Shannon Obrien Email & Phone Number

Louisville, Kentucky Area

Collaborated with and supported operational and clinical teams to help drive cost savings in a value-based physician care environment. • Required advanced SQL coding skills to produce reports & return data for Utilization Management team.• Developed cost and utilization analysis for Part A and Part B Key Performance Indicators; drilling down to key details to understand drivers of the metrics and provide insights to Medical Directors and physicians to create game changing initiatives while providing quality care to Medicare Advantage members in Humana owned physician centers.• Presented clinical metrics to leadership utilizing standard reports and ad hoc queries from SQL & SAS.• Process Improvement Plan tracking and development – My markets 2017 accumulated cost savings netted over $3M of reductions in acute admissions versus 2016.

New Finance team created in 2013 to report and support all Healthcare Reform programs that were effective in 2014 for Individual Insurance segment. Analyzed, developed processes and reported on Individual Affordable Care Act financial data. Subject Matter Expert for Risk Corridor, Advanced Premium Tax Credit, and government wire payments. Finance contact for the H1 project team. Supervised analyst.• Developed Access database to calculate Risk Corridor program receivables and the creation of filing forms needed to report to the government. Required knowledge of Premium, Claims, and Administrative Costs. Collaborated with other departments to ensure reporting data was complete and accurate as well as reported timely. • Main contact and SME for the government 820 wire posting project. Developed requirements, test cases, common data, and worked with corporate project teams and IT to build an automated process that fed Humana’s Enterprise Data Warehouse and created an automated journal entry to post the government wire for the Individual ACA compliant programs. Automation of the manual process took place in January 2016.• Consulted with internal billing system associates to understand the complexity of Advanced Premium Tax Credit processes in order to ensure proper general ledger recordings of CMS payment receipts as well as identified and reported problems within the current billing system as it related to Advanced Premium Tax Credit.

Performed analysis of commercial data in the areas of premium and member accounting. Developed methods for measuring and summarizing financial data and prepared complex analyses. Acted as a finance liaison, collaborating with associates from other business areas on special projects. • Collaborated with statutory department to provide explanations and data regarding balance sheet accounts for state governmental audits. Point of contact for external auditors for all Premium requests.• Created an automated process for generating monthly journal entry for the Premium Reserve account versus a manual process, saving approximately 6 hours per month.• Designed an analytical template to explain quarterly balance sheet variances.

Role required ability to communicate and interface with senior management and interact with all facets of the sales, marketing and finance teams. Strategic planning role focused on volume mix, pricing and profitability analytics.

Supported the planning and forecasting process for 16 field locations, developed business models and financial analysis. Reviewed, prepared and presented period and ad hoc financial reports and analysis to division management, corporate finance executives and senior management to keep them informed of the overall economic health of the division.

Finance liason between regional and corporate finance functions. Point of contact for field management of 9 locations. Performed month end closing activities, financial reporting and analysis, annual cost and capital budgeting preparation, balance sheet reviews, integration work and business process control roll-outs.