Matthew Metz Email and Phone Number
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High-performance, results oriented health analytics leader versed in synthesizing technical and business acumen and communicating with executive business partners. - Pragmatic approach to strategic planning and goal achievement - Demonstrated ability to recruit, develop, and lead diverse teams from varying disciplines, backgrounds, and experience levels - Currently focusing on Medicare Advantage Medical Cost Analytics including Network Optimization and Vendor/Care Partner performance - Background supporting Individual and Group segments including value based contracting performance - Extensive experience in trend reporting, risk assessment and mitigation, healthcare member/patient attribution, medical coding and reimbursement for professional and institutional providers, and health insurance product design and management
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Director Advanced Analytics - Medicare Vendor Performance ManagementFlorida Blue Apr 2022 - PresentJacksonville, Florida, UsLead and develop a team supporting and evaluating external partners enabling our Product, Care, Risk, Quality, and Finance teams. We monitor KPIs and planned expenses and triage issues that may arise. We collaborate with internal business leads to create a unified strategy for success and partner with Legal and Enterprise risk to ensure each of our partners remains compliant.
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Director Medicare Integrated AnalyticsFlorida Blue Jun 2019 - Apr 2022Jacksonville, Florida, UsLead and develop a team of resources which create value for Florida Blue Medicare Advantage members by providing actionable insights to curb medical cost trend. My team splits into 3 functional areas: Network Optimization - Identifying opportunities within our network for provider and member education. Vendor Analytics - Ensuring partners supporting our members are creating value for our members. Medical Cost Driver - Identifying areas of focus for medical cost initiatives to reduce future claims cost while improving member outcomes.
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Data Analytics ConsultantFlorida Blue Apr 2010 - Jun 2019Jacksonville, Florida, UsIn my role as a Healthcare Data Analyst I provide financial, strategic and competitive analysis to several departments at Florida Blue. I use a combination of membership, provider, claims and industry information to support decision making in provider network sculpting and contracting, product development, provider profiling, plan pricing and competitive position benchmarking. To achieve this I use a combination of enterprise applications, department developed applications and adhoc analysis.
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Finance Management TraineeCsx Corp Jul 2009 - Dec 2009Assigned to projects including costing model development, competitive analysis and strategic planning.Developed a model which assisted in future capital analysis.Helped Intermodal Finance develop a strategic marketing plan.Identified potential $90M annual revenue loss through error discovery in transportation rate case analysis.
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Finance InternCsx Technology Mar 2008 - Jun 2009UsSupport CSX Technology finance team through expenditure research, cost and economic analysis, budget management and bill processing.Identified cost savings resulting from improper rent payment.Increased productivity through developing automated reports. -
BartenderMarriott At Sawgrass Jan 2007 - Mar 2008Responsible for bar customer's food and drink service, bar cleanliness, inventory, and preparation and service bar.Promoted through three levels of responsibility within 15 months.Training for Intervention Procedures(TIPS) Certified.
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BartenderKyodai Sushi Rock Mar 2005 - Aug 2006Tending bar for service staff of 125 seat restaurant in addition to servicing 15 seat bar with food and drink service.
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Team 2 TrainerCec Entertainment Jan 2004 - Feb 2005Irving, Tx, UsTraining new and existing staff on proper procedures when working in the kitchen, game room, and show rooms areas -
CashierWinn Dixie Stores Jan 2003 - Dec 2003Jacksonville, Fl, UsAssisting customers with checkout, returns, lottery, and western union transactions
Matthew Metz Skills
Matthew Metz Education Details
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University Of North FloridaGeneral -
University Of North Florida - College Of Business AdministrationFinance
Frequently Asked Questions about Matthew Metz
What company does Matthew Metz work for?
Matthew Metz works for Florida Blue
What is Matthew Metz's role at the current company?
Matthew Metz's current role is Director Advanced Analytics at Florida Blue Medicare.
What is Matthew Metz's email address?
Matthew Metz's email address is ma****@****sfl.com
What is Matthew Metz's direct phone number?
Matthew Metz's direct phone number is 800-955*****
What schools did Matthew Metz attend?
Matthew Metz attended University Of North Florida, University Of North Florida - College Of Business Administration.
What are some of Matthew Metz's interests?
Matthew Metz has interest in Children, Economic Empowerment, Civil Rights And Social Action, Education, Disaster And Humanitarian Relief, Human Rights, Health.
What skills is Matthew Metz known for?
Matthew Metz has skills like Analysis, Analytics, Data Analysis, Business Analysis, Process Improvement, Forecasting, Management, Finance, Strategic Planning, Microsoft Excel, Leadership, Access.
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