Karen Moore
Sr Data Analyst (Population Risk Adjustment Cms Hhs) @Fēnex Healthcare Consulting
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WORK HISTORY
Sr Data Analyst (Population Risk Adjustment Cms Hhs) @Fēnex Healthcare Consulting
Pasadena, CA, US
Assist with operational risk diagnoses tracking and capture for CMS and HHS risk adjustment reporting. Create reports for tracking and follow up on population care gaps and risk conditions. Validate data integrity across multiple claim and membership systems. Validate data integrity throughout revenue cycle. Manager job title at client assignment. Tools Used: EPIC EHR, Clarity, SQL Server, Teradata, Oracle, Tableau, SAS, PowerBI.
EDUCATION
Creighton University
MBA
University of Nebraska at Omaha
BSBA, Finance, cum laude
Westside High School
Salutatorian, College/University Preparatory and Advanced High School/Secondary Diploma Program
ABOUT KAREN MOORE
Highly results driven professional who takes processes, products and solutions to the next level. Creative, high energy, can-do. Been involved with analytics, optimization, process improvements and data-intensive applications and reporting over for two decades. Finance-degreed, built my first database in Lotus 1-2-3 to manage call center traffic on over 800-numbers. Have served in Operations Mgmt, Finance/Risk Mgmt and in all IT roles (from design, project mgmt, dev, testing), in the financial, healthcare, manufacturing, insurance and retail sectors. Can spend hours doing heads down work ranging from architecture, data modeling, data mining and data/numerical reconciliations, or can drive and inspire a team, as I hold a vision of the completed project as well as every step in between. Seek out complexity, the mission-critical, the ugliest problems and the highest touch customer areas in order to apply my unique talents. A Maximizer to the core, I typically save a company hundreds of thousands of dollars and get things running smoother than anyone thought possible. “Real ROI”, “Reads my mind”, “Best designs/solutions/reports in years”, “Product development mindset”, “Considers everything then scales to the possible,” \"Extremely efficient.\" Specialties: Analysis and insight, data architecture, data warehousing, data analytics, dashboards, benchmarking, software usability, business rules, process improvements, statistics, risk management. Data definitions and reconciliations. End-to-end, best-of-breed solutions. Technical and financial consultant in Omaha area or remote (remote preferred). All data and database work. UX designs and process improvements. Data-driven business and process recommendations. Trouble-shooting \"unsolvable\" data anomaly issues to resolution.(if you subscribe to) Gallop StrengthsFinder, mine are: Maximizer / Ideation / Strategic / Achiever / Competition
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