ENY IBIOK

___________________________________________________________________
TECHNICAL SKILLS

Needs assessments, SQL, Dashboards, Business analysis, Project Management

Risk management processes and analysis, Charge Description Master, Electronic Data Interchange
Tableau, Communication, Process Improvement, Predictive modeling, Facets Configuration
Data collection and analysis, Data mapping, Web-based reporting tools
Excel, Pivot Tables, Statistics, Epidemiology, Public Health and Safety
Quality assurance, Relational databases, Documentation management
Data management, Pricing tool development, Billing and Coding
Budgeting and finance, HEDIS, Quality Management, SQL Server Reporting Services
(SSRS) SDLC, Research, Records review, Team building

PROFESSIONAL EXPERIENCE

Sr. Facets Configuration Analyst 01/2020 – Till Now

HealthTech Resources
Phoenix, AZ
 Facets Configuration Analyst- including configuration experience with
Facets,
 NetworX integrated pricer,
 Rapid SQL
 Working claim defects,
 Backend updates on Facets prefixes
 Facers Workflow application,
 Unit testing
 Building Fee Schedules and Rate Sheet Updates.
 Design solutions based on Facets capability
 Benefit Configuration, specifically with Supplemental tables (BPA:
SPCR/SRCR, SPCT/SRCT) and Service Definitions (SEDF)
 Document benefits and medical definitions in Facets.
 Review provider contracts and compare data to validate provider/pricing.
 User Acceptance Testing.

DATA ANALYST, Clinical Data Managers 06/2019 - 02/2020

VACO HOUSTON LLC
Houston, TX

Data analysis and coding

Investigated and addressed HL7 and system interface issues to enhance usability and improve
functionality across disparate systems
Prevented duplication or data corruption
Produced monthly Charge Description Master updates for integrated delivery network
Produced Unknown Charge Code reports and interface error reports
Orchestrated smooth and effective flow of interface data to support Coders users in coding and billing
process
Investigated and addressed interface error system issues to enhance usability and improve
functionality
Updated organizational and joint venture crosswalk correlation subsystems to improve and streamline
data collection Recommended data standardization and usage to ensure data integrity
Participated in requirements meetings and data mapping sessions
Identified and documented detailed clinical guidelines and use cases based on requirements analysis
Offered data-driven recommendations aligned with overall company strategies and prioritized process
improvement initiatives
Collaborated with team to define business requirements for organizational processes, achieve
productivity standards and adhere to accuracy standards
Built and maintained charge code databases for Joint Venture Partners
Applied pricing and mark-ups to charge codes aligned with each Joint Venture Partner
Maintained Joint drug formularies for each Joint Venture
Updated database for CMS ICD-10, CPT, HCPCS annual updates
Configuration of Product Tables (Service ID’S, Benefit Summaries, Service Payment, Service Rule, Limits,
and Billing Components,)
Preformed Claims Testing
Benefit package configuration setup and maintenance
Performed monthly internal Auditing on workflow processes
Identified and resolved process issues to encourage smoother procedures, more efficient workflow and
overall business growth
Offered data-driven recommendations aligned with overall company strategies
Prioritized process improvement initiatives
Evaluated quality problems and initiated protocol to identify and resolve issues
Partnered with cross-functional teams to conduct thorough discovery and due diligence on existing
processes
Built and deployed plans, reports, validation procedures and entry processes for data management
needs
Worked with partners to coordinate Study Data Tabulation Model maps
Assisted with database upgrades and migrations by performing user acceptance testing
Developed team communications and information for project update meetings
Managed quality assurance program, including on-site evaluations, internal audits and customer
surveys

UBT-LMP Project Management Co-lead/Sponsorship Coordinator, 11/2016 - 06/2019

Kaiser Permanente
Atlanta, GA
 Raised 3 teams to LMP level 5. And maintain 4 teams at level 5 for 2 years until end of contract
 Reviewed performance benchmarks and established metrics for future tracking
 Presented business leaders with cost-benefit and return-on-investment estimations to drive project
planning and execution
 Utilized effective mapping skills to holistically examine business processes and identify
improvement opportunities Collaborated closely with upper management to drive strategy through
development and implementation of new processes
 Applied knowledge of data modeling and statistical analysis to note trends and draw conclusions
 Monitored tasks of employees to assess information processing and performance to gauge business
functions and inefficiencies
 Investigated and addressed system issues to enhance usability and improve functionality
 Assessed business needs and problem areas to create focused solutions like increasing JD Power
score
 Developed flowcharts and diagrams to describe and lay out logical operational steps
 Gathered and defined customer requirements to develop well-organized project plans based on
clear specifications
 Created dashboards for presentation to upper management for decision-making
 Identified new targets, developed new business opportunities, and presented product lines to
customers
 Sought customer feedback and recommend operational changes to meet emerging trends
 Performed monthly ROI reports
 Maintained optimal financial controls by following loss prevention procedures

Technician, Medical Records and Health Information Technicians (PRN) 05/2016 - 04/2017
Wellstar Health System
Marietta, GA

 Created and improved intelligence resources to facilitate consistent project

outcome Processed daily Rx script data
 Evaluated consistency and importance of different BI data against needs to determine optimal
courses of action Built library of models and reusable knowledge-based assets to produce
consistent and streamlined business intelligence results
 Identified and documented project constraints, assumptions, business impacts, risks and scope
exclusions
 Designed and developed schema data models
 Improved data collection through implementation of organizational subsystems
 Coordinated statistical data analysis, design, and information flow
 Participated in requirements meetings and data mapping sessions to understand business needs
 Transformed project data requirements into project data models
 Reviewed files, records and other documents to obtain business information and key data in order
to respond to development requests
 Created workflow diagrams and Gantt charts to clearly demonstrate project processes and timeline
 Resolved pharmaceutical problems, improved operations, and provided exceptional client support
 Managed quality assurance program, including on-site evaluations, internal audits and customer
surveys

Systems Analyst II , Medical Records and Health Information Technicians 10/2013 - 04/2016
Intellisource, Excellus, BCBSLA, Anthem, and BCBSNC
Atlanta, GA
 Created and improved intelligence resources to facilitate consistent project
outcome
 Assisted with configuration requirements during Facets implementations or
upgrades.
 Complete analysis of Facets for benefits and medical definition
 Advised clients of configuration solutions and completed configuration
and/or testing.
 Assisted clients with creation of “canned” queries for staff to use to pull data
from Facets
 Assisted with SEPY, SPCT, SRCT, and PCAG reconfiguration of prefixes.
 Discovered system limitations and made solid recommendations to client to
improve SDLC.
 Create new SPCR/QG/SRCR and SPCT prefixes
 Validate system updates of SPCR’s, SRCR’s, SRCT’s, SPCT’s, LTLT’s and QG’s

Supervisor Clinical Business Unit 12/2012 - 08/2013

Xerox Healthcare Services/Caremark
Houston, TX

 Load medical definitions.

 Document benefits and medical definitions in Facets.
 Test benefits and pricing configuration and provide findings along with quantified data results of
over/underpayments.
 Diminished process gaps by leading claims analysts to ensure optimal productivity
 Worked with ICD-10, NDC, CPT, HCPCS, SNOMED codes to resolve billing and coding issues
Led cross-functional teams to analyze and understand enterprise-wide operational impacts
and opportunities of technology changes
 Performed Medication Therapy Management with third party payers, pharmacists, and patients
 Planned and executed events and training programs
 Mapped process activities to identify shortfalls and identify options to rectify operational
inefficiencies Reviewed performance data
 Evaluated consistency and importance of different BI data against needs to determine optimal
courses of action
 Mapped current business and operational processes and initiated changes where needed
 Worked on Pharmacy billing and coding data-sets for claim processes

Education and Training

Start Completio Issuing Location Degree Course of Study Semes
Date n Date Institution Received ter
Hours
07/20 UC Berkley Graduate Project
07/2018 Berkley, CA 12
17 extension Certificate Management
01/20 09/2015 Davenport Grand Master's MBA 188
 11 University Rapids, MI Degree
01/20 UT Houston Houston, Graduate Applied Health
08/2015 18
15 SBMI TX Certificate Informatics
Occupational Licenses and Certificates
Certification Title Issuing Organization Completion Date Expiration
Date
CPHI AHIMA 04/2017 04/2020
Additional Information
Participant Annual Colorectal Cancer Conference
Atlanta Ga 2018, 2019 and 2020

Skillset Updates
DAT201x: Querying Data with Transact-SQL - Issuing authority - Microsoft
SQL & Database Design A-Z™: Learn MS SQL Server + PostgreSQL - Issuing authority - Udemy
Population Health During A Pandemic: Contact Tracing and Beyond - Issuing authority - University of
Houston
Health Data 101 - Issuing authority - Udemy
EdX Verified Certificate for Data Science Orientation - Issuing authority - edX
ONC Workforce Development Program - Health Informatics and Training for Transformation - Issuing
authority - Office of the National Coordinator for Health Information Technology
Querying Microsoft SQL Server - Issuing authority - Simplilearn.com