Tom Boward Email & Phone Number

Long Beach, California

Skills: Databricks, AI, SQL Server, SSIS, Stored Procedures, Window functions, subqueries, SSIS, R Studio, Python, ER Diagramming, Power BI, Excel, Agile development• Spearheaded predictive analysis projects using regression modeling and data visualization in R, significantly influencing executive decision-making to enhance overall Stars performance.• Pioneered data visualizations for the entire Medicare population, used regression analysis to identify unique member attributes… Show more Skills: Databricks, AI, SQL Server, SSIS, Stored Procedures, Window functions, subqueries, SSIS, R Studio, Python, ER Diagramming, Power BI, Excel, Agile development• Spearheaded predictive analysis projects using regression modeling and data visualization in R, significantly influencing executive decision-making to enhance overall Stars performance.• Pioneered data visualizations for the entire Medicare population, used regression analysis to identify unique member attributes across different markets, significantly aiding in targeted at-risk populations to guide efforts in member outreach.• Led the consolidation of Medicare Product design efforts, transforming CMS JSON data into a central repository. This initiative eliminated data version errors and duplications, integrating data seamlessly with both internal and external systems.• Implemented advanced analytics techniques for predictive healthcare outcomes, leading to more targeted and effective healthcare strategies and policies Show less

King Of Prussia, Pennsylvania, United States

Skills: Azure cloud services, Windows server domain configuration, Excel, SQL Server, Therapy Notes, Visual Studio VB.Net, C#, VBA, Python• Led the transition from paper records and manual operations to a fully digital cloud environment, optimizing claims processing and payroll operations.• Implemented an on-premise network and integrated an ERP solution with a data back-end, enabling advanced business intelligence capabilities.• Achieved a rise in claims payment rate… Show more Skills: Azure cloud services, Windows server domain configuration, Excel, SQL Server, Therapy Notes, Visual Studio VB.Net, C#, VBA, Python• Led the transition from paper records and manual operations to a fully digital cloud environment, optimizing claims processing and payroll operations.• Implemented an on-premise network and integrated an ERP solution with a data back-end, enabling advanced business intelligence capabilities.• Achieved a rise in claims payment rate from below 87% to over 98% and ensured 100% accuracy in contractor fee-split payment structures. Reduced our complex fee-split contractor and employee payroll processing time from days to minutes, which significantly increased operational efficiency.• Achieved a 100% success rate in Insurance claim payment audit performance through perfect digital recordkeeping and note tracking. Show less

In my work at Anthem Inc., I played a pivotal role in integrating diverse data sources and enhancing Medicare business intelligence, driving substantial improvements in data analysis capabilities and strategic decision-making.Skills: Tableau, SQL Server, Visual Studio, Excel, Power Point, VBA, technical writing and process documentation, ER diagramming, negotiating with external teams, leading technical teams• Led the development of an interactive Medicare Stars analysis and… Show more In my work at Anthem Inc., I played a pivotal role in integrating diverse data sources and enhancing Medicare business intelligence, driving substantial improvements in data analysis capabilities and strategic decision-making.Skills: Tableau, SQL Server, Visual Studio, Excel, Power Point, VBA, technical writing and process documentation, ER diagramming, negotiating with external teams, leading technical teams• Led the development of an interactive Medicare Stars analysis and modeling tool. This tool provided a graphical user front end that facilitated independent, scenario-based exploration for business users.• Orchestrated the design and implementation of an enterprise-wide data warehousing solution, integrating multiple disparate data sources for enhanced analytics capabilities for highly accurate Stars predictive modeling and performance analysis.• Developed and implemented scripted automation solutions for data acquisition from multiple acquired companies, streamlining data consolidation into a single back-end automated system. This automation also included rigorous data integrity checks and error detection mechanisms to ensure the accuracy and reliability of human-produced data sources.• A side-effect of this work was to eliminated the need for a full team of full-time analysts which saving over $750,000 annually in combined wages. This work introduced previously impossible capabilities that significantly improved the accuracy of future projections. The combined efforts all greatly optimized Anthem’s multi-billion-dollar Medicare line of business. Show less

Skills: SQL Server, Access, Excel, VBA, Microsoft Office object library, VB.Net, XML, Data Modeling, ASPX, object oriented analysis and design, Agile development, requirements gathering• Led a team in the development and implementation of data models, automation, and GUI web applications for Medicare product development, catering to both individual and group Medicare lines of business. These applications completely streamlined product design, bid process, inter-team plan communication,… Show more Skills: SQL Server, Access, Excel, VBA, Microsoft Office object library, VB.Net, XML, Data Modeling, ASPX, object oriented analysis and design, Agile development, requirements gathering• Led a team in the development and implementation of data models, automation, and GUI web applications for Medicare product development, catering to both individual and group Medicare lines of business. These applications completely streamlined product design, bid process, inter-team plan communication, and member materials production. In the span of one year, this tool went from being an Access database desktop application to an enterprise back-end web application that served multiple teams such as product engineers, actuarial and sales. • Wrote interactive and fully customizable dashboards for sales reporting that integrated Mainframe member data sources, SalesForce, and field sales Excel reports that provided a daily “big picture” overview of Aetna’s performance in the Medicare Open Enrollment competitive landscape. This tool allowed executive leadership determine real-time market sales strategies and allocate spending based on overall performance that previously wasn’t possible. Show less

Certificate, Data Analytics

Offered through a collaboration between Harvard Business School (HBS), the John A. Paulson School of Engineering and Applied Sciences.

Education record