Brian Cronin

Leading analytics strategy for risk-stratification algorithms, utilizing ACG to stratify 400,000 members across various cohorts, disease state, and line of business. Responsible for regulatory, audit, and strategic reporting as it relates to clinical operations, utilizing claim, EHR, and HEDIS quality data.

Led Data Operations Team of 12 and oversaw client electronic health record (EHR) and claim connector implementation. Developed value-based care training curriculum and improved customer satisfaction by integrating feedback and developing an EHR implementation guide.

Led a team of 4 analysts delivering strategic reporting and forecasting to executive leadership, supporting system-wide operational and regulatory decision-making. Collaborated with Dana-Farber Cancer Institute to provide data for a new inpatient hospital focused on cancer patients.

Analytics manager for value-based care contracts, leading the system's first health equity initiative by imputing race, ethnicity, and language data with 85%+ accuracy. Developed advanced forecasting models to predict contract performance in cost, utilization, HEDIS quality, and patient experience.

Created team SQL common code to streamline business definitions and improve efficiency. Founding member of Data Governance Committee and Pharmacy & Therapeutics Committee, leading efforts to standardize reporting across service lines.

Supported system evidence-based medicine (EBM) pilots by integrating clinical, pharmacy, and utilization data to reduce costs and improve patient outcomes. Responsible for value-based care contract performance by streamlining risk-based financial and clinical analyses.

Conducted financial modeling, reimbursement analysis, and regulatory reporting for a multi-hospital system. Identified $500K+ in additional annual revenue by researching new cost reporting and reimbursement methodologies.

Responsible for community hospital Medicare Cost Reporting, collecting and documenting data in an audit-resistant manner. Assisted revenue cycle management teams with patient account monitoring and identifying gaps in billing & reimbursement.

Bachelor of Science in Health Management and Policy with a minor in Business Administration from the University of New Hampshire.