Tableau, Access, Excel, Data Analytics. I am willing to travel.

I emphasize communication, mutual respect and trust to understand individual motivation and foster a collaborative work environment. Through the utilization of best practices and continuous process improvement, I am considered a “hands on” leader with a strong commitment to organizational goals supporting a shared vision. I apply a balanced view of cost, quality and access to services and care to the decision-making process.

Education/Certifications

Certified Public Accountant - Inactive Status

Central Michigan University – Doctor of Health Administration

Wayne State University – Masters of Business Administration

Wayne State University – Bachelors of Business Administration

Sampling of Accomplishments

Employ predictive regression and medication adherence models to identify high risk, high cost medical conditions in claimants for case management interventions.

Utilize claimant risk profiles and predictive model results to target individuals for care management.

Ability to use and transform healthcare data to create actionable information.

Implemented use of Analytic Hierarchy Process as a best practice for multi-criteria decision making.

Subject Matter Expert for operationalizing medical loss ratio components of healthcare reform.

Utilize claim data for HEDIS reporting and provider group benchmarking.

Team lead for divisional diversity and inclusion programs.

Saved more than $1,000,000 through process improvements in the areas of bank reconciliations, accounts receivable, investment portfolio impairment analysis, and financial reporting & analysis.

Areas of Expertise

Tableau Data Visualization • Microsoft Access, Excel & Powerpoint • Process Improvement Initiatives • Collaborative Leader emphasizing the strength of diverse teams • Financial Statement Analysis • Budgeting & Forecasting • Corporate Policy Documentation and Governance • Cost & Activity Based Accounting • Organizational Behavior • Strategic Planning • Operational Analysis • Financial Reporting • Government Compliance • Project Management • Population Health Analysis

Blue Cross Blue Shield Association, Director, Reporting & Analytics Sep 2019 – Apr 2020

• Responsible for nationwide provider/facility quality and cost evaluation for Blue Distinction Program designation.

Manage a team of 5 individuals

• Manage analytic vendor relationships

• Collaborate with other functional areas to ensure appropriate levels of program support.

• Develop staff for increasingly responsible positions within the organization.

Evolent Health, Sr. Director, Client Analytics November 2017 – June 2019

• Utilize predictive analytics based on medication adherence, Rx claims, and CDPS risk scoring to identify high cost claimants and conditions.

Manage a team of 12 individuals consisting of Directors, Associate Directors, and Analysts.

• Responsible for client reporting and adhoc analysis including Operational metrics, Cost and Utilization analysis, Medical Economics, and Pharmacy expense to identify cost saving opportunities and quality interventions.

• Consult on Value Based Contracting initiatives utilizing HEDIS measures as a quality gateway.

• Collaborate with other functional areas to ensure appropriate levels of client support.

• Manage internal resources to maintain client profitability.

• Develop staff for increasingly responsible positions within the organization.

Network Health, Director, Health Analytics February 2015 – November 2017

• Lead the Healthcare Analytics team to provide data analyses to measure plan performance, identify cost saving opportunities, and provider aligned incentive contract support.

• Utilize Tableau to drive behavior modification through data visualization.

• Collaborate with finance, IT, and Actuarial to ensure accurate and timely reporting.

• Provide leadership in the areas of Data Governance, Member Attribution, and analytical software.

• Mentor staff in turning data analysis into actionable management information.

• Work with Chief Medical Officer to identify and quantify population health opportunities.

• Manage Health Analytics department budget of approximately $1M.

• Publish monthly key performance indicator dashboards for executive leadership.

Blue Cross Blue Shield of Michigan, Healthcare Manager May 2008 – February 2015

• Provide reporting and financial analysis for $200M Health Care Value divisional savings initiatives designed to bend the benefit cost trend and improve member’s health.

• Evaluate and Measure healthcare initiative success as it relates to return on investment.

• Analyze Provider reimbursement and incentive strategies for performance and results.

• Design and analyze operational metrics for efficiency and key performance indicator optimization.

• Provide Segment level savings and cost allocations of Health Care Value Initiatives for profitability.

• Research and implement Health Care Reform issues as they affect Health Care Value and Medical.

• Apply available technology to facilitate problem solving and process improvement to save $500,000 in outside vendor fees.

Blue Cross Blue Shield of Michigan, Financial Coordinator

• Communicate complex financial information in understandable “layman” terminology to all levels.

• Research and implement Health Care Reform issues as they affect accounting and finance.

• Act as a subject matter expert in accounting and financial treatment of financial investments and research and author BCBSM corporate policies on same.

• Collaborate with business partners to support departmental, divisional and organizational goals.

• Act as a liaison between finance, operations, and information technology on system related projects.

PMA Consultants, LLC, Asst. Controller/Dir. of Acctg. August 2006 – May 2008

• Collect, interpret and report financial information for 10 office, 200 employee, $45 million international construction management company.

• Manage a staff of 6, responsible for business pricing, monthly close, financial statement preparation, AP, AR, cash management, and contract terms and conditions.

• Handle monthly accounting cycle from inception to close including revenue recognition, accruals/deferrals, and depreciation.

• Work with outside auditors for annual Federal Acquisition Regulation (FAR) compliance audit.

• Work with upper management to track and report on revenue, employee billable utilization, project management and profitability, and cash.

Professional Affiliations and Community Related

• North Carolina Association of Certified Public Accountants

• American College of Healthcare Executives

• Michigan Association of Certified Public Accountants

• Central Michigan Doctor of Health Administration InCircle member

• Volunteer controller for Festival of Trees fundraiser for Children’s Hospital

• National Management Association chapter board member

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