Yu-An Sun

Healthcare Analytics Leader, HEDIS and Quality Improvement focus

Role
Senior Director of Quality Analytics at UPMC Health Plan
Location
Detroit, MI, US
LinkedIn followers
500 followers

About Yu-An Sun

With over 6 years of experience in healthcare analytics leadership, as Senior Director of…

Experience

  1. Senior Director of Quality Analytics

    UPMC Health Plan

    Jan 2024 — Present · Pittsburgh, PA, US

    Medicare Star Analytics and Reporting: Part C and Part D quality metrics reporting, data-driven quality improvement analysis, CAHPS and HOS survey analytics, geographic performance dashboard development, and provider data analysis - Medicaid Analytics and Reporting: implemented data-driven operations for the 4.5 Star Medicaid plan nationwide, PA DHSMCO pay-for-performance surveillance and analysis to identify quality improvement opportunities; health equitystratification and reporting; cross-function dashboards and analyses for clinical initiatives- Provider Incentive Program Analytics: hospital and primary provider incentive program’s reporting operation; led data-driven initiative for program design and negotiation of targets setting; operationalize multiple dashboards and routinereports- Predictive Modeling for Star Rating cut points: advancing star rating forecast for individual HEDIS metrics; utilizing acombination of statistical and machine learning models to predict CMS cut points between star levels• Quality Data Infrastructure:o Advanced overall quality data infrastructure for while maintain the existing HEDIS data engineo Automation of quality data and reporting, visualization, and quality control• Led team in development of custom metrics and streamline dashboard production

Education

  • The Wharton School

    Master of Business Administration (MBA), Organizational Effectiveness concentration in Strategic Management

    2013 — 2015

  • The George Washington University

    Doctor of Philosophy (PhD), Computer Science

    2003 — 2008

  • National Tsing Hua University

    Bachelor of Science (B.S.), Computer Science

    1995 — 1999

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Yu-An Sun — Senior Director of Quality Analytics at UPMC Health Plan in Detroit, MI, US | Unifers