IJEOMA L. NWAFOR, MPH
Burlington, NJ E:i ac0yxz@r.postjobfree.com C:617-***-****
ANALYTICS, STRATEGY & OPERATIONAL-EXCELLENCE CHAMPION Spearheading Enterprise Growth Strategies
Results-driven Data Guru & Strategy Lead p assionate about the intersection between People, Processes, and Technology. I create high-performing environments and spearhead Triple-Aim Strategy initiatives (Cost, Quality, Value). Most notable is achieving million-dollar cost-savings for MCOs with $450M+ revenue insurance portfolios.
I’m a big fan of A gilytics ( Agile + Analytics): ca pture complex processes, deploy beta versions, and generate robust business insights w hile iteratively addressing stakeholder concerns. Operational Excellence is my goal: by d riving system improvements, boosting productivity and generating revenue I exceed client expectations while nurturing a culture of continuous improvement. CORE COMPETENCIES
Agilytics (Agile + Analytics) Process Optimization & Re-Engineering Dashboard & Scorecard Development Performance Measurement Metrics & KPI Monitoring Database & Data Warehouse Querying Product Life-Cycle Mgmt. (SDLC) BI-Solutions Future State Modeling Change-Management LEAN/ DMAIC Transformation Strategy TECHNICAL EXPERTISE
Oracle SQL Developer, Oracle Discoverer, SQL Server Management Studio, SAS, Access, Excel Services, Salesforce, MicroStrategy, Tableau, PowerPoint, Spotfire & R (Working Knowledge) Leadership Benchmarks & Accomplishments
A uthored, developed and maintained Solution Development Portfolio (SDP) to highlight Value Propositions, Performance, Metrics, Outcomes, Financial Impact/ROI, Business Ownership, SLAs/ Scalability, and Risk/Issue Identification for 6 High-Impact DSRIP programs reflecting 10K+ health plan enrollees, 140+ Product Codes, and
$23M in contractual revenue- M OCA Solutions
L ead data-optimization efforts to enhance reporting capabilities, transformed s tatic reports (~10%) into agile/real-time analytics 8 5%, f acilitated stakeholder engagements (8+ global business functions) to streamline data management workflows for Fortune 100 Big-Pharma client with $16B portfolio- MOCA Solutions
I ncreased enrollment volume for R emote Patient Monitoring Program b y 35%/ 4 months. P erformed P&L Reconciliation, developed profitability analysis dashboard and presented Current State White-Paper to C-Suite executives highlighting potential $ 12K monthly savings in unnecessary vendor costs- M OCA Solutions
R educed HEDIS Non-Compliance r ates by 59% a $40M+ readmission cost-savings across 4 Measures & 10+ sub measures, established data governance standards for managing Provider-Plan communications by r e-engineering data and process workflows. Chief POC supporting C-Suite (CMO and AVP Quality) to implement corrective actions, reconcile procedural issues, and address reporting issues- A ffinity Health Plan Professional History
Opportunities Analytics Manager, M OCA Solutions
N ov 2015- Present P rinceton, NJ
Develop real-time analytics solutions & promote culture of operational excellence by leading data-driven discussions.
I deate and define analytic product opportunities for top clients (VNSNY & BMS) a s L ead Analytics Solutions Architect, successfully i dentified 75%-89% of data process and systems/reporting issues across 5+ global business functions including Finance, Revenue Cycle, Billing, and Outcomes
Q uery Data Warehouses (SQL) to perform descriptive and prescriptive analytics, i dentify end-user driven KPIs and summarize data into standard visual reporting models, performed cross-analyses with u tilization, transactional, & case level trend reports, successfully identified 2 000+ high-risk readmissions patient translating into $30K+ monthly savings in ER costs
D rive continuous improvements for Enterprise Inventory Optimization (EIO) to optimize ROI and increase efficiency, analyze Supply-Chain metrics, proactively promote culture of data-driven discussions, exercise thought leadership on industry trends and best-practices, establish governance, created solution strategies that addressed key operational, system requirement, and business-logic issues raised by clients
P roactively process, aggregate, reconcile and explore h istorical data to e xtract business insights, delivered a ctionable recommendations to optimize processes, streamline workflows and enhance reporting capabilities
P artner with senior leadership to build operational and technical support for implementation of DSRIP/ population health management programs, spearhead e xecution of strategic care coordination initiatives b y d iagnosing cost/utilization/claims data to target high-risk Medicare Advantage members
C ollaborate and consult w ith SMEs, Business Owners and stakeholders to implement Action Plans that i dentify Gaps in Care for Care Coordination strategy, developed Tableau visualizations to highlight trends across quality metrics, i.e., Readmissions, 24-48 Hour, Re-hospitalization, % Improvement in Ambulation
B uild complex SQL, Oracle Discoverer, Tableau, and Excel t ools, i.e., dashboards, scorecards, reports for C-Suite leadership team, developed data integration system to support 20+ multi-platform capabilities that increased accuracy of reporting outputs and increased process/workflow efficiency
H ighlight new analytic pathways t o capture untapped patient referrals at onboarding translating into
$ 13-20M u nactualized revenue for VNSNY CHOICE insurance product line, c hampion solutions development phases including project scope, budget, structure, strategy and delivery
M a nage the monitoring, reporting and analysis of metrics, reconcile m ulti-platform data elements to identify trends in HEDIS quality metrics, championed successful provider buy-in by transforming incentive plan Report Cards, resulted in 35% increase in Referrals and 55% increase in Admissions for 92% vs 75% Yield
Quality & Continuous Improvement Lead, Affinity Health Plan A pril 2014- Nov 2015 Bronx, NY
S upport CMO and AVP Quality to deliver diagnostic analytic reports t hat explore trends in data elements a cross multi-platform business systems ( Facets, MedMeasures, SQL/Data Warehouse), develop analyses, create real-time reports, provide recommendations for data correction and propose solutions to reengineer business and technical processes
O versee and e nsure accuracy of reporting b ased on eligibility criteria f or HEDIS/QARR regulatory audits, i mplement QA checks and prepare audit summary reports with findings to highlight high-risk patients based on historical visits, diagnoses, and claims data
R eview and modify SQL codes by querying Data Warehouse t o reflect changes in NYSDOH regulatory reporting requirements, C MS Audits, and prioritized compliance objectives to achieve average of 9 0-95% compliance rate for 4 HEDIS Measures approx $7.2M in cost-savings
C onduct Performance Gap and Root Cause Analyses to propose process optimization strategy, s uccessfully identified million-dollar operational inefficiency that created reporting lags due to decrease monthly claims submissions, led solutions development phases to reengineer Provider Report Card and implement f eedback enhancement capability to alert Case Managers of a t-risk n on-compliant members, creating a 56% increase in claims processing
E ngage CMO and AVP Quality as SME for data warehouse design/re-engineering to enhance r eporting capabilities and implement risk mitigation QA checkpoints
O versee and monitor Ad-Hoc Impact/ Exception reports, m etric dashboards, and reporting tools developed by Junior & Senior QMAR Analysts
F acilitate stakeholder training sessions, m anage internal/external product communication plans for newly developed applications/ reporting tools, champion cross-functional engagement spanning PI Team, IT, Pharmacy, Medical Mgmt, PwC Consultants, Nurse Coordinators, and Quality Analysts Senior Project Manager, Lafemme Deluxe Corporation Oct 2011- April 2014 Newark, NJ
Convert consumer demographic trends into actionable recommendations for go-to-market strategy
L everage SQL, Access & Excel t o i dentify product/content/monetization performance indexes
(KPI’s), d rive insight generations, propose solutions, and implement actions, escalate issues/modify strategy as necessary
E ngage IT, Sales and Marketing, & Social Media Teams to develop sustainable Knowledge Management framework that o ptimizes internal data and operational workflows
L everage internal and external resources t o translate third party sales data (Google Analytics, Excel) into integrated reporting models that m onitor and quantify campaign performance
C reate performance dashboards to highlight sales/marketing findings - i.e., impact of social media activity on web performance, marketing campaigns on monthly/quarterly sales, client retention, and customer acquisition costs
P roduce weekly "at-a-glance" financial reports f or CEO, VCs, and investors highlighting P &L reconciliations, current vs. forecasted sales growth, Revenue by Product, Region, Sales Channel, and Segmented Customer Demographics
I dentify key SEO variables adopted into GoogleAds profile, translating into 58-75% uptick in impressions per ad for 3 consecutive low performing quarters in Midwest Region
L everage SQL and Excel capabilities t o filter, analyze and present data findings from in-house & third-party data sources (Excel, Access & Google Analytics)
D evelop real-time SQL based reports and consumer behavior visuals by analyzing data trends, aggregating metrics, and performing data enrichment
S can, monitor, and connect outside data o n customers, competitors, and markets with internal information to uncover breakthrough insights. Continuous analyses of the impact of social media to the business.
P rogram Evaluator, Rutgers University School of Public Health Sep 2010- Oct 2011 Newark, NJ
E ngage Program Director, Project Managers and academic stakeholders to d evelop a comprehensive end-to-end data integration and knowledgement management framework
D esign and facilitate team workshops, lead stakeholder engagement plans, manage communication plans, develop action trackers, and drive culture of continuous improvement to optimize 1 5+ data workfow processes
I dentified 50+ KPI drivers impacting program effectiveness via end-to-end process mapping, role/responsibility defining and work-flow documentation
L everage analytics capabilities in Access and Excel to develop 2 dynamic performance visuals that reconciled 10K+ data elements across 15+ academic sites and 50+ stakeholders and translated student performance trends into meaningful Action Plans for Program Director
S upport Chief Statistician during presentation at national APHA Conference resulting in 2-year grant renewal
C hief POC for data integration and data management throughout evaluation lifecycle
M aintain data quality and integrity for 2 0,000+ student/member data set, resolve coding issues and reconcile variances/anomalies
I dentify and monitor KPIs for performance review reports, tailor tabulation specifications upon request from Chief Statistician and Director of Youth Services EDUCATION
MPH, Healthcare Management & Biostatistics- Rutgers School of Public Health M ay 2014 B.A., M edical Sciences & Chemistry- B oston College May 2009