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Consultant Resume

Columbia, MD

SUMMARY:

My career started at the Social Security Administration (SSA) with the Old Age, Survivor, and Disability (OASDI) and Supplemental Security Income (SSI) databases. After fourteen years, I moved to the Confidential which later became the Confidential (CMS) and worked with the Medicaid, Medicare, and other related databases. Since my retirement, I have formed a small business entity called Brinker Consultants to work in a consulting capacity for companies and government agencies who could utilize my knowledge and experience with federal government programs and databases. My experience in the federal government and as a consultant included designing, writing, testing, and implementing COBOL and SAS programs, copy statements, and job control language (JCL).

EXPERIENCE:

Consultant

Confidential, Columbia, MD

Responsibilities:

  • Analyze and document the methodology and software designed to link the Medicaid Analytic Extract (MAX) Personal Summary files with the Medicare Enrollment Database (EDB) to identify enrollees with both Medicaid and Medicare eligibility.
  • Assess the different linking criteria for aged versus disabled enrollees.
  • Analyze the potential for both false positive and false negative links and develop strategies to mitigate their occurrence.
  • Provide a written assessment of the stability of the link processes.

Consultant

Confidential

Responsibilities:

  • Participate in the Prescription Continuity of Care (PCCS) project to establish baseline medication use by end stage renal disease ( Confidential ) patients.
  • Analyze National Drug Code ( Confidential ) numbers for Confidential patients to determine effective as well as inappropriate medication use.

Consultant

Confidential, Columbia, MD

Responsibilities:

  • Construction of a cohort of Medicaid enrollees who have received care for asthma.
  • Analyze the comorbidities associated with Medicaid asthma patients and produce a report showing the total number of claims and costs involved.
  • Break down the claims and costs by aged, disabled, and dual Medicaid/Medicare eligible enrollees.
  • Construction of a cohort of Medicaid enrollees who have received care for HIV - AIDS.

Consultant

Confidential, Okemos, MI

Responsibilities:

  • Identify all Medicaid enrollees under age twenty-one in thirteen selected metropolitan areas.
  • Construct yearly files for these enrollees containing eligibility information and all inpatient, drug, and ambulatory claims.

Consultant

Confidential, Columbia, MD

Responsibilities:

  • Develop draft specifications for a MAX National Person Summary File (NPSF) that would merge all fifty-one individual state MAX files into a yearly national file.
  • Develop an algorithm to unduplicate Medicaid enrollees within each state, across states, and across years.
  • Identify anomalies and data errors that could affect the linking and unduplication process.

Consultant

Confidential, Ellicott City, MD

Responsibilities:

  • Design a single unique ID to identify and track each Medicaid enrollee within states, across states, and across time.
  • Design the index record format and content.

Information Technology Specialist

Confidential, Baltimore, MD

Responsibilities:

  • Coordinate and review a variety of short, intermediate, and long-range studies and projects to assure that operational systems and methods provide the most effective and efficient manner of operation.
  • Provide advice and guidance to research analysts in designing and implementing research databases to meet ORDI’s data processing needs.
  • Represent the Group and Office in meetings with other components, organizations, and the private sector with respect to research data.
  • Advise all levels of Group and Office management and technical personnel regarding design and feasibility of system proposals.

Computer Specialist/System Analyst

Confidential, Baltimore, MD

Responsibilities:

  • I was the lead programmer/analyst for data requests when the MSIS area was responsible for providing Medicaid data for customers within Confidential, other government components, and private industry. I served as a technical advisor at the branch and division levels to design and evaluate health care research projects and as a team leader to implement projects that included:
  • A complete system of more than a dozen program modules that match SSI account numbers to MSIS long term care files to detect and recover possible benefit over payments.
  • A study of the relationship between AIDS, the HIV virus, and tuberculosis. By using a combination of primary and secondary diagnosis codes, I was able to establish the incidence of these diseases as well as their cost to the Medicaid system.
  • The use of Medicaid drug data to study drug usage by Medicare recipients. I identified the top ninety drugs by frequency and expenditures used by Medicare beneficiaries in MSIS states.

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