AMIE R. COOK

**** **** ***** ****** **** Cell: 404-***-****

Norcross, Georgia 30092 E-mail: acqmh4@r.postjobfree.com

SUMMARY

Versatile professional with Master of Business Administration, Master of Health Administration, and Bachelor of Science degrees. Accomplished presenter and published author. Savvy manager skilled in supervision, training, information technology, coding, analysis, business, finance, and health administration. Experience includes actuarial consulting, health insurance, healthcare, managed care, and insurance claims adjudication. Clinical expertise as a nutritionist, dietitian, and researcher. Diverse leader committed to improving overall organizational effectiveness.

PROFESSIONAL EXPERIENCE

MILLIMAN, Atlanta, Georgia August 2013 - May 2014

Senior Analyst

Wrote code to develop discount rates for insurance groups to offer to employer groups (individuals or companies) on behalf of Milliman, an international actuarial consulting company.

Wrote SQL code for Excel-based application that identified Medicare medical discount rates. Application was marketed to 40 internal Milliman offices and sold to insurance companies.

After five months of employment, retained all duties related to maintaining SQL code while accepting additional duty of writing customized SQL client code to generate up to two weekly Excel packages of four or more reports using Blue Cross/Blue Shield data. Reports compared and contrasted health insurance discount rates that insurance companies or employer groups paid to doctors or medical facilities. Predominant clients were managers at Blue Cross/Blue Shield and managers at other health insurance companies.

COVENTRY, Atlanta, Georgia January 2012 - August 2013

Medical Economics Department

Senior Medical Economics Analyst

Used technology to investigate and respond to approximately 10 medical utilization and cost inquiries yearly from C-level executives and directors of Coventry, a health insurance provider.

Used Bi-query and Excel to write analyses to project cost savings for reducing inpatient bed days by $1.2 million and for identifying overpayments on CPAP rentals, possibility providing savings of $80,000 for Coventry’s health insurance plan. Submitted analyses to Coventry executives and directors for a decision regarding implementation.

Used Bi-query, Excel, and Word to write six-page colonoscopy analysis for cost impact of specific medical procedures. Executive Team used analysis to decide whether or not to modify benefit guidelines.

Trained and mentored entry-level analyst in all aspects of actuarial position.

Used Bi-query, SAS, and SQL to write a report that quantified all claim dollars Coventry paid within two-year time frame to all providers. Chief Operating Officer used report to make changes affecting PPO benefits.

WELLCARE, Atlanta, Georgia February 2011 - October 2011

Medical Management Department

HEDIS Project Manager

Managed Healthcare Effectiveness Data and Information Set (HEDIS) Project, 80 quality metrics that measured performance on dimensions of care and service provided by Wellcare, a Medicaid managed care organization. As a result of HEDIS Project, Managed Care Organization achieved accreditation from National Committee for Quality Assurance (NCQA).

Hired, supervised, and trained three clinical nurses and two administrative employees who worked on HEDIS.

Amie R. Cook Page 2

PROFESSIONAL EXPERIENCE, Continued

KAISER PERMANENTE, Atlanta, Georgia September 2006 - June 2010

Contracting Department/Finance Department/Medical Economics Department

Senior Data Analyst

Managed team of six who used SAS and SQL to compile financial and quality analytics including HEDIS metrics submitted to C-level executives for financial and operational planning within Kaiser Permanente, a managed care organization. Personally compiled up to 20% of HEDIS analytics submitted.

IHEATH TECHNOLOGIES, Atlanta, Georgia September 2004 - September 2006

Finance Department

Financial Analyst

Used Business Objects software to generate monthly reports summarizing client cost savings as high as $1.4 million from claim denials. Submitted reports to Vice President of Finance of iHealth Technologies, a health insurance claims adjudication company.

PROMINA HEALTH SYSTEM, Smyrna, Georgia February 2001 - November 2003

Medical Economics Department

Medical Economic Analyst

Used Access to create utilization and financial profit and loss reports submitted to executives of Promina Health System, a health care provider.

Organized group of approximately eight internal and external analysts to produce HEDIS reports.

Trained entry-level analysts.

CLINICAL EXPERIENCE UPON REQUEST: 1990-1999

SKILLS

COMPUTER OTHER

• Microsoft Office • Business Objects • Ingenix NDS Tool • Management • Presentation Skills

• Microsoft SQL Server • SAS EG 5.1 • Bi-query Tool • Consulting • Medical Coding

• Microsoft Project • Visio • Cognos • Performance • Mentoring

Measurement • EMR

PRESENTATIONS

Wrote and presented as many as 10 presentations yearly regarding exercise, nutrition, and prevention/treatment of such chronic illnesses as diabetes, coronary artery disease, cancer, HIV, and obesity. 1993 - 1997

PUBLICATIONS

Aung TT, Klied (Cook) A, McGinn J, et al. Vitamin B-12 deficiency in an adult phenylketonuria patient. J. Inherit Metab Dis 1997; 20:603-4 (PubMed)

TRAINING/ PROFESSIONAL ORGANIZATIONS

Project Management Kaiser Permanente 2008

American College Healthcare Executives 2015

EDUCATION

Master of Health Administration Health Administration Georgia State University 2002

Master of Business Administration Finance Georgia State University 2001 Bachelor of Science Nutritional Sciences and University of Arizona 1992

Exercise Sport Sciences

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