Oversee the technical development of a population health management platform, support the integration and analysis of real-time healthcare claims data (including CCLF and BCDA) for organizations participating in CMS Innovation Center models, implement robust data validation processes, and manage a small team of data analysts to achieve company goals.

Leveraged data analysis and expertise to provide valuable insights, conducted comprehensive market access analysis using diverse claims data, and translated physician feedback into actionable recommendations for reimbursement strategy development.

Played a pivotal role in expanding the policy research and consulting services for healthcare clients by developing new internal data capabilities, securing HIPAA-compliant data storage, conducting in-depth analysis for Medicare reimbursement, and providing expert policy research, with a specific emphasis on the evolving U.S. healthcare landscape during the COVID-19 public health emergency.

Conducted in-depth research and analysis of policy, quality, and operational changes within various Medicare payment systems, with a particular focus on the Part D Prescription Drug benefit, the Physician Fee Schedule (PFS), and the Outpatient Prospective Payment System (OPPS). Provided expert analysis by studying U.S. healthcare legislation, conducted quantitative modeling using medical and pharmaceutical claims data, and developed a dynamic tool in Excel and SAS to replicate CMS Practice Expense Relative Value Units (RVUs) while incorporating annual rulemaking policy changes.

Managed the financial performance and reporting of existing Accountable Care Organizations (ACOs) covering 240,000 commercially insured lives in California, developed risk share incentive models to foster collaboration between healthcare entities, resolved discrepancies in contractual language and data systems resulting in a $5 million settlement, and effectively communicated cost and utilization findings to external partners.

Led the coordination, preparation, and presentation of comprehensive analyses instrumental in the development of risk-adjusted and actuarially-sound rates for Medicaid programs, fostering enhanced financial strategies, client recommendations, and reporting.

Assisted professors of business mathematics courses by attending classes, facilitating study sessions, assessing homework assignments, and offered personalized guidance to students, fostering a supportive learning environment.