Mark S. Email & Phone Number

Saint Louis, Mo, Us

Within the Clinical HealthCare Analytics group, I lead the enterprise Utilization Management, Medical Affairs, Appeals, and Executive Clinical KPI Analytics teams. We partner with/support the clinical, business ops, and strategic transformation functions of Centene and other area as needed (Quality, Provider Networking & Strategy, market ops, Population Health, etc.). Our goal is to provide information that enables easy monitoring of performance, can be used to "tune" operations, and provide strategic insights. Lately the focus is around productivity & process improvement efforts as the company begins to integrate acquisitions and centralize clinical functions.

Saint Louis, Mo, Us

With WellCare’s acquisition by Centene, my role is similar to that of my role at WellCare, but will now support the new combined organization. Leading a team that provides business performance metrics & insights for various clinical and non-clinical operational areas leveraging primarily authorization, appeals, and claims data.

Tampa, Florida, Us

Director over Utilization Management, Behavior Health, & Appeals Analytics Teams within the Population Health Solutions (clinical) divisions for WellCare Health Plans.

Managing Consultant for provider organizations. My roles vary from client to client, but ran the gambit from Performance Management Lead for a 23 million dollar care transformation project to Project Management of ACO and VBP initiatives. I also worked on an internal project to develop marketable solutions for Social Determinants of Health.

My role consisted of something in between an Epic Analytics Manager, Enterprise Analytics Strategist, and Project Manager. My focus was enterprise data management and analytics in organizations with a new EMR. My role touched all areas of the hospital in productivity, patient safety, finance, regulatory reporting (i.e. Meaningful Use and ACO), etc. It also included EDW and BI tools that cover the needs of the varying organizations I work for and helping them get them in setup.

Tampa, Fl, Us

Tampa General Hospital implemented almost all of Epic's applications (Ambulatory, Willow, ASAP, Radiant, Stork, Resolute (HB & PB), HIM, Cadence, MyChart, ClinDoc, Prelude, OpTime/Anesthesia, IP Orders/Results, etc.) "big bang". I managed all aspect of the BI/Analytics team & project supporting that implementation. We produced reporting/analytics solutions & extracts across all of Tampa General's business units (that were ultimately supported by Epic), which ultimately ended in a successful go-live. The data was sourced from either the dimensional database (Chronicles) or the relational database (Clarity) for operational, analytical, KPI, quality, financial, other regulatory reporting such as Meaningful Use Phase , )and contractual such as those related to VBP. I focused efforts to expand the SAP/Business Objects footprint in order to create a true "BI at your fingertips" atmosphere at TGH leveraging primarily (but not exclusively) the data captured within Epic.

New York, Ny, Us

I was the lead analyst on the team in charge of reporting out of Epic. I focused primarily on the Ambulatory module including the Community Clinics as well as Reporting Workbench. I also was the primary in planning for the Inpatient and Willow modules up to the point where I left. I also lead the upgrade from Epic Spring 2007 to Summer 09 from a reporting standpoint.

Charleston, Sc, Us

I began my time at MUSC in Transplant helping roll out their primary Transplant Database (Velos), and writing reports for them from Velos. My duties quickly expanded to include the Neurophysiology and Sleep Studies departments as well as the Rehab areas (Medilinks). My focus at MUSC was in system support and report development.

Charlotte, Nc, Us

Wrote (SQL) queries to ensure the Tax Accounting dept posted entries to the right books. I also transferred and loaded data (ETL) into the primary reporting system CorpTax. I worked closely on 3 Green Belt projects to improve processes in the the department all involving IT/data related solutions.

Bsba, Double Major: Computer Information Technology And Marketing

Education record