An experienced professional in the Managed Care industry specifically focus in Medicaid and Medicare. With 12 years of experience in healthcare data analysis I offer a wide range of solutions to business problems. Including but not limited to: Claims pricing, utilization metrics, impact of clinical programs and interventions on healthcare utilization, cost and clinical outcomes. I also support contracting strategies such as implementing cost control initiatives, value based reimbursement, and Accountable Care Organization development (ACO). My core competencies stems from big data analysis. Using advanced modeling techniques to make reliable, actionable, explainable predictions of events such as Emergency Department visits, Re-admissions, etc. With a strong background in SQL, data management, claims data, authorization data as well as complete understanding of the various State fee schedules: Inpatient APR-DRG, Inpatient Outliers, OPPS, and Professional flat fee.