Tammy Cheung Email & Phone Number

New York, Ny, Us

Denver, Colorado, Us

Dobbs Ferry, Ny, Us

Advisor for the Women in Leadership program at CERTiFi by Mercy College.

Woonsocket, Ri, Us

- Manage and lead a team of data scientists and engineers, providing technical leadership to ensure successful project delivery.- Create data-driven strategies to align with long-term business objectives, such as implementing a new overpayment detection program for the Medicare claims processing platform, positively impacting over 3 million members.- Develop and maintain a deep understanding of the company's products, services, and customers to ensure that data science initiatives align with business needs.- Collaborate with key stakeholders across the organization to identify business opportunities that can be addressed using data science techniques.- Successfully launched a multi-year strategy that generated $20M in value for the company, demonstrating my expertise in strategic planning and data-driven decision-making, as well as my ability to deliver tangible results.

Woonsocket, Ri, Us

- Managed a team of data scientists and analysts, overseeing their daily workflow and setting performance goals that led to a 26% increase in productivity.- Developed and implemented machine learning models that have resulted in a 17% reduction in payment errors and a 23% increase in customer satisfaction rates. Led the development of a real-time predictive analytics platform that has increased operational efficiency by 32% and reduced the number of errors by 27%.- Implemented agile methodologies for data science projects, resulting in a 20% reduction in time-to-market for new products and features. Identified and evaluated new data sources that have resulted in a 15% increase in the accuracy and completeness of predictive models.- Used advanced analytics and machine learning techniques to build predictive models, uncover insights, and identify trends in complex data sets.

Hartford, Connecticut, Us

Philadelphia, Pa, Us

Amerihealth Caritas provides health insurance to low income individuals and families for 5M members across 12 states, including Medicaid, Medicare, long-term services and supports (LTSS), behavioral health, and pharmacy benefit management services.• Managed end to end activities with a team of 3 analysts that captured over $23 million in cost avoidances and $15 million in retrospective recoveries to exceed the annual goal by 200%.• Used Agile methodologies to project manage strategic initiatives in collaboration with plan directors, regional chief medical officers, technologists, and vendors to ensure organization is in compliance with state, federal, and plan regulations for 12 lines of businesses across 9 states.• Used analytics to identify and implement over 70 complex rule-based concepts for Fraud, Waste, and Abuse detection.• Lead as SME for the maintenance and improvement of internally developed overpayment applications and design of graphic interfaces (GUI).

Philadelphia, Pa, Us

South Jordan, Ut, Us

Audited medical, hospital, and pharmaceutical claims for one of the largest health insurance companies in the U.S providing care to over 20M members. Followed established policies to meet internal and regulatory requirements.• Top 5% of employees in identified claim overpayments. Exceeded target set by management by over 150% on a monthly basis.• Identified control gaps in processes and procedures through in-depth research and review. Monitored and tracked over $100K in monthly recovery invoices to ensure reimbursement and customer satisfaction.• Executed internal assessment reviews to improve quality of claim letters written against health care providers. Identified areas of opportunity to increase clarity and reduce abrasion in the provider experience.

Malvern, Pa, Us

• Managed over 400 contracted payers including implementing agreements, fee schedule updates, and renewal terms.• Assessed risk inherent to contract changes and potential impacts to agreement terms to resolve contract disputes and lower uncollectible debt.• Developed and streamlined dashboards to measure payer performance, track reimbursement issues using Tableau.• Identified areas of improvement to management using various data sources and Microsoft Access.• Led as program manager for the creation of the first internally developed reimbursement processing system application and design of the GUI.

Malvern, Pa, Us

• Successfully executed all accounting roles including bookkeeping, accounts payable and receivable, and petty cash with a gross estimated income of over $300K net revenue annually.• Developed and implemented new standard procedure documents and process improvement practices related to financial contract obligations, course curriculums, and state mandated requirement policies.• Oversaw day-to-day operations for over 100 students enrolled in various programs within the cosmetology school annually.

Master Of Science - Ms, Business Analytics

Bachelor Of Business Administration (B.B.A.), Accounting And Finance