Open to opportunities

Daniel N

@danieln

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Healthcare Data Analyst and Data Analytics Engineer delivering HIPAA-safe analytics and executive reporting.

United States

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What I'm looking for

I’m looking to lead healthcare analytics and data engineering initiatives—building HIPAA-compliant ETL, claims/authorization analytics, and BI dashboards that improve operations and support audit-ready regulatory reporting.

I’m a healthcare data analyst and data analytics engineer with 10+ years in Medicaid and Medicare Advantage medical economics, cost-trend analytics, utilization and claims analysis, and executive reporting. I modernize prior authorization and claims data workflows by building HIPAA-compliant data architectures, ETL pipelines, and population health analytics that drive operational efficiency and regulatory compliance.

In my current role, I led modernization of prior authorization review infrastructure by integrating multi-source claims data into a scalable MongoDB platform, then delivering Power BI and Tableau dashboards for turnaround times, non-affirmation rates, and SLA adherence. Earlier, I built centralized utilization-management analytics, implemented automated data quality checks and governance practices, and applied cohort and statistical analysis to identify outliers and support predictive workforce planning.

Experience

Work history, roles, and key accomplishments

Current

Senior Data & Reporting Analyst

Current

CareSource Management Group

Jan 2024 - Present (2 years 6 months)

Led modernization of Medicaid and Medicare Advantage prior authorization review infrastructure by building a unified data platform for real-time healthcare analytics and regulatory reporting. Architected and maintained a MongoDB-based prior authorization data platform and built Python ETL pipelines and Power BI/Tableau dashboards to track claims analytics and operational metrics.

MongoDB Facets Claims Processing Prior Authorizations Python Pandas ETL Power BI DAX Power Query Tableau Cohort Analysis Affirmation Threshold Modeling HIPAA RBAC Audit Logging Data Governance Data Lineage Predictive Analytics

Data Analytics Engineer

Highmark Health

Mar 2019 - Dec 2023 (4 years 9 months)

Built a centralized utilization management analytics platform covering pre-payment review, provider performance, and claims adjudication outcomes. Designed MongoDB and Facets integration into a Snowflake warehouse with Python ETL, and delivered Power BI dashboards and longitudinal cohort analysis with automated data quality checks.

MongoDB Facets Claims Snowflake Python ETL Processes Power BI DAX Tableau Data Quality Data Validation HIPAA compliance Cohort Analysis Statistical Analysis Data Governance Lineage Tracking

Healthcare Data Analyst

Centene Corporation

Jun 2017 - Feb 2019 (1 year 8 months)

Developed reporting and analytics infrastructure for Medicaid prior authorization, provider compliance, and claims-based quality metrics across multiple states. Built Python ETL and SQL workflows integrating Facets, EDI, and state portal data into PostgreSQL/data lake environments and created Tableau metrics dashboards with HIPAA-compliant masking.

Python ETL SQL Facets EDI State Portal Data PostgreSQL Data Lake Tableau HIPAA compliance Data Masking Data Lineage Audit Packs

Data & Reporting Analyst

Evolent Health

Aug 2016 - May 2017 (9 months)

Established foundational data infrastructure for specialty care management, supporting prior authorization workflows and value-based care programs. Built SQL/Python/MongoDB ETL pipelines integrating EDI and Facets from EHR systems and delivered Tableau client-facing dashboards with HIPAA-compliant masking and data validation frameworks.