Michael M. Email & Phone Number

United States

• Managed a team of 5 Program Analysts
• Oversaw the delivery of Network Standard Reporting for Pharmacy Listings, Geo Access Analysis, Network Disruptions
• Maintained oversight of compliance reporting and network adequacy utilizing CMS Standards, and meeting Performance Guarantee Measures
• Enhanced productivity by looking for process improvements with Standard Flows in an Alteryx environment
• Developed macro language processing for internal programs in a Microsoft environments
• Developed Salesforce reporting and dashboards to monitor utilization and request intakes

Eden Prairie, Minnesota, United States

• Oversaw program analytics including optum behavorial health and member profiling, leading to an 16% increase in engagement targets
• Responsible for estimating, managing and coordinating requirements for large, high-visibility cross-segment programs, including resource estimating and forecasting
• Worked on high-visibility national projects
• Managed a team of Sr Business Analysts and Program Analyst
• Resource allocation and estimates
• Working with Business Team to measure satisfaction

Eden Prairie, Minnesota

• Manage a team of 15+ individuals that provide data analysis, research and reporting metrics.
• Part of the OptumHealth Population Health Management team. The team is designing new programs, interventions, reporting capabilities, and evaluation techniques based on member individual needs.
• Help manage the $100 million population health program for AARP Medsupp members.
• Leveraged the “Propensity to Succeed” predictive modeling that identifies member characteristics associated with success (quality of care, return on investment, and quality of life) in each of the health management.
• Strive to move away from the traditional clinical model to more holistic approach incorporating behavioral and social determinants of health that may have a greater impact on older adults’ health and well-being.
• Evaluate and enhance health management programs for other UHG internal customers (e.g. OptumHealth, UnitedHealth Care, Optum Rx, Medicare & Retirement, and Community & State), large external employers (e.g. Pfizer.

Eden Prairie, Minnesota, United States

• Manage a team of individuals that provided data analysis, research and reporting metrics. Worked and shared results of data analysis with internal business partners, vendors, and government contracts. Managing.
• Managed $200M ancillary benefit line-of-business for approximately 4.4M national membership, including operational performance, competitive intelligence, strategic planning, financial oversight, vendor contracting and.
• Oversaw development of wellness programs for employer space (approximately 26M members), including tobacco cessation, wellness coaching, Employee Assistance Plan (EAP), biometric screening and annual flu shots.
• Oversaw development of clinical (MSK and Diabetes-focused) programs for Medicaid, Medicare and Employer markets.
• Responsible for estimating, managing and coordinating requirements for large, high-visibility cross-segment programs, including resource estimating and forecasting.
• Facilitate cross-departmental forum to share project information in order to build consensus on business priorities,

Eden Prairie, Minnesota, United States

• Working directly with both internal and external clients to focus on analytical needs around numerous Healthcare metrics.
• Oversaw day-to-day execution of creative deliverables and acted as client-agency liaison of data analytics and reporting solutions
• Accomplished professional with a broad range of experience developing complex programs and managing projects through the entire life cycle
• Plan and manage multiple complex project plans to ensure that initiatives stay on course and are delivered on time and meet customer expectations
• Support Payment Integrity, Risk Adjustment, Quality Gaps and Care management business Analytics and Reporting data domains.
• Responsible for the Dara Release Governance (DRG) for the PHI, PII, HIPPA and Employee Claim data. Build SFTP and data Encryption mythology for the secure data transfer between client and vendor

Eden Prairie, Minnesota, United States

• Working for optum as SAS programmer. High level litigation and behavior health analysis. Primarily adhoc work focusing on multiple projects at given time. Creating customized detailing reporting use Healthcare claims.
• use BASE SAS and SAS SQL in versions 9.3, 9.1, and 8.0. to test and provide analytical reporting solutions
• use SQL to read DB2 and Oracle data warehouses
• perform regular and AdHoc claims reporting and data extraction
• maintain ACCESS databases
• Convert CMS excel data into DB2 compliant tables

Greater Minneapolis-St. Paul Area

Chemistry intern.

Bachelor Of Science (B.S.), Mathematics

Activities and Societies: Lacrosse Club

Bachelor Of Science (B.S.), Chemistry

Activities and Societies: Lacrosse Club