Prince Baawuah, Drph, Mph, Csm®

Prince Baawuah, Drph, Mph, Csm® Email and Phone Number

Head of Medicare Advantage Solutions @ falcon health
Washington, DC, US
Prince Baawuah, Drph, Mph, Csm®'s Location
Washington DC-Baltimore Area, United States, United States
About Prince Baawuah, Drph, Mph, Csm®

As a Medicare Advantage Risk Adjustment Advisor, Consultant, Educator, and Coach, I help healthcare strategy, operations, and systems professionals master end-to-end Medicare Advantage Encounter Data & Risk Adjustment and adapt to its changes with ease.I guide them to stay informed about policy updates, leverage data and technology to understand how these changes might affect them, while also helping to develop and implement solutions that mitigate any negative impacts on their organizations (e.g., providers, health plans, etc.).Ultimately, this ensures they and their organizations can continue to serve the beneficiaries they are called and trained to support, while remaining resilient and adaptable to policy shifts.

Prince Baawuah, Drph, Mph, Csm®'s Current Company Details
falcon health

Falcon Health

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Head of Medicare Advantage Solutions
Washington, DC, US
Prince Baawuah, Drph, Mph, Csm® Work Experience Details
  • Falcon Health
    Head Of Medicare Advantage Solutions
    Falcon Health
    Washington, Dc, Us
  • Jos Group Llc , Sba 8(A), Mbe, Dbe, Sbe
    Lead Healthcare Subject Matter Expert (Sme), Content Creator & Trainer
    Jos Group Llc , Sba 8(A), Mbe, Dbe, Sbe Oct 2023 - Present
    Bethesda , Md, Us
  • Granular Insurance, A Subsidiary Of Verily Life Sciences, An Alphabet Inc. Company
    Business Intelligence Analyst
    Granular Insurance, A Subsidiary Of Verily Life Sciences, An Alphabet Inc. Company Mar 2022 - Sep 2023
    Data Operations Expertise: Led the successful daily loading of operational data to Google Cloud, ensuring accurate and timely reporting for downstream users. Implemented a consolidated SQL script with Data Operations team, streamlining data loading processes and minimizing potential errors.Enhancing Reporting and Analytics: Spearheaded reporting initiatives, resulting in the development of over 10 user-centric self-service reports for internal and external clients. Provided and explained an analytics framework to guide the organization’s analytics and data-use strategy. Received positive feedback for inclusive approach and impactful insights, contributing to a more data-driven decision-making process.Data Quality and Specification Enhancements: Developed a matrix and tiers categorizing data elements received, specifications for quoting and administration, providing a foundational understanding for data use and structuring through data dictionary. Additionally, initiated and led the development of the first Salesforce data dictionary, establishing a consistent meaning of data elements across the organization and enabling the creation of a foundational organizational database. Implemented the first self-service reporting tool using Looker Studio, significantly reducing time and efforts required for report creation and dissemination.
  • Centers For Medicare & Medicaid Services
    Health Insurance Specialist, Medicare Plan Payment Group, Div Of Encounter Data & Risk Adj Ops
    Centers For Medicare & Medicaid Services Dec 2015 - Feb 2022
    Baltimore, Md, Us
    • Led the division’s numerous data analysis and visualization strategy efforts to evaluate and inform division leadership on the usefulness of data analysis work and Business Intelligence applications to better align them to division’s operational goals while enabling value-based data-centric decision making from over 7 billion encounter data record collected• Evaluated and reviewed the implementation of Salesforce inquiry management application and corresponding user guides to ascertain usefulness in the division’s inquiry management processes and workflow• Served as a subject matter expert, while managing and leading all efforts to engaging with the health insurance industry to resolve technically complex correspondence on Medicare Advantage Encounter Data Risk Adjustment (EDRA); directly analyzed and coordinated to resolve over 500 inquiries since the application inception in 2016• Provided technical and analytic support to the Medicare Advantage Encounter Data Integrity efforts by reviewing data, proposing analytic framework directions, and technical input to our division staff and contractors.• Developed, updated and/or reviewed several Medicare Advantage Encounter Data Submission technical resources such as User Group Slides, Encounter Data Submission & Processing Guide, Plan Communications User Guide (PCUG), Job Aids, MAO-004 User Guide, MOR User Guide, Linking Encounter Data Records and Chart Review Records etc.• Developed requirements and lead in the implementation and validation of the Enhanced MAO-002 report which provided MA plans with preliminary risk adjustment assessment status of encounter data records and chart review records for a more frequent information while waiting for their monthly MAO-004 reports
  • Centers For Medicare & Medicaid Services
    Social Science Research Analyst, Medicare Plan Payment Group, Div Of Encounter Data & Risk Adj Ops
    Centers For Medicare & Medicaid Services Dec 2014 - Nov 2015
    Baltimore, Md, Us
    • Applied statistical and quantitative techniques to analyze, summarize, and present Medicare Advantage encounter data in several service types to investigate trends and findings in Medicare Advantage utilization relative to Medicare Fee-For-Service for benchmarking health services across Medicare programs• Served as a co-lead on developing, designing, managing timelines, coordinating, producing, quality checking, and disseminating Medicare Advantage Encounter Data Report Card to over 600 Medicare Advantage contracts
  • Executive Office Of The President, Office Of Management & Budget
    Federal Data Strategy Analyst (Fellow), Office Of Federal Chief Information Officer
    Executive Office Of The President, Office Of Management & Budget Sep 2020 - Mar 2021
    Washington, Dc, Us
    Led all analytics pertaining to the conception, collection, verification, quality assurance, and reporting of data submitted by federal agencies supporting the implementation of the Foundations for Evidenced-based Policymaking Act of 2018 and development of the Federal Data Strategy (FDS) Action Plans using SAS Enterprise Guide® and TableauBriefed Federal Chief Information Officer (Federal CIO) and other senior leadership, federal data councils and committees on findings from analysis and liaised to post these results on the FDS 2020 Action Plans and Milestones websiteClarified requirements to agency Chief Data Officers (CDOs), CDO councils and other agency data-related governance groups to complete milestones by researching and resolving technical inquiries pertaining the FDSReviewed and provide strategic input on the 2021 FDS Action Plan to improve how the federal government provides, maintains, and uses data consistent with the 10-year goalsLiaised with the FDS communications team lead to have analytic inputs on blogs, newsletters and postcommunicated out to the public on the project status
  • Garden City Hospital
    Administrative Intern
    Garden City Hospital Jun 2012 - Aug 2012
    Garden City, Mi, Us
    Studied the various Emergency Trauma designations in the State of Michigan to determined the impact of each option for GCH and made recommendations to the Executive Board as to which level GCH should apply forReviewed the utilization and impact of providing Inpatient Dialysis to the Garden City Hospital population and made recommendations to administration on how the service could be more effective and efficient in serving patients and decreasing cost
  • The Michigan Conference Of The Seventh-Day Adventist
    Colporteur
    The Michigan Conference Of The Seventh-Day Adventist Jun 2011 - Aug 2011
    Vended, door-to-door, literature on health, devotionals, and kid’s character building lesson booksProcessed and assessed daily monetary reports of colporteurs for accuracy and reporting
  • The Student Support Services, The City College Of New York
    Zitrin Peer Mentor/Tutor Scholar
    The Student Support Services, The City College Of New York Sep 2010 - May 2011
    Tutored and mentored students in Precalculus, General Chemistry, Organic Chemistry, Introductory Microeconomics and Introductory MacroeconomicsPresented and participated on student panels to discuss career and summer programs applications strategies
  • St. Mary Mercy Hospital, Livonia, Mi
    Human Resource Administrative Intern
    St. Mary Mercy Hospital, Livonia, Mi Jun 2010 - Aug 2010
    Organized and clarified the effects of 5 employee demographic variables on Patient Satisfaction and Employee EngagementCoordinated with Patients Loyalty Officer to get employee recognition cards - Caught Caring Cards" - to respective employees
  • University Of Michigan School Of Public Health
    Health Management And Policy Summer Enrichment Program Cohort
    University Of Michigan School Of Public Health Jun 2010 - Aug 2010
    Studied about the US Health Care System and the nature of Health Disparities in the USAttended weekly site visits to various healthcare delivery organizations
  • Metlife
    Desktop Engineering Summer Intern, Long Island City, Ny
    Metlife Jun 2009 - Aug 2009
    New York, Ny, Us
    Studied Virtualization Technology while focusing on Desktop Virtualization Installed Virtualization Application on Servers and managed Virtual MachinesRun stress tests on new servers
  • All Stars Project, Inc.
    The Joseph A. Forgione Development School For Youth
    All Stars Project, Inc. Feb 2009 - Apr 2009
    New York, Ny, Us
    Participated in leadership and career training program sponsored by the All Stars Project, Inc.Attended weekly workshops at various professional firmsDeveloped business and professional skills
  • Columbia University Medical Center
    Medical And Dental Education Program
    Columbia University Medical Center Jun 2008 - Aug 2008
    New York, New York, Us
    Participated in health care and career development seminarsAttended academic skills development and financial planning workshops Partook in weekly clinical experiences at New York Presbyterian Hospital and its affiliated hospitals

Prince Baawuah, Drph, Mph, Csm® Education Details

  • Johns Hopkins Bloomberg School Of Public Health
    Johns Hopkins Bloomberg School Of Public Health
    Health Policy & Management - Health Informatics
  • University Of Michigan School Of Public Health
    University Of Michigan School Of Public Health
    Health Management And Policy
  • The City College Of New York
    The City College Of New York
    Economics
  • Opoku Ware Senior Secondary School
    Opoku Ware Senior Secondary School
    Bus Management And Elective Math

Frequently Asked Questions about Prince Baawuah, Drph, Mph, Csm®

What company does Prince Baawuah, Drph, Mph, Csm® work for?

Prince Baawuah, Drph, Mph, Csm® works for Falcon Health

What is Prince Baawuah, Drph, Mph, Csm®'s role at the current company?

Prince Baawuah, Drph, Mph, Csm®'s current role is Head of Medicare Advantage Solutions.

What schools did Prince Baawuah, Drph, Mph, Csm® attend?

Prince Baawuah, Drph, Mph, Csm® attended Johns Hopkins Bloomberg School Of Public Health, University Of Michigan School Of Public Health, The City College Of New York, Opoku Ware Senior Secondary School.

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