Michael Epperson Email & Phone Number

West Des Moines, Iowa

West Des Moines, Iowa

Des Moines, Iowa

Nashville, Tennessee

Formalizing procedures, streamlining requests, and working to build and engage analyst team in rethinking tools, processes, and analyses used to deliver high quality data and consultation, both internally and externally, in the fight against fraud, waste, and abuse of TennCare funds. Consulting with Managed Care Analytics Director to identify, develop, and leverage synergies across Healthcare Informatics teams. Participating in the prestigious Lead TN leadership development program for emerging leaders within the State of Tennessee.

Greater Nashville Area, Tn

Joined TennCare’s Program Integrity analytical group to advise both internal medical investigators and external legal/law enforcement officials on the program-wide and provider-specific utilization trends and to deliver data-mining referrals to identify specific participating medical providers as potential targets for further investigation of fraud, waste, and abuse of program funds. Served as the preferred analyst on high-profile and complicated cases. Participated in the planning of external contractor’s medical record review and the execution of Program Integrity’s on-site audit of large provider group.- Trained and mentored multiple investigators, junior analysts, peers, and managers in the extraction, interpretation, and clear presentation of insights from claims data.- Consulted with subject matter experts to design data-mining algorithms and accurately examine claims data for the presence of irregular medical behavior.- Contributed in discussions with Managed Care Organizations regarding the accuracy and interpretation of data received by TennCare.- Leveraged pivot tables, logical and other advanced formulas, lookup tables, and the PowerPivot and Power Query add-ins in Excel to analyze data gained from SQL, Business Objects, and SAS queries.- Researched legal precedence and technical methods to design sampling procedures for use infuture medical provider claim reviews.

Greater Seattle Area

Aided Director of State Operation (DSO) in managing profitable growth of auto and homeowners’ insurance lines in assigned states for both Liberty Mutual and Safeco brands by utilizing prebuilt queries and tools, conducting ad-hoc analyses, and briefing DSO, Sr. Management, and Distribution.- Summarized detailed findings for diverse audiences within PowerPoint and assisted in the preparation and design of DSO’s annual product forum presentation deck to Sr. Management.- Managed SharePoint list site to track product requests and improve reporting metrics.- Modeled annual rate revisions and prepared insurance filing materials for submission to state Departments of Insurance using Adobe Standard.- Conducted analyses to measure the effectiveness of previous rate/non-rate actions, the cause of results inconsistent with expectations, and the viability of future actions.- Utilized and improved multiple software tools and processes in Excel, Access, & SAS and tested compatibility of MS Office 2013 with existing tools and processes.

Nashville, Tennessee

- Analyzing data within MS Excel by utilizing pivot tables, lookup tables, logical formulas, other advanced formulas, and the PowerPivot add-in to extract information- Collaborating with TennCare Provider Investigations Unit, the State Medicaid Fraud Control Unit, and other government agencies- Manipulating data on demand and without notice, for individuals or large meetings- Developing and presenting data-mining referrals to identify TennCare providers aspotential targets for further investigations for fraud, waste, and abuse- Assisting in developing sampling plans and overpayment extrapolations with RAT-STATS- Utilizing Business Objects and SQL queries to obtain data from Oracle databases- Performing individual and group trainings and reviewing peers’ work products

Nashville, Tn

Served as Teaching Assistant with grading, lecturing, and office hour duties.Assisted faculty member with research project, collecting and organizing municipal price data by learning and utilizing unfamiliar software.

Rexburg, Id

Staff the Economics computer lab, and tutor/answer questions relating to various economics courses.Grade assignments and input grades for faculty, with small teaching assistant duties.Lectured class material for Principles of Economics course.Plan and coordinate schedules of all Economics Lab assistants.

Rexburg, Id

Tutoring students one-on-one in a variety of Economics courses.Completed Tutor Training course.

Idaho Falls, Id

Increased output by more than 50% to meet production goals. Operated forklift and other equipment involved in preparing canola seed for planting.

Manassas Park, Va

(Formerly Save-A-File Systems)File Management and Storage facilityUsed SQL computer database to Manage Inventory and Process requests from customers.Supervised warehouse staff.Served as emergency contact for customers.Collaborated with employer’s software company in development and personalization of new version of database software, through appointment by management.

Master Of Jurisprudence, Compliance And Risk Management

Masters, Economics, 3.76

Focused in Public Economics and Microeconomics and completed graduate coursework in: Statistical Analysis, Econometrics, Auction Theory.

Bs, Economics, Mathematics Minor, 4.0

Activities and Societies: Economics Society, Financial VP Summer 2008Performed econometric analysis for BYU-Idaho Administration.