Ryan Shilling Email & Phone Number

Pittsburgh, PA, US

Pittsburgh, PA, US

Tarrytown, New York, US

• Complied with all current Industrial Operations & Product Supply (IOPS) cGxPs (Good Manufacturing Processes, Good Documentation Practices, etc.)
• Completed all required training items (SOPs, CBTs, OJTs, ILCs, etc.) within associated time frames prior to performing any associated tasks
• Performed all tasks required for work completion per approved standard operation procedures (SOPs)
• Complied with all IOPs Environmental, Health & Safety policies/procedures associated with the tasks to be performed
• Complied with all Local, State, and Federal Regulatory Requirements associated with all tasks to be performed
• Utilized Process Compliance, Blue Mountain Regulatory Asset Manager, and e-ConnX to track completion of CAPAs

Philadelphia, Pennsylvania, US

• eResearch Technology (ERT) merged with BioClinica and became Clario in November 2021
• Responded to and managed quality events (non-conformances, deviations) as reported throughout the lifecycle of clinical trial studies relating to eCOA, Respiratory, Cardiac Safety, etc.
• Managed corrective and preventive action (CAPA) responses received for internal and vendor audits, and responses for external audit observations
• Ensured the integrity of Quality System processes for Quality Management System (QMS), MasterControl and Trackwise, to maintain facility certifications
• Provided guidance on QMS/CAPA system requirements and expectations by actively promoting a team approach to the CAPA process across all departments
• Supported the enhancement and implementations of related quality/business system (ISO 9001/13485, and CFR 21 Part 11); internal auditing, document control, corrective action, customer complaint processing, and.

Gilbert, AZ, US

• Met with key stakeholders to identify data reporting requirements and understand current processes
• Created step-by-step guides to document the current workflow of data reporting for internal care management and transition care management/telephonic care management departments
• Optimized the current data reporting processes to streamline results
• Leveraged Excel and PowerBI to synthesize and visualize data into actionable insight consumable by client stakeholders
• Performed analysis on the Healthcare Effectiveness Data and Information Set (HEDIS) measures managed by the National Committee for Quality Assurance (NCQA) and The Centers for Medicare & Medicaid Services (CMS) Stars.
• Learned the products and solutions of Arkos Health developed by the product team available to clients and consumers

Pittsburgh, PA, US

• Performed complex and scheduled ad-hoc analysis of client’s healthcare claims data using Microsoft Excel, Zywave’s Decision Master Warehouse (DMW), Deerwalk, and PowerBI
• Compared client's plan performance to Truven Health Analytics normative data both regionally and nationally to identify and report meaningful anomalies
• Tracked client's year over year plan performance and collaborated with Financial Analysts and Consultants tracking whether or not clients were under or over budget
• Facilitated internal review meetings with the client team consisting of Financial Analysts, Client Consultants, Senior Consultants, and third-party vendors to establish company priorities, maintain client satisfaction.
• Influenced Client Consultants and Senior Consultants to adopt carrier solutions to manage population health and assisted in strategy development with the benefits administration team
• Facilitated dialogues with Customer Success Managers and Associate Data Analysts regarding software limitations which impacted project deadlines, business associate agreements (BAAs), non-disclosure agreements (NDAs.

Bloomfield, CT, US

• Maintained annual eligibility information for open waiver of premium (WOP) disability and survivor income benefit (SIB) claims
• Ensured survivor income benefit claims were paid accurately and that annual information supported the continuation of the customer's benefit
• Escalated unqualified claims to Senior Analysts for further investigation
• Contacted beneficiaries or policy holders for additional information needed for Senior Claim Specialists for review
• Applied Microsoft Office Word for letter outreach and organized content within claims folders