Andrea Bacon

Experience

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  BlueCross BlueShield of Tennessee

  Jul 2007 - Feb 2014

  Reporting Solutions Consultant

  Utilized proven data analysis and project management skills to acquire positions of increasing responsibility and gain exposure to diverse features of healthcare delivery.

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  Optum

  Feb 2014 - May 2015

  Senior Reports Developer

  Provided custom report development in SAS with complex problem analysis and focused data explanations to meet client needs and anticipate future demand.

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  Community Health Alliance

  May 2015 - Nov 2015

  Senior Provider Reimbursement Specialist

  Left due to company dissolution. Operated as the resident SAS expert and supported other analysts in SAS development. Researched Medicare policies and pricing to evaluate proposed contracting changes and create utilization forecasting models. • Replicated CMS inpatient pricing to assess contracts as a percent of Medicare.

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  TEKsystems (Cigna)

  Nov 2015 - May 2016

  Systems Analyst

  Coordinated work for an agile IT team and developed production tables for the new data warehouse. Consulted with Healthspring as a data architect to review their reporting infrastructure and recommend improvements.

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  Cigna

  May 2016 - Mar 2020

  Business Analytics Advisor

  Evaluated client needs, conducted extensive internal research, and successfully deployed innovative solutions to support the fee-for-value program. Directed the work of 5 Data Science advisors within an agile framework.• Designed an attribution methodology that connects 10 million Cigna members to primary care providers and directs fee-for-value programs.• Created a reporting framework to retain a $16M client with 30,000 members.• Provided infrastructure support, employee onboarding, and data platform training for the Data Science division.• Developed standards for IT adoption with data effects integrated throughout the organization. Show less

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  Evernorth

  Mar 2020 - now

  Manage business resources supporting Transparency in Coverage to meet CMS regulatory requirements and avoid $100B+ in potential monthly fines. • Utilize data from claims, clients, and provider networks to create data solutions that also support matrix partners and enable corporate initiatives. • Define strategy for agile teams with merged IT and business resources. • Develop validation methods and metrics to assess data performance. • Manage product roadmaps and engage with the leadership team on budgets, timelines, and value tracking. • Apply critical thinking to resolve business questions quickly and effectively deliver insights to stakeholders. Show less

  • Cost Transparency Project Lead

    Sept 2021 - now

  • Business Analytics Senior Advisor

    Mar 2020 - Sept 2021