Rainie Li Email and Phone Number
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Ms. Li has 8 years of professional experience in Data Analysis, SAS programming, and Statistics in the healthcare, insurance and federal government contracting industries. Currently she works as a Senior Data Scientist Lead to support CMS Program Integrity Modeling & Analytic Support Contract (PIMASC) Contract to develop and maintain fraud detection algorithms for Fraud Prevention System. Ms. Li is experienced Senior Consultant Advisor with a demonstrated history of working in the information technology and services industry. Strong problem solver in health care with a Master of Public Health (MPH) focused in Biostatistics, Public Health Management and a B.S. in Mathematics/Actuarial Science/Statistics from University of Michigan.
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Data Analytic AdvisorGeneral Dynamics Information Technology Jan 2021 - PresentFalls Church, Virginia, Us- Lead the development of CMS fraud, waste, and abuse (FWA) detection and prevention models in Medicare Part A and Part B, focusing on anomaly detection, PECOS, social network analysis, and machine learning. - Supervise and direct a team of technical analysts and data scientist, overseeing the full model lifecycle from inception to deployment.- Conduct proactive research of emerging trends in healthcare, specifically analyzing Medicare Advantage Part C payment structures to identify notable patterns and potential risks.- Collaborate cross-functionally with a diverse team comprising quantitative and qualitative analysts, policy experts, communications specialists, and project managers to ensure alignment and integration of analytical insights into broader strategic objectives.
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Senior Consultant - Data Scientist Team LeadIbm Oct 2018 - Jan 2021Armonk, New York, Ny, Us- Acted as model development team lead to support CMS Program Integrity Modeling & Analytic Support Contract (PIMASC) by leveraging SQL, SPSS and SAS in spearheading fraud and waste prevention models powered by billions of Teradata claims records.- Developed and maintained fraud detection algorithms for fraud prevention system and performed validation of model accuracy.- Managed and support a team of modelers to develop and enhance parameters used in claims methodology for evaluating healthcare revenue loss due to fraud and abuse. -
Strategy And Analytics ConsultantIbm Oct 2016 - Oct 2018Armonk, New York, Ny, Us- Launched advanced forecasting and optimization algorithms (Python/CPLEX) that measured the volume incrementality, halo and cannibalization effect on the product sales for a world’s largest consumer packaged goods company.- Built an Advanced Analytics/Cognitive solution to enable the retail company’s assortment team to develop differentiated store-tailored shelfing solutions.- Single-handedly led Proof of Concept, researched the best practice and leveraged technical and business skills to identify and implement data driven client solutions. - Forecasted the energy workload (SPSS Modeler/R) for a primary electrical utility company that has improved the current model by 90% and estimated saving of $1M per year upon implementation.
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Gbs ConsultantIbm May 2015 - May 2016Armonk, New York, Ny, Us- Collaborated closely with project manager to identify and solve business challenges (creating predictive model for financial services) by utilizing large unstructured data from client. - Coded, tested, implemented and documented all applications using R and IBM SPSS Modeler to create models that forecast logical results to increase client's annual sales, etc.
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Account ManagerCots Travel Agency May 2013 - Sep 2013 Prospected and developed new client relationships. Consolidated short vacation plans Managed financial transactions, created seasonal balance sheets, and suggested operational plans for next year; helped to increase total profit to $100,000 during internship period.
Rainie Li Skills
Rainie Li Education Details
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Johns Hopkins Bloomberg School Of Public HealthPublic Health Management -
University Of MichiganActuarial Science; Statistics
Frequently Asked Questions about Rainie Li
What company does Rainie Li work for?
Rainie Li works for General Dynamics Information Technology
What is Rainie Li's role at the current company?
Rainie Li's current role is Data Analytic Advisor - Consulting.
What is Rainie Li's email address?
Rainie Li's email address is rl****@****ibm.com
What is Rainie Li's direct phone number?
Rainie Li's direct phone number is (800) 426*****
What schools did Rainie Li attend?
Rainie Li attended Johns Hopkins Bloomberg School Of Public Health, University Of Michigan.
What skills is Rainie Li known for?
Rainie Li has skills like Microsoft Excel, Microsoft Powerpoint, Microsoft Word, Leadership, Sql, Python, R, Sas Base, Spss, Sas.
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