Principal Data Scientist, Healthcare
CurrentHIT consulting company specializing in healthcare analytics for patient engagement, care coordination and interoperability.I provide analytics and healthcare informatics consulting services to health plans, hospitals, medical groups, community organizations and startups. I work with senior leadership, providers, and technical teams transitioning to patient-centered, data-driven, value-based care models. I specialize in building scalable and flexible bespoke data analytics products, rapid… Show more HIT consulting company specializing in healthcare analytics for patient engagement, care coordination and interoperability.I provide analytics and healthcare informatics consulting services to health plans, hospitals, medical groups, community organizations and startups. I work with senior leadership, providers, and technical teams transitioning to patient-centered, data-driven, value-based care models. I specialize in building scalable and flexible bespoke data analytics products, rapid prototyping & proof of concept development. Recent engagements include:• Information extraction pipelines from free text (clinical notes, etc) using OpenAI chatGPT APIs, fine-tuning large language models (LLM), Retrieval Augmented Generation (RAG), BERT embeddings, NLP, and graph databases.• Analytic solution for evaluating and optimizating risk adjustment programs supporting risk-sharing Medicare Advantage and managed Medicaid contracts. Minimized RADV - related risk by implenting in-house proactive HCC calculation and validation. Increased effectiveness of RAF capture initiatives by implementing initiatives compliance provider dashboard, problem-list gaps identification, and high risk patient identification and prioritization algorithms.• Complex, heterogeneous (medical and pharmacy claims, eligibility, risk, vitals, labs, procedures, encounters, medications, patient-reported outcomes, remote monitoring data, care coordination and management, and social determinants of health) data integration using flexible, scalable data lake/mart models for Discovery Data Analytics.• Improved the reliability and consistency of closing HEDIS care gaps by designing and implementing automated end-to-end data integration, validation and reporting, supplemental data submission, and Quality program initiatives impact analysis.• Hospital readmissions and and post-acute patient journey analytics platform integrating multi-payer claims data and dynamic visualization techniques. Show less