janet_l_thomson_resume_201608

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Janet L. Thomson _____________________________________________________________________________ 21 Peter Rd. Woodbury, CT 06798 Mobile: 203-910-2310 Email: [email protected] CAREER SUMMARY – An informatics and data science professional with over 20 years of health care and program data, analytic, and reporting experience. Strives to serve, lead, and achieve in all assignments and roles. Enjoys learning how data is created, transformed, consumed, and applied for new purposes. Uses clinical background (pharmacist) to drive the use of behavioral, clinical, financial, and productivity data and outcomes to improve and evaluate population health management programs and health/productivity initiatives. Over time, has assumed increasing scope of responsibilities for business relationships, analytic projects, strategy, and staffing. A highly successful performer who is adaptable, able to lead through change, finds opportunities to collaborate, and is action-oriented. CORE COMPETENCIES Consulting for analytic and reporting solutions Turning clinical and health care business data into actionable information Managing business reporting projects (non-IT) Executing health segment analyses and population health program reporting Developing and directing health program reporting and outcomes analyses Collaborating for results Communicating with impact Leading by line of sight: aligns and achieves goals based on department and company strategy Managing personnel: performance, compensation, development, mentorship Gallup Strengths Finder top five themes- Analytical, Relator, Achiever, Learner, Responsibility SKILLS Knowledge: Claim content and characteristics: medical, pharmacy, dental, disability, leave of absence Claim groupers, claim-derived conditions and scores (ie ETGs, ERGs) Utilization Management and Care Management program processes, design, systems, data Health risk, clinical assessments, productivity data and scoring tools Clinical quality and pay for performance measurement (HEDIS, STARS, NQF, AHRQ) Business case/ROI modeling for program development or re-design Data analytic platforms (data warehousing, datamarts, Hadoop) IT project methodologies Technology/Tools: Business intelligence (Tableau, Business Objects, Crystal Reports) Data exploration (Hue, Datameer) Management and documentation (JIRA, Confluence) MS Office (Access, Excel, Powerpoint, Word, Outlook, Lync), Webex, Sharepoint EDUCATION, LICENSURE, CERTIFICATES B.S. Pharmacy, cum laude and Honors Scholar, University of Connecticut, 1983 Registered Pharmacist CT #6108, 1983 to present Developing Leader Program, Aetna University, Aetna Inc., 2013 NYC Data Science Academy Certificate- Big Data with Hadoop, 2015

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Page 1: Janet_L_Thomson_Resume_201608

Janet L. Thomson _____________________________________________________________________________ 21 Peter Rd. Woodbury, CT 06798 Mobile: 203-910-2310 Email: [email protected] CAREER SUMMARY – An informatics and data science professional with over 20 years of health care and program data, analytic, and reporting experience. Strives to serve, lead, and achieve in all assignments and roles. Enjoys learning how data is created, transformed, consumed, and applied for new purposes. Uses clinical background (pharmacist) to drive the use of behavioral, clinical, financial, and productivity data and outcomes to improve and evaluate population health management programs and health/productivity initiatives. Over time, has assumed increasing scope of responsibilities for business relationships, analytic projects, strategy, and staffing. A highly successful performer who is adaptable, able to lead through change, finds opportunities to collaborate, and is action-oriented. CORE COMPETENCIES

Consulting for analytic and reporting solutions

Turning clinical and health care business data into actionable information

Managing business reporting projects (non-IT)

Executing health segment analyses and population health program reporting

Developing and directing health program reporting and outcomes analyses

Collaborating for results

Communicating with impact

Leading by line of sight: aligns and achieves goals based on department and company strategy

Managing personnel: performance, compensation, development, mentorship

Gallup Strengths Finder top five themes- Analytical, Relator, Achiever, Learner, Responsibility

SKILLS Knowledge:

Claim content and characteristics: medical, pharmacy, dental, disability, leave of absence

Claim groupers, claim-derived conditions and scores (ie ETGs, ERGs)

Utilization Management and Care Management program processes, design, systems, data

Health risk, clinical assessments, productivity data and scoring tools

Clinical quality and pay for performance measurement (HEDIS, STARS, NQF, AHRQ)

Business case/ROI modeling for program development or re-design

Data analytic platforms (data warehousing, datamarts, Hadoop)

IT project methodologies Technology/Tools:

Business intelligence (Tableau, Business Objects, Crystal Reports)

Data exploration (Hue, Datameer)

Management and documentation (JIRA, Confluence)

MS Office (Access, Excel, Powerpoint, Word, Outlook, Lync), Webex, Sharepoint EDUCATION, LICENSURE, CERTIFICATES B.S. Pharmacy, cum laude and Honors Scholar, University of Connecticut, 1983 Registered Pharmacist CT #6108, 1983 to present Developing Leader Program, Aetna University, Aetna Inc., 2013 NYC Data Science Academy Certificate- Big Data with Hadoop, 2015

Page 2: Janet_L_Thomson_Resume_201608

Janet L. Thomson _____________________________________________________________________________ WORK EXPERIENCE Director, Clinical Analytics, Consumer Health and Services, Aetna Inc., Hartford, CT 5/2016 to Present Currently lead a team of analysts, statisticians, and care management data subject matter experts that are responsible for evaluating the savings and ROI of the care management programs that cover 18 million Aetna and Coventry members. The team is responsible for:

Delivering annual program savings results on key programs: precertification, concurrent review, case management, and condition management

Creating or enhancing visualization tools that drill into drivers of savings or high/low provider outliers

Completing robust cohort analyses targeted member to determine incremental savings between engaged and non-engage program members in a program

Providing business case and early indicator analyses for new or re-designed programs

Collaborating with key program design and program operations business contacts to keep abreast of emerging care management product offerings to self-insured plan sponsors.

Delivering results that support care management ROI performance guarantees offered to plan sponsors

Senior Informatics Manager, Aetna Data Science, Aetna Inc., Hartford, CT 3/2014 to 4/2016 Served in individual contributor and leader/mentor roles in a 2014 start-up department:

Led the Care Management Program Performance 2015 initiative by automated a Precertification and a Utilization Management visualization tool that showed medical cost savings for these programs. The toolset improved the timeliness and the level of detail of program performance.

Delivered annual savings evaluations/ROI evaluations for Aetna and Coventry Utilization Management and Care Management programs.

Led a proof of concept pilot for Call Personalization. Near real time data from the Data Science environment was provided to Service Operations so that medical members calling inbound to Member Services and who are in outbound status for a Care Management program can be referred to the program for engagement. Collaborated with business partners from various areas to successfully implement the pilot in October 2014. Contributed to various aspects of the project including use case, opportunity sizing, pilot population selection, data requirements, pilot reporting and evaluation.

Serving as a business data subject matter expert for analysts who were using Enterprise Data Warehouse data in the Hadoop environment.

Mentored new staff and interns joining the Data Science department.

Identified and supported Data Science technical skill development needs of direct reports and project staff.

Senior Business Project Program Manager, Aetna Informatics, Aetna Inc., Hartford, CT 8/2009 to 2/2014 Served as the Informatics functional lead for a highly integrated health and productivity product, Aetna One Premier, with more than 1 million members from key National Account customers. Lead a team of business data subject matter experts and analysts that:

Facilitated informatics activities in concert with other informatics departments to assure successful customer implementations, plan sponsor reporting, and evaluation of product performance.

Page 3: Janet_L_Thomson_Resume_201608

Janet L. Thomson _____________________________________________________________________________

Contributed to the successful development and delivery of member centric datamart structure to support integrated reporting and analysis.

Collaborated with Plan Sponsor Consulting to develop and successfully deliver three major Aetna One plan sponsor reporting suites, highlighting integration activity and value (including Disability-Medical integration).

Delivered tactical and strategic plan sponsor reporting for a new single nurse model, Aetna in Touch Care (AITC) with Custom Informatics and IT partners.

Successfully remediated an existing Medical Management Savings Report to include AITC savings.

Completed quarterly and year end Aetna One Performance Guarantee reporting, reducing the risk of annual payouts.

Collaborated with Value Analytics team to complete an Aetna One cohort study, which demonstrated that the Aetna One Premier model offers a significant cost savings over traditional product models.

Worked with sales and marketing to position cohort study findings and other year over year proof points.

Managed a Thought Leadership partnership with Debra Lerner at Tufts University to study effect of health risks on productivity.

Informatics Manager, Aetna Informatics, Aetna Inc., Hartford, CT 3/1998 to 7/2009 Championed and delivered on reporting needs of internal business areas that managed over 15 million medical members. Responsibilities increased in scope from regional to strategic/national support programs and initiatives. Managed analytic professionals who provide evaluations, analysis, and value statements for enterprise wide programs including Quality Management, Network Contracting, Care Management, Dental Medical Integration, Medical Pharmacy Integration, Health/Productivity programs, and Racial/Ethnic Equality programs:

Provided subject matter expertise on enterprise data warehouse elements, decision support reports/tools, and clinical applications. Retrieved data on an adhoc basis when needed.

Developed and wrote business specifications for medical and pharmacy claim based performance measurement at plan, provider, and member level.

Partnered with internal business areas to develop and deliver business cases, performance summaries, outcomes metrics, and regression-based cohort studies as a program moved through its lifecycle

Developed medical cost modeling and analysis to produce program ROI estimates

Developed and shared working knowledge of: o NCQA accreditation standards and HEDIS reporting and measure specifications o LeapFrog and patient safety initiatives o CMS Quality Assessment Performance Improvement programs o Provider profiling, tiered networks, and pay for performance o Health risk survey data and productivity assessment tool and scoring o Racial/ethnic data and appropriate use

Represented Aetna on external committees and measurement advisory panels (NCQA, CAQH, Leapfrog, business coalitions, academic collaborations).

Managed personnel: staffing, performance evaluation, compensation, professional development. Clinical Pharmacy Program Manager, Aetna Pharmacy Management, Aetna Inc., Hartford, CT 9/1993 to 2/1998

Page 4: Janet_L_Thomson_Resume_201608

Janet L. Thomson _____________________________________________________________________________ Developed and implemented clinical programs for a managed pharmacy population of over 8 million members:

Developed reports to support drug use review, step therapy, formulary management, pharmaceutical care, and pharmacy based disease management programs.

Analyzed pharmacy and medical claims data to detect relevant utilization and quality of care issues.

Produced provider and member level intervention materials with assistance from clinical staff.

Assisted Pharmacy Directors with regional rollout of programs.

Measured and presented clinical program outcomes as required by plan sponsors, government regulators, and accrediting organizations.

Assistant Director, Connecticut Poison Control Center, UConn Health Center, Farmington, CT 7/1984 to 8/1993 Held positions with increasing responsibilities from Poison Information Specialist to Assistant Director for State Poison Control Center with a service area of 3 million residents:

Provided toxicology information, treatment advice, follow up and agency referral via telephone.

Collected and reported data on poisonings/overdoses for national Toxic Exposure Surveillance System.

Managed personnel: staffing/scheduling, performance evaluation, professional development.

Developed and implemented clinical protocols and quality assurance programs.

Trained and precepted new staff, medical students and residents.

Conducted poison prevention presentations and media events. Drug Information Resident, Drug Information Service, UConn Health Center, Farmington, CT 7/1983 to 6/1984 Completed a specialized pharmacy residency designed to provide experience and training in all aspects of drug information services:

Provided drug information via telephone to health professionals.

Prepared and presented drug reviews/monographs to hospital pharmacy and therapeutics committee.

Provided drug information services to staff and patients in ambulatory clinic setting (Oncology; AIDS).

Precepted pharmacy students and residents. LIFE EXPERIENCES Athlete- Figure Skating- over 40 years of experience (including competitive events) in various disciplines of figure skating. Currently a part-time basic skills group and private instructor at Stamford Twin Rinks, Stamford, CT. Certified and registered coach with United States Figure Skating Association and Professional Skaters Association since 2007. Other sports endeavors have included climbing (rock and ice), ballet, yoga, and running. Equipment Operator- Thomson Agricultural Services, a family business. Experienced in all aspects of hay production (mowing, tedding, raking, baling) and use of agricultural tractors and implements since 1995. Board Service- Connecticut Triumph Register, a car club for vintage British sports car enthusiasts. Held various board positions since 2005 including Membership Director, Car Show Coordinator, and Secretary.