Ms. Chris Persaud Email & Phone Number

New York, Ny, Us

DATA WAREHOUSE | OPERATIONS MANAGEMENT | TECHNICAL SYSTEM ANALYSIS VENDOR MANAGEMENT | PROJECT MANAGEMENT | QUALITY ASSURANCE | ANALYTICS• Ensure validation of (23) extracts by using SAS from data warehouse and MS Excel skills, while managing day-to-day responsibilities including end-to-end technical analysis and support• Recompose financials to identify ($2.4M) in system errors via technical system analysis, while contributing towards turning around and revitalizing under-performing operations • Deliver “Disease Management” vendors with data relating to hospital, professional, and pharmacy claims for members with transplants, while settling ($4.2M) in medical, hospital, and pharmacy claims• Resolve technical issues, perform data resolutions, coordinate communications, and support transition from a legacy system, while completing ad-hoc projects within strict timelines• Conceptualize, create, and manage data exchange interfaces with vendors including standard and enhanced data sets with IT representatives and internal Emblem IT departments• Consistently earn increased responsibilities, gaining exposure to multiple data-focused engagements within a fast-paced work environment, while standardizing processes, handling vendor engagements, and enrollment• Liaise with the transformation team and vendors to ensure timely transfer of test files to communicate any layout changes; and collaborate with Information Management to ensure on-time receipt of monthly extracts in vendor management system, while performing quality checks and submitting to respective vendors MFT• Improve and optimize disease management data quality by liaising with the information management department, while scrutinizing and analyzing data inconsistencies on the vendor’s monthly extracts• Deliver member eligibility updates to relationship managers, while supporting “Vendor Management” and “Relation Managers” regarding required changes to existing MFT

New York, Ny, Us

OPPORTUNITY IDENTIFICATION | DRILL DOWN INVESTIGATIONS | RISK MANAGEMENT DASHBOARD ANALYSIS | TREND REPORTS INVESTIGATION | DATABASE MANAGEMENT• Provided internal customers with unit cost reports on Fee for Service Medical Centers relating to network experience, while delivering internal customers with “Pay for Performance” reports by Medical Centers • Interpreted data, analyzed results using statistical techniques, and provided ongoing reports, while executing databases, data collection systems, data analytics, and strategies to optimize statistical efficiency and quality• Identified, analyzed, and interpreted trends or patterns in complex data sets; worked with management to prioritize business and information needs; and defined new process improvement opportunities• Crafted Pay for Performance deliverables by Medical Centers for the Provider Networking Department and completed drill down investigations on variances which were provided in the monthly trend reports • Evaluated underlying factors regarding member cost trends by service, clinical conditions, and episode of care compared to benchmarks, while coordinating with team members to assemble data for a risk score database• Thrived within an analytics role working with Senior Management, analyzing dashboard metrics to identify errors and opportunities, while preparing monthly medical costs and utilization trend reports

Long Island City, Ny, Us

FINANCIAL ANALYSIS | P&L MANAGEMENT | MEDICAL COST MANAGEMENT | DATA & METRICSTEAM TRAINING & DEVELOPMENT | DATA EXTRACTION & AGGREGATION OPTIMIZATION• Handled financial analysis and developed reporting packages of financial models regarding profit & loss, impact statements, and contract sensitivity, while executing multiple roles within the financial department• Provided support in areas of medical claims accruals, medical cost management, and variance analysis, while orchestrating monthly reports for senior management regarding cost & utilization metrics • Supported “Contract Management”, “Quality Health Care Management”, “Provider Relations”, and “Vendor Oversight” by providing ad-hoc analytical analysis, while training the medical economics team to use Facets• Liaised with “Enterprise Data Warehouse” team to improve data extraction & aggregation; created inpatient \ outpatient rates for system updates; validated Medicare & Medicaid rates uploaded in test and production• Prepared new fee schedules for system updates; gathered data and cultivated metrics used to understand medical costs, trends, and utilization; and performed ongoing analysis and evaluation of fee schedules• Used SQL programming languages to support production and ad hoc data requests; conducted analyses related to medical costs and revenue trends; and conducted data profiling and data quality analytics• Built and enhanced existing reports; conducted validation on existing and new products to maintain accuracy; produced thorough documentation of all reports and analyses; and presented trend and analytics reports• Developed business rules relating to Profit & Loss analysis to build measures in a new Data Warehouse, while achieving process data extraction using Rapid SQL and Enterprise Data Warehouse for data validation

New York, Us

BENCHMARKING | PREDICTIVE MODELING ANALYSIS | MS ACCESS AND SQL DATABASESDATA ANALYSIS | PROGRAM & PROJECT SUPPORT | DATA MANIPULATION• Created and maintained MS Access and SQL databases, while conducting analysis using MS Excel, MS Access, Business Objects, and Medstat for benchmarking and predictive modeling in managed care• Maintained an Immunization database to support Quality Improvement and Outreach departments of children missing immunizations each month, while uploading monthly files to the data warehouse vendor at Truven• Exhibited data analysis acumen, while providing program and project support for the Medical Management department concerning utilization, quality, and disease management using Medstat and Med Measure• Assisted with data manipulation and formatting processes required for preparing large data sets• Actively contributed towards the completion of year-end Pay-For-Performance reports which were submitted to finance for providing payment to providers

New York, Us

ISSUE TRACKING | CHANGE CONTROL | BATCH PROCESSING• Drafted procedures and documentation for the Monthly XML batch processing job with precision & accuracy, while creating “Issue Tracking” in MS Access, and change control in the “Fuego” portal• Assisted in the development and implementation of configuration management procedures; reviewed and recommended improvements to existing procedures; and ensured data quality and integrity• Collaborated with a dynamic team within the Model Office and successfully testing system functionalities for Facets to ensure accurate system patch updates

• Evaluated business processes, anticipated requirements, uncovered areas for improvement, and developed & implemented solutions, while leading ongoing reviews of business processes• Conducted meetings and presentations to share ideas and findings; while effectively communicating insights and plans to cross-functional team members and management

•Responsible for completing quality assurance and reporting deliverables along with business analysis requirements; performed quality assurance; and contributed towards designing, documenting, and maintaining system processes

Bachelor Of Business Administration (Bba), Computer Information Systems

Associate Of Arts (Aa), Business Administration