Experience

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  Pacificare health systems

  Jan 1989 - Jan 1998

  Analyst

  Performing PCMH analysis before PCMH was (re)born. Capitation analysis. Case management analysis. Risk modeling. Working with HMO staff model physicians to understand how their practices affect overall COHC. Highly visible and engaged in healthcare operations, utilization management and network operations.

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  Ingenix

  Jan 1998 - Jan 2000

  Caretrends data analyst

  Helped pioneer early episode of care analytics. Also, participated in several interesting relative value studies, including a project to establish the very first Bermudan relative value system.

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  Cigna healthcare

  Oct 2000 - May 2002

  Contract implementation manager

  Contract modeler, ancillary facility contract manager, contracting business analyst.

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  Deseret mutual

  May 2002 - Aug 2008

  National accounts manager

  Blended account management, underwriting and analytics into one successful, highly varied and highly rewarding result.

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  Imagine health

  Aug 2008 - Mar 2021

  Senior director of analytical services

  Managed numerous concurrent and interwoven projects supporting a robust and complex sales cycle as well as several concurrent large-market provider network builds.Implemented initial quality improvement partnership between Lovelace Health System and local employers. Implemented committees devoted to improving quality outcomes, financial performance, patient safety and patient satisfaction.Developed models that analyze and predict unit cost, episode-based provider efficiency and overall cost savings associated with high performance network development.Managed 6 TB SQL Server Database. Implemented database to combine disparate claims, benchmark data and membership data into normalized structure. Partnered with contracting and account management teams to form and execute high performance network development strategy in 6 of top 50 markets Show less

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  Nomi health

  Mar 2021 - now

  Building DTE cost-effective networks that disrupt the typical BUCA norms. Benchmarking, and measuring performance of Nomi's unique value proposition.

  • Sr Director, Health Economics

    Jan 2024 - now

  • Senior Pricing Consultant

    Mar 2021 - Jan 2024

  • Solutions Consultant

    Mar 2021 - Feb 2022