Health Care
Resume:
Timothy F. Champney,
Ph.D.
New Hampshire Ave. NW, #702, Washington, DC 20009
(614)
***-**** **** 202-***-**** home
**********@*********.***
Summary
Management, leadership, teaching, and research skills in
analytics, decision support, health informatics, statistics, psychometrics,
outcome measurement, quality improvement, education, and policy with experience
in health and mental health, managed care, substance abuse treatment, pain
rehabilitation, and information systems. Excellent track record demonstrating
skills and abilities:
- champions innovation
- manages complex projects
- models statistical data
- promotes systems change
- handles pressure/deadlines
- analyzes cost-effectiveness
- develops training programs
- responds to shifting demands
- synthesizes findings
- builds strategic relationships
- works in multidisciplinary teams
- delivers effective presentations
- leads community services
- thinks systematically
- writes/publishes
- mentors and motivates people
- integrates data systems
- promotes use of information
Experience
Integrity
Management Services, LLC Alexandria, VA
Director of Data
Analysis, July 2010 -- Present
Directs team of statisticians and data analysts assisting
government health care organizations to prevent and detect fraud and abuse and
conduct program evaluations, using Medicare, Medicaid, TRICARE, and other
government data. Helps lead multidisciplinary team of junior data analysts,
statisticians, DBAs, IT operations staff, regulatory
analysts, and various senior subject matter experts. Responsible for quality
assurance to ensure timely and accurate production of deliverables. Provides consultation, expertise, and leadership in
statistical sampling, extrapolation, and complex data analysis. Acts as liaison with government agencies and business clients.
Plans and provides training and mentoring of staff in the areas of statistical
analysis, research design, and program evaluation. Participates in new business
and innovative methods development.
IMS
Health, Government Solutions Falls Church, VA
Senior Consultant,
March 2009 Present
Provides scientific expertise in statistics and health
informatics to reduce fraud and improve effectiveness of health care and
pharmacy operations and strategic decision making for government clients of a
leading multinational provider of health care market intelligence. Engages in data mining and
predictive modeling. Contributes to IMS strategic
direction and business development, including responding to requests for
information (RFIs) and proposals (RFPs). Recruits, trains, and works with other
scientists, statisticians, and analysts. Organizes and conducts workshops and
distance learning for employer and clients.
Magellan
Health Services, Inc. Columbia, MD
Senior Health Outcomes
Scientist, Quality, Outcomes, and Research, August 2008 February 2009
Provided statistical expertise critical to the assessment
and reporting of behavioral health outcomes for health plan clients of major
managed behavioral health care enterprise. Provided direction to team that
developed analytic plans and strategies for introduction of innovative benefit
designs and changes in information systems to improve the quality, outcomes,
and cost-efficiency of services.
Health
Integrity, LLC
Easton, MD
Lead Scientist, March
2005 July 2008
Led data mining of Medicare Parts A and B health claims,
Part D pharmacy, and Medicare Advantage managed care data. Developed and implemented sampling and
investigation plans. Analyzed claims, enrollments, call center logs, and
administrative data for potential fraud. Supported audits and referred cases
for prosecution. Briefed and delivered reports and presentations to clients and
law enforcement. Established and
implemented ISO quality procedures. Recruited, trained, and supervised
analysts. Established and conducted
series of brown-bag seminars in statistical modeling techniques. Sponsored by employer to
participate in nine-month institute for leaders in government, industry,
nonprofits, and academia on eastern shore of Maryland. Helped develop winning
proposals for multimillion dollar contracts.
Health
Policy Institute of Ohio Columbus, OH
Senior Vice President,
March 2004 March 2005
Developed research and health policy analysis framework and
helped set the strategic agenda for the institute in its start-up year, working
with the board of trustees and sponsoring foundations. Built
capacity in health informatics, research, and policy analysis. Developed
internship program and mentored interns from several Ohio universities and
organizations. Established collaborative relationships with
public organizations and academic institutions throughout the state.
Convened stakeholders and key decision makers, including legislators, and
delivered presentations to inform them regarding
health policy. To adapt health policy training methods of other states in Ohio,
met with representatives of universities, policy institutes, and government in
those states. Represented
Institute at national meetings.
Delmarva
Foundation for Medical Care Easton, MD
Health Scientist, July
1999 March 2004
Led Medicaid managed care quality review projects for six
states and Medicare fraud analytics for 15 states. Coordinated teams that
provided analysis, reported findings, and presented briefings to clients.
Developed, implemented, and produced sampling and fraud investigation plans,
study protocols, and reports. Maintained quality standards and led data mining
efforts with complex Medicare and Medicaid claims, enrollment files, and other
administrative data. Administered medical records abstracting
protocols. Conducted sampling and analyzed surveys for
quality improvement studies. Planned, led, conducted, and summarized
on-site reviews of managed care plans, including information systems reviews.
The
Lewin Group Falls Church, VA
Senior Manager, Public
Policy Practice, February 1999 June 1999
Managed and supported health policy and planning projects of
national scope. Conducted multisite studies in the areas of health system
change, Year 2000 readiness, uninsured and underserved populations, substance
abuse treatment, financing, costs, and outcomes. Helped coordinate panel that
developed a national plan for improving substance abuse treatment.
Ohio
Department of Health Columbus, OH
Chief of Health Policy
and Analysis, Office of Policy and Planning, July 1997 February 1999
Chief of Health
Services Research, Office of Policy and Planning, August 1995 June 1997
Supervised 11 staff members in research, policy analysis,
and planning units responsible for monitoring health care organizations,
managed care initiatives, state and national trends, and health reforms. Produced State Health Resources Plan and reports on vital
statistics, diagnosis related groups, home health, long term care,
and anatomical gifts. Participated in information systems planning,
development of public health data website, fielding of statewide health care
survey, and evaluation task force of Governor s Family and Children First
Initiative, and training in 14-month program with the Ohio Public Health
Leadership Institute.
Management Analyst
Supervisor, Bureau for Children with Medical Handicaps and Bureau of Community
Health Services and Systems Development, November 1994 August, 1995
Developed managed care policy papers. Analyzed claims and
cost data. Gave presentations on social security disability and managed care. Implemented client server technology. Developed MIS recommendations.
Ohio
Department of Mental Health Columbus, OH
Research
Administrator, Program Evaluation and Research, June 1986 November 1994
Participated in state wide managed
care planning. Evaluated downsizing of state mental
hospitals and expansion of community based services. Conducted reliability and validity studies. Administered
grant program with 12 Ohio universities. Wrote grant
applications, reports, and publications.
University
of Dayton Dayton, OH
Assistant Professor,
Department of Psychology, June 1984 June 1986
Developed and taught courses in health psychology and
statistics. Mentored and advised students. Provided
consulting to local hospitals and community agencies. Supervised
graduate assistants.
University of North CarolinaChapel Hill, NC
NIMH Postdoctoral
Fellow, Psychometric Lab, Dept. Psychology and
Visiting Scholar,
Dept. Biostatistics, School
of Public Health, August 1983 June 1984
Received advanced training in psychometrics and
biostatistics, conducted analyses of National Hospital Discharge Survey data
and diagnosis related groups.
University
of ChicagoGraduateSchool
of Business
Programmer and
Research Analyst, September 1979 July 1983
Supervised data collection, analyzed claims and survey data,
and coauthored publications for national evaluation of ambulatory medical care
waiver project funded by Robert Wood Johnson Foundation and Health Care
Financing Administration (now Centers for Medicare and Medicaid Services).
WrightStateUniversitySchool of Medicine
Data Analyst, Genetics
and Physical Growth, Fels Research Institute, June
1978 August 1979
Conducted longitudinal analyses of physical
growth, body composition, and blood pressure data.
OhioStateUniversityGraduate Teaching Assistant/Instructor, Department of Psychology, June 1976
May 1978
Graduate Research
Assistant, Physiological Psychology, October 1974 May 1976
Awards
Annual Evaluation
Recognition Award, Ohio Program Evaluators' Group (OPEG), 1997
Professional AffiliationsAmerican
Evaluation Association and Psychometric Society
Consulting
Miami Valley Hospital Pain Center conducted CARF accredited
evaluation, Dayton Legal Aid Society analyzed housing access and Medicaid
managed care, Wright State University School of Medicine evaluated substance abuse treatment and
outplacement counseling, Clark County Mental Health Services conducted needs
assessment, planning, and evaluation, St. Joseph Children's Treatment Center
surveyed parents and staff, Witt and Dolan Associates hospital surveyed
hospital executives, and American Academy of Pediatrics measured outcomes.
Community Service
President of Tidewater Camera Club in Easton, Maryland.
Faculty affiliations with Wright State University School of Medicine
Departments of Family Medicine and Community Health in Dayton and Ohio State
University Health Outcomes, Policy, and Evaluation Center in Columbus, Ohio. Formerly OPEG Vice
President and Program Chair, Member ODH Institutional Review Board, Ohio 2nd
Chance Trust Fund Board, Unitarian Universalist Fellowship of Yellow Springs
Board.
Computer SkillsSAS, Enterprise Miner, SPSS, Modeling, Sampling, Teradata, Oracle, SQLServer, MS
Office, Access, ArcGIS, Business Objects/Crystal
Reports, TSO, Z/OS, Mainframe, Unix, Windows. Education
University of North Carolina Chapel Hill
NIMH Postdoctoral
Fellow in Psychometric Laboratory, Department of Psychology and
Visiting Scholar in
School of Public Health, Department of Biostatistics 1983 1984
University of Chicago
Ph.D., Methodology of
Behavioral Research, 1983
The OhioStateUniversity
M.S., Quantitative
Psychology, 1978
University of Utah
B.S., Psychology,
1975,Magna Cum
Laude
Selected Publications
Edwards, J.M., Rudisill, J.R.,
Champney, T.F., Hershberger, P.J., Polane, V.H., and Archembough, D.L. (1998). Outplacement: Client
Characteristics and Outcomes. Consulting Psychology
Journal, 50(3), 173-180.
Galster, G., Champney,
T.F., & Williams, Y. (1994). Costs of caring for persons with
long-term mental illness in alternative residential settings. Evaluation
and Program Planning, 17(3), 239-248.
Jarjoura, D., McCord,
G., Holzer, C.E., & Champney, T.F. (1993). Synthetic
estimation of the distribution of severely mentally disabled adults for
allocations to Ohio's
mental health board areas. Evaluation and Program Planning, 16,
305-313.
Kennedy, C., Tully, R., Craft,L.,
Ullery, B., Champney, T.F., & Goldman, H.H.
(1990). Expedited Social Security disability determinations:
The Ohio experience. New Directions in Mental Health, 43,
19-27.
Fleming, G.V., Lyttle, C.S.,
Andersen, R.M., Champney, T.F. & Hausner, T.
(1987). Impact of Municipal Health Services Medicare Waiver Program.
Health Care Financing Review,8(3), 13-25.
Andersen, R.M., Fleming, G.V., & Champney, T.F. (1982). Exploring a
paradox: Belief in a crisis and general satisfaction with medical care. Milbank
Memorial Fund Quarterly, 60, 329-354.
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