Provided analytical support to contract negotiators and management on cost of care issues to reduce medical costs across national enterprise networks• Performed analysis on healthcare claims data to identify cost control measures• Prepared pre-negotiation analysis to assist pricing strategies for Enterprise National Contracting networks• Modeled contract scenarios based on member utilization and “what if” logic • Measured and evaluated the cost impact on professional and facility provider contract proposals• Analyzed practice patterns and specialty care procedures to identify cost of care savings opportunities • Educate contract negotiators on contracting analytics from a financial impact perspective

Translated business requirements and technical requests from stakeholders for use in features and stories while acting as a liaison between the business units and data warehouse developers• Presented requirements to development team during refinement sessions after analyzing information and technical needs from business operations• Created User Stories, Requirements, Acceptance Criteria, User Acceptance Testing (UAT) for technical implementation through the Agile delivery method• Analyzed large data sets to support development solutions• Hosted weekly meetings with management to refine and determine the priority of features and user stories• Documented and distributed release notes after deployment in the production environment

Key role in assisting attorneys with the litigation process by examining, digesting, and organizing complex legal documentation for potential civil litigation through the discovery process. Reviews initial documents for privilege and responsiveness and integrates issue tagging of contracts, financial data, and spreadsheets for banking, healthcare, financial, and industrial client projects.Utilizes QuickBase, Relativity, Clearwell and Catalyst research tools to locate, investigate, and abstract information; prepare, review, and perform redactions of confidential, privilege, or proprietary financials. Liaised on multiple projects, reviewing 800-1,000 documents hourly, functioning as a strategic thought partner for maintaining document tracking systems for a portfolio of Fortune 500 companies and large law firm cases.Advises the Reviewer team on workflow efficiency strategies, process discipline, and overall document quality control (QC), serving as the “point-person” for unit-level knowledge sharing.

Analyze business data and evaluate assumptions, methods, sources and key considerations to determine optimal pricing and drive ROI for textbook buy back across 45 college campuses throughout 4 states.Design and develop Excel reports to aide in understanding the impacts of business drivers through evaluating wholesale and/or retail cost/profit analysis.Track, measure & report on the revenue impact of pricing initiatives that aims to benchmark the company’s pricing against the competition and determine the impact on net revenue projections.Analyze ad-hoc and volume reports looking for trends and possible missed opportunities to help management evaluate financial trade-offs of inventory highs/lows to validate existing and future investments. Market to 1,000 college professors annually via direct mail to ensure long-term high visibility of the relationship in support of business development initiatives. Audit inventory holdings, analyzing sales patterns in order to identify trends, enhance pricing and the degree to which the inventory is monetized at its optimal level.

Directed the strategic framework for reviewing financial and utilization data to help drive fiscal success for a healthcare entity with 273 hospitals and surgery centers in the US and UK.Modeled key financials for 20 hospitals and 7 surgery centers in Georgia and Tennessee; reviewing all Managed Care contracts, hospital billing data, and payor revenue trends.Mitigated risks by monitoring contract models for compliance with financial management practices; resolved reimbursement coding/fee discrepancies to diminish legal issues and/or regulatory fines.Analyzed financials and produced reports that were pivotal in contract negotiations by the Vice President and Assistant Vice President of Managed Care.Served as SME/Subject Matter Expert regarding Managed Care contracts/payment methodologies, working with leadership to develop processes to control expenses and to encourage efficient utilization of resources effecting the Revenue Cycle. Led the data integrity analysis and validation for the delivery of a new contract modeling software solution; achieved all project deliverables to enhance revenue cycle management.