Opeyemi O.

Key Skills

Software

Other

Top Subject Matter

Healthcare provider credentialing and taxonomy/NPI data

Medicaid/Medicare provider data validation

taxonomy usage

Top Data Types

Document

Text

Top Task Types

Data Collection

Freelancer Overview

Senior Provider Data Analysis & Reporting (AmeriHealth Caritas). Brings 9+ years of professional experience across legal operations, contract review, compliance, and structured analysis. Core strengths include Internal, Proprietary Tooling, and Other. Education includes Bachelor of Technology, N/A. AI-training focus includes data types such as Medical and DICOM and labeling workflows including Data Collection.

Labeling Experience

Senior Provider Data Analysis & Reporting (AmeriHealth Caritas)

Data Collection

Provided provider data analysis and reporting using rule-based validations on credentialing and taxonomy fields to ensure dataset accuracy for downstream decisioning. Conducted data quality assessments, root cause analysis, and discrepancy resolution using SQL-driven extraction and system audits across Facets and Cactus. Built and tested API-driven data extraction and automated processing pipelines to support ongoing validation workflows and reporting needs. • Audited and validated provider taxonomy codes for regulatory and industry compliance. • Verified provider credentialing status and updated provider information in Cactus with required documentation. • Used SQL queries in Facets to extract/manipulate provider fields (including NPI) and identify discrepancies. • Executed data validation testing (SIT/UAT/regression) and collaborated with cross-functional teams to resolve data issues.

2022 - Present

Provider Data Analysis (Rocky Mountain Health Plans)

Data Collection

Performed provider data quality assessments and validation of healthcare datasets across Facets and Cactus, focusing on taxonomy-code usage, NPI correctness, and eligibility/enrollment alignment. Used SQL and API-based retrieval to extract large datasets and confirm integrity prior to reporting and operational use. Generated reports and dashboards highlighting missing or incorrect taxonomy/NPI and monitored API performance to ensure reliable data retrieval. • Conducted data profiling, cleansing, and validation of provider records to identify inconsistencies and gaps. • Used SQL queries to extract NPI and provider data from internal and external sources for validation and reporting. • Generated and analyzed taxonomy-code usage reports to identify trends and issues. • Built automated scripts for monthly/quarterly Facets data extraction and produced Tableau dashboards/KPI reporting.

2020 - 2022

Business Data Analyst (Wellmark Blue Cross Blue Shield)

OtherData Collection

Validated and monitored healthcare data returned by API endpoints to ensure accuracy and integrity for reporting and operational use. Performed provider and member eligibility checks (Medicare/Medicaid) and conducted periodic billing audits aligned to contracts and compliance requirements. Produced monitoring reports by extracting structured data with SQL and transforming/validating it through Excel workflows and related data cleansing activities. • Conducted API testing to verify correctness and integrity of data returned by API endpoints. • Checked member eligibility and provider/member enrollment for Medicaid and Medicare claims. • Wrote Teradata SQL for monthly/quarterly monitoring reports and used Excel pivot-table analysis. • Performed data cleansing and transformation/validation steps to support accurate reporting outputs.

2019 - 2020

Data Analyst (Magellan Health Services Inc.)

OtherData Collection

Executed SQL-based data transformation and mapping from source systems into target database schemas to ensure correct insertion, deletion, and updates for provider-related configuration data. Supported UAT for Facets modules and validated configuration changes by querying provider contracts, fee schedules, and pricing rules within the database. Participated in elicitation (JAD) and documentation efforts to translate business requirements into validated data flows and reporting artifacts. • Developed and executed SQL queries to verify correct data changes in Oracle supporting tables/cubes. • Validated provider configuration by querying contracts, fee schedules, and pricing rules. • Supported UAT for Facets data enhancements and configuration modules. • Mapped provider data to Facets layouts for claims and benefit configuration and designed SSRS enterprise reports.

2018 - 2018

Education

Work History