Michelle Lynch
Director, Data Product & Processing, Operations Group @Certilytics
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WORK HISTORY
Director, Data Product & Processing, Operations Group @Certilytics
Louisville, KY, US
In this role, I manipulate and analyze complex, high-volume, high-dimensionality data from varying sources using a variety of tools and data analysis techniques. My primary day-to-day work includes data mapping and troubleshooting mapped data.I assist with the development of reports and projects, including documenting methodology, designing reports, and making recommendations based upon data analysis.I identify complex healthcare data problems or issues, I research solutions, make recommendations and implement steps to achieve higher level of efficiency for analytic and product offerings.I provide analytical support to the Data Science, Clinical, Data Logistics, and Operational Teams.I conduct research and perform root cause analysis as part of responsibility for analytics projects. Skills: Knowledge of health care administration, mathematics, statistics, business, computer science. Drawing on 15+ experience working in the capacity of a data analyst; and 25+ years of working with healthcare data. Understanding of key managed health care concepts and terms (e.g. PMPM, CPT, ICD coding, HCPCS, DRG, etc…)Experience with data analysis and reporting, and knowledge of data visualization software packages.Ability to write complex SQL code, extract data and generate queries/reports without guidance, integrating data when necessary between different data sources.Experience with building reports, analyzing results, and communicating findingsUnderstanding of data structure/integration and relational database design.Strong attention to detail and data accuracy.Proven team player with strong analytical and interpersonal skills.Exhibits creative thinking skills.http://certilytics.com/
EDUCATION
Strayer University
AA, Database Technology
Stockton University
BA, Sociology and Anthropology
SKILLS
ABOUT MICHELLE LYNCH
Healthcare Data Analyst and Claims Operations subject matter expert with 30 years of industry experience. My early career days started off as a health insurance claims processor and I developed into a well rounded analyst with the ability to write complex SQL code with an understanding of claims, benefits, eligibility, rates, authorizations, provider network and fraud/waste/abuse. I am passionate about providing decision makers in the business with information from their data. I enjoy turning data into meaningful information from which an executive leader can make an informed business decision. I am also passionate about the relationships I build with the business persons and with users/consumers of data. I strive to establish trust and confidence in the information I provide and the insights I share from their data. I want business leaders and users to connect with me and also with their data in meaningful ways, I want to energize and excite them with all that is possible to learn from their data. My approach is relationship based. It is people who turn data into information, otherwise it is just a bunch of 1\'s and 0\'s.Specialties: Detailed Analysis and Report Generation, SQL/Oracle, SQL/Hive/HadoopMapping disparate inbound vendor data to a common format, defining business rules (ETL) in a logical mapping documentValidation/Testing - for the logical to functional ETL/Mapping Process and Business Requirements for Tagging/Enhancing dataLiaison between IT and Non-IT business operationsSubject Matter Expert for healthcare claims processing/adjudication operations
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