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Network Power<100 people
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🧨66%
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✔️33%
IT
✨33%
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Work Background
Health Network OneHealthcare Business Analytics Manager
Sep. 2023Miami-Fort Lauderdale Area• Lead a multidisciplinary analytics team supporting enterprise reporting, provider performance tracking, and strategic decision-making across multiple health plans. • Led the implementation of Power BI across the organization, replacing legacy reporting systems and enabling dynamic, self-service dashboards for clinical, operational, and financial stakeholders. • Designed and implemented a full-scale Value-Based Purchasing (VBP) Program for (TNFL) therapy network across Florida: • Created all SQL-based logic and queries, defined ranking methodologies to evaluate provider performance, and built Crystal Reports to visualize provider profiles. • Developed and operationalized the annual bonus calculation model, aligning financial incentives with cost control and quality improvement. • Develop SQL-based reports to evaluate provider performance, contract terms, and clinical spend trends. • Create and maintain Power BI dashboards highlighting utilization, cost efficiency, and network performance. • Conduct nationwide adequacy simulations and build provider profiles supporting value-based care initiatives and stakeholder engagement. • Collaborate with stakeholders across finance, contracting, and clinical teams; present strategic findings to executive leadership.
Health Network One - Therapy NetworkLead Data Analyst
Aug. 2021 - Sep. 2023Florida, United StatesDeveloped monthly reports utilizing Microsoft SQL Server Management Studio to analyze historical contract behavior and resolve data-related issues across various departments. Generated proposals for new contracts in the U.S., leveraging operational and financial data analysis along with SQL coding for database management. Designed and implemented interactive dashboards for management and network analysis using BI tools. Created utilization reports covering all specialties and different lines of business for various health plans. Conducted nationwide simulations for member and provider adequacy using the Quest Program. Led a team in designing, developing, and implementing enterprise software solutions aligned with business objectives. Oversaw large-scale application development projects, ensuring adherence to coding standards and reporting progress. Spearheaded healthcare projects, including network reports detailing provider activity, site visit outcomes, and call log analyses. Implemented agile methodology in Power BI solution development projects, facilitating sprints, managing backlogs, and leading scrum meetings. Led a Value-Based Project, developing profiles for over 400 providers to analyze key metrics and determine incentive bonuses. Utilized Python for advanced data analysis, automation, and predictive modeling to enhance decision-making processes. Designed a project visualizing loss ratio, profit trends, and cost-saving outcomes for each health plan. Provided training and career development planning for junior application developers.
Health Network One - Therapy NetworkData Analyst
Aug. 2021 - Sep. 2023Florida, United StatesDeveloped monthly reports utilizing Microsoft SQL Server Management Studio to analyze historical contract behavior and resolve data-related issues across various departments. Generated proposals for new contracts in the U.S., leveraging operational and financial data analysis along with SQL coding for database management. Designed and implemented interactive dashboards for management and network analysis using BI tools. Created utilization reports covering all specialties and different lines of business for various health plans. Conducted nationwide simulations for member and provider adequacy using the Quest Program. Led a team in designing, developing, and implementing enterprise software solutions aligned with business objectives. Oversaw large-scale application development projects, ensuring adherence to coding standards and reporting progress. Spearheaded healthcare projects, including network reports detailing provider activity, site visit outcomes, and call log analyses. Implemented agile methodology in Power BI solution development projects, facilitating sprints, managing backlogs, and leading scrum meetings. Led a Value-Based Project, developing profiles for over 400 providers to analyze key metrics and determine incentive bonuses. Utilized Python for advanced data analysis, automation, and predictive modeling to enhance decision-making processes. Designed a project visualizing loss ratio, profit trends, and cost-saving outcomes for each health plan. Provided training and career development planning for junior application developers.
FEMBi MortgageData Analyst/Financial Consulting
Mar. 2021 - Aug. 2021Miami, Florida, United StatesCreated Database SQL and dashboard of vendors and payments in Power Bi. Performed monthly financial reports, forecasting, and variance analysis using Encompass, Loan vision and Excel. Responsible for managing operational data and ensuring data integrity and accuracy. Business analysis and intelligent reporting. Input and code 50+ invoices daily. Preparation and analysis of accounting records, financial statements to reports and reconciled accounts. Analyzed loans, loan purchase, files cancelled, borrowers balance. Adverse loans Reports monthly. Month-end financial close report prepared, key accounts reviewed and journal entries.
American Health Choice, INCData Analyst Consulting
Jan. 2020 - Feb. 2021Miami, Florida, Estados UnidosCreated the agency database with Access, PowerBi and QuickSight (translate and design large data), dashboard design, and data analysis. Prepared financial statements and others financial reports. Compiled analitycal reports to determinate expenses and annual budget of the agency.Formulated Production Report, Created of Cigna Weekly Production Report to control more than 400 agents, data validation, analyzed of behavior on a daily basis, and supporting management decision. Evaluated Persistence Reports, Cancelations Reports, Pending Reports, and communicating with all teams to resolve cases. Training of Agents about Cigna products, quotes, data use, and management of agent view (Cigna portal). Analyzed Bonus Tracker and reports for all awards of the agency. Developed and executed queries to support all operations and decision-making analytics.
Gazprom InternationalProject Engineer Consulting
Oct. 2015 - Dec. 2018VenezuelaDeveloped 158 schemes oil and gas reservoirs of District Gas Anaco fields, reserve estimates and risk analysis. Analyzed new localizations Potential, Studied Forecast and economic evaluation of plans. Created dynamic reservoir / wells / network model integrated with reservoir model. Coordinated and prepared technical reports for new wells: Studied mechanical, geological, for the development of new trajectories conditions; monitoring well production and creation of proposals for drilling. Developed models for 300 wells with new technologies like gaslift injection, compressor, plungerlift for wells optimization. Evaluation and execution of production activities for the emission of production plans in the short, medium and long term, with their respective indicators and reports of management results of 158 plans in the field.
CIACP (Centro Integral de Aprendizaje y Capacitación Profesional)Planner Engineer
Jul. 2014 - Sep. 2015Barcelona VenezuelaInstructor courses for students and professionals in the oil industry about production plans, optimizing production systems with nodal analysis, granulometric analysis (linner selection of production), study of static and dynamic pressures on vertical and horizontal wells, impact of shale in producing wells, evaluation of the behavior of water, validation of PVT in heavy, light crudes and gas, relative permeability in naturally fractured reservoirs. Reservoir Simulation with Eclipse 300. Planning and execution of projects, economic and risk analysis.
OGOProject Engineer
Oct. 2013 - Apr. 2014Villahermosa Area, MexicoProject Services for Scientific and Technological Development for Dynamic Analysis of Active Production Fields ABKATUN CHUC POL and other PEP. Dynamic Field Analysis Ixtal. Model Generation of well / reservoir, with Kappa platform (Diamant, Saphir, Topaze and Amethyste). Synchronization Pressure-Production and determination of reservoir models using pressure transient analysis for 12 wells in the field, reserve estimates with reservoir model. Studies about areas of the field where the best opportunities to increase production through the generation of major and minor repairs and opportunities for new wells are selected. Performance evaluation of water in the field. Forecast the field production with the declination method. Evaluation of project phases, economic estimates of each phase of the project and monitoring of it. Elaboration of drilling (fracking), pullings and workover plans for wells in the IXTAL and ONEL fields in order to increase production.
PDVSA Petróleos de Venezuela S.A.Project Engineer
Aug. 2009 - Oct. 2013VenezuelaInflux nodal analysis and well optimization using PIPESIM to 90 horizontal wells. Validation of 10 PVTs Carabobo Orinoco Belt and loading Eclipse PVTi. Creation of Fluid Model. Analysis and loading of relative permeability and capillarity curves with Eclipse SCAL. Creation of Rock-Fluid Model and reserves calculus. Creation and management of production database of Petrolera Sinovensa using SQL /OFM (220 horizontal wells and 21 vertical wells). Monitoring 90 horizontal wells production, production increase around 20%. Making of technical reports for new wells: Study of mechanical, geological, for the development of new trajectories conditions; monitoring well’s production and creation of proposals for drilling. Creation of proposals for drilling, pullings, workovers. Inspection in rehabilitation work and coiled tubing in some horizontal wells. Production test execution. Inspection records of pressures. Creation Petrolera Sinovensa Pressure Model and pressure maps. Integrated reservoir characterization studies of geology with production wells and productivity index calculation. Sand production analysis and granulometry study to 40 horizontal wells. Responsible for the planning and monitoring of the execution of project portfolios and investment programs associated with the necessary infrastructure for production processing.
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