Data? What data?
Launching our navigation services requires data connections (like claims, eligibility, provider data repositories) to be configured and tested with vendors by one of these.
What is a solutions engineer?
Understanding the inputs and actions that drive value to our members and customers at the lowest cost is where this team thrives.
What is Quantitative Research?
The Data Platform team recently combined legacy instances of this data exploration and discovery business intelligence platform to give teams access to data across IH business.
What is Looker?
This team builds scalable solutions that improve customer-facing teams’ ability to provide great service to our customers, and to communicate the value our company brings.
What is Customer Experience?
This PM was the OG member of the Data Products team and worked on building House which combined our various provider databases into one for Expert Medical Opinions.
Who is Mary Reynolds?
This team studies concepts such as existence, being, becoming, and reality. Perhaps in simpler terms, how objects relate to one another.
What is Informatics?
The first version of the CCP bottoms up savings methodology was created by this Quantitative Researcher.
Who is Molong Li?
This new capability that enabled our Care Teams to have more visibility into what benefits are available to each member within a customers populations was built by Customer Experience and is configured by Solutions Engineering.
What is Project Sirius?
Jesse Weaver and Alice Durand review the quality of this data set prior to each weekly load to identify bulk errors or anomalies.
What is our provider network data feed from Zelis?
The external validation of our approach to measuring provider quality required this person to develop a scalable approach to developing new models and validation.
Who is Meera Rao?
Priyanka Vachhani and the CDS team recently enabled us to share medical records through digital exchange with this customer.
What is Humana?
This cross functional group ensures that the methods of measuring savings are grounded in truth, can be validated but also enable us to take as much credit as possible.
What is the Savings and Outcomes Committee?
Project Unity is an effort to combine our various representations and services that determine a members coverage and accounts into one system led by this PM.
Who is Vir Lim?
Before any data science models are shipped to production, they require review from this governing body.
What is the Model Review Board?
After a 2 year contract negotiation, this carrier agreed to not shut down our access to provider data repositories (the provider networks) to enable us to continue to support customers with Provider Match.
Who is Anthem?
Project Nexus was the first effort to come out of this IH cross functional effort.
What is the Insights Working Group?
To get savings credit for members seeing a different provider at the same office as a provider recommended to a member, we measure the rate of these.
What are associated conversions?
The first version of Member 360 that was visible to care and clinical teams was built using a hodgepodge of different tools and data by this former CIA member.
Who is Angelo Sisante?
This is the number of data sources and the number of namespaces delivering data to LASIK on a daily basis (each rounded to the nearest 10).
What is 198 raw data sources and 21 namespaces.
The early concept of "matching" patients with providers was created by JP watching this former Grand Rounds employee determine which providers to "select" for members.
Who is Sohini Stone (Google)?
On average, it takes us about 2 hours to process and ingest customer claims. Prior to 2017, LGRH took longer than this many days on average to load claims.
What is greater than 90 days?
Name two of the three individuals that hold a patent for creating a ranking and scoring mechanism for care givers.
Who are Nate Freese, Evan Richardson, and Owen Tripp?
Before launching pNav for Walmart, this individual negotiated, reviewed and configured each data feed necessary for CCP and Member Services.
Who is Jake Rifkin?
These people are responsible for capturing and using data at Included Health.
Who is all of us?
This Data Products team member worked with 3 current or former IH team members (all in different engagements not as part of the same team) across 3 different teams at IH.
Who is OJ Bright?