Reimbursement Specialist & Analyst, Finance Department (2007 - Present)* Lead on special projects with focus on government programs (Medicare, Medicaid, CHIP) & Commercial products* Project Lead on Shared Savings & Care Coordination Fee program implementation-responsible for validating membership rosters; user acceptance testing (UAT) of data warehouse tables; analyzing, updating, and testing of imputation code logic; & automation of reports utilizing Oracle SQL (Toad for Oracle), VBA (Visual Basic for Applications), MS Excel, & MS SharePoint, as well as creating the internal Policy & Procedure Manuals and technical documentation* Produce detailed analytical reports and financial impact analyses using Oracle SQL, MS Excel, VBA, MS Access, MS Word, Cognos, & MS PowerPoint to measure provider performance in regard to quality and effectiveness of medical services and care, to identify utilization patterns, and to ensure market competitiveness* Design, analyze, & implement reimbursement models for risk/incentive contracting.* Prepare requests for proposals (RFPs) for employer groups* Identify issues involving documentation, coding, and billing to improve efficiency & effectiveness of practice managementBusiness Analyst II, Department of Health Economics (2006 - 2007)* Produced detailed analytical reports of clinical and financial data to compare operating performance against regional and national benchmarks including HEDIS measures* Identified trends in expenses, utilization, and medical quality, as well as identified potential fraud & abuse and cost/benefit analysesAnalyst I, Underwriting & Actuarial Services (2005 - 2006)* Designed, created, and maintained computer programs using VBA to automate the renewal underwriting processStaff Underwriter, Underwriting & Actuarial Services (2005)* Monitored regulatory changes and implemented updates to the risk assessment and rating process to ensure compliance with local, state, and federal regulations

Photographer. Presenter. Instructor. Wild Edible Plants. Medicinal Plants. Herbs. Natural Living.

DIY Herbalism: Creating Tinctures, Salves & PoulticesDIY Back to the Basics: Cold Process Soap Making Local Wild, Edible & Medicinal Plants by the Season

Founding member of Board of Directors for a start-up food co-op.

Test Center Administrator, Computer-Based Testing* Supervised test administration (e.g., GRE, MCAT, TOEFL, CLEP, Praxis, etc.). * Maintained a working knowledge of policies, practices, and procedures.

Instructor of College Algebra encompassing all aspects of course management including developing and implementing lesson plans; writing quizzes and exams; grading homework, lab assignments, quizzes and exams; and computation of final grades (Terms: spring and summer 2004).Lab Assistant for the Institute of Math Learning assisted students one-on-one with lab assignments; grading lab assignments; and assisting the professors and instructors as needed (Term: fall 2003).