About Me
Healthcare data analytics executive and consultant with over 18 years of operations, product development, and sales experience from payment integrity/cost containment work on behalf of 40+ BUCA health plans 13 years, then fiduciary oversight analysis on behalf of dozens of self funded employers and benefits consultants 5 years. Technical background in query based data mining, DB architecture, and ETL needed to derive actionable insights from unstructured claims data, including improper payments in both pre and post payment modalities, outlier analytics, utilization/spend analysis, condition based risk assessment, competitive intelligence, and inventory management.
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