Tim Mccabe Email & Phone Number

New York, NY, US

Minneapolis, Minnesota, US

• Developed AI models to identify fraud, waste and abuse in large sets of healthcare claims data and maximize recoverable dollars.
• Identified $1.9 billion+ in Medicare and Medicaid claims in 3 months using outlier detection models beating expectations by $1.2 billion.
• Collaborated with medical experts to ensure model alignment, accuracy and minimal false positive rates.
• Create data pipelines in Python and SQL to ingest, clean and process 400+ million healthcare claims improving time to analysis from >1 hour to <5 minutes.

United States, US

• Developed member segmentation algorithm in Python which identified unstable members in need of personalized medical attention before costs become “Runaway Costs” based on past health history data.
• Automated Data Science team’s Azure computing services for Virtual Machines and Synapse databases resulting in savings of 20k per month.
• Developed mixed effects model to predict future costs of medical patients based on data collected from multiple sources to lead to a savings of $5 MM+ in the first two quarters of implementation.
• Design, develop, test, validate, and deploy predictive analytics, machine learning (ML), and statistical models for allocating resources to certain portions of the Medicare and Medicaid population.
• Use data visualization tools (e.g., Tableau, Kibana, Zeppelin) to share ongoing insights and present findings to technical and non-technical audiences.

NYC, NY, US

New York, NY, US

Boot Camp: Data Analytics, Data Analytics

Bachelor Of Science (Bs), Mechanical Engineering

Education record