Edson Arioni
@edsonarioni
I improve healthcare operations through data analysis, encounter risk remediation, and scalable business process solutions.
What I'm looking for
At Centene Corp. and Magnolia Health, I analyze healthcare encounter data, identify provider-level edit risks, and coordinate interventions that prevented approximately $16 million in potential state-applied denials.
I've progressed from Provider Data Management Specialist to Data Analyst III, working across claims, encounters, provider data, Medicaid, Medicare, and Marketplace operations. My work has saved approximately $20 million through edit reviews, system analysis, manual fixes, and claims recovery while improving compliance, provider configurations, and operational performance.
I use SQL, Snowflake, Power BI, and enterprise reporting tools to turn complex data into practical recommendations. I also lead requirements and user testing, build workflows and reporting, partner with technical and business teams, and mentor junior analysts.
Experience
Work history, roles, and key accomplishments
Data Analyst III
Centene Corp. / Magnolia Health
Sep 2024 - Present (1 year 11 months)
Prevented approximately $16 million in potential state-applied encounter denials by identifying provider-level encounter edit risks and coordinating proactive interventions. Serves as a cross-functional liaison to investigate encounter edits, coordinate corrective actions, and address issues before they result in significant financial impact.
Education
Degrees, certifications, and relevant coursework
Austin Community College
Associate of Science, Computer Science
Pursued coursework toward an Associate of Science in Computer Science.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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