Michael H. Email & Phone Number

• Drove the creation of automated QA processes within the Risk Adjustment model, membership build, and data sources.• Spearheaded the initiative to rebuild the Risk Adjustment Model for enhanced modularity and agility.• Directed the strategy for future state data structure, model functionality, and requirements gathering between teams.

• Managed the team's MA membership, Risk Adjustment, and ad hoc Risk Adjustment build engine, overseeing activities such as process execution, QA, code optimization, and addressing CMS model changes.• Served as a lead on long term and major projects, some of which being Risk Adjustment Encounter Model build, Data Strategy migration, Risk Model automation.• Successfully executed short-term projects including ad hoc Risk Adjustment builds, chart reviews, In-Home assessments, and… Show more • Managed the team's MA membership, Risk Adjustment, and ad hoc Risk Adjustment build engine, overseeing activities such as process execution, QA, code optimization, and addressing CMS model changes.• Served as a lead on long term and major projects, some of which being Risk Adjustment Encounter Model build, Data Strategy migration, Risk Model automation.• Successfully executed short-term projects including ad hoc Risk Adjustment builds, chart reviews, In-Home assessments, and fulfilling customer data needs.• All coding was SSMS, and all reporting was either Excel or Tableau. Show less

· Obtain, report, and translate data into meaningful solutions to enhance decision making for organizational leadership.· Strategize and execute the activities required to manage, govern and accurately capture risk adjustment for various lines of business within the organization· Manage and oversee in home assessment initiatives using data driven decisions· Execute data analytics using SSMS, SSRS, SSIS, Power BI, and other analytical tools· Collaborate with project champions on… Show more · Obtain, report, and translate data into meaningful solutions to enhance decision making for organizational leadership.· Strategize and execute the activities required to manage, govern and accurately capture risk adjustment for various lines of business within the organization· Manage and oversee in home assessment initiatives using data driven decisions· Execute data analytics using SSMS, SSRS, SSIS, Power BI, and other analytical tools· Collaborate with project champions on completing required documents and facilitating new discussions to ensure adherence to project timelines.· Applies advanced knowledge of risk adjustment to produce CMS-HCC, HHS-HCC, and CDPS models and tools to measure and track risk adjustment for multiple projects, vendors, and states within the organization· Fulfilled business analyst efforts on projects to analyze and design new business processes with IT and health plan process owners. Show less

ERP Selection, Milwaukee Public Schools· Coordinated the gathering of technology infrastructure and business processes through onsite interviews· Evaluated existing business processes and documented current states· Constructed process maps through Visio to streamline processes and maximize efficiency· Documented work guidelines and procedures relating to the reporting process.· Formulated recommendations for future states to improve system design and processWeb… Show more ERP Selection, Milwaukee Public Schools· Coordinated the gathering of technology infrastructure and business processes through onsite interviews· Evaluated existing business processes and documented current states· Constructed process maps through Visio to streamline processes and maximize efficiency· Documented work guidelines and procedures relating to the reporting process.· Formulated recommendations for future states to improve system design and processWeb Redesign, Veterans Administration · Collaborated with client to revise and devise design concepts· Analyzed and communicated potential barriers with design concepts· Redesigned current website layout to ensure simplicity and functionality Show less

Information Science And Technology, Information Technology

Bachelor Of Science (B.S.), Finance, General

Bachelor Of Science (B.S.), International Business