Prince Baawuah, Drph, Mph, Csm® Email and Phone Number
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.
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Head Of Medicare Advantage SolutionsFalcon HealthWashington, Dc, Us -
Lead Healthcare Subject Matter Expert (Sme), Content Creator & TrainerJos Group Llc , Sba 8(A), Mbe, Dbe, Sbe Oct 2023 - PresentBethesda , Md, Us -
Business Intelligence AnalystGranular Insurance, A Subsidiary Of Verily Life Sciences, An Alphabet Inc. Company Mar 2022 - Sep 2023Data 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.
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Health Insurance Specialist, Medicare Plan Payment Group, Div Of Encounter Data & Risk Adj OpsCenters For Medicare & Medicaid Services Dec 2015 - Feb 2022Baltimore, 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 -
Social Science Research Analyst, Medicare Plan Payment Group, Div Of Encounter Data & Risk Adj OpsCenters For Medicare & Medicaid Services Dec 2014 - Nov 2015Baltimore, 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 -
Federal Data Strategy Analyst (Fellow), Office Of Federal Chief Information OfficerExecutive Office Of The President, Office Of Management & Budget Sep 2020 - Mar 2021Washington, Dc, UsLed 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 -
Administrative InternGarden City Hospital Jun 2012 - Aug 2012Garden City, Mi, UsStudied 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 -
ColporteurThe Michigan Conference Of The Seventh-Day Adventist Jun 2011 - Aug 2011Vended, 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
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Zitrin Peer Mentor/Tutor ScholarThe Student Support Services, The City College Of New York Sep 2010 - May 2011Tutored 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
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Human Resource Administrative InternSt. Mary Mercy Hospital, Livonia, Mi Jun 2010 - Aug 2010Organized 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
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Health Management And Policy Summer Enrichment Program CohortUniversity Of Michigan School Of Public Health Jun 2010 - Aug 2010Studied about the US Health Care System and the nature of Health Disparities in the USAttended weekly site visits to various healthcare delivery organizations
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Desktop Engineering Summer Intern, Long Island City, NyMetlife Jun 2009 - Aug 2009New York, Ny, UsStudied Virtualization Technology while focusing on Desktop Virtualization Installed Virtualization Application on Servers and managed Virtual MachinesRun stress tests on new servers -
The Joseph A. Forgione Development School For YouthAll Stars Project, Inc. Feb 2009 - Apr 2009New York, Ny, UsParticipated in leadership and career training program sponsored by the All Stars Project, Inc.Attended weekly workshops at various professional firmsDeveloped business and professional skills -
Medical And Dental Education ProgramColumbia University Medical Center Jun 2008 - Aug 2008New York, New York, UsParticipated 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
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Johns Hopkins Bloomberg School Of Public HealthHealth Policy & Management - Health Informatics -
University Of Michigan School Of Public HealthHealth Management And Policy -
The City College Of New YorkEconomics -
Opoku Ware Senior Secondary SchoolBus 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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