Ryan Shilling Email & Phone Number

Pittsburgh, Pa, Us

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• Facilitated internal review meetings to understand the scope of work needing completed per the associated CAPA and coordinated with the scheduling team to ensure work was progressing appropriately• Reviewed new CAPAs to ensure CAPA standard language was being met• Maintained tracking and trending of CAPAs• Supported operations and the facilities maintenance management team with all other duties assigned

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 continuous improvement activities• Established and assigned ownership for audit findings, issue investigations, and CAPAs• Monitored and assisted with closure of CAPAs; Recorded the results of actions taken and verified the effectiveness through robust effectiveness checks• Facilitated root cause analysis using the 5-Whys and other problem-solving activities to identify effective correction actions and process improvements• Facilitated internal review meetings (IRMs) with Subject Matter Experts (SMEs) and provided support for the effective completion of CAPAs and investigations• Prepared weekly reports by collecting, analyzing, and summarizing data; Maintained tracking and trending for CAPAs• Supplied training on systems and/or processes related to CAPA system

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 program to ensure care management teams were internally meeting weekly and monthly goals set by the departments• 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, and meet project deadlines• 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, and other legal and compliance matters in relation to medical and pharmacy carrier data (UPMC, Highmark, Aetna, United Health Care (UHC), Express Scripts, CVS Caremark, Optum Rx, etc.)• Created data visualizations utilizing Microsoft Excel and PowerPoint and presented results to upper management and human resource management teams• Made continual improvements to streamline the data acquisition process and develop solutions for system limitations• Maintained a book of business between 40-50 clients ranging from 100-10,000 lives• Attended webinars and internal vendor meetings to build upon fundamental employee benefits insurance knowledge

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