Cathedral City, California, United States
My work sits at the intersection of data engineering and analytics. I specialize in healthcare data environments—particularly claims, utilization management, eligibility, provider, and compliance data—where accuracy, timeliness, and clear reporting are critical to operations and decision-making. Throughout my career, I’ve led the design and development of data warehouses, and delivered reporting solutions used by both operational teams and executive leadership. I’ve worked extensively with SQL, SSIS, and SSRS to create automated, repeatable data processes that improve efficiency, reduce manual effort, and increase data confidence. Some examples of the impact I’ve delivered: • Designed and developed a near real-time enterprise data warehouse integrating data from multiple healthcare systems • Automated health plan compliance and operational reporting for multiple IPAs and health plans • Developed an automated process for creating HICE UM Work Plans • Improved claims processing workflows through data-driven automation • Built reporting frameworks used for executive decision-making and performance tracking I’m known for being able to take ambiguous business problems and translate them into structured data solutions. I work closely with stakeholders across operations, finance, and clinical teams to ensure the data not only answers questions—but drives better outcomes. Currently, I’m open to high-impact opportunities where I can help organizations: • Improve healthcare data quality and reporting accuracy • Develop scalable BI and analytics solutions • Translate complex data into clear, actionable insights I work fully remote and am available immediately.
• Lead developer for a Management Services Organization (MSO) supporting multiple clients and health plans. • Designed and developed an automated process for generating health plan compliance and regulatory reports using SQL, SSRS, and SSIS for multiple IPAs and health plans for all lines of business (Commercial, Medicare, Medicaid). The automated process creates between 400 and 700 reports monthly in the health plan required Excel templates. • Designed and developed an automated process for generating HICE UM Work Plans with historical data. • Expertise in developing health plan audit universes. • Build and maintain automated ETL pipelines using SSIS and Python to ingest and transform data from internal and external sources. • Develop scalable stored procedures and data transformations to support reporting and operational workflows. • Partner with stakeholders to create custom BI solutions and dashboards, improving visibility into claims, care management, utilization management, and provider performance. • Implement process automation that reduces manual effort and improves data accuracy across departments. • Provide SQL training and technical guidance, increasing team capability in data analysis and reporting. • Serve as SME for managed care data, ensuring accurate interpretation of complex healthcare datasets.
Took time for family caregiving responsibilities.
• Provided support and oversight for a claims supervisor, a team of claim adjudicators and customer service. • System Administrator for the EZ-CAP and EZ-NET applications. Responsible for loading eligibility files, member benefits, providers, fee schedules and code updates. • Created 837 encounter files, sent them to the clearinghouse and corrected any errors. • Designed, developed, and maintained Windows Applications using C#, SQL Server and Crystal Reports to automate and streamline manual processes and increase productivity and accuracy. • Responsible for creating and submitting monthly and quarterly health plan compliance reports. • Created tables, stored procedures and functions in SQL Server to support application development. Built ETL processes using SSIS to load data from outside sources.
• Led a team supporting enterprise business systems and reporting platforms across multiple departments. • Oversaw development and maintenance of BI reports and dashboards for operational decision-making. • Directed system integrations and data interfaces, improving data flow between ERP, GIS, and other systems.
• Managed a team that configured client database environments supporting laboratory billing and revenue cycle operations, ensuring data accuracy and system reliability • Developed and executed ad hoc and complex SQL queries to deliver critical data insights not available through standard reporting tools • Partnered with internal teams and stakeholders to analyze data requirements and provide actionable reporting solutions • Managed and prioritized incoming requests and issues through Salesforce, ensuring timely resolution and high-quality service delivery • Improved data accessibility and reporting efficiency by bridging gaps between system capabilities and business needs