Eric Hamilton

About Eric Hamilton

Healthcare executive with the business and technical expertise to deliver value from enterprise data assets. Deep experience designing analytic solutions, building high performance teams, leading complex projects, developing strategic plans, and engaging internal and external stakeholders.SKILL HIGHLIGHTSMedical Economics Quality Measurement & Improvement Predictive Modeling Project Management Business Intelligence and Reporting Pay-for-Performance Program Evaluation Patient Reported Outcomes Client/Consultant RelationsKEY ACCOMPLISHMENTS Led enterprise analytics department with 95 employees and an operating budget of over $8M. Implemented analytics project governance process to ensure effective vetting, prioritization, documentation and oversight of analytics initiatives. Achieved budget savings of over 10%(approximately $1M) while maintaining service levels and increasing focus on high-value analytics. Led technical development of a statewide Medicaid pay-for-performance provider incentive program, including case-mix adjusted cost targets for over $250M in annual claims payments. Coordinated development of predictive models to identify high risk members with mental health conditions in both inpatient and outpatient treatment settings. Reduced medical record auditing costs by over from projected levels by developing a more efficient two-stage sampling plan. Developed a customized Medicaid child/adolescent behavioral health pharmacy monitoring and intervention product.

Experience

1. AVP, Clinical Analytics

   CVS Health

   Aug 2020 — Present

Education

• Carnegie Mellon University

  Master of Science (MS), Public Management and Policy

• Carnegie Mellon University

  Bachelor of Science (BS), History and Spanish

Skills

• Provider Relations
• Healthcare Management
• Case Managment
• Program Management
• Disease Management
• Clinical Research
• Medicare
• Healthcare
• Healthcare Information Technology
• Team Building
• Management
• Analysis
• Data Analysis
• Case Management
• Strategy
• Healthcare Consulting
• Quality Improvement
• Managed Care
• Analytics
• Health Policy
• Hipaa