Experience

Guidewire Software (formerly ISCS)

• United States
• Insurance
• 1 - 100 Employee

• Principal Predictive Modeler, Cyber Risk (Supply Chain)

  • May 2022 - Present

  • Perform variety of statistical analysis in the areas of social, behavioral and health economics research • Advance methodologies to quantify the impact of cyber security risk, with a specific focus on supply chain-related events. • Develop and implement tools to effectively visualize the potential impact of potential cyber events • Explore different data sources to come up with features and assumptions to enhance our set of risk models. • Calibrate, test and validate different types of models in the insurance space. • Oversee integration of modeling processes in production pipeline • Communicate technical details related to the models and their outputs to a variety of audiences • Collaborate with cyber analysts, data engineers, risk modelers, and product managers Show less



Travelers

• United States
• Insurance
• 700 & Above Employee

• Senior Director & Data Scientist

  • Mar 2021 - May 2022

  • Direct multiple research projects simultaneously as well as large and complex initiatives such as industry analysis and benchmarking studies. • Mentor and advance the development of research team members to define and construct a variety of statistical analyses including data mining, predictive modeling and/or actuarial techniques. • Develop and maintain effective relationships with business partners. Expand awareness of Enterprise Analytics R&D. • Lead in-depth efforts in applying, validating and implementing predictive models. • Partner with peers across the company to ensure consistency and alignment where appropriate. Show less



UnitedHealthcare

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Senior Director, Product Strategy and Analytics

  • Aug 2014 - Mar 2021

  • Created and developed a new method for Medicare Advantage membership projections based on changes in benefits. Reduced manual process by 70-80% and integrated empirical data to generate membership forecasts. The system allowed to test various benefit changes strategies and determine the potential impact to future ROI. • Executed statistical analyses on Net Promoter Score (NPS) and customer service experience data to identify primary drivers of customer satisfaction and focus investments and efforts to improve the quality of customer service. • Developed predictive models to forecast membership growth market share to form specific business development strategies. • Introduced methods to estimate impact on membership growth testing “what-if” proposed changes in Medicare benefits. • Engaged and with Marketing Teams on consumer retention strategic initiatives, surveys and campaign evaluations. • Managed and mentored analysts. Show less



UnitedHealth Group

• Hospitals and Health Care
• 700 & Above Employee

• Senior Director, Corporate Strategy Analytics

  • Apr 2012 - Aug 2014

  • Served as an in-house analytic strategy consultant for the company. • Executed projects at the request of the CEO and the senior leadership of UnitedHealth Group's business segments. • Projects cover a broad functional spectrum and include business development, operations, pricing and bid strategy, M&A due diligence, public policy, portfolio analysis and market and competitive intelligence. • Interacted with senior leaders and staff at all levels of the organization to develop and focus analytics addressing their business research inquiries. • Developed executive-ready written and oral communications to be shared with senior management. Show less



Optum

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Director, Predictive Modeling & Program Value Analytics

  • Jan 2009 - Aug 2011

  • Established capabilities to test, measure and evaluate product and programs effectiveness and financial performance.• Defined and executed Quality Improvement Study (QIS) system to evaluate effectiveness and ROI many products.• Built and managed Program Value Analytics team and develop processes and applications to provide reliable insight on the impact of health management intervention programs.• Developed and tested strategies to optimize programs’ engagement response rates via marketing Campaign Management.• Participated in internal and external advisory boards that reviewed study designs and theory, interpreted results and monitored adherence to protocols. Show less

• Director, Identification & Stratification

  • Jul 2006 - Dec 2009

  • Directed design, development and implementation of a Business Intelligence application (Id/Strat) to identify consumers for referral to health management programs.• Directed SAS developers and Data Architects to design application and data models.• Delivered production-level functionality that incorporates clinical expert system identification and predictive models.• Created many statistical prediction models for identification and selection of high risk health consumers as candidates for comprehensive Disease Management products marketed to the Health Care industry.• Engaged with Operations process owners to create summary reports of trends and monitoring clinical program identification, stratification and referral processes. Show less

• Director, Market Intelligence & Analytics

  • Apr 2003 - Jul 2006

  • Developed internal analytics capabilities facilitate data-driven decision making.• Identified analytics opportunities and strengths inside the organization to improve market share growth, find cost reductions, network enhancement and operational business performance.• Developed creative ideas to address business challenges.• Directed and executed a variety of quantitative analysis at request of senior management.• Designed, developed and carried out research in support of business measurement strategies.• Directed and performed complex data management and programming tasks. Show less



UnitedHealth Group

• Hospitals and Health Care
• 700 & Above Employee

• Director, Informatics R&D

  • Jun 1999 - Apr 2003

  Responsible for conceptual design, development and prototype implementation of predictive modeling application. Develop methodologies that link medical claims data categorization software based on clinical expertise with statistical/analytical methods – estimation of “burden of illness”. • Research and select prediction methodologies for producing future health care utilization expenditures for insured managed care population • Design and write software algorithms for prototype predictive modeling application • Manage and train SAS programmers within the department • Develop and maintain department’s software tools and infrastructure Show less



SmithKline Beecham Corporation

• Pharmaceutical Manufacturing
• 1 - 100 Employee

• Director, Analytics

  • Nov 1994 - Jun 1999

  • Researched and developed concepts for new products for Disease Management initiatives. • Directed and carried out data definition requirements, file creation and statistical analysis to execute health outcomes related research projects and analyzed outcome data and clinical trials. • Managed and trained employees and contractors to execute projects within the department. • Researched and developed concepts for new products for Disease Management initiatives. • Directed and carried out data definition requirements, file creation and statistical analysis to execute health outcomes related research projects and analyzed outcome data and clinical trials. • Managed and trained employees and contractors to execute projects within the department.