Michelle Beadle Email & Phone Number

Long Beach, California, Us

Chambersburg, Pennsylvania, Us

Key Responsibilities: Business Intelligence and Advanced Analytics ITIL Service ManagementLead team of senior developers, database administrators, programmers and analysts in the administration of data delivery solutions for a Fortune 500 company. Manage service offerings include consulting, incident review, operational enhancements and on call support. Responsible for demand management, capacity management, service level agreements and availability management (ITIL). Develop key performance indicators and critical success factors for client’s new program offering, including Power BI dashboards.

Indianapolis, Indiana, Us

Key Responsibilities: Reporting and AnalyticsLed Medicare Health Care Economics Data Informatics team. Developed informatics tools enhancing the quality, timeliness and efficiency of management reporting, including identification of trend drivers and opportunities. Led technical projects including documentation of business / technical requirements and process flows spanning department’s core areas of responsibilities; Restated Financial Reporting, Cost of Care, Contracting Analytics and Clinical Analytics. Supported Medicare CMS bids in identification of cost of care initiatives. Managed Return on Investment (ROI) analysis for medical policy committee. Produced Medical Loss Ratio (MLR) analytics. Key Responsibilities: Business Information DeveloperDeveloped and executed complex business information analyses at an expert level. Led departments’ user acceptance testing (UAT) for new warehouse. Worked with technical design documents, mapping and physical data models. Supported reporting needs required by regulators in response to organizations’ cyber-attack. Designed business intelligence (BI) solutions.

Drove Medicaid analytic services department to support corporate level initiatives and account specific programs including, cost trend drivers, measurement for clinical outcomes and ROI. Evaluated programs and effectively brought insights through customized analyses and reports that are timely, tailored, and meaningful which offered comprehensive findings, practical recommendations, and effective solutions to leadership and clients.

Led analytic services department by supporting corporate, individual markets, and clients’ needs. Produced performance metrics, working with client’s requirements, for integration into state’s reporting package. Developed processes for reporting and tracking metric. Provided insights and guidance on actionable analytic findings in both oral and written presentations. Met the requests of customer, project, and program with health care data analytics including, performance measurement and risk stratification.

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Key Responsibilities: Analytics and ReportingResponsible for overseeing and enhancing the internal management reporting and operations analysis processes. Produced monthly utilization management package. Created ad-hoc reports enabling effective financial and operational decision-making. Developed informatics tools that enhanced the quality, timeliness, and efficiency of management reporting. Identified opportunities for improvement of the management reporting process and improvements solutions. Worked across UHG business units to identify opportunities and solve problems through health care analytical projects.Key Responsibilities: Health care Affordability Drove the regional and national medical cost management agenda in conjunction with Regional Chief Medical Officers (cross segment). Project Lead for AmeriChoice in UHG National Affordability workgroup. Managed affordability agenda for national/regional/local projects and opportunities to achieve targets; including identification of ideas / programs that were deployed across markets. Maintained clear and concise lines of communication with all matrix partners to ensure efficient and effective implementation of national and regional priorities.

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Key Responsibilities: Director, Medical EconomicsDrove consultation and reporting strategy for customers and delivered reporting solutions. Provided analysis supporting underwritings’ goal of maintaining profitability. Created financial model to measure impact of new provider reimbursement rates. Developed trend package to provide consistent, timely, and critical cost trend reporting to leadership at United Behavioral Health and UnitedHealth Group. Built trend alerts to support company initiative to reduce benefit expense. Designed processes to tie forecasting and reserving to health cost trend analyses / reports. Improved analytics to enhance projections that were used for pricing and budgeting. Provided insight and guidance for data use to support actuarial, financial, and budget analysis. Researched and evaluated trends and variances in utilization and healthcare costs. Key Responsibilities: Manager, Data AnalysisCreated and managed critical cost trend analysis for organization. Interacted with operating management to support efficient initiatives to control health cost trends. Developed tools to support actuarial and finance functions. Member of multiple oversight committees responsible for data governance, data competency, requirements and testing, training and support, and end user development Corporate sponsor for Enterprise Trend Management product suite; responsibilities include contract negotiations, budget approval, and final project signoff. Developed and implemented routine audit functions to assure reliability of Data Warehouse data.

Walnut Creek, Ca, Us

Key Responsibilities: Process AnalystUtilized a variety of complex online systems and production applications in problem solving process. Defined data requirements, gather and authenticated information. Performed validation and testing of models to ensure adequacy and/or define need for reformulation. Prepared reports to management defining problems, evaluation and solutions. Project Manager for companies’ strategic / management committee comprised of key operational managers, including the CEO and CMO. Key Responsibilities: Clinical ManagementResponsible for three department budgets. Developed and implemented department policies and procedures. Managed divisional data and statistics; including identification of long-range trends. Provided management with revenue reforecast reports specifically emphasizing financial and clinical alerts. Generated reports, charts, graphs, and trends from data analyses to enable management to implement, improve or change existing processes. Key Responsibilities: Product DevelopmentAnalyzed patient related statistics to support product development. Automated quality assurance program. Lead trainer of audit program. Managed the development of a pediatric product; eleven subcommittees. Key Responsibilities: Provider Services Developed service level contracts. Performed analysis of provider network performance and provided quarterly reports for Executive Team. Led claims audit project.