Experience

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  Gainwell Technologies

  • Advisor BA

    • 2021 - Present

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  Truven Health Analytics-Now IBM Watson Health

  • Jackson, MS

  • Senior Analytic Consultant

    • Apr 2012 - Jan 2021
    • Jackson, MS

    Joined growing company specializing in healthcare analytics to provide leadership to variety of data compilation, analysis, and validation projects meeting needs of small to large industry clientele.Determine project requirements, oversee planning stages, and supervise multi-stage progression to ensure achievement of all deadlines and goals. Define production steps, schedules, and work plans. Organize and engage project teams, providing guidance in methods for algorithm/data model development, strategies for issue resolution, and techniques for presenting analytic findings. Facilitate training for both internal teams and external clients, including members of Medicaid’s Bureau of Program Integrity. Establish and maintain productive client relationships, remaining available to hear and address requests. Track project progress and provide regular status updates to manager.Selected Contributions:♦ Excelled in response to challenge for development of algorithm logic to identify potential Medicaid overpayments and incorrect/fraudulent billings as well as misutilization of Medicaid services.♦ Perform literature searches, execute all research study logistics to aid in policy changes or development♦ Established and sustained reputation for delivering quality-driven and timely work products through effective multitasking and prioritization.♦ Identified need for and tackled full-scale clean up and update of critical software system.♦ Deftly designed, coded, and ran reports designed to enhance Medicaid outcomes and tracking of Core Measures (JCAHO, CMS, etc.).

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  Truven Health Analytics®, part of the IBM Watson Health™ business

  • Jackson, MS

  • Senior Analytic Consultant

    • Apr 2012 - Jan 2021
    • Jackson, MS

    Special Project: Primary focus is the utilization of clinical data derived from existing beneficiary databases to assess the functional outcomes of MS Medicaid policy-derived clinical practices. These outcomes are typically quantified via health outcomes and/or financial cost-to-benefit returns. Modeling of potential clinical policy is often performed through prospective data assays. The necessity of such analysis is derived from its ability to both identify areas of potential clinical improvement, as well as to forecast the likely financial and healthcare impact of proposed clinical policy changes.

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  Mississippi Baptist Health System

  • Jackson, Mississippi Area

  • Research Coordinator/ Report Writer/Registries/Application Systems Coordinator

    • Jan 2006 - Aug 2011
    • Jackson, Mississippi Area

    Advanced from Clinical Data Specialist to Decision Support Specialist within leading healthcare facility, holding responsibility for planning and executing wide-range of clinical data analysis projects within Cardiovascular Dept.Utilized leading software tools and systems to conduct complex statistical analysis in interest of generating reports fulfilling routine and ad hoc reporting requests. Planned and implemented medical records analysis projects, measuring compliance and quality in internal reporting. Selected Contributions:♦ Personally managed preparation of abstraction, submittal, and reporting processes for various databases encompassing ACC-NCDR ACTION, PCI, ICD Registry, STS Cardiac and Thoracic Registry, AHA Heart Failure Registry, SVS Vascular Registry, and SCIP Core Measures.♦ Adeptly acted as Research Coordinator for multiple research trials including CREST, CHOICE, and Capture 2.♦ Streamlined processes by creating standard forms and automated methodologies for abstraction.♦ Stepped up to assist Nuclear, Stress, and Vascular sub-departments by creating much-needed databases.

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  University of Mississippi Medical Center

  • Jackson, Mississippi Area

  • HIM Systems Analyst/Clinical Systems Improvement Team

    • Jul 2003 - Dec 2005
    • Jackson, Mississippi Area

    Within large, university-affiliated medical center, tasked with developing health information management (HIM) analysis and reports to support decision making processes within Risk Management and Safety departments.Acted as Project Manager/Team Facilitator while leading three-person team in compiling, synthesizing, evaluating, and maintaining key datasets relevant to quality improvement, insurance claims, patient injuries, workers’ compensation, and other concerns. Facilitated accurate, timely preparation of detailed reports, including assessment of opportunities for improving patient safety and quality assurance. Orchestrated comprehensive retrospective medical records reviews to further risk identification objectives. Maintained systems and all software updates. Selected Contributions:♦ Spearheaded development of new software improving internal capabilities for documenting, tracking, and reporting employee incidents (online Employee Injury System).♦ Selected to join Quality Improvement Task Force, dedicated to employing root cause/failure modes analysis and microsystems improvement methodologies to support process improvement innovation, and to administer both Softmed Risk Management and Quality Management Programs.♦ Served as integral team leader in execution of several key projects and initiatives, including Institute for Healthcare Improvement’s (IHI) 100,000 Lines Campaign, Robert J. Woods Foundation Grant Expecting Success: Excellence in Cardiac Care, .

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  Other experience

  • CT, PA, MS

  • Manager/Aesthetician/Student Assistant/Floor Nursing

    • Jan 1900 - Aug 2001
    • CT, PA, MS

    Additional experience as Student Assistant-Risk Management Department with University of Mississippi Medical Center, Office Manager/Aesthetician with Natchez Center for Women’s Health, and Office Manager for S. Sawardecker, MD OB/GYN., Staff Nurse at St Francis Hospital, Staff N.A. at L & M Hospital, Manager Trainee at McDonald's.