Shaheen Bhanji Email & Phone Number

Remote

United States

• Identified emerging analytic needs of external and internal stakeholders and managed complex projects, setting priorities and facilitating collaboration with business and technical teams to ensure timely and accurate.
• Developed Tableau drill-down dashboards to support reconciliation results delivery to clients
• Led technical, product, and analytics teams in delivering actionable insights through development of Value Based performance dashboards
• Acted as SME in development and understanding of claims based metrics such as ED treat/release, ED admissions, readmissions, Actionable Adverse Event (AAE) quality, and cost measures
• Extracted, transformed, analyzed, and summarized claims and member data to deliver key insights to client executive teams in clear and concise way through assortment of media: presentations, executive summaries, oral.
• Detected medical, pharmacy, and eligibility data challenges from payer intake through client implementation, and partnered with cross-functional teams to complete root cause analysis and develop resolution pathways

Beachwood, Ohio

• Developed claims-based Qlikview financial performance and utilization reporting solution for ACO and BPCI/BPCIA programs, with up to 42K member lives totaling $650M for multiple lines of businesses, including Medicare.
• Managed day-to-day operations of Quanto, including data refreshes, report updates, user training, and troubleshooting
• Built drill-down analytic pathways to decipher cost saving opportunities at inpatient, outpatient, and professional setting, leveraging units of analysis like DRGs, BETOS, CPT, and revenue codes
• Collaborated with C-Suite executives, population health managers, and data analysts to develop customized business intelligence reporting such as Physician Performance score cards, Medicare MSSP ACO and BPCI/BPCIA.
• Created and managed Quanto’s data model, including over two hundred variables containing standard and custom fields
• Constructed business rules for multifaceted analytics, such as sequence of care pathways and episode component classifications

Cleveland, Ohio

• Spearheaded implementation of physician, health plan performance and care management analytic solution (Impact Intelligence and Impact Pro) that leverage industry episode, risk, and quality grouper technologies such as.
• Developed episode bundles in collaboration with Heart, Orthopedic, and Neurological Institute physician leadership
• Designed Tableau dashboards to explain Employee Health Plan (EHP) cost and utilization trends to CFO and CAO
• Collaborated with EHP Chief Medical Officer, physician leadership, and business executives to create business intelligence reporting around initiatives such as care management and wellness program effectiveness
• Built and integrated chronic condition risk stratification algorithms using claims and clinical data into EMR (EPIC) to target high risk employees for Cleveland Clinic’s Value-Based Care Coordination Program
• Negotiated budget and contractual agreements with vendors

• Created business plan to purchase physician and health plan business intelligence solution
• Facilitated LeanSigma process improvement project to reduce denials
• Generated value propositions for executive director, ranging from strategic, operational, and financial business initiatives
• Prepared monthly and quarterly reports for COO, highlighting performance of division
• Collaborated with senior directors to develop departmental goals and action plans to achieve department goals
• Designed project management and scorecard templates to manage contract negotiations

• Designed performance indicator templates used by department directors to identify opportunities for process improvement
• Built dashboards for community hospitals’ medical and surgical supply contract coverage to identify cost savings
• Prepared monthly financial variance reports explaining variation in actual and budgeted costs.

Master Of Public Health - Mph, Health Management Program In Conjuction With Yale School Of Management

Master Of Science - Ms, Business Intelligence And Analytics

Bachelor Of Science - Bs, Family Environmental Sciences, Emphasis: Dietetics