SUMMARY:

18 + years of expertise as a Data Quality Analyst and Subject Metter Expert (SME) - Clinician (Pharmacist) in Healthcare IT with data analysis of CCDA, C32 for EPIC Vendors, Operational Data Analyst, ETL Developer and Coordinator of Patient Services

TECHNICAL EXPERIENCE:

• Microsoft Office
• Measure information in CCD, CCDA, C32
• XML to HL7 messages using Mirth Connect
• Master Data Management (MDM)

• SQL RESTFUL JSON and API projects
• Altova Diffdog

• Visual Basics
• Tableau
• SharePoint
• Jira, Confluence
• DQ Analyzer
• Testing on Mobile Devices
• Jira, Confluence

PROFESSIONAL EXPERIENCE:

Confidential

Data Quality SME

Responsibilities:

• Managing new program for the improvement and significant expansion of standardized clinical document exchange(CDA) between a major federal agency and its 120 Epic external healthcare provider partners
• Experience with CCD, CCD Scoring Tools. Health IT professional with extensive IT SDLC experience across healthcare platforms
• Expert in identify, propose and implement Quality Assurance services (QA), test planning, quality metrics, design a card using tool, and suggest process improvements.
• Managed and implemented the integration of complex multiple format data streams into cohesive toolsets.
• Experience with develop, implement, and refine Clinical Decision Support systems and participate in the implementation, evaluation, and continuous improvement of Clinical Information systems.
• Coordinated implementations of Ems at multi facility academic healthcare systems including practices.
• Designed analytics for clinicians managing patients across the healthcare continuum
• Research projects for national grants. Part of development teams for integration with data streams of Rx Claims, active med lists and eCare Plans
• Strong understanding of standard medical reference terminology issues including a conceptual understanding of SNOMED-CT and LONIC
• Expert in clinical knowledge from practicing medicine and patient-care combined with an understanding of specific clinical domains, in order to characterize, evaluate, and refine clinical processes.
• Efficiently interface with other quality analysts and clinical personnel, create clear data quality reports and project progress reports and advise Project managers in preparing an action plan following each quality review.
• Played a key role in developing testing framework, setting up and implementing QA dashboards using supplied tooling, interpreting clinical validation metrics, and providing input to the Quality Assurance Surveillance Plan (QASP).
• Subject Matter Expert in VHA policy and operations including the Confidential Program and Community Health.
• Maintenance of accurate code set(s) mappings to interface terminology, through analysis of mapping data as required.
• Collaborate with external Subject Matter Experts (SMEs) to obtain code set and assist with updates on clinical applications.
• Assist in providing guidance on mapping, and research evidence-based document to support team discussions.
• Perform internal quality assurance/analysis (QA) on domains mapping prior to external QA.
• Performing peer review on other teams domain compendium prior to submission to technical writer.

Confidential

ETL developer, Operational Data Analyst

Responsibilities:

• Managed Data Analysis with business teams to develop specifications for healthcare business functionality for Medication focused applications supporting Medicaid for state of Confidential
• Developed data quality policies and rules to generate technical specifications on ETL processes
• Coordinated testing process including issue identification, issue documentation and issue resolution including regression testing
• Coordinated with Community clinicians managing extensive Care Management challenges with internal databases
• Presented formal slide decks to identify opportunities and options to business clinician champions to further refine functional specifications
• Worked with UI teams to design appropriate displays to optimize clinical workflow
• Advised Business clinicians on design and implementation of data usage guidelines
• Coordinated projects with large complex data files, experienced with Medicaid files and Pharmacy transaction files
• Communicated the business value of data quality and the requirements
• Designed data analytic processes to identify the interaction between data and business processes
• Conducted root cause analysis on clinical data issues
• Developed business workflows
• Change SSIS Configurations
• Run and change Existing ETL packages
• Experienced in SharePoint
• Determined business applicability (scope) of data attributes
• Lead data cleansing efforts for Master Data Management
• Used data quality tools such Profisee to execute data cleansing
• Lead teams to resolve testing defects related to MDM attributes and conversions
• Developed data workflows and materials to support operational process
• Conducted GAP Analysis (Vendor files)
• Coordinated teams for Tier1 and Tier2 issue resolution
• Analyzed data and implement procedures to support development teams and business
• Participated in application deployment and maintenance releases
• Served as a primary Unit testing resource to any Pharmacy- related information technology projects

Confidential

Coordinator

Responsibilities:

• Conduct the daily operations of Confidential responsibilities associated with payer pharmacy programs, including but not limited to those based in provider participation
• Assisted Confidential Pharmacies with processing for Medicaid Off - labeling Antipsychotic programs.
• Communicate with staff at the Confidential or other payers regarding the daily operations of pharmacy programs operated by Confidential
• Assist with preparation of training materials for Confidential and other pharmacy applications
• Fill and process prescriptions
• Communicate effectively with pharmacists and physicians offices.
• Efficiently problem-solved patient/insurance company issues
• Counsel and answer patient’s questions regarding medications.
• Maintain Inventory
• Excel at multitasking
• Function as drug information consultant