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Edson ArioniEA
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Edson Arioni

@edsonarioni

I improve healthcare operations through data analysis, encounter risk remediation, and scalable business process solutions.

Guatemala
Message

What I'm looking for

I'm looking to apply healthcare data analysis, business analysis, and process improvement experience to solve complex operational problems, strengthen compliance, and deliver measurable financial and performance outcomes.

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

CH
Current

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 logoAC

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

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