Mary Beth Sieminski Email & Phone Number

Canton, Ny

-Produce and analyze ad hoc reports to support multiple departmental data needs as they relate to utilization management, fee schedule analyses, quality scorecards and population health management-Develop standard reports including physician scorecards, budget reports, capitation analyses, stop loss and key performance indicators-Collaborate with finance, quality and utilization departments to identify, understand and promote opportunities to use data analytics to increase efficiency-Create and maintain monthly financial reports outlining payer specific annual projections along with drill down detail on key performance drivers-Translate analytical findings into easy-to-follow recommendations and summaries-Assist in creating and compiling reporting packages for senior management to inform business decisions-Work with contracting team to identify cost savings opportunities and achieve budget targets within contracting initiatives.

Leominster, Ma

-Compiled medical, pharmacy and member information to understand current trends and drivers in a full risk provider health organization-Created and maintained internal data warehouse consisting of multiple relational databases containing health plan medical, pharmacy and eligibility data -Worked with senior management to develop a comprehensive distribution of surplus funds based on utilization, quality and membership indicators-Developed and documented business objective specifications that defined inclusion and exclusion criteria, required value sets, workflows involved, eligible code types, lookback periods, and other parameters-Incorporated and provided data quality assurance on analytic deliverables created within the department