Peter Hess Email & Phone Number

Emeryville, Ca, Us

Promoted to lead product development of a new venture within BRG called Encore Integrity. Created an end-to-end data platform to manage health insurance member data integrity by providing root cause analysis and automated resolution for operational defects, allowing for capture of millions of dollars in outstanding premium subsidies (>$70B annual subsidies). Responsible for variety of strategy and operations functions including market research, go-to-market strategy, client demonstrations, and drafting of legal contracts. Directed development of front-end and back-end design, including data ingestion, processing, analytics, and visualizations.

Emeryville, Ca, Us

Working in the health analytics practice. Oversee work product and mentor multiple junior staff in multiple client engagements including:- Advising one of the largest pharmaceutical manufacturers in their 340B drug program by developing a forecast model to assess the impact of duplicate discounts on government, employer, and beneficiary spending.- Providing strategic recommendations to a global medical device manufacturer’s legal, finance, compliance, and IT departments on how to improve their business analytics capabilities and data architecture.

Enrollment reconciliation data platform enabling ACA plans to receive their premium subsidies timely and accurately.

New York, New York, Us

Promoted to manager of team of 5 analysts to conduct financial data reconciliation and analytics, ensuring timely and accurate payment of over $3 billion in annual premiums from federal marketplace and state-based exchanges. Provided monthly updates directly to the CFO and COO. Cross-functional project leader representing the Operations team with the Data Science, Engineering, and Finance teams across multiple special projects including creation and testing of a new enrollment management platform, end-to-end revenue and expense data reconciliation, data transformation for financial and risk reporting systems, and operationalizing financial audit controls.

New York, New York, Us

Built firm-wide analytical model design for member billing and eligibility, claims, and provider data by consolidating hundreds datasets containing terabytes of data that automated hundreds of workflows saving FTE resources. Stood up reconciliation monitoring and analytics for 20 different state markets and 600K members, resulting in a reduction of over 50% in aged accounts receivables. Managed data integrations with several partner plans and vendors, developing testing processes to meet system requirements for all parties. Designed internal CRM system for market expansion, improving provider quality and network adequacy and lowering medical costs.Tools used: - SQL, Python- Postgres, MySQL, BigQuery (database management, warehousing, and analytics)- Apache Aurora (job scheduling)- Sisense (dashboards)

Boston, Ma, Us

Promoted to case manager for over a dozen projects. Oversaw analyses and research of junior staff, led calls with clients, and prepared expert reports and white paper submissions to regulatory agencies such as the Department of Justice, Federal Trade Commission, and Canadian Competition Bureau. Responsible for technical training in Excel, SAS, Stata, VBA, R, and Python for over 100 new hires.

Boston, Ma, Us

Conducted statistical analyses and research for companies in the context of healthcare government investigations and in high-profile mergers and acquisitions. Selected projects include Discovery acquiring Scripps Network, Cintas acquiring G&K Services, and the proposed merger between Cigna and Anthem. Developed valuation models for different pharmaceutical manufacturer clients, and conducted geographic competition and pricing analyses.

Bachelor’S Degree, Economics; Art History

Education record