Clinical Data Quality

Justin Joseph

** ******** ****** **, ********* MD

443-***-**** *********@*****.***

WORK EXPERIENCES

Deloitte Consulting

Baltimore, MD

Veterans Health Administration; Clinical Data Senior Consultant

02/2024 - Current

Conduct comprehensive data a\lysis for the Veteran Affairs Administration, focusing on four domains: Lab, Problem List, Pharmacy, and Mental Health

Organize complex VA sample datasets using multiple databases, ensuring data integrity, accuracy, and overall data quality

Apply various technical tools, including Independent Verification and Validation (IV&V), to identify and document data quality issues affecting patient care within the VA

Cross-compare the accuracy of data elements in VA’s clinical data against the most recent release of patient data standards such as LOINC, SNOMED CT, and RxNorm

Develop key observations and findings from the data, compiling them into detailed reports and white papers for publication

Department of Defense: Healthcare Technology Consultant

10/2023 - 02/2024, 10/2021 - 11/2022

Conduct network assessment for DoD’s National Disaster Medical System (NDMS) Pilot program, capturing capacity and capability data for the five Pilot regionals

Compile, validate, and organize viable data in preparation to assemble health care assumptions required to build a predictive model that demonstrate medical surge effects on the military partnered commercial hospitals

Provide data insights and collaborate with five site implementations teams using an internal data platform to determine accurate metrics which can improve surge capacity/capabilities

Build and test a throughput predictive model simulating military-civilian interoperability and medial surge capacity/capability across NDMS definitive care network

State of Texas Medicaid; Healthcare Technology Consultant

11/2022 - 02/2023

Plan knowledge transfer and implementation activities for the operation transition of Texas Medicaid Enterprise System from incumbent vendor to Deloitte

Help compose Defect Management Plan and Master Test Plan documenting the approach and structured methods for agile testing activities on system integration

Held knowledge transfer sessions with the incumbent vendor to understand and document functional, technical, and operational aspect of Claims/EDI systems

Deloitte Risk & Financial Advisory

Baltimore, MD

Emerging Market Opportunities; Business Consultant

02/2022 - 10/2023

Coordinate integration of Marketing, Sales, and Alliance to develop target business priorities and incorporate a strategic plan for FY24

Collaborate with Go-to-Market team on campaign plans by helping the team connect to necessary collateral, tools, and resources for successful lead generation

Initiate and streamline dashboard redesign for opportunity and revenue tracking software

Generate bi-weekly financial reports to inform leadership on revenue, sales, and pipeline metrics for the emerging business areas the team supports

Envision Healthcare

Baltimore, MD

BI Analyst, Enterprise Data Foundation

07/2021 - 10/2021

Collaborate with stakeholders to develop predictive models for the delivery of innovative and effective approaches to identify and solve highly complex business analytics problems.

Produce complex reports and dashboards that solve business challenges, provide predictive analytics, and establish meaningful data driven alerts.

Created custom SQL and MDX calculations for advanced analytics in ETL process and Tableau & PowerBI Dashboards

Deliver and maintain timely turnaround ad hoc reports to recognize inefficiencies in operational and technical processes.

Present findings in easy-to-understand terms in both verbally and written presentation form.

Versant Health

Baltimore, MD

EDI Data Reporting Analyst

12/2019 - 07/2021

Execute reoccurring operational tasks in support of Medicare/Medicaid claims based 837 encounter file generation including troubleshooting, error investigation and resolution.

Develop SQL-based reports for clients adhering to pre-defined schedules.

Interpret 999, 277, 835 and custom response files from states/clients based on encounter file submissions and import data into database to support business processes.

Analyze encounter/claim rejections based on state and client error reason codes and conducted corrective actions to remediate issues while creating repository for the process.

Build, maintain, and report client dashboard through database manipulation.

Develop and test EDI X12 mapping formats in accordance with the industry and client standards using ETL tools.

EDUCATION

University of Maryland Global Campus

Adelphi, MD

Master of Science in Health Informatics Administration

Graduated 08/2020

Course work based around advanced knowledge of EHR system, medical coding, and IT system security and interoperability.

Obtained valuable knowledge in how to design, manage, and interpret health classification systems, healthcare databases, data warehouses, healthcare data sets, registries, and other mediums of health information management through technical skills such as SQL and HL7.

University of the Sciences in Philadelphia

Philadelphia, PA

Bachelor of Science in Health Science

Graduated 05/2018

Acquired a strong foundation in the natural and social sciences with courses covering development, structure, function, and healthcare delivery.

CERTIFICATIONS & SKILLS

CompTIA Security+ (SY0-701)

Registered Health Information Administrator (RHIA) certified by AHIMA.

Proficient in Microsoft Office, SQL, EDI, EHR, XML, ICD 9/10, Jira, and Visio.

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