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Summary

I’m a senior analyst with 5 years of health care analysis experience. I specialize in Data Analytics related to risk mitigation. Colleagues know me as an adept technical analyst, adding value by applying the latest IT tools, to best practices. I am a Certified ScrumMaster (CSM) and working towards becoming a Certified Fraud Examiner (CFE). 

Work History

Apr 2016Present

Senior Business Analyst - Internal Audit Services

SCAN Health Plan
  • Lead and performed complex reporting and analysis in an evolving data environment to detect organizational risks, fraud, waste and abuse, and compliance violations with business leads across the entire organization.
  • Extract and analyze data from multiple internal and external systems.
  • Identify anomalies, patterns that warrant allocation of audit and investigative review.
  • Synthesize data into information that integrates regulatory requirements, contractual obligations, and business rules to minimize false positives. 
  • Recognized system deficiencies and recommend effective business process solutions. Escalate critical issues to management.
  • Utilized agile and six sigma lean project management methodologies to gather, analyze, prioritize and define compliance, audit and fraud control requirements for analytical reports and studies.
    • Designated as the department ScrumMaster.
    • Member of process redesign team. 
Jul 2014Apr 2016

Special Investigations Unit Analyst

SCAN Health Plan
  • Conducted in-depth Fraud, Waste, and Abuse (FWA) investigations.  
  • Compiled data into visualizations using tools such as  Tableau. 
  • Created integrated SQL Server Reporting Services (SSRS) reports to proactively find FWA as well as continuously audit and monitor.
  • Attended professional internal audit, fraud, and IT security conferences.
    • Shared findings with federal law enforcement and regulatory entities. 
Feb 2013Jul 2014

Executive Assistant to the Vice President of Internal Audit

SCAN Health Plan
  • Maintained Internal Audit database  for management action plans. 
  • Performed Data Analytics portions of Internal Audits. 
  • Developed executive Key Performance Indicating (KPI) dashboards utilizing interactive business objects leveraging expert Excel skills.
Oct 2011Feb 2013

Data Administrator

SCAN Health Plan
  • Crafted reports using  Business Intelligence (BI)Tools, including SQL Server Management Studio, Visual Studio, MS Access, and Excel.
Sep 2005Feb 2012

Supervisor, Bookkeeper, Bartender

BJs Restaurants
  • Supervised front and back of house while ensuring guest satisfaction.

Education