Business Analytics Senior Advisor
Cigna, Evernorth – April 2017 to Present
Operational Analytics
• Developed case management volume projections/models for operations staffing
• Medical and behavioral case management data analytics and capacity planning with SAS EG and SQL
• Analysis of Health Information Line product to demonstrate product value to clients with metrics on level of care recommendations/cost savings/utilization, call demographics and call type, high call volume times of day, days of the week, holiday volumes
• Worked with IT to test/develop UI for business users which allows direct changes to cap volumes, allowing rapid adjustment to throttles based on business needs and compensating for COVID volumes
• Created quarterly engagement projections by medical case management program and population segment to help better meet staffing needs
• Worked with capacity team to lead and implement strategy for increasing identification through predictive model-based triggers to meet product targets and to create new throttle model adjusted for seasonal patterns of in and out of office shrink
• Fulfilled total cost savings reporting requests, digital campaign volume monitoring requests in preparation for transition to offshore coaching, and ad hoc requests including analysis of # of call attempts and programs/segments driving reach rate, open case extracts for disaster-affected areas, people with multiple cases open in a 12 month period, case duration by id trigger, retention rate analyses
• Created engagement waterfalls to evaluate effectiveness of email pilot programs and autodialer campaigns
Data/Marketing Research Analytic Consultant
UnitedHealth Group, OptumInsight – June 2014 to March 2017
Life Sciences
• SAS/SQL in Unix and Windows environments with Teradata warehouse
• Developed self-service tools for clients to track persistency and medication adherence
• Project consultant on custom pharmaceutical studies for external clients
Informatics Senior Specialist
Cigna Corporation, Analytics – Bloomfield, CT – July 2009 to June 2014
Predictive Modeling Team (February 2013 to June 2014)
HEDIS Reporting Team (July 2009 to February 2013)
• Created predictive models for Customer Lifetime Value and inpatient admissions
• Supported analytics initiatives to achieve better outcomes, lower healthcare costs, and engage customers by evaluating eligibility, claims, admissions, census, geospatial, risk, segmentation and behavioral data
• Supported national quality measure production for eValue8, Prometheus, HEDIS, and led WHP accreditation with NCQA
• Recipient of CIGNA Champions Award for co-founding in-house SAS Users Group
Reporting Analyst
Advanced Behavioral Health – Middletown, CT – July 2008 to July 2009
• Report design for Department of Mental Health and Substance Abuse and for internal business self-service applications
• Financial analysis of insurance claims data
• Cut weekly reporting time in half by migrating processes from Access to SQL Server
• Managed SQL Server reporting database
Senior Research Technologist
Penn State University, PA State Data Center – Middletown, PA – May 2006 to April 2008
• Met with state agencies to discuss data, redefine codes, and educate school districts on how to report data for special education students transitioning from Birth-3 to 3-5 program
• Increased percentage of students successfully transitioning with IEP within 90 days
• Developed and maintained Access databases for contracted work with the Department of Education, the Department of Public Welfare, and the U.S. Bureau of the Census
Learning Services Center Graduate Assistant
Oklahoma State University – Tulsa, OK – January 2005 to January 2006
• Developed Access databases to track usage of Testing Center and Writing Center
• Designed and gave workshops on APA documentation styles and other writing-related topics
Presentation Specialist
PERT Survey Research – Bloomfield, CT – February 2002 to February 2004
• Used Power Point and Excel to create graphic market research presentations for large national clients including Diageo and Kraft