SUMMARY:

Experienced Data Scientist with over 15 years of experience in healthcare and IT infrastructure analysis. . Combine technical consulting and solutions - development with 15 years of business analysis, project management, development, and leadership experience. Able to take over falling projects, hit the ground running, and directly impact the bottom line. Influential leader and communicator. Interact effectively at all levels of the organization to build consensus for organizational goals.

AREAS OF EXPERTISE:

Prophet machine learning~ Knowledge about Accounting, Finance & Valuation~ Time management ~ Excellent analytical skills~ Understanding of SAS, Stata, SPSS, and SQL~Strong mathematical and financial problem solving skills~ Excel modeling, report generation within Business Operations and Accounting~ Experience with budget preparation and analysis~ Clinical performance assessments~ Claim Analysis~ Extracting and manipulating data using industry standard tools from relational databases~ Work with senior management to ensure compliance standards are met~ Assess potential acquisitions and mergers to ensure a smooth transition~ Excellent presentation skills to all member of management and non-management.

TECHNICAL EXPERTISE:

Machine Learning: Prophet

Project Management Methodologies: SDLC, Lean Development, Agile, Six Sigma

Tracking Tools: Clear Quest, Clear Case, Visual Source Safe, Rational Requisite PRO, DOORS, Rose, Quality Center, BMC Remedy, Blueprint.

Workflow Tools: MS Visio, MS Project, MS Office, MS SharePoint

Data Warehouse / Data Quality: Data Stage, Tableau, Data Flux, SAS, ETL, Teradata Data warehouse, SAP Data Services, Data Match, Python

Databases: SQL Server, SSRS, MS Access, MySQL, OLTP, Cerner, SAP, Confidential, Midas, EPIC, Oracle, Confidential Centricity BAR, Confidential Centricity TES - Transaction Editing System, Python, R, SAS, SPSSProgramming Languages: Java, .NET, SQL, HTML, XML

Claims Processing Software: Salesforce, EPIC, IDX, OnBase, Emdeon, Navicure, Encoder Pro, Navinet

PROFESSIONAL EXPERIENCE:

Confidential

Data Scientist

Responsibilities:

• Delivering statistical models, segmentation analysis, and customer insights that will inform major marketing spend and business decisions
• Identify data sources and validate data quality
• Perform mathematical analyses to enable Infrastructure planning to make data driven decisions associated with converged/cloud products, services, and infrastructure.
• Document analysis methodology, assumptions, etc.
• Machine learning: Facebook prophet predicting free space growth for IT infrastructure planning.
• Forecast models
• Create advanced visualizations with Qlikview

Confidential

Midas Plus/Cerner Senior Analytic Manager/Project Manager

Responsibilities:

• Developing and implementing databases, data collection systems, data analytics and other strategies that optimize statistical efficiency and quality for Cerner and Midas database
• Managed Service Now, the incident management system to resolve customer complaints.
• Interpreting data, analyzing results using statistical techniques and providing ongoing reports
• Responsible for managing client expectations.
• Served as primary liaison between analytics team and IT team for data migration and linking from individual Access databases to SQL
• Data mining and data modeling and validation
• Responsible for documenting Standard Operating Procedure (SOP) instructions for all ongoing business and transitioning the project to the Production Support team.
• Developed online university for all clinical personal, in which at the completion of passing all modules, The Department of Education gave each employee 6 credits.
• Implemented over 40 Midas applications in newly acquired medical facilities, nationwide
• Developed SharePoint site for Revenue Cycle team to keep track of coding issues, billing issues, and accounts receivables.
• Reduced help desk calls by developing end-user training and knowledge database

Confidential

Senior Project Manager/SAP ERP Manager

Responsibilities:

• Managed complex, enterprise level projects using agile and six sigma methodologies
• Coordinated client and contractor engineering, developed schedule, and allocated resources.
• Strove to ensure all management tools were used fully and effectively, including communication and goal setting with clients and incorporating team members in integrating client contributions.
• Define data needs, evaluate data quality, and extract/transform data for analytic projects and research.
• Leverage R, Python, SQL, & Excel to dig into data to extract meaning from information.
• Data mining and modeling
• Completion of 350 projects within 2 years.
• Automated 50 individual reports into one report generated through an Access database, which resulted in Confidential saving of $250,000 in one month.
• Re-negotiated several vendor contracts which resulted in $8.1 million dollars in Confidential savings at Confidential
• Received Operational Excellence working with Six Sigma within the Rebate department. Increased working capital by $65,000.
• Received Operational Excellence working a Six Sigma project with Contractual Rebates. Automated 25 reports via SAP BW, with a cost savings of over $100,000.

Confidential

Salesforce Senior Data / Project Manager

Responsibilities:

• Created/enhanced analytical procedures, create data dissemination mechanisms/procedures which summarize data in an easy to understand display, create/maintain customized SAS stored processes
• Interpreted results using a variety of techniques, ranging from simple data aggregation via statistical analysis to complex data mining independently
• Responsible for complex data requests that require data mining, extraction and query optimization services, investigate and recommend new analytic technologies and advanced visualizations;
• Performs data studies of new and diverse data sources.
• Created, programmed, and implemented procedures for processing and categorizing large data sets to extract meaningful statistical models of equity returns using hundreds of economic and market factors
• Implements automated processes for efficiently producing scale models.
• Spearheaded in producing the necessary pricing, completing RFP’s and identification of major advantages to help the Salesforce obtain new contracts and maintain current business needs and objective.
• Increased team utilization from 40% to 70% by streamlining methodology, tools, and processes to align with project size and risk. Instituted resource capacity/ demand model to improve staffing decisions
• Developed Excel pricing tool for all major-medical insurance carriers based on inputting 5-digit zip code

Confidential

Project Manager

Responsibilities:

• Developed training manuals for all positions to maximize revenue and growth.
• Spearheaded deployment of an Enterprise Project Management Solution using Microsoft Project and Microsoft SQL Server. Leveraged portfolio analyzer to report on key performance indicators.
• Led systems implementations of Congas, Tableau, Hadoop, and Confidential .
• Developed business specifications, orchestrating testing activities, and directing documentation of systems and operations.
• Responsible for resolving both complex and uncomplicated problems and concepts, and to make decisions that make sense and are based on available information.
• Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection.
• Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues.

Confidential

Business Operations Manager

Responsibilities:

• Provided leadership, direction, support and career development to all employees in a manner consistent with Texas Tech Health Science Center Core Values and business objectives.
• Drastically boosted increase in Business Operations profitability by reducing write-offs and building account and creative groups to collaborate more efficiently.
• Introduced professional development to previously under-trained staff by enlisting key speakers for meetings and organizing breakfast seminars with experts.
• Updated and continued to develop knowledge of operational processes, and billing trends to provide recommendations that improve collection efforts, patient satisfaction, and corporate performance. cogon’s and Pinpoint Analytics
• First receipt ant of the Dean’s Trophy for outstanding management and leadership skills.
• Developed the first employee recognition program which increased employee morale by 30 percent.

Confidential

Quantitative Analyst

Responsibilities:

• Establish scalable, efficient, automated processes for large scale data analyses, model development, model validation and model implementation
• Develop study statistical analysis plans, final reports, and PowerPoint slide decks by providing statistical analyses of study data and prepare tables and data displays.
• Interpret and communicate both orally and in written form the study results based on Excel tables, charts, graphs, SAS/STATA outputs.

Confidential

Billing Operations Supervisor/Project Manager

Responsibilities:

• Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
• Serves as the practice expert and go to person for all coding and billing processes.
• Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection.
• Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues.
• Audits current procedures to monitor and improve efficiency of billing and collections operations.
• Increased staff production by 50% through effective mentoring and training over the course of six months.
• Decreased employee turn-over by 50%, over the course of a year, because of effective communication and leadership skills.