Yoemy Waller Email and Phone Number
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Yoemy Waller is a Data Czar, pioneering force in Healthcare Data Science and Healthcare IT, seamlessly blending cutting-edge technology with a passion for improving patient care. Yoemy has mastered the art of integrating AI, NLP, Generative AI, and machine learning into healthcare systems, driving innovation that transforms healthcare delivery worldwide. Yoemy leads groundbreaking digital transformation initiatives, creating modern clinical data ecosystems on the cloud and spearheading AI and ML readiness for healthcare organizations.Her recent work includes leading projects that revolutionize payment integrity, clinical audit systems, syndromic surveillance and clinician process optimization through advanced AI models, informatics and NLP pipelines. She has developed sophisticated AI models for disease phenotype indicators and anomalies detection, significantly improving patient outcomes and prevention. Also created complex expert systems for fraud, waste and abuse detection. She’s also been at the forefront of integrating medical chatbots and advanced interoperability systems with FHIR, RPA-robotic process automation, accelerating clinical workflows and ensuring seamless data exchange across healthcare networks. Her favorites projects are around innovation and digital product development.Yoemy's global perspective, enhanced by her travels to 152 countries, brings a unique and innovative approach to healthcare. She is constantly invited to speak at HIT, Data and AI conferences around the globe for her subject matter expertise. A recognized thought leader and keynote speaker, she is renowned for her ability to bridge the gap between traditional healthcare practices and the latest technological advancements.
Healthittek Llc
View- Website:
- healthittek.com
- Employees:
- 1
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Healthittek LlcGlen Burnie, Md, Us
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Healthcare Data Scientist & Ai Innovation CzarHealthittek Llc May 2021 - Present
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Vp Informatics & Innovation- Data ScientistFraudlens Mar 2018 - May 2024Arlington, Virginia, Us• After selling company- Remained as Consultant on retainer for next owners. Manage of Health IT developers, managers, technical professionals, Database and middleware team to develop healthcare and dental software to detect and prevent fraud, waste and abuse and analyze healthcare and dental claims to generate savings through expert systems, using AI, algorithms and automated systems including machine learning. To create predictive and prescriptive models.• Manage all process of new client implementation from setting up requirements for changes and managing development work through SDLC to interoperability for interfacing and integration of systems for bi-directional data exchange using HL7 FHIR API’s and EDI/X12 Implementing system based on requirements, negotiating features, designs and solutions and identifying possible new products spin offs.• Manage software development complete cycle from planning, design data models, development, implementation, redesign, improvement and optimization of software development, in a variety of schemas to include Waterfall, Agile, Iterative, V-shape and Spiral depending on project and requirements.• Successfully coordinated infrastructure integration, data selection and gathering, security protocols, data exchange, reporting and analytics, development work, change management and versioning.• Conducted informatics and in-depth analysis of claims. Working with big data of around 50 to 400 million rows, processing clinical data, claims real time and returning customer with results. Integrating systems between AWS, local servers and data lakes.Design of data models. Build standards for interoperability, pattern recognition, contextual analyses and developing scalable solutions to healthcare problems.• Implementations with major payors and TPA’s: medical and dental claims, diagnosis, CDT codes, pharma/medications, DME, providers rosters, NPPE, Clinical data, risk models for population health to create robust models -ML -
Healthcare It PmoSvbm Mar 2017 - Mar 2018• Expert knowledge of Agile project management • Provide significant leadership in the development and maintenance of the Reporting Strategy and Healthcare Analytics and KPI’s. Including: defining initiatives, developing business case, high level estimates and guiding initiatives through the planning and execution process, expert at facilitating impasses between the technology and the business teams.• Scrum Master and Agile expert managing multiple mission critical IT projects simultaneously from new claims systems development, system migrations, integration and data analytics, infrastructure deployment and automation. Managed Claims cycle for major payors like Blue Cross Blue Shield, United Health Care. Medstar, Cigna, Aetna and Medicare and Medicaid for a population of 32 million beneficiaries.• Successfully revamped EDI operations and projects for EDI HIPAA Claims Transactions- Electronic Data Interchange of 5010 X12 EDI transactions including: 834 Patient Eligibility, 270 and 271 Coverage inquiry and response; 837 Professional and Institutional Encounter Files, 999 and 997 acknowledgements, 277 healthcare notifications, 835 Payment Transactions.• Developed new and improved existing process flows, for full automation of data and analytics of Claims payments, rejections, denials and reconciliations, including mapping, crosswalks, and full reconciliations of data files, reaching overall acceptance rates of 99.8% on first submission. Process improvements and automation of 5010 X12. Electronic Payment analytics. Review and validated data.• Developed and implemented SLA- Process mappings and Improved data and process flows professional and institutional claims. Developed system for keeping State, plans and Trading partners dashboards and KPI’s including Submission reporting, reconciliation and process for acknowledging, mapping and matching response files. End to end tracking, analytics and SQL queries development.
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Chief Data ScientistHealth It Tek May 2015 - Feb 2018Healthcare industry subject matter expert, data Scientist leading projects of software development on Computable biomedical informatics. Clinical best practices quality assurance, clinical and dental cross over analytics. Implementing expert systems for detection and prevention of fraud, waste and abuse in healthcare.
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Director Systems And Clinical InformaticsContracts Oct 2007 - Feb 2018• Directed the Implementation of interoperability platforms for Laboratory interface for State reporting and connectivity with 17 different EMR systems. Radiology applications with connection to remote PACS system using DICOM and interfaced to E.H.R creating true end to end data flows for continuum of care.• Adept at reaching interoperability between stakeholders and gaining buy out from clinicians implementing CDA and CCDA exchanges between hospitals and clinics and HIE. Following the continuum of care for the patients and adapting systems and HIT to allow collaboration among practices, hospital, post-acute care and ACO. Master skills in Data Analytics allowed to prioritize implementation plans and deployments.• Masterfully performed data ETL: Extracting from heterogeneous sources, Transforming and mapping then loaded for systems migration. Keeping critical data from legacy systems and integrating into new upgraded applications. Putting together reports for Business Intelligence and strategic purposes and quality metrics.• Conducting statistical analysis and OLAP- Online Analytical Process through ODBC-Open Data Base Connectivity on different systems to integrate data for trends and business intelligence. Mining, managing and retrieving structured data and complex reporting. • Data Dashboards and Quality Measures both for Hospital side and Physician’s side PQRS and GPRO, KPI’s- Key Performance Indicators abstraction and reporting. Six Sigma and Lean projects data management and analysis. Work flow and data flow analysis, data repositories and correlations. DMAIC and DMAVD. Revamped multiple value-based processes and improved quality outcomes 25%.
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Data Specialist- Data Scientist AcoTristate Health Partners Oct 2015 - Feb 2017• Developed and implemented Clinical/ Costs/Quality Metrics Data Warehouse for Tracking Patient utilization, cross reference data from hospital, clinics, labs, medications, high utilization of ER, readmissions, and patient risk modelling for ACO and Clinical Improvement processes and reengineering.• Expert knowledge of Managed Care: Medicare, Medicaid, and Commercial Insurance (Group and Individual). Familiarity with Standard Medicare, Medical Supplements and Medicare Advantage Plans. Knowledge of HMO, PPO, POS Plans, etc. Experience with working with managed care enrollment and claims data, X12 5010.• Integrated data to prevent over utilization, improving coordination of care and share of information among specialists, PCP, Inpatient, Outpatient, Health Information Exchange and Claims and Costs data from CMS/ Network through integration and interoperability of multiple EMR systems into Data Warehouse.• Analyzed costs reduction, patient’s clinical risk factors and social determinants of health analytics using multiple data sources. By utilizing data modelling and risk management achieved reduced costs and ACO shared savings. Expert at CMS Claims data files (CCLF), CPT/HCPCS, LOINC codes, ICD 9 and 10 diagnostic and procedures codes, NPPES, HCC risk modelling. Creating complex reports and Power pivot tables, visualizations and trends for decision making. • Managing Big Data systems, integration and trend analytics with longitudinal studies and population data. Experience with EMRs, Healthcare Data Warehouse and Healthcare Informatics: Population Health, Patient Access, Service Quality, Healthcare Outcomes, Patient/Family Satisfaction, T-tests, cluster analysis and correlation and regression, including building models for predictive analytics. Analyzing Readmissions, Average Length of Stay, Total discharged days not billed, Net Days on AR, AR aging. -
Director Of Information TechnologyLake Health District Hospital Aug 2012 - Sep 2015Lakeview, UsDirector for Information Technology and Data Mining and management for Critical Access Hospital including Electronic Healthcare Records-EHR, Information systems management for HIS and CPSI systems, Information Security Management. ODBC and OS data Mining for Compliance and Quality Controls. Software Management and Audits, Web Development and Updating for Hospital Websites and Affiliated Clinics in Southern Oregon and Northern California. -
Chief Of MarketingPanama Canal Authority 1995 - 2001Panamá, Panamá, PaPromote Panama Canal around the World, conduct market analysis for Third Set of Locks Canal expansion project.
Yoemy Waller Skills
Yoemy Waller Education Details
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University Of Notre DameManagement And Advertising -
Universidad Del Istmo, PanamaBusiness Administration
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Universidad Del Istmo, PanamaLogistics And Intl Trade
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Northwestern UniversityQuantitative Analysis
Frequently Asked Questions about Yoemy Waller
What company does Yoemy Waller work for?
Yoemy Waller works for Healthittek Llc
What is Yoemy Waller's role at the current company?
Yoemy Waller's current role is SME Healthcare IT, Healthcare Data Scientist, Artificial Intelligence, Machine Learning, NLP and LLM's for healthcare applications. Fractional leader expert on Digital Transformation and Innovation..
What is Yoemy Waller's email address?
Yoemy Waller's email address is y_****@****ing.com
What is Yoemy Waller's direct phone number?
Yoemy Waller's direct phone number is +154194*****
What schools did Yoemy Waller attend?
Yoemy Waller attended University Of Notre Dame, Universidad Del Istmo, Panama, Universidad Del Istmo, Panama, Northwestern University.
What are some of Yoemy Waller's interests?
Yoemy Waller has interest in Children, Languages, Economic Empowerment, Civil Rights And Social Action, Education, Reading, Painting, Disaster And Humanitarian Relief, Human Rights, Health.
What skills is Yoemy Waller known for?
Yoemy Waller has skills like Marketing Strategy, Web Design, Online Marketing, Social Media, Email Marketing, Aerial Photography, Web Development, Online Advertising, Social Networking, Seo, Marketing, Social Media Marketing.
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