At Capital Health Plan, I investigate Commercial and Medicare claims to identify root causes and medical-cost opportunities, then translate findings into recommendations for operational and executive leaders. I also own the execution and quality control of 50+ monthly and quarterly analytical reports.
I redesigned SQL logic and created a stored procedure for FUA/FUM HEDIS reporting, increasing report frequency from twice weekly to daily and improving member targeting. Previously, at Temple Physicians, Inc., Temple University Health System, I managed a population-health initiative that engaged 5,816 people and delivered performance reporting.
