OPERATIONS ANALYST - RALYTICS - Boca Raton, FL
(2021-03)
- Serve as a subject matter expert for a healthcare data platform integrated with EMR/EHR systems, supporting medical coding and revenue cycle workflows
- Led requirements gathering and system design for an internal application that supports medical record review, coding accuracy, and revenue optimization processes
- Drive continuous improvement initiatives, prioritizing product backlogs and partnering with engineering and data science teams to implement product enhancements
- Develop risk adjustment analytics (ICD-10, HCC) to identify gaps in documentation and support revenue enhancement and revenue integrity initiatives
- Build and maintain SQL-driven dashboards and KPI reports to monitor coding accuracy, revenue forecast, operational performance, and auditing results.
- Create and maintain process documentation and training materials for internal application
SOLUTION ARCHITECT - HIGHRADIUS - Houston, TX
(2019-03 - 2021-03)
- Worked as main cloud architect on 9 enterprise software implementations to deliver scalable solutions that contribute to process standardization and operational efficiency
- Conducted requirement gathering with client stakeholders and converted business requirements into tangible deliverables such as functional specifications, user stories, process flows, integration diagrams, and data extract file layouts.
- Performed cost and ROI analysis to corroborate business cases and define KPIs
ASSOCIATE CONSULTANT - HIGHRADIUS - Houston, TX
(2018-07 - 2019-03)
- Led delivery of software implementations and advised clients in the pharmaceutical, beauty, and food industries on best practices for process restructure and optimization
- Managed collaboration between client and engineering teams to deliver in-depth analysis of operational trends
- Wrote SQL scripts to reduce by over 20 hours the time spent in database integrity and system set up validation leading to improved testing quality and higher automation rates
