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Lead HEDIS Quality Program Data Analyst
Lead HEDIS Quality Program Data Analyst at Parkland Health, leading HEDIS reporting, medical record review, and quality improvement.
United StatesLead HEDIS Quality Program Data Analyst at Parkland Health
Led annual HEDIS production cycle, including planning, data intake, rate calculation, and submissions. Oversaw hybrid medical record review process and vendor coordination with over 7K chases.
HEDISData AnalysisSQLETLSSISHealthcare DataProject ManagementVendor ManagementMedical Record ReviewComplianceQuality AuditsICDSNOMEDTableauPower BIExcel
Led government performance risk adjustment encounters team, including encounter data management, submissions, reject remediation, and data reconciliation. Analyzed complex business problems using data from internal and external claim sources.
Encounter Data ManagementData AnalysisRisk AdjustmentsSQLData ReconciliationPerformance ManagementCommunication SkillsSubject Matter ExpertHealthcare Claims
Secured and managed training locations and catering, including managing vendors and staying within budget. Ensured appropriate materials were on-site for all training classes.
training coordinationVendor ManagementBudget ManagementEvent Planning
Analyzed enterprise-level information demonstrating operational results of care and wellness programs. Managed analysis of care management data to redirect program focus or establish new programs.
Health AnalyticsData AnalysisCare ManagementProgram EvaluationReporting
Created ad hoc and monthly encounter submission and status reports by collecting, analyzing, and summarizing claim information. Researched and solved moderately complex problems and analyses.
Data AnalysisReportingSQLClaimsProblem SolvingHIPAA
Led collection, analysis, and evaluation of reporting requirements, and specification of standard and customized reports for clients. Trained and presented to internal and external clients.
ReportingData AnalysisTrainingClient CommunicationSQLHIPAAData MartsTesting
Bachelor of Arts and Sciences in Health Care Management from Dallas Baptist University.
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