EEPAK MATHUR has over 19 years of experience in healthcare analytics and informatics. He currently serves as the Director of Healthcare Reporting and Analytics at Visiting Nurse Service of New York, where he oversees analytical teams and regulatory reporting. Prior to this role, he held several positions involving data analytics, reporting, and quality improvement at organizations like Oxford Health Plans and CIGNA Healthcare. EEPAK MATHUR has expertise in areas like SAS programming, dashboarding, data quality, and reporting to CMS and the New York Department of Health. He also has experience developing analytical strategies to increase revenue and optimize business objectives.
1. EEPAK MATHUR, MPH, MBA, MHA BIOSTATISTICIAN & INFORMATICS
EXECUTIVED
Accomplished, goal-producing, and results-oriented Informatics Executive with 19+ years of progressive
experience and expert proficiency in bridging the gap between business and technical areas to maximize growth
potential and business profitability; oversee all aspects of increasing reporting efficiencies, data quality, and analytical
awareness resulting in increased revenue and decreased cost.
Charismatic spokesperson and articulate presenter with a passion for superlative communications, outstanding
interpersonal skills, and a reputation as an effective leader and team builder.
Regarded for the ability to create and implement enterprise wide processes and procedures to ensure the
consumption of data and information is optimized in order to meet business and IT objectives.
Diversely experienced in business and Information Technology with expertise and experience in SAS Programming,
creation of Dashboards and Key Performance Indicators, Business Project Management, IT Service Management,
Data Analytics and Informatics, Business Process Modeling and Management, Establishing Catalogs of Service and
Service Level Agreements, and Regulatory Reporting to CMS and New York State Department of Health.
AREAS OF EXPERTISE
Big Data Descriptive & Statistical Analytics Team Building & Leadership
IT Service Management SAS Programming
Strategic Planning & Tactical Execution Vendor Management
Dashboarding and KPI creation Encounter Data Reporting to CMS and NYSDOH
Information Architecture Data Quality and Auditing
Experience managing multi-disciplinary teams Utilization, Cost, and Trend Reporting
EXPERIENCE & ACHIEVEMENTS
Visiting Nurse Service of New York: CHOICE Health Plan, New York, NY 6/2004-Present
Director, Healthcare Reporting and Analytics
Department head of a Reporting and Analytical team supporting the CHOICE Health Plan for all retrospective and
prospective reporting and analytical needs. Responsibilities include oversight of trending, utilization and cost, drill
down, and quality analytics using authorization, claims, and EMR data sources. Regulatory reporting includes
collaboration with CMS Regional Offices as well as the New York State Department of Health.
• Responsible for conducting analyses for VNSNY CHOICE’s programmatic approaches for its targeted
populations, including clinical interventions and outcomes, medical costs, operational efficiency and
effectiveness, pharmacy and medication analysis, and opportunities for improvement.
• Responsible for formulating study design, methodology, and analyses with appropriate parties; applying
statistical methods and analyses where relevant, and investigating and utilizing industry metrics where
available.
•
CAREER HIGHLIGHTS
Dynamic Achiever with exceptional big data analytics and data governance experience.
Thought Leader with clear focus on building and deploying state-of-the-art dashboards for Senior Leaders to make
informed decisions.
Change Agent who managed mission-critical business solutions in dynamic, complex and challenging environments
Published in numerous medical journals such as American Journal of Medicine, Journal of Quality Improvement, and
Archives of Internal Medicine.
Successfully led CHOICE Health Plan through 6 years of CMS sponsored Medicare Data Validation Audits achieving
97% overall rate or higher every year.
Key driver of strategic transformation from a Reporting/Analytics culture of reactivity to proactivity. Establish catalog of
services, SLAs and other KPIs as relates to reporting. Ensure that the creation and consumption of data and information
across the enterprise is optimized in order to fulfill business objectives
Proactively implemented new reporting strategies as New York State Department of Health moved to a risk based
premium for their Medicaid Managed Long Term Care (MLTC) product. Strategies included improvement in submission
of accurate SAAM/UAS data, MEDS III / EDPS Encounter data, Financial Cost Reporting, etc. leading to increase
premiums for MLTC members.
2. DEEPAK MATHUR, MPH, MBA, MHA Page 2 of 2
• Provide leadership for oversight of regulatory reporting requirements and ensures financial, utilization, and
clinical quality data is collected and reported to the appropriate regulatory agencies within prescribed time
frames.
• Member of the Visiting Nurse Service of New York Institutional Review Board (VNSNY IRB)
• Responsible for creation of new reporting strategies to help manage the oversight of delegated vendors used
for all CHOICE Health Plan products.
• Provider leadership to staff in creating new processes for reporting of RAPs data and analyses for HCC scoring,
analysis of Prescription Drug Event data, etc. leading to better reporting and increased premiums from CMS.
• Proactively implemented new reporting strategies as New York State Department of Health moved to a risk
based premium for their Medicaid Managed Long Term Care (MLTC) product. Strategies included improvement
in submission of accurate SAAM data, MEDS III Encounter data, cost reporting, etc. leading to increase
premiums for all Medicaid products.
• Technical lead for VNSNY CHOICE in Business Intelligence initiative geared toward aggregation of all data
sources under one environment. Additional responsibilities include RFP processes for picking a BI vendor and BI
tool, liaison between business owners and technical team, etc.
• Provide oversight for streamlining the ETL processes for all reporting datamarts from different sources such as
DB2, Access, Oracle, SQL Server, Excel, and text files.
Oxford Health Plans, Trumbull, CT 6/2003-6/2004
Senior Healthcare Analyst, Healthcare Economics
• Developed, created, maintained, and enhanced Health Care Economics metric reporting tools using COGNOS
Powerplay for Oxford’s Intranet.
• Conducted trend analysis on utilization and financial metrics such as PMPM, Unit Cost, Average Cost, etc.
• Worked closely with matrix partners (Financial, Pricing, Medical Management, Special Investigation Unit) to
develop data and analytical capabilities to perform analyses on quality improvement and medical cost savings
strategies.
• Established position as an expert to support health plan measurement and effectiveness and health services
improvement initiatives.
CIGNA Healthcare, Bloomfield, CT 5/2000-6/2003
Senior Biostatistician, Medical Cost Analyses
• Developed, created, maintained and enhanced Medical Management metric reporting tools using COGNOS
Powerplay.
• Promoted collaboration with matrix partners (Systems, Market Research, Financial, Pricing, Regional
Medical Economics) to develop data and analytical capabilities to perform analyses on quality improvement
and medical cost savings strategies.
• Directed program assessments in support of Medical Management including managing and performing
statistical and methodological analysis.
o Statistical analyses mainly conducting using PC SAS BASE and SAS STAT version 8.2.
• Lead the development of metrics, study methodologies, benchmark initiatives, and data collection
methodologies.
• Serve as a focal point for communications and coordination of regional medical economics staff.
• Performed mentoring role for three analysts within department.
145 Milton Avenue │ Levittown, NY 11756 │ 516.510.2082 │ Dmathur145@yahoo.com
3. DEEPAK MATHUR, MPH, MBA, MHA Page 2 of 2
Qualidigm (Connecticut Peer Review Organization), Wethersfield, CT 1/1997-5/2000
Project Coordinator/Health Information Analyst • (6/1997 – 5/2000)
• Project team leader for Health Care Quality Improvement Projects. Responsibilities include: creating and
maintaining timelines, initiating and maintaining communications with external collaborators, oversee all team
members to ensure members are performing tasks in an efficient and timely manner, maintaining team
dynamics between members, identify and implement methods for improving HCQIP project process, etc.
• Provide oversight to abstraction process e.g. tool development, abstractor training and deployment, and
Internal Quality Control/Inter-Rater Reliability.
• Co-Chair of Connecticut Influenza and Pneumococcal Coalition.
Health Information Analyst • (1/1997 - 6/1997)
• Conducted Health Care Quality Improvement Project analytics on data provided by the Centers for Medicare
and Medicaid Services and the Kerr L. White Institute.
• Created reports in SAS and Excel for all 34 acute care hospitals in Connecticut as well as other health care
settings: Long Term Care, Skilled Nursing Facilities, private physician offices.
• Analyzed data in SAS version 6.12 by using various statistical methods and statistical models: frequency counts,
chi-square test, t-test, Wilcoxon Rank Sum test, Fisher’s Exact test, kappa statistics, linear regression modeling,
logistic regression modeling, ROC curves, partial residual plots, Goodness of Fit models.
EDUCATION, TRAINING & AFFILIATION
Certified in SAS 9.0 Base Programming and SAS Advanced Programming
Certified in ITIL® Foundation in IT Service Management
Inducted into Strathmore’s Who’s Who for Leadership and Achievement in the Healthcare Industry
Masters Business Administration, Healthcare, Quinnipiac University, 2003
Masters Healthcare Administration, Quinnipiac University, 2003
Masters Public Health, Boston University School of Public Health, 1996
145 Milton Avenue │ Levittown, NY 11756 │ 516.510.2082 │ Dmathur145@yahoo.com