Lead executive team with deep analysis of operations andfinancial position to improvefinancial performance while lowering the cost of care. Present keyperformance indicators that support the executive team in strategy execution and comprehension offinancial statements inperformance evaluation and opportunity identification.
• Operational and Financial Analytics: Provide financial executive team with visibility into the following:
• Monthly evaluation of physician and hospital claims experience to budget and forecast.
• Inpatient and Outpatient Hospital cost and utilization analytics of bed days, admits, acuity, and trends by facility.
• Claims analysis using CPTs, DRGs, ICD10 Codes, Revenue Codes and other clinical designators.
• Results of Medical Office Operations: Collaborate with medical executive team on the following:
• Medical Offices' capacity, department usage and patient flow analytics.
• Detailed analytics of KP's Medical Offices by department, specialty, service type

Lead numerous complexprojects having significantfinancial and operational impacts on ef orts to lower the cost of healthcare while maintaining the highest quality standards.
• Operational and Financial Analyst – Team leader assessing the efficacy of implemented programs and providing financial expertise in the savings computations against which the success of the programs was determined. Evaluated results of operations to budget to assess risk and develop mitigating action plans.
• Executive Team Liaison – Presented monthly analysis of operations and key risk management opportunities to Georgia Plan President. Developed Inpatient, Outpatient, Physician, and Pharmacy analytics to support strategic initiatives resulting in financial and administrative savings and increased operational efficiency.

Successfully combined database application development experience with industry expertise toprovide dynamic reports allowing drill-down analysis of cost trends, claims experience, and results of operations topricing, valuation andforecasting actuaries.
• Hospital and Physician Contract Modeler – Developed several contract modeling applications used by actuarial staff to support Network Management's contract negotiation efforts. My applications decreased contract modeling time from days to minutes, eliminated the error-prone process of manually gathering and calculating contract proposals, and increased reporting accuracy while increasing sophistication of contracting abilities and leading to increased revenue.
• Revenue Cycle Analytics – Wrote software that utilized ETG/PRG metrics to risk-adjust membership pools during the rate-setting process. My software drastically decreased the man-hours needed to evaluate actuarial pricing models during the underwriting and sales processes to b

Providedfinancial and operations analysis to Executives, Underwriting, Finance, Medical Management, and Provider Relations.
• Designed and implemented strategic information systems for decision-support:
• A SQL warehouse that interfaced with legacy claims processing systems that supported ad hoc multi-dimensional analysis of benefit plan designs, contract modeling, referral patterns, and financial and utilization metrics.
• An outcome measurement information system that evaluated the impact of Disease Management programs, provided analysis on Disease Management program utilization and effectiveness, and generated commercial group risk factors critical to the underwriting and sales departments.
• Provided delivery-of-care decision-support services to Executive team, Medical Management, and Provider Relations staff in support of facility and physician network management.
• Developed PCP and Peer Review reports used for physician bonuses and network utilization analysis. Developed ac