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Data Analytics and Process Improvement

Location:
Bloomfield Hills, MI
Posted:
August 09, 2023

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Resume:

PROFESSIONAL SKILLS

- Certified Professional in Healthcare Quality (CPHQ)

- Limited Licensed Psychologist

- SQL, Visual Basics, SAP Crystal Reports, SmartSheet, Power BI

- Proficient in Microsoft Office Programs

- Completion of several professional trainings in Lean and Six Sigma

- Completion of other trainings: Mental Health Treatment and Interventions, Project Management, Customer Service

WORK EXPERIENCE

Quality & Process Lead/Data Analyst United Physicians (UP) Bingham Farms, MI 04/2013 – Present

- Supports approximately 1,500 member physicians to comply with health plan initiatives by analyzing data from multiple sources and creating standard and dynamic reports: utilization, cost and efficiency trends; population health outcomes; gaps in quality (such as HEDIS) measures, physician and practice level performance rates

- Manages all quality initiatives complying with program guidelines and measuring network/physician performance against program targets to identify areas of improvement and ensure highest incentive dollars

- Care Management: Leads identification of high-risk patients for care management engagement. Oversees data analytics and trending related to measure outcomes and cost efficiency.

- Streamlines processes allowing for standardized work and improved efficiency. Automated ADT process for Care Management team that resulted in saving of 0.5 FTE.

- Proposes standard data assumptions and business rules to be incorporated into company’s physicians’ distributions

- Developed distribution of physician incentives aligning with company policies and procedures as well as contractual agreements

- Provided data analytics to support Clinical Integration (CI) network: ensures technical specifications are aligned with clinical criteria; acts as a liaison between internal and external quality managers/specialists; validates data accuracy and integrity; creates performance trending reports

- Co-led BCBSM behavioral health integration initiative by collaborating with Chief Medical Officer and interacting with other physician organizations. As a result, depression screenings increased from 5% to 20% within a 12-month span across the network in 2016

Psychotherapist Karalee & Associates Plymouth, MI 06/2011-12/2016

- Provided psychotherapy for adults, children, and families utilizing various integrative techniques: cognitive-behavioral therapy, rational emotive therapy, supportive therapy, and eye movement desensitization and reprocessing (EMDR)

- Treated multiple mental health conditions and substance abuse: mood disorders, anxiety including obsessive compulsive disorder and posttraumatic stress disorder, grief, oppositional defiant disorder, and attention deficit disorders

- Completed initial psychosocial assessments, quarterly status reviews, annual reviews, discharge summaries and progress notes described evidence-based treatment used.

Senior Data Analyst XPO Logistics (formerly Menlo Worldwide) Auburn Hills, MI 06/2011-04/2013

- Maintained primary transportation databases used for operational processes of a gold lean certified international account.

- Actively participated in user acceptance testing of new operational system during preparation and launch phases working with system developers and business intelligence analysts to ensure data quality, integration and system functionality.

- Using lean and six sigma methodology and tools:

- Externally: identified areas of opportunity to increase quality of regular and ad hoc reporting and provide clear visual metrics to the customer driving value, satisfaction, and developing customer relationship.

- Internally: worked collaboratively to identify areas of improvement within processes and then implement solutions and enhancements to eliminate waste, reduce cycle time, and increase efficiency within all functional groups to streamline processes and drive savings through cost avoidance.

WORK EXPERIENCE (CONTINUED)

Clinical Therapist Arab-American & Chaldean Council Detroit, MI 10/2009-06/2011

- Provided psychotherapy to severely and persistently mentally ill individuals and families

- Collaborated with psychiatrist to provide medication management for clients who have stabilized mental health conditions

- Participated in the preparation of CARF accreditation and other health and safety compliance initiatives

- Provided case management: housing assistance, medical coverage, government aid, citizenship/immigration issues

- Maintained progress notes relative to person-centered treatment goals in coordination with community mental health requirements

Senior Transportation Analyst XPO Logistics (formerly Menlo Worldwide) Auburn Hills, MI 08/2005-09/2008

- Managed several databases used to support premium transportation management services

- Conducted data analyses in the form of monthly, weekly and ad hoc reports to display cost, volume, on time performance, carrier performance

- Researched and analyzed transportation opportunities making adjustments and recommendations to management and customer allowing for enhanced cross-functional initiatives process improvements

Technical analyst Comerica Auburn Hills, MI 01/2005-07/2005

- Developed and maintained database for the Training Resources department tracking all training activity and capturing projections for Comerica’s 2600 Service Company employees.

- Enhanced all financial reports within department and created user-friendly forms for department consultants

- Provided help desk support to branches nation-wide for training programs and courses required by law and position advancement.

EDUCATION

Michigan School of Professional Psychology

Masters in Humanistic and Clinical Psychology, 2009

Oakland University

Bachelor of Science in Marketing, 2005

- Minors in Sociology and Applied Technology in Business (ATiB)

ATiB is a specially designed scholarship-based minor that combines both work experience and classroom instructions allowing students a chance to come in contact with real business challenges faced by different sponsoring companies.

EXTRACURRICULAR ACTIVITIES

- Volunteers with Alternatives for Girls, 2017

- Received Oakland Executive Association Scholarship, 2003

- Member of the Students in Free Enterprise of Oakland University, 2002 - 2005



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