Russ H.

About Russ H.

Medicare/Medicaid/Commercial, encounter data, pharmaceutical/medical claims and clinical…

Experience

1. Consultant, Clinical Data and Reporting Analyst (Remote)

   Optum

   Nov 2021 — Present

   Optum is a health services and innovation company on a mission to help people live healthier lives and to help make the health system work better for everyone.Optum, part of the UnitedHealth Group family of businesses, is powering modern health care by connecting and serving the whole health system across 150 countries. We combine cutting-edge technology, the world’s largest health care database and vast expertise to improve health care delivery, quality and efficiency. We are revolutionizing health care that serves more than physicians, practices and other health care facilities, as well as 127 million individual consumers.Enabling Services – ERA – Optum Health Solutions Insights Support short and long term operational/strategic business activities; develop, enhance and maintain operational data and models that will have an impact on business decisions Perform analysis, review, forecast, and trending of complex data Own the development and maintenance of production and ad-hoc operational reports Present analysis and interpretation for operational and business review and planning Support short and long term operational/strategic business activities through Analytics Interact one-on-one and consult with all levels of leadership Business Intelligence

Education

• The Ohio State University

  Attended, Computer Science & Journalism

  1987 — 1992

• Edgewood Senior High School

  Graduated, College/University Preparatory and Advanced High School/Secondary Diploma Program

  1984 — 1987

• Villanova University

  Masters Certification, Business Analysis

  2011 — 2011

• Hondros College

  Certified Master Home Inspector, Home Inspection

  2006 — 2006

Skills

• Budgets
• Healthcare Information Technology
• Risk Management
• Hipaa
• Health Insurance
• Managed Care
• Access
• Management
• Team Building
• Business Analysis
• Training
• Customer Satisfaction
• Sharepoint
• Software Documentation
• Sdlc
• Provider Relations
• Quality Assurance
• Leadership
• Pharmacy
• Business Process Improvement
• Business Process
• Medicare Prescription Drug Plans
• Medicare
• Visio
• Pharmacy Benefit Management
• Medicare Part D
• Customer Service
• Call Centers
• Healthcare
• Requirements Analysis
• Program Management
• Project Management
• Cross-Functional Team Leadership
• Medicaid Encounter Data
• Requirements Gathering
• Insurance
• Medicaid Managed Care
• Team Leadership
• Health Policy
• Vendor Management