Oliver Young, Mba Email & Phone Number

Minneapolis, Mn, Us

Bloomington, Minnesota, Us

Bloomington, Minnesota, Us

• Lead and collaborate with Care Group Operational, Clinical, Administrative Leadership to identify areas of opportunity for strategic assessment and improvement within the scope of Affordability• Partner with own Healthplan and Informatics team to analyze claims and performance data to assess and identify strategies and initiatives to optimize identified Affordability areas of opportunity• Collaborate with internal and external partners to identify and implement processes and initiatives to effect change to optimize operational improvement for Affordability• Responsible for provision of resources, research, and support for ad hoc data analytics and reimbursement projects and initiatives• Oversight of enterprise underpayment audit/payment assurance (UA) program for professional and hospital-based services. Quarterly reporting of UA results.

Bloomington, Minnesota, Us

• Synthesis of Total Cost of Care data to identify improvement opportunities to maintain and expand organization's market leading position• Develop and lead price transparency initiatives. Lead patient price and knowledge transparency for primary care pricing, outpatient facility billing notification, and support for hospital-based cost of care transparency and shoppability • Direct patient data analytics supporting diverse enterprise-wide teams to develop solutions to maximize Medicare Advantage plan adoption and growth• Oversight of payment assurance function auditing payer underpayments for HealthPartners Care Group. $2+ million in recoveries per year• Direct, assess, and support enterprise-wide strategic innovation project analyses: Bundled payments, care delivery models, lab and pharmacy payment, medical therapy management, place of service changes, expansion of virtual and telehealth care delivery, etc.• Manage commercial and government reimbursement contract modeling for the HealthPartners Care Group (hospital, clinic, and professional services).• Led and collaborated in shared learning projects: Value Based Payments, Accountable Care programs, Telehealth, Genetics Counseling, etc.

Us

• Monitored and analyzed competitive environment to provide proactive business insights• Collaborated with health plan leadership to assess impact of state and federal healthcare exchanges

Us

• Led opportunity assessment of internal claims data and external environmental data• Directed research and analysis of strategic intelligence and data supporting the development of value-added tactical partnerships (ACO, Medical Home, etc.) with providers nationwide• Facilitated development of innovative approaches to measure provider utilization and quality using claims data and Evidence Based Medicine protocols to support the needs of clients• Strategic support of a multidisciplinary team developing provider performance assessment protocols, models, and measurements to improve clinical quality and cost of care

Irving, Texas, Us

Data analysis for decision making and performance improvement, assisting health care organizations and their hospitals to achieve financial, clinical and operational improvements.• Directed analysis of financial and clinical improvement opportunities for member hospitals• Analyzed claims data at multiple levels identifying improvement opportunities against regional and national benchmarks • Leveraged hospital leadership relationships to minimize risk and adverse events, and maximize performance outcomes across the care-continuum• Expanded use of statistical and quantitative analysis and cut report production from 7 days to 3 days• Responded to 2010 Accountable Care Act, managing a multidisciplinary team that implemented a strategic regional assessment to identify opportunities and risks to member hospitals

Minneapolis, Mn, Us

6 Sigma Black Belt Lean practitioner Operational and process improvement lead (hospital based)• Led Lean Six Sigma Supply Chain project to reduce overdue invoices from $3.06 million to $106,500• Led cross functional team of doctors and nurses in Six Sigma emergency room patient flow improvement project• Led cross functional team of nurses and laboratory technicians in a laboratory order processing assessment and improvement project• Strategic system-wide marketing support (analysis of patient origin and service utilization)• Supply Chain system-wide operational financial analytics• Operational hospital financial planning & analysis (Mercy and Unity Hospitals)• Hospital budget development and analysis (Mercy and Unity Hospitals)

Minnetonka, Minnesota, Us

Dallas, Tx, Us

Mba, Global Business

Bs, Business Admin - Finance

As, Business Administration

Education record