Experience

ScienceIO

• United States
• Biotechnology Research
• 1 - 100 Employee

• Chief Of Staff

  • Mar 2022 - Present



nirvanaHealth | RxAdvance

• United States
• Information Technology & Services
• 200 - 300 Employee

• Lead, Clinical Analytics and Digital Innovation

  • Jan 2021 - May 2022

• Clinical & Financial Analyst

  • Aug 2019 - Dec 2020

  • Develop predictive models to identify trend drivers for drug utilization and pharmacy spend, providing clients with cost-reduction and formulary optimization strategies•Design data-driven clinical programs focusing on chronic disease management, analyzing member, pharmacy, and prescriber data to optimize health outcomes and minimize payer spend• As Clinical Reporting and Analytics Lead: responsible for all clinical reporting, HEDIS measure reporting, and creation of visual dashboards, leveraging varied healthcare data sources to provide a comprehensive healthcare narrative for each plan, line of business, and member.•Led electronic Prior Authorization (ePA) projects for Medicaid and Commercial plans, increasing efficiency in PA Operations and reducing manual PAs by 35% • Assist in the configuration and analysis of benefits, formulary and utilization management Show less



Qëndra Franklin

• Tirana, Albania

• Board Member

  • Jul 2017 - Jul 2018

  • Expanded partnership networks with local and regional NGOs. • Coordinated patient advocacy projects to promote accountability amongst local health service providers • Developed patient feedback surveys and collected data from surveys and interviews • Assisted in data analysis and reported findings to Regional Public Health Directories and Regional Directories of Health Insurance Fund • Expanded partnership networks with local and regional NGOs. • Coordinated patient advocacy projects to promote accountability amongst local health service providers • Developed patient feedback surveys and collected data from surveys and interviews • Assisted in data analysis and reported findings to Regional Public Health Directories and Regional Directories of Health Insurance Fund



Community Day Center of Waltham

• Waltham, MA

• Research Internship

  • Sep 2016 - Mar 2017

  • Collected data on environmentally related health complications experienced by the homeless • Conducted literature reviews to identify evidence-based interventions that alleviate homelessness and facilitate accessibility to shelters • Interviewed stakeholders to determine community needs • Drafted an emergency shelter winter plan • Collected data on environmentally related health complications experienced by the homeless • Conducted literature reviews to identify evidence-based interventions that alleviate homelessness and facilitate accessibility to shelters • Interviewed stakeholders to determine community needs • Drafted an emergency shelter winter plan