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Work Background
Community Health ChoiceSenior Consulting Analyst
Oct. 2023 - Aug. 2025United States• Enhanced HEDIS rates and minimized audit time through precise SQL Data Flow management. • Provided mentorship to staff on the critical selection, join, and coding processes from enrollment to claims. • Developed AHRQ SAS macros and produced Excel reports for monthly Quality Care reporting. • Conducted ROI analyses for the Executive Staff in Actuarial and Quality Departments.
BLN Health AnalyticsBLN Analytic Consulting
Nov. 2021Central Texas• Established a start-up consulting business focused on public health and health insurance. • Expanded technical expertise through coursework in Python, R, and Power BI to better serve clients. •Research continues to stay updated on statistical methods, public health, and insurance issues
Evernorth Health ServicesSenior Data Scientist/Data Science Advisor
Jul. 2019 - Nov. 2021United States• Conducted in-depth analysis to establish key performance indicators (KPIs) for value-based Depression management. • Provided comprehensive data analysis and background research to support the development of the GI Comprehensive Care program. • Collaborated with cross-functional teams to enhance data-driven decision-making processes.
Center for Health Statistics, Texas DSHSResearch Epidemiologist: Opioid Crisis, Obesity/Diabetes Projections
Jul. 2018 - Jul. 2019Austin, Texas, United States• Developed and presented 10-year diabetes projections for at-risk youth at the APHA conference in November 2019. • Published the "Opioid Epidemic Monitoring ED Utilization" report on the Texas DPHS website to inform public health strategies. • Created geographic maps illustrating obesity variations in Texas, emphasizing the need for community and school development initiatives.
Blue Health IntelligenceSenior Epidemiologist
Mar. 2016 - Apr. 2018Chicago, Illinois, United States• Analysis for self-funded employers using BHI-developed Health Index. • Created a predictive model for unplanned readmissions used in the BHI Reporting Platform.
• Implemented Dartmouth metrics for low-value care in non-Medicare market analysis.
HM Insurance GroupDirector, Pricing and Risk Analytics
Mar. 2014 - Mar. 2016Pittsburgh, PA• Created a custom-designed risk-adjusted pricing model
• Architected flow of additional, detailed claims data from Parent Company (Highmark)
• Compared potential earnings of client selections to the current Underwriter Models.
Scott&White Health PlanDirector, Medical Informatics
Jan. 2012 - Dec. 2014Temple, Texas• Directed the analytic team, implementing report automation and increasing availability by 50%. • Supervised the production of monthly reports for both internal and self-funded clients. • Developed and presented the Executive Monthly Trend Forum for C-Suite, focusing on cost drivers.
• Created risk-adjusted metrics for pricing of Affordable Care Act products with the Actuary
BLUE CROSS AND BLUE SHIELD ASSOCIATIONManager, Health Services Research
Jan. 2010 - Dec. 2012Chicago, IL• Chaired U.S. Health Service Research Forum to share methods across BCBS system analysts
• Evaluated and assisted in selection of Blue Distinction Centers of Excellence (Cardiac, Orthopedic)
REGENCE BCBS OF OREGON (now Cambia)Manager, Analytic Innovation Team
Jan. 2008 - Dec. 2010Portland, OR•Published return on investment of employee wellness program, earning Regence the C. Everett Koop National Health Award
•Completed analysis of Intensive Outpatient Care Program (IOCP) for Boeing, influencing Regence’s expansion to 101 sites in Oregon.
•Managed a team of 4 analysts and analytic apprentices, focusing on pharmaceutical studies and health risk assessments. •Implemented Brown Bag sharing forums across Informatics and Actuarial Departments
Highmark Inc.Decision Support Consultant
Jan. 2005 - Dec. 2007Pittsburgh, PA• Conducted risk-adjusted analyses and Return on Investment for employer wellness programs in the Journal of Occupational Health. • Presented critical evidence regarding Vioxx's impact on cardiovascular health to a Congressional Committee. • Led a comparative effectiveness study for Dean Ornish's HeartHealth Program, facilitating contract renewal.
UNIVERSITY OF PITTSBURGH GRADUATE SCHOOL OF PUBLIC HEALTHResearch Associate
Jan. 1990 - Jul. 2005Pittsburgh, PAServed as project manager and study coordinator for a 5-year clinical trial, overseeing collaboration across 13 universities in 3 countries. • Managed the delivery of reports to the NIH, ensuring compliance and accuracy from multiple core laboratories. • Authored research publications on successful aging and contributed to grant writing and submissions, coordinating efforts among research staff. • Obtained $30 million grant funding from NHLBI for R01 and R03 population health studies (BARI, Health ABC, Cardiovascular Health Study)
MedradProject Manager
Jan. 1983 - Jan. 1990Greater Pittsburgh AreaDeveloped a line of guide wires used in percutaneous transluminal angioplasty.
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