Suny Lopez Email & Phone Number

Miami, Fl, Us

Miami, Florida, United States

Led a team of analysts in healthcare data analysis to drive cost management and value-based care initiatives, resulting in significant operational efficiencies. Spearheaded the development and implementation of advanced economic models that streamlined decision-making processes, resulting in a 25% faster turnaround time for key contract negotiations and improved financial outcomes.Engaged with clinical teams to develop a unified framework for identifying quality improvement initiatives; the framework now guides twelve departments in enhancing service delivery and operational efficiency.Established and enforced data validation protocols during the development of dashboards and reports, identifying discrepancies that improved data accuracy by 25% and increased stakeholder confidence in decision-making processes.Compiled and presented data on KPIs to the executive team, highlighting trends and areas for improvement; recommendations led to millions of dollars in claims expense and a 10% reduction in hospital admissions.Initiated a collaborative platform for finance and clinical services to exchange insights on cost management; this platform has supported the identification of 15+ cost-saving opportunities, driving operational efficiencies.Presented findings and recommendations to executive leadership, contributing to informed decision-making and strategic planning. Built comprehensive economic models and analyses to support value-based care programs and population health management, resulting in a 20% improvement in financial outcomes and operational efficiencies. Partnered with external stakeholders including healthcare providers, payers, and regulatory agencies, aligning on goals and best practices that led to a 15% increase in collaborative healthcare initiatives and a 10% improvement in care delivery outcomes

United States

Executed a reporting strategy aligning with client goals, delivering 75+ weekly KPIs, monthly, and quarterly reports with 99% accuracy. Functioned as a liaison between executive requests and developers to initiate actionable reports with correct business logic. Providing developers with priority created a 30% decrease in monthly requests. Sought opportunities to improve financial outcomes, engaging staff in the process, resulting in a 20% reduction in operational expenses. Executed and prioritized time and resources for a team of four, which increased project completion by 25% and employee satisfaction. Established annual financial objectives and employs bench marking against high-performing systems in the same area of the business to document annual objectives. Identify opportunities for medical cost improvements and alternative pricing techniques, resulting in considerable medical expenditure reductions and improved cost-efficiency across various projects. Acted as a mentor to analysts (under 3 yrs. exp) and provided best practice guidance for all deliverables. Steered 5+ projects to encourage automation and efficiency; resulting in 4,000+ hours saved or 2 annual FTEs by membership automation.

Miami, Florida

Analyzed medical cost trends and presented findings to stakeholders resulting in YoY savings of 5%. Simplified technical data into concise and understandable language for non-technical teams; facilitated informed decision-making resulting in a 50% reduction in time needed for decisions. Collaborated with others in developing multi-year financial budgets and forecasts for 2 LOBs - MCD & MCR. Accelerated the development and prioritization of operational and strategic analysis in support of operations. Reduced wait time of reports by 20% using streamlined processes. Utilized advanced Excel functions (pivot tables, VLOOKUP, and macros) to automate financial reporting processes, reducing report preparation time by 50% and increasing data accuracy. Partnered closely with department leaders and providers to recommend changes and/or enhancements that will improve processes and financial performance. Directed and administered the preparation of monthly, quarterly, and annual financial statements using generally accepted accounting principles (GAAP).

Miami/Fort Lauderdale Area

Spearheaded financial analysis, reporting and reconciliation of value-based risk and gain share contracts, presenting results to internal and external executives. Utilization reporting and financial analysis for 120 facilities in 11 markets and 2 regions and medical cost trend analysis for Medicare Parts A, B, and D in 5 areas improved data management and insights. Financial Performance reporting for Staff model and IPA medical centers; over 100 centers in 5 regions. Leveraged PowerBI to create interactive dashboards and visualizations, enabling real-time insights into Medicare Membership analytics for a population of over 150,000, enhancing decision-making processes. Utilized SQL for data extraction from the data warehouse, applying tailored logic for analysis.

Miami, Florida, United States

Initiated full implementation of new EHR platform at a national scale for the organization.Expanded the in-house medical services; In return hospital ERs visits and admission for specialist drivendecreased on average 5%.Produced marketing plan to enable practices’ market presence, proper branding, and the opportunity toincrease patient volume. Shift in marketing plan led to 5% organic growth YoY.Revised with the CFO in the preparation, review, and approval of annual budgets for all 120 facilities.Directed the implementation of loyalty program as retention strategy for membership. The program was a bigsuccess leading to a nationwide rollout.

Miami, Florida, United States

Identified trends in physician activity by monitoring encounter and claims data utilizing data to negotiateprovider contracts. Resulting in savings of 5% YoY.Performed site visits to conduct outreach, education, training and orientation sessions for providers and keyadministrative staff.Produced and negotiated provider contracts from one-time rate to out-of-network providers; Completed allrequired documentation for contract execution.Supervised referral coordinators to establish best practice and adherence to provider network.

Miami, Florida, United States

Monitored patient flow at the Center while maintaining availability of services and efficient utilization ofresources.Verified daily cash collections, daily submissions of monies to the department.Evaluated reports such as payroll, productivity reports, physician schedules, and staff meeting minutes.Conducted meetings with Center Medical Director and Supervisors to execute Policies and Procedures.