences in acceptance rates, provided administrative support by compiling and proofreading documents, developed creative content, organized business travel and accompanying itineraries with up-to-date contact information.

Performed statistical analyses using R and SQL on given datasets to support client reports and exhibits, conducted document review, research and quality control of analyses, processed and validated data received from clients into structured data formats.

Managed daily operations within a team of twelve staff members, communicated with management team about inventory organization, contacted distributors to order products, handled social media accounts, organized promotions for products.

Advised students on degree and major-specific requirements, informed students of various services and resources, developed and delivered various presentations on academia, evaluated transcripts and records, translated work to UCLA equivalents to provide accurate degree audits, worked with incoming freshmen and transfer students to acclimate to college life by providing support pertaining to the college experience.

Greeted and provided service to guests in person and over the phone, answered and directed questions to respective departments, booked reservations for guests, answered inquiries pertaining to services, maintained a professional relationship with visitors, used computer systems and software to enter data and process information and payments.

Provided exemplary customer service by recommending products and informed guests about promotions, handled Point of Sale Systems and payments of customers accurately, maintained and restocked inventory, assisted with product placement and rotation.