Experience

Qualex Consulting Services, Inc.

• United States
• Software Development
• 1 - 100 Employee

• Senior Associate

  • Jan 2021 - Present

  Miami, Florida, United States Senior consultant in healthcare, gaming, finance, and marketing analytics. Areas of Expertise: SAS, SQL, OLAP, Business Intelligence, Customer Intelligence, Predictive Analytics, Forecasting, Data Warehousing, SAS Visual Analytics, Teradata, Tableau, Agile Project Management Certifications: Certified SAS Advanced Programmer, Certified SAS Predictive Modeler Enterprise Miner



Wyndham Vacation Ownership

• United States
• Hospitality
• 700 & Above Employee

• Senior Data Analyst

  • Mar 2018 - Apr 2020

  Orlando, Florida Worked in the predictive analytic group creating studies, applications, and forecasts to predict the behavior of customers. A typical project included a web-based application that analyzed the engagement of first year customers. This application allowed marketing directors to study the behaviors of first year customers to optimize customer engagement programs. Other projects included forecasting sales and interfacing predictive models of customer default probabilities with salesforce… Show more Worked in the predictive analytic group creating studies, applications, and forecasts to predict the behavior of customers. A typical project included a web-based application that analyzed the engagement of first year customers. This application allowed marketing directors to study the behaviors of first year customers to optimize customer engagement programs. Other projects included forecasting sales and interfacing predictive models of customer default probabilities with salesforce applications to create an optimized set of product offerings to potential customers. Show less

• Senior Consultant

  • Aug 2011 - Jan 2018

  Orlando, Florida Area Senior SAS Certified Consultant working in the Healthcare, Retail, Hospitality, and Financial sectors. Areas of Expertise: SAS, SQL, OLAP, Business Intelligence, Customer Intelligence, Predictive Analytics, Forecasting, Data Warehousing, SAS Visual Analytics, Teradata, Tableau, Agile Project Management Certifications: Certified SAS Advanced Programmer, Certified SAS Predictive Modeler Enterprise Miner Papers: "Creating a Data Quality Scorecard", 2015 SAS Global Forum… Show more Senior SAS Certified Consultant working in the Healthcare, Retail, Hospitality, and Financial sectors. Areas of Expertise: SAS, SQL, OLAP, Business Intelligence, Customer Intelligence, Predictive Analytics, Forecasting, Data Warehousing, SAS Visual Analytics, Teradata, Tableau, Agile Project Management Certifications: Certified SAS Advanced Programmer, Certified SAS Predictive Modeler Enterprise Miner Papers: "Creating a Data Quality Scorecard", 2015 SAS Global Forum (#3261-2015) Experience Includes: Created systems for marketing automation data quality and process efficiency for a major US retailer. Provided business intelligence support for a major sports league. Established an analytical mart for a major hospitality company used for marketing campaigns and predictive analytics. Reengineered a state Medicaid economic analysis department with a new SAS environment. This department was responsible for all health care economic forecasts for the state Medicaid program. One analyst was recognized with an Award of Excellence based on her accomplishments under the new system. Created and developed a data quality system including dashboards and drilldown capability to examine healthcare data received from providers. Also, presented a SAS Global Forum paper on the new system. Created multiple healthcare dashboards for various uses for both providers and insurers. Dashboards and reports have been created under the SAS Business Intelligence (BI), Visual Analytics (VA), and Tableau environments. Selected to represent Qualex for SAS Visual Analytics (VA) vendor training for the installation, development, and use to SAS VA. Reengineered multiple casino reporting systems. Developed Tableau dashboards for measuring online banking usage metrics. Show less



SAS

• India
• Philanthropic Fundraising Services

• Software Engineer, Pre-Sales Health & Life Sciences

  • Jul 2005 - Jul 2011

  Orlando, Florida Area Combined thirty years of healthcare and SAS experience to find the best match between the client’s business intelligence and/or analytic needs and SAS' applications and solutions. Examples include: Developed, with a client, a SAS healthcare broker reporting system that measured and reported on the persistency, profitability, and other measures for this important sales channel. This effort used extensive ODS and HTML tagsets. Re-purposed the SAS anti-fraud Enterprise Case… Show more Combined thirty years of healthcare and SAS experience to find the best match between the client’s business intelligence and/or analytic needs and SAS' applications and solutions. Examples include: Developed, with a client, a SAS healthcare broker reporting system that measured and reported on the persistency, profitability, and other measures for this important sales channel. This effort used extensive ODS and HTML tagsets. Re-purposed the SAS anti-fraud Enterprise Case Management system from a financed based to healthcare-based system. Created and presented various client demos for SAS EBI and SAS Enterprise Miner. Chosen for a team of three to implement the SAS Mobile Business Intelligence implementation for the SAS Health & Life Sciences sales team. Show less



Heart Alert

• United States
• Individual and Family Services

• Vice President, Business Development

  • Jun 2003 - Mar 2005

  Greater Atlanta Area Joined this startup disease management and telemedicine company to develop Medicare related business. Brought the company a major investor and two strategic partners to pursue Government disease management contracts. Headed the Heart Alert team to bid on the Medicare Chronic Care Improvement Program and Care Management for High-Cost Beneficiaries Demonstration Solicitation.



Blue Cross Blue Shield of Florida

• United States
• Insurance
• 1 - 100 Employee

• Director, Business Development

  • Jan 2002 - May 2003

  Jacksonville, Florida Area Selected to serve on team to launch a new subsidiary to focus on non-governmental business. Coauthored a study for the implementation of Diagnosis Related Groups (DRGs) for Florida Medicaid hospital reimbursement, on behalf of our client, the Agency for Health Care Administration (AHCA). Designed and wrote the health care data analysis programs used to simulate the effect of changing Medicaid from a cost-based reimbursement to a DRG based reimbursement for all Medicaid participating hospitals… Show more Selected to serve on team to launch a new subsidiary to focus on non-governmental business. Coauthored a study for the implementation of Diagnosis Related Groups (DRGs) for Florida Medicaid hospital reimbursement, on behalf of our client, the Agency for Health Care Administration (AHCA). Designed and wrote the health care data analysis programs used to simulate the effect of changing Medicaid from a cost-based reimbursement to a DRG based reimbursement for all Medicaid participating hospitals in Florida.

• Director, Statistical & Medical Data Analysis

  • 1994 - Dec 2001

  Jacksonville, Florida Area Directed the Medicare Data Analysis unit and developed the SAS analytic processes for Medicare data to detect fraud, waste, and abuse. These processes saved over 200 million dollars per year in Medicare benefits. Using SAS, the Medicare Data Analysis unit analyzed and managed over 100 computer screens used to prevent the reimbursement of medically unnecessary services. Served as data steward for a UNIX DB2 data warehouse containing over 500 million health insurance records.… Show more Directed the Medicare Data Analysis unit and developed the SAS analytic processes for Medicare data to detect fraud, waste, and abuse. These processes saved over 200 million dollars per year in Medicare benefits. Using SAS, the Medicare Data Analysis unit analyzed and managed over 100 computer screens used to prevent the reimbursement of medically unnecessary services. Served as data steward for a UNIX DB2 data warehouse containing over 500 million health insurance records. Helped design this UNIX-based data warehouse and created all the ETL programs. Designed the SAS programs used to analyze medical data upon which all local medical policies were based. Represented the contractor on inter-agency law enforcement committees and supported the Office of Inspector General (OIG) and FBI in criminal cases. Testified in Administrative Law Judges cases on behalf of the Medicare subsidiary. Served as data steward for a large-scale data warehouse containing over 500 million health insurance records. Helped design the UNIX-based data warehouse. Participated in the launch of a subsidiary for Blue Cross and Blue Shield of Florida, TriCenturion, LLC, a Program Safeguard contractor for the Centers for Medicare and Medicaid Services (CMS).

• Project Manager, Litigation Support

  • 1990 - 1994

  Jacksonville, Florida Area Selected by the executive vice president of BCBSFL to support a major litigation project due to knowledge of healthcare data analysis and procurements. Recognized with a “Resolution of Appreciation” by the Board of Directors of Blue Cross and Blue Shield of Florida for work in support of this major corporate litigation project, one of a select few employees in the history of the company to receive such an award.

• Project Manager,

  • 1982 - 1990

  Jacksonville, Florida Area Requested to lead a major Medicare systems procurement and then lead the new Industrial Engineering department created by the project. Also served as Project Manager, Advanced Systems Planning group involved in strategic planning for the IT division. Requested to lead a special project to develop a new product line for small businesses and was requested to stay on to manage the product line after the project ended.

• Operations Analysis / Assistant Manager

  • 1975 - 1982

  Jacksonville, Florida Area Originally hired as an operations analyst, then promoted to assistant manager after serving on the procurement and implementation of a major IT system.