Sue Rose Email and Phone Number

Experienced Product Owner/Business Analyst with extensive experience leading Kanban/Scrum teams in the Healthcare Industry. Proven ability to drive efficiency and accuracy in healthcare operations through agile methodologies. Skilled in prioritizing and refining product backlogs to align with business objectives and regulatory requirements. Strong communicator adept at encouraging collaboration between cross-functional teams to achieve organizational goals and enhance quality… Show more Experienced Product Owner/Business Analyst with extensive experience leading Kanban/Scrum teams in the Healthcare Industry. Proven ability to drive efficiency and accuracy in healthcare operations through agile methodologies. Skilled in prioritizing and refining product backlogs to align with business objectives and regulatory requirements. Strong communicator adept at encouraging collaboration between cross-functional teams to achieve organizational goals and enhance quality outcomes.Lead a Kanban team focused on managing timely HEDIS submissions. Ensured data quality of claims, provider and member data for the annual HCQA submissions. Ran monthly prospective HEDIS runs to collect data for CMS Stars. • Ensured successful receipt and loading of all required internal and external extracts• Created and maintained STMs for Quality Measures from CMS and downstream vendor• Triaged and resolved issues and defects to maintain data integrity• Validated and loaded inbound DA files to ensure accuracy• Generated monthly HEDIS reports for multiple clients, supporting quality measure initiativesLead a Scrum Team in the development of an innovative Data Integration Platform leveraging Azure and Databricks. Skilled in driving the end-to-end product lifecycle, focusing on streamlining and optimizing data intake, exchange, and utilization across products, platforms, and analytics.• Identified and evaluated data sources based on specific business requirements to support decision-making processes• Partnered with internal business stakeholders to define data requirements, establish mapping, determine validation levels, and develop data models• Transformed data for effective utilization in Power BI reporting, ensuring clarity and accessibility of insights for stakeholders Show less

Detail-oriented professional with expertise in healthcare data analysis. Prepared comprehensive health care reports and analysis. Demonstrates solid judgment and discretion managing confidential information in compliance with regulatory standards.• Produced accurate and timely reports for internal and external customers, ensuring compliance with business standards• Gathered and interpreted business requirements, monitored data quality and proactively identified potential issues to… Show more Detail-oriented professional with expertise in healthcare data analysis. Prepared comprehensive health care reports and analysis. Demonstrates solid judgment and discretion managing confidential information in compliance with regulatory standards.• Produced accurate and timely reports for internal and external customers, ensuring compliance with business standards• Gathered and interpreted business requirements, monitored data quality and proactively identified potential issues to leadership to ensure alignment and support• Managed multiple projects and timelines effectively, regularly communicating risks to leadership • Analyze and report cost of care for health management programs. (Medical, pharmacy, provider, member or other vendor data)• Developed and managed production and delivery of reporting to our FWA (Fraud, Waste and Abuse) vendor• Data Analysis of vendor source data as it relates to member out-of-pocket expenses and EOB reporting• Mentored junior level analysts in both technical and analytical skillsets, fostering their professional development and enhancing team capabilities Show less

Experienced professional specializing in EDI systems, with a strong background in trading partner setup, testing, and implementation. Provided support on the EDI and ERP systems and played a key role in supporting the inbound and outbound transaction processing. In addition, supported Finance team with monthly close processes and annual 1099 reports for independent contractors.• Oversaw daily EDI operations to ensure successful EDI processing and data integrity• Managed the… Show more Experienced professional specializing in EDI systems, with a strong background in trading partner setup, testing, and implementation. Provided support on the EDI and ERP systems and played a key role in supporting the inbound and outbound transaction processing. In addition, supported Finance team with monthly close processes and annual 1099 reports for independent contractors.• Oversaw daily EDI operations to ensure successful EDI processing and data integrity• Managed the set-up, testing and implementation of EDI Trading Partners• Addressed customer service requests and resolved issues promptly to maintain high levels of satisfaction and operational efficiency• Assisted the Finance team in the monthly close process• Provided support for Shipping and Receiving teams by troubleshooting and resolving system issues to enhance operational performance• Conducted quarterly MS Office training sessions for corporate staff, improving skills and productivity across the organization Show less