OBJECTIVE

• Seeking for a challenging position where I can utilize my skills (both Technical and Business) and to be productive for the company.

SUMMARY

• Excellent communication, analytical problem - solving, research data mapping, data Manipulation, and data analysis skills in health care industry (inpatient, outpatient, long term care acute care settings ) Pharmaceutical industry, and financial industry.
• Excellent knowledge of continuum of Care, Patient safety, Specialty Pharmacy, Specialty Distributors, HUBS
• Understanding of therapeutics areas such as diabetes, CNS, oncology, cardivascular
• Good interpersonal, planning, organizational, customer service, clinical trial and project management skills.
• Self-motivated, a quick learner, team -oriented and able to work both independently with minimum supervision.
• Ability to interact with varying levels within business /product, operations, technology team, stakeholders and clients to ensure accuracy and data integrity
• SDLC using agile methodology, Data Warehouse and Master Data Management knowledge. Healthcare Practioners (HCP )and Healthcare Organization (HCO) knowledge
• Knowledge of Government regulatory compliance (CMS, JACHO, NQF,IHI), Pay for performance (P4P),Core Measures by federal agencies to improve on quality of care
• Knowledge of Government Contracts (PHS/340B), GPO contracts with wholesalers (McKesson, AmerisourceBergen(ABC) and Cardinal), Medicare and Medicaid programs, PBM
• Query of data from database (Oracle, SQL). Loading of data. Knowledge of data modeling and database design
• Experiencing gathering, analyzing, documenting business requirements and data.
• Meet and understand all compliance related requirements such as completion of mandatory training, adherence to audit controls, and adherence to all policies
• SOPs, job aids and Sarbanes-Oxley (SOX) and compliance requirements for data set protection for audit purpose
• Understanding HIPAA privacy rule security rules including safeguards (Physical, Administrative and Technical such as access control, and standards and maintained policies and procedures involved.
• Understanding of HIT, Medical devices, telemedicine, telehealth Electronic Health Records (EHR), Electronic Medical Records (EMR), e- Prescribing system
• Medical devices, SNOMED, LIMS, medical terminology HL7, ICD 9 and 10, Interoperability, Data/ systems Standards and Meaningful Use, Quality Improvement

TECHNICAL SKILLS

Databases: MS SQL Server, Oracle, MS Access, Datawarehouse, Master Data Management

Platforms: Windows, UNIX (Usage)

Reporting Tool: IBM Cognos Viewer, MS Visio, BI Tools

Applications: I-Many CARS revenue management, CCAS, Model N (RME) revenue Management, Business Process Management (BPM), Customer Interface Management System (CIMS), SHAPE (SAP- ERP),EDI

Languages: SQL, HTML, VB, C/C++

Applications: Power Point, MS Word, MS Outlook, MS Excel (Advanced) - VLOOKUPS, PIVOT TABLES/PIVOT CHARTS.

Industry Standard: HIPAA, Financial Industry, HealthCare Industry, HRSA, SOX, ICD Codes, Meaningful Use, Six Sigma Methodologies, Quality Management skills to improve effectiveness of patient Safety

Others: Database, ETL, UAT,SAP, Data warehouse, Business Intelligence tools, IMS Data Source, Public and Government Sector Industry, SDLC, E HR, EMR, Telemedicine, Telehealth, e-prescribing system LIMS, DEA,HIN,HCP,HCO

PROFESSIONAL EXPERIENCE

Confidential

Analyst

Responsibilities:

• Providing support for the receipt, analysis, resolution, and reporting of customer requests and resulting reconciliation documentation.
• Reviews, evaluates, and classifies potentially reportable complaints (adverse events, product malfunctions or rule-outs)
• Analysis of Data using BI Tools from Data Warehouse and customer Master Data to identify trends and potential issues for continuous improvement of products.
• Using BI Tool, for transforming Data into a meaningful information to make a good clinical decision
• Determine how data trends will affect business outcomes using BI Tools
• Evaluated/researched business problems and their relationship to technology
• Data manipulation and proper formatting of data to enable meaningful use of data
• Ensuring accurate and timely processing of data within the contracting systems, consistent with agreement terms, corporate controls and SOX regulations.
• Analyzing large data using Excel and performing query using SQL.
• Data Extraction using IBM Cognos for reporting and analysis.
• Work with other Analysts to resolve issues. Act as a liaison between IT and business areas.
• Knowledge of healthcare industry and HIPAA.

Confidential

Analyst

Responsibilities:

• Using appropriate tools to design, build and enhance data reporting and analysis
• Working experience with Master Data Management (MDM) and lead execution of data analysis for commercial Market segment.
• Used BI tool reporting to support customer products, monitoring and analysis for changes and improvement
• Proper formatting of data from different sources from data warehouse for easy file deliverables
• Responsible for managing Specialty Pharmacy, GPO and PHS (340B ) membership and contract.
• Performed Membership validation for GPOs and ensure compliance with internal policies and procedures
• Ensuring SOX compliance and maintain data integrity, providing security controls and improvement on financial reporting
• Understand and interpret contract language and regulations as it relate to contract set up and maintenance to ensure accuracy
• Response to inquiries through mailbox or request from SharePoint
• Analyzed large data using Excel and query database using SQL
• Worked with Analysts to resolve issues

Confidential

Business Analyst

Responsibilities:

• Responsible for membership validation and account setup for Retail pharmacies, 340B, GPO, Wholesalers customers
• Reviewed of complex contracts for clients
• Analyzed and report contract performance and effectively negotiating and communicating the terms of contract to customers
• Analyzed of Data using BI Tools from Data Warehouse
• Support IT audits ( both internal and External)
• Timely response to inquiries from mailbox and Tracked inquires in the department mailbox, and ensure proper request assignments to respective analysts
• Experience analyzing large volume of data and data manipulation. Using Vlookup in Excel
• Familiarity with Healthcare Professionals (HCPs) and Healthcare Organizations (HCOs) attributes such as State License Number, DEA, and HIN.

Confidential

Membership / Data Analyst

Responsibilities:

• Responsible for membership validation and ensuring eligible members are on the correct contracts and getting the right price for various markets including 340B (Public Health Service in Government Sector), Group Purchasing Organization (GPO).
• Responsible for research and accurate COT (Class of Trade) on a specific contract.
• Responsible for HIN, DEA and 340B ID validation on HIBCC, DEA and HRSA/OPA websites.
• Adhoch reports and analyzing data to monitor contract performance
• Analyzed of Data using BI Tools from Data Warehouse and customer Master Data
• As a key point of contact for report. Data Extraction using IBM Cognos to prepare weekly operational metric Report. Data presentation in form of Chart /line to senior management
• Collecting and carrying out complex data analysis in support of management and customers.
• Analyzed potential data quality issues, validate issues and determines the root cause and potential.
• Execute SOX compliance requirements strategy for audit purposes
• Writing Working instructions and document all aspect s of projects including workflows and processes and change management procedures.
• Track inquires in the department mailbox, and ensure proper request assignments to respective analysts
• A general understanding of healthcare and Pharmaceutical services.

Confidential

Business/Data Analyst

Responsibilities:

• Served as a liaison between HMS Sales, customers and technical resources.
• Analyzed and interpret data to ensure project aligns with stated business goals.
• Researching, evaluating, analyzing and testing data in all phases
• Analysis of Data using BI Tools from Data Warehouse
• Managed delivery schedules; built data deliverables using HMS internal tools, and ensured the quality of HMS Provider Masterfile/Data Enrichment and MarketView products.
• Knowledge of healthcare industry.