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Michelle Baier is a Senior Data Analyst at Astrana Health at Astrana Health. She possess expertise in r&d.
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Senior Analyst Medical EconomicsAstrana Health Nov 2024 - Present -
Healthcare Analyst Iii - Health EconomicsCaresource Sep 2021 - Nov 2024• Sizing, tracking, and reporting on QAI initiatives from our Operations partners• Building data models for QAI initiatives on a PMPM basis and identifying KPIs• Leader of our Operations team’s QAI initiatives and corporate savings goal• Contributed and reported on savings of over $100M in 2022 and over $80M in 2023. Both years beating our target savings• Served as my team’s data lead in our transition to Azure Databricks. Performed initial testing of the tables and data, and put on trainings for my teammates for a smooth transition• Helped lead an analyst organized monthly meeting with external and internal sources. Our goal is data and information sharing where analysts feel there are gaps in knowledge -
Actuarial AnalystOptumcare Sep 2019 - Sep 2021Denver, Colorado• Update monthly revenue reporting from multiple data sources for the Washington Optum market• Assist in updating quarterly forecast reports using current and past claims paid and membership• Support our Washington teams with understanding and accessing our data• Update trend analysis report on changes in PMPMs for monthly reserves
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Risk Adjustment Analyst IiExcellus Bcbs Dec 2018 - Sep 2019Rochester, New York Area• Calculate our risk scores for our Medicaid members with the CRG model• Report on the ROIs for our prospective and retrospective campaigns• Monthly metrics reporting using data we receive from 3M• Collaborate with our quality and case management teams on provider and member outreach -
Risk Adjustment Analyst IExcellus Bcbs May 2016 - Dec 2018Rochester, New York Area• Maximize our risk adjustment revenue and claims quality of our Medicaid data through the manual modification process and supplemental adds sent to APD • Support NYS audit through data clean up• Monthly reporting on our acceptance rates in APD and the main rejection reasons• Work with our retrospective vendor to ensure that the diagnosis codes of our members are accurately reflected in our claims submissions• Train new employees on our Medicaid data and reporting • Contributed to achieving a 98% acceptance rate on APD data and $20M in risk adjustment revenue
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Research And Development Summer Intern (Summer 2014 And 2015)Lumetrics®, Inc. May 2014 - Jan 2016Rochester, Ny• Tested and measured customers’ product samples, to determine the applicability of using the Lumetrics OptiGauge measurement system in their manufacturing and/or quality process.• Assisted in the manufacturing process of Lumetrics measurement system, called the OptiGauge. o Included polishing optical fibers, winding piezos, installing electronic components andsoldering.• Documented Manufacturing procedures.• Reviewed engineering bill of materials and reconciled them to accounting records.
Michelle Baier Skills
Michelle Baier Education Details
Frequently Asked Questions about Michelle Baier
What company does Michelle Baier work for?
Michelle Baier works for Astrana Health
What is Michelle Baier's role at the current company?
Michelle Baier's current role is Senior Data Analyst at Astrana Health.
What is Michelle Baier's email address?
Michelle Baier's email address is mi****@****oup.com
What is Michelle Baier's direct phone number?
Michelle Baier's direct phone number is +158521*****
What schools did Michelle Baier attend?
Michelle Baier attended State University Of New York College At Geneseo.
What skills is Michelle Baier known for?
Michelle Baier has skills like R&d.
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Michelle Baier, MS, CLC
Quality Improvement Consultant At Dean Health Plan By Medica.Greater Madison Area2hotmail.com, deancare.com1 +160865XXXXX
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1yahoo.com17 +151726XXXXX
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