Denials Manager Platform

  • Built and maintained a cloud-based analytics platform based on Tableau with over 60 drill down screens to support all business areas including physicians, RCM, operations, quality, and nursing, organizational scorecard, and finance all viewable by division and location.
  • Data culled from EMR, PM, outcomes, payroll, accounting, time clock, nurse navigation, call center and other platforms Included case cost analytics with ties to hospital EMR and payroll systems including fixed and variable costs.
  • Implemented analytics around time-driven activity costing (TDABC)
  • Major cost categories included implants, supplies, surgical encounter and post op period
  • Data culled from over 920 thousand patient visits used to build models for value-based care, quality pathways and nurse navigation
  • Platform was ultimately licensed to AT&T and other orthopedic practices