DIRECTOR OF ANALYTICS Diversified healthcare executive with more than 25 years of experience creating competitive advantages and growing service lines by utilizing cutting edge outcomes research techniques and broad business acumen, innovating solutions and influencing positive change across enterprises throughout the US. Possess a strong background in statistical modeling and data interpretation including, population segmentation, logistic and linear regression, factor analysis, anova, discrete event simulation and other inferential and descriptive statistical analysis techniques using SAS and other software applications. Deep understanding of the health care delivery system spanning pediatrics to geriatrics, disease management, HMOs, hospitals, long term care, home health, physician groups, and multiple state and federal agencies. Masters Healthcare Administration and Allied Health Research, Bachelors Industrial Engineering degrees.

Core Competencies

• Descriptive & Inferential Statistics
• Physician Profiling
• SAS
• Operations Research
• Financial Analysis
• SQL Server
• Stochastic Modeling
• Epidemiology
• ETL
• Evidence Based Medicine
• Population Segmentation
• Team & Department Leadership
• Management Science
• Data Mining
• Outcomes Research
• SPSS
• DB2
• MS Office/VBA

PROFESSIONAL EXPERIENCE

Confidential PRINCIPAL 2010-present Current engagements:

• Creating predictive models for detecting healthcare fraud and abuse for a large HMO.
• Developing econometric models for the pharmaceutical and medical device industries.
• Leading strategic planning and program evaluation efforts focusing on care coordination for a medically uninsured population.

Confidential- Chattanooga TN A regional health information exchange that provides tools and services that allow effective collaboration among physicians and patients which results in lower costs and promotes healthy outcomes.

Confidential 2009 - 2010. Select accomplishments:

• Created multiple outcomes research models linking physician prescribing behavior models to evidence based medicine guideline compliance demonstrating significant improvement in patient outcomes.
• Demonstrated program value and efficacy to large employers and HMO customers through complex business intelligence applications and statistical modeling using SAS and episode treatment groups (ETG).
• Lead the development of a pre-post propensity score matched case control model using Mahalanobis metric matching demonstrating significantly lower program costs and higher compliance with evidenced based medicine guidelines.

Confidential-, Winston Salem NC A nine hospital system with approximately 1,000 physician practices and 22,000 employees. Salem Health Solutions provides healthcare informatics, outcomes research, and business intelligence solutions for the Novant Health system.

MANAGER ANALYSIS AND RESEARCH 2004 - 2009 Promoted to Manager Analysis and Research. Novant's subject matter expert regarding disease management design, analysis and evaluation. Directed multiple teams that developed and deployed products and advanced analytics which improved the quality of life as well as decreasing mortality and morbidity risk of multiple patient populations. Up-sold and cross-sold solutions to external clients. Reviewed study designs and treatment protocols for human clinical trials as a member of a hospital Institutional Review Board (IRB).

Select accomplishments:

• Statistically validated clinical efficacy and financial value of six population health/disease management programs including COPD, CHF, diabetes, cardiac disease, and other diseases and conditions. Created multiple reporting solutions and performance measures including PMPM profitability, medication and EBM compliance, HRA analytics, severity adjusted utilization, and many more.
• Successfully completed multiple medical and pharmacy claims analyses including; provider profiling, disease identification and stratification, Matria disease management ROI and efficacy, medical / pharmacy PMPM, root cause analyses, EBM (evidenced based medicine) compliance, medication persistence and possession ratio, medication step therapy, place of service utilization patterns and trends, and many others.
• Designed and implemented multiple complex quality and utilization analytical solutions incorporating hundreds of metrics. Positively impacted thousands of lives including:
• Reduced re-admission for ADE (adverse drug events)
• Decreased mortality of ICU patients with sepsis
• Reduced post-op infection incidence of hip and knee replacement patients
• Improved employee engagement and staff retention
• Decreased CHF readmission rates
• Increased preventive cardiology utilization for an at risk population
• Increased EBM (evidenced based medicine) compliance for diabetic and cardiovascular disease employees
• Improved EBM compliance for breast, prostate, and colon cancer patients.
• Project manager for a Web based physician pay for performance system for a Medicare HMO. Gathered requirements from the client, managed and collaborated with technical staff, user acceptance testing and support, business intelligence, and up-selling additional projects.

Confidential, Greensboro NC Provides disease management services for HMOs and employers for managing rare and chronic conditions including multiple sclerosis, Parkinson's disease, ALS, sickle cell anemia and many others.

Confidential, Senior Research Analyst 2001 - 2004 Confidential's outcomes research subject matter expert. Succeeding with the medical director in creating complex analytics and customer reports that improved members quality of life and decreased the risk of various adverse clinical events. Identified key cost drivers through root cause analyses. Spearheaded the development of comprehensive clinical reporting solutions using medical and pharmacy claims as well as patient assessments. Completed analyses that statistically validated program clinical and financial value. Recipient of the President's Award for service and performance excellence.

Select accomplishments:

• Designed and implemented reporting solutions incorporating patient assessments, medical and pharmacy claims successfully reducing medical cost trends, identifying and stratifying at risk patients for adverse events including;
• mortality
• inappropriate medication usage
• medication persistence and possession ratio
• polypharmacy
• falls
• community acquired pneumonia
• aspiration pneumonia
• renal failure
• community and nosocomial infections.
• Successfully created multiple clinical risk models for predicting adverse clinical and financial events for a chronically ill population from claims data using logistic regression, Cox regression, propensity scores, non-parametric analyses and various descriptive inferential techniques.

Confidential, Waukegan, IL Contract SAS Programmer / Statistician 2001 Constructed multiple brand loyalty models for Target Base, a marketing research company, using logistic regression and SAS for a large multinational consumer products company.

Confidential Millennium Health Care Solutions was a public policy consulting company to provide consulting services to county, state and federal agencies throughout the US focusing on various issues impacting the quality of life of older adults.

Senior Systems Analyst / Consultant 1995-2001 Instrumental in developing new business opportunities and continually cultivating relationships with clients. Managed the complete software development lifecycle. Completed multiple data integration projects. Consulted with North Carolina, Delaware, Florida, New Jersey and Michigan on issues regarding access to healthcare for older adults using Medicaid data as well as other data sources.

Select accomplishments:

• Product manager developing a business intelligence application for the Administration on Aging for the National Aging Performance Information System (NAPIS). Findings were presented to the Congressional Budget Office to secure multi year funding for the agency.
• Conducted requirements gathering, design, development, marketing and support for a 13 county Client Assistance Program (CAP) Medicaid Waiver program project. This program streamlined the enrolment process from weeks to under 48 hours, significantly decreased admissions to nursing homes and provide for consistent and appropriate levels of patient care that had historically never been provided.
• Consultant to the City of Detroit to reengineer the home delivered meals program resulting in reducing the waiting list from over 300 clients to less than 20 in under a year, realized over $750,000 savings annually, and provided hot meals to clients on a consistent basis.

Early Career Experience:

Coordinator of Planning and Marketing Research, North Carolina Baptist Hospitals (Winston Salem NC) Spearheaded multiple market share and strategic planning projects to identify potential merger, affiliation or buyout candidates.

Director of Management Engineering, Multiple Academic Health Centers Project manager for multiple productivity and quality improvement projects in virtually all hospital departments.

Leader for five hospital departments responsible for JCAHO compliance, patient safety, infection control, management engineering, and nutrition services.

EDCUCATION M.S. Double Major; Health Care Administration (MHA) B.S. Major; Industrial Engineering, Minor Mathematics