NLMS ID: 2548698

Engage with business leaders/owners, business teams, and athletes in coaching sessions to gain clarity around their boldest goals; and develop measurable key results to reach those goals. Identify, break, and replace patterns that limit client growth potential; as well as find opportunities to reinforce desired patterns/behaviors. Develop and deepen rapport on an ongoing basis to gain leverage as a powerful source of accountability.

Construct dashboards from disparate data sources to allow for efficient and informed business decisions. Create meaningful and error-free reports that provide individuals and organizations with actionable metrics, using explicit and implicit requirements. Influence business owners and leaders through the use of data analytics, emotional intelligence and various other leadership skills.

Generated ongoing and ad hoc reports due to State and Federal regulatory agencies, to validate that contractual compliance standards are met and/or exceeded. Liaison between technical and business departments in project/product rollouts. Developed SOPs for end users of Appeals and Grievances ticketing system to ensure completeness, accuracy, and consistency of entries, resulting in usability of data.

Compiled and analyzed detailed data integrity reports and delivered results to senior management in a timely manner. Formulated advanced queries in SQL. Troubleshooted EDI 837 (Claims) and 834 (Enrollment) files to support identified data integrity issues. ETL of incoming provider data to be used by the contracting team in provider configuration.

Assisted in annual training and coordinating of Medical Record Review (MRR) projects to maximize final reported rates. Effectively communicated data issues to data owners as findings arise. Provided recommendation to leadership on potential areas of improvement within both HEDIS Intervention and HEDIS Operation, through analysis of data findings and research.

Performed QA of incoming data files to ensure usability towards HEDIS reporting which contributed to direct revenue generation. Managed ad hoc and regular ETL of medical claim/encounter, lab, and Rx data in varying file formats. Contributed to advancements in data collection methodology via traditional (paper and fax medical records) and varying electronic methods.

Prepared, planned, and established requirements to initiate and launch Quality Assurance setup for Live Message campaigns to tailor and meet the needs of the clients. Implemented proper technical documentation to deliver timely and accurate resolution to identified issues. Demonstrated critical and comprehensive detailed processes to troubleshoot and identify root problems. Demonstrated expertise in MySQL and PostgreSQL to deliver day-to-day analysis and reporting.

Screened publisher applications for adaptability and usability to the affiliate marketing network and advertiser programs. Facilitated and collaborated with appropriate departments in fraudulent and noncompliance investigations. Utilized SQL to run ad hoc reports in identifying patterns of fraudulent activities. Enforced network policies and procedures to deliver quality end-products.

Delivered technical post-launch support to Affiliate Direct clients. Validated the accuracy of data feeds through quality control and quality assurance checkpoints. Researched and resolved any inaccurate data findings and delivery/acceptance issues during the data feed process. Performed data analysis and ad hoc reporting via SQL.

Provided high level technical support to thousands of potential partners. Screened publisher applications for adaptability and usability to network and advertiser programs. Demonstrated collaboration and liaison relationship between multiple business functions to deliver two-way communication on client issues.