Nancy Desimone Email & Phone Number

New York, Ny, Us

Perform complex analyses and reporting of APD, MEDS, HIX and RAPs risk adjustment submission, response (to/from government agencies), and correction data; Run queries on HCC and CRG government program scoring related information; Report on Exchange, Medicaid and Medicare member claims, demographics, enrollment and benefits. Support the MMCOR financial reporting to identify root cause of variances between Emblem’s financial reporting and encounter data submissions. Serve as a division SME for EHDW functionality and serve in the role of train the trainer to develop our technical expertise in data analysis within the division.

New York, Ny, Us

Develop & maintain BSO Planning Cubes, ASO reporting cubes including calc scripts, load rules.Develop and modify Planning forms for Workforce, Admin Expense and Project Finance Planning cubesInitiate formal Security process; administer security for all apps, BSO dimensions, forms and reportsInteract directly with 200+ users to communicate, educate and troubleshoot.Initiate and update documentation, including dimension change management, monthly load process documentation, end-user guides.Create and present end-user training for Hyperion Planning and Essbase/SmartView

Senior Cognos Administrator with 15+ years of experience supporting Cognos suite of products for health insurance company that offers group and network-based health care products.Technical management of reporting processes, including implementation, installations and updates of Cognos software. Expertise developing, administering, deploying and maintaining reports & OLAP cubes using Cognos BI suite to support the analytical and reporting for all Business Units – over 500 active users.Business Intelligence solutions serve Finance, Actuary, Underwriting, Billing, Claims, Customer Service and Enrollment departments.Extensive interface with a wide range of business users including consumers, report authors, technical staff and senior executives. User support and training related to Cognos technical issues and business data content, structure & relationships. Designed and maintains HIPAA and SOX compliant Cognos user security infrastructure Analyze business reporting requirements and programs to determine best fit within existing systems or evaluate and recommend potential new systems and solutions. Sound knowledge and experience of different phases of software development life cycle (SDLC) including business & data analysis, report design & development, testing and technical documentation.Strong understanding of relational and dimensional database design concepts and in-depth knowledge of OLAP solutions.Recent pilot install and configuration of Cognos 10 software including Framework Manager, Report Studio, Query Studio. Proficient in using best practices to support the reporting activities. Adept in using performance tuning and optimization techniques such as load balancing, database index utilization and cube partitioning.

Business Intelligence/Cognos Project Manager for Medicare and Medicaid focused managed care experts who partner with managed care plans, provider organizations, risk contractors and insurers by providing high quality, cost-effective, fully compliant, information systems and Business Process Outsourcing (BPO) services. Responsible for planning, implementation and maintenance of online BI toolset servicing internal Management, Finance, Marketing Departments and wide range of Health Care Provider clients.

Broad range of consulting services to multiple clients for busy IBM and Cognos-partnered consulting firm. Electronic Data Interchange implementation, programming & support; ERP implementation & support, VMS/PRAXA administration & programming; Data conversion, Creation and maintenance of datamarts and data warehouses using SQL 7/2000, Cognos Business Intelligence Suite, Seagate Crystal reports; AS/400 administration, Windows NT & network support. Created and maintained company website; authored marketing and sales materials.Responsible for pre/post-sales support and product of Cognos products, RTDCS data collection software and ICCG’s own Java-based B2B solution for ERP packages.

Knowledge of company business and branch operation procedures and methods of international distribution company. Design and generate company data warehouse based Cognos OLAP cubes and Impromptu Web reports from the AS/400 and VAX databases. Lotus Notes Administrator/Instructor. Knowledge of communication equipment and configuration. General knowledge of telephone wiring, data wiring, telephone/voicemail programming. Windows 95, Windows 98 support, Novell NetWare, Microsoft NT, installing PC hardware and software. General operations and maintenance of VAX and AS/400.Install PC hardware and software on desktop computers. Order and install all new phone lines in building through communications vendors. Creation, implementation and distribution of reports. Implementation and management of Electronic Data Interchange. Provide field support to all end users over entire network in resolving day-to-day problems.

Research assistant to Leonard G. Gomella, M.D. and Stephen Strup, M.D. created and managed patient databases of clinical drug trials (TAP, Merck, Schering Plough) and long-term Behavioral Epidemiological prostate cancer study. Coordinator of annual CME accredited ‘Urology Update’ symposium, host to over 125 Delaware Valley physicians.Assistant to editor of numerous publications, including the medical journal ‘Techniques in Urology’, Clinician’s Pocket Reference 8th Ed and Glenn’s Urologic Surgery. Participated in editing, research and publication. Residency Program Coordinator.