Responsible for performing comprehensive research, managing program analytical portfolios, and identifying key business problems working with the Accountable Care Organizations (Integrated Care Systems). Develop and improve quantitative data analytics and set performance targets for the enterprise. Interpret and analyze clinical, medical and administrative data from various sources and recommend best approaches for its consolidation. Primary Responsibilities: • Serve as a Senior Healthcare Economics/Analytics consultant for national and local market projects • Develop comprehensive understanding of programs being measured • Manage complex projects to completion by contributing to data collection, data analysis, statistical modeling, and financial reports • Identify and implement consistent and sustainable analytic processes and methodologies in order to track and measure program effectiveness • Perform statistical and trend analyses to determine effectiveness of clinical programs • Partner with business leaders to develop effective strategies • Collect, analyze, and perform quality assurance on analytic initiatives that consume data from multiple sources. • Work with a variety of teams to identify areas of opportunity in order to drive financial performance of programs • Provide consistent and timely communication on projects, results, and conclusions from analyses • Participate in the development of business strategy when necessary • Extract, aggregate, and provide quality assurance on applicable data from multiple sources and tables for purposes of root cause analysis • Perform data analytics in support of trend identification, initiative, program development, and validation • Communicate results to relevant audiences and customers and incorporates results into financial forecasts, if applicable • Provide ongoing communications on project status, results, and conclusions from analyses • Provide ongoing work and support for Risk Level Enhancement commercial capitated ACO pilot project

UnitedHealth Group | Jan 2005 - Jul 2016

Senior Underwriting Consultant, Key Accounts

accounts. Primary focus on Fully Insured new business and renewals 200 to 10,000 lives. Extensive experience with RFPs and complex cases with 5,000 lives and above. Developed and applied advanced analytical tools using Excel functionality for use with internal and external constituents. Conducted research on projects and Senior Leadership task forces. Conducted several types of margin and trend business analyses. Leveraged relationships with internal and external constituents. Always met or exceeded my deliverables. Specialized in various funding methods of middle market business. Managed a self-funded book of business and completed annual reconciliations. Managed large volume of Fully Insured renewal business for the SW Ohio, Cleveland, Wisconsin, Kentucky, Kansas City, St. Louis, River Valley-Iowa and Chicago health plans. Wrote new and existing business ensuring appropriate pricing and sound business decisions. Maximized individual productive capacity while focusing on revenue targets. Wrote new and renewal business worth $80 million in annual premium while managing a transition to a new role within the company. Assisted with Broker Book of Business reporting for Senior Management. Mentored Underwriting trainees and associate underwriters. Member of at least 2 special projects teams while managing a full work load.

UnitedHealth Group | Jun 2003 - Jan 2005

Senior Business Analyst, Uniprise Business Intelligence Group

Responsibilities included data mining, analytics, database testing, and interim reporting. Queried large databases to extract meaningful information that will raise the IQ of the business. Delivered initial project in new position one week before deadline. Projected entailed determining operations unit costs at the policy level for Middle Market and National accounts. Data included absolute and marginal unit costs, auto adjudication rate, adjustment rate, EDI rate, contact rate, and scoring. Employed a scoring algorithm to determine class boundaries and scores of the policy universe. Maintained relationships with internal client base and deliver quality analyses.

UnitedHealth Group | Jan 2002 - Jun 2003

Underwriter, Key Accounts

Analyzed financial risk when writing new business and renewing existing accounts. Aggressively pursued profitable business while taking reasonable risks. Leveraged relationships with sales, account management, and the broker community. Always met my deliverables. Specialized in Fully Insured middle market business 50 to 500 lives. Wrote cases in excess of 1,000 lives with Director or Vice President guidance. Conducted claim projections and trend analyses. Evaluated self-funded experience rated groups. Maximized profitability for a block of business for the Chicago health plan by doubling my close ratio. Wrote new and existing business ensuring appropriate pricing and sound business decisions. Tracked sold new business and membership goals for the Chicago market site. Enhanced new business and renewal technology tools for team and entire Underwriting department in Hartford. Completed special ad hoc projects for the team.

Artis Group (Royal and Sun Alliance) | Oct 2001 - Jan 2002

Premium Accounting Analyst

Temporary role focused on reconciling accounts for fronting-company reinsurer ARTIS (Royal and Sun Alliance). Supported Premium Accounting with ad-hoc projects while searching for a permanent position at UHC.

SaleMetrix, LLC | Feb 2001 - Oct 2001

Senior Business Analyst

N/A

BioPlexus | Sep 2000 - Oct 2001

Financial Analyst/Consultant

Long-term temporary consultant to President and Executive Vice President of Sales specializing in database creation, modeling, and market intelligence of heath care products industry. Provided strategic direction to Marketing. Developed financial models for sales compensation plan and new product launch. Improved existing tools to perform strategic analysis of 5-year business plans. Prepared quantitative analyses, graphs, and financial narratives of research conclusions for Board. Analyzed sales trends and critical market intelligence of health care products industry. Implemented new reporting processes and databases for Marketing and Accounting.

PRUDENTIAL SECURITIES AND FINANCIAL TRUST PVT LTD | Jul 1997 - Sep 2000

Financial Advisor, Prestige Private Client Advisor

Focused on capital preservation and wealth maximization strategies for private clients, small businesses, institutions, and non-profit organizations. Developed client relationships to maximize retention, growth, and profitability. Managed assets in excess of $70 million in securities and commodities. Built entire client base through cold calling and seminars.

Valuation and Financial Strategies | May 1996 - Jul 1997

Valuation Analyst

Performed quantitative analysis of financial, economic, market, and industry data for business valuations of closely held firms. Maximized target billable hours by realizing an 87% to 95% efficiency rate. Contributed to approximately 35 business valuations and ESOP feasibility studies.

Saint Francis Hospital and Medical Center | Sep 1990 - May 1996

Project Manager, Professional Services

Supported MIS director in project management role to implement new IT business systems. Provided IT training to directors and staff of medical practices absorbed by the hospital. Handled Patient Satisfaction Survey as in-house project, saving SFHMC over $75,000. Assisted with development of Ambulatory Clinic pilot survey eliminating outside consulting fees. Worked with Chief Corporation Accountant to recoup over $150,000 of erroneously paid state sales taxes for the hospital’s real estate holding entity. Resolved disputed status of federal Hill Burton grant obligation, eliminating a $273,000 discrepancy for Patient Accounting. Supported Director of the Business Office.

My Education

Take a look at my formal education

Immersion Program, Optum Scale Data ScienceOptum Data Science Univeristy | 2018

Trinity College-Hartford

Wesleyan University

About Me

Currently working as a Sr healthcare Economics Consultant at UnitedHealthcare with the Accountable Care Organizations managing several ACOs and part of the RLE3 (risk level enhancement) team focusing on a commercial capitated ACO pilot project.

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