Robert Greene

Background

About Robert Greene

Got 'Big Data' and looking for insights and "news you can use"? My skills and work experience cover a wide range of research and data-handling domains: Gleaning insights from medical, dental and pharmacy cost and usage data, using a variety of statistical and pattern analysis tools and techniques Scanning large datasets for signs of unusual patterns or potential fraud/abuse Skilled at transforming/manipulating/cleansing/enhancing databases using SQL and SSIS, and surfacing data quality issues impacting costs and reliability of results Presenting and visualizing results for senior management and regulatory agencies using both Microsoft and Tableau products and link analysis Provide paralegal support developing benefit contract language, vendor bid and contract specifications, and response to regulatory inquiries Potential vendor backgrounding, competitive intelligence, profile-gathering and due-diligence work Developing transaction test scenarios for vendor bid comparisons Designing medical and dental benefit plans, costing out components and setting rates and pricing Coordinating annual HEDIS population health measure generation and audit Finding and applying usable operational and clinical benchmarks and reference data from Web and other published sources Certified Fraud Examiner - health care, pharmacy, M&A pre-sale financial integrity review ** Additional services through my affiliation with Kiser Healthcare Solutions: Health plan analytics and quality measurement - HEDIS, STARS Specialty pharmacy accreditation support- URAC, ACHC