Financial and Statistical Analysis
Over nine years in data analysis, database development, and report building.
Consistently increased responsibilities and accomplished goals throughout my professional career.
Motivated leader with strong organizational, prioritization, and communication skills.
Arizona State University
Business, Communication , Business, Communication
- May 2015
Paradise Valley Comm. College
General Studies , General Studies
- May 2014
Manager, Finance Department
- December 2014
Managed and trained five directly reporting Financial Analysts.
Implemented several Independent Provider Associations (IPA's) in Arizona and Hawaii on Shared Savings/Model Practice, Shared Risk, and Global Risk contracts.
Participated and provided reports for Joint Operating Committees with IPA's on a monthly basis.
Trained several IPA's on how to correctly analyze Humana's Service Fund reports.
Conducted bi-monthly financial trend meetings for all Medicare Advantage plans in Arizona, Hawaii, and Nevada.
Collaborated with corporate finance to ensure accuracy in monthly financial bookings for Arizona, California and Hawaii.
Consultant, Finance Department
- April 2013
Designed and manage reports for several contracted IPA's financial risk performance.
Designed Access database to reconcile encounters received from IPA's, reporting their claim outage.
Analyzed financial performance for capitated specialty providers.
Utilized several data sources to project financial performance of Medicare Advantage plans in Arizona, California and Hawaii.
Utilized MS Access, PLSQL, SQL Server, and SAS on a daily basis to produce ad-hoc reports for senior leadership.
Created productivity database for medical coding team on SQL Server that was adopted by the corporate team.
With VBA, designed an access database that is linked to SQL Server tables for use by several nurses and medical coders.
Customer Operations Analyst
Wolters Kluwer Health Analytics
- July 2008
Used several applications including Toad, Mainframe, Actuate, and MS Access/Excel to analyze and deliver data to clients for targeting and compensation.
Lead analyst servicing clients Becton Dickinson, Centocor, J & J, Mallinckrodt, and Wyeth.
Took the lead role in processing Pfizer's DORS (District Outflow Reporting System) deliverable, completing quality control to ensure on-time data weekly delivery.
Pharmacy Network Compliance Analyst
Medco Health Solutions
- April 2007
Maintained an active role in resolving problematic claims submitted by pharmacies within the Medco network.
Trained new department staff members on internal audit applications and processes.
Composed formal letters to attorneys enabling the finalization of significant audits.
Consistently exceeded processing and finalizing amount of onsite audits surpassing recovery goal; desk audit
recoveries were exceeded by 170%.