Experience

Soundpath Health

• United States
• Insurance
• 1 - 100 Employee

• Clinical Data Analyst

  • Aug 2012 - Present

  Provide analytical support for the medical management and quality team Determine gaps in care for a Medicare population and track results Identify opportunities to improve quality Ad hoc analysis as requested Provide analytical support for the medical management and quality team Determine gaps in care for a Medicare population and track results Identify opportunities to improve quality Ad hoc analysis as requested



Premera Blue Cross

• United States
• Insurance
• 700 & Above Employee

• Actuarial Analysis

  • Aug 2003 - Mar 2012

  Health Care Economics Analyst (4 years) Provided analytical support for provider contracting and reimbursement. Used Excel, Access, VBA and SQL server to perform analyses. Highlights of projects completed: Moved the process of retrieving and organizing professional data from the company’s data warehouse from Access to SQL server, turning a 2 week process into a process that takes 45 minutes. Created an efficient tool for building provider fee schedules in Access Key analyst on several small and ad hoc projects Actuarial Analyst – Rating (2 years) Answered rating requests for Large Group Lines of Business for sales and underwriting Prepared and filed company’s large group rate filing Created analytical reports for various rating factors such as age/sex and family composition Created ad hoc reports as needed Actuarial Analyst – Reserving (2 years) Set the monthly IBNR reserves for the Alaska lines of business Maintained and updated various large claim and inventory reports Calculated experience rated reserves for large groups Created ad hoc reports as needed Show less