Bert Rico

Bert Rico

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Data Science/Engineering/Analytics | Digital Quality Expert | Thought & Transformation Leader | Data Whisperer
Katy, Texas, United States

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Timeline


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Résumé


Jobs verified_user 0% verified
  • Domlytics
    Head Nerd In Charge
    Domlytics
    Jan 2025 - Current (1 year 10 months)
    As the Head Nerd In Charge at Domlytics, I lead the strategy, engineering, and vision behind everything we build — including our flagship product, ClearStars.AI, an AI-powered analytics platform that helps health plans predict and improve CMS Star Ratings before they hit your bottom line.

    I wear many hats (and the occasional hoodie):
    • Architecting data pipelines and predictive models
    • Translating regulatory chaos into scalable product design
    • Guiding clients through Stars, CAHPS, HEDIS, and Digital Quality transformation
    • Writing the code, pitching the vision, and delivering the demos

    At Domlytics,
  • Baylor Scott  White Health
    Director, QI and Clinical Analytics
    Baylor Scott White Health
    Sep 2023 - Apr 2025 (1 year 8 months)
    - Reduced HEDIS Audit Issue Log by 75% .
    - Migrated analytics engines and rebuilt ETL architecture to improve measure accuracy and achieve 5 stars for the first time in health plan history.
    - Saved over $700,000 in annual license fees by migrating analytics engines.
    - Generated revenue for the health plan by participating in an NCQA Field Testing program for digital quality.
    - Built entire Power BI reporting architecture for QI Metrics and workgroups.
    - Implemented the use of Azure SQL Server and Azure Data factory to increase electronic sources for digital quality and ECDS measures.
    - Panelist on RISE Stars Masterclass and EQRO Quality Conferences.
    - Migrated MS SQL Server to IBM DB2 Data Warehouse.
  • Baylor Scott  White Health
    Manager, Clinical Analytics Development
    Baylor Scott White Health
    Feb 2021 - Sep 2023 (2 years 8 months)
  • UnitedHealth Group
    Data SME
    UnitedHealth Group
    Aug 2016 - Feb 2021 (4 years 7 months)
    - Developed fully automated ETL process which cut processing time by 40%
    - Created custom analytics solutions for external clients which helps 75% of my assigned clients improve rates in the following measurement year.
    - Developed custom and automated data validation scripts to help external clients improve Referential Integrity and minimize duplication and overlaid records.
  • OptumInsight
    Senior Business Analyst
    OptumInsight
    Aug 2016 - Jan 2019 (2 years 6 months)
  • S
    Self Employed
    SBD Billing LLC
    Feb 2013 - Nov 2014 (1 year 10 months)
  • UnitedHealth Group
    Supervisor of Clinical Operations
    UnitedHealth Group
    Mar 2011 - Apr 2013 (2 years 2 months)
  • UnitedHealth Group
    Field Representatve
    UnitedHealth Group
    Jan 2009 - Mar 2011 (2 years 3 months)
  • P
    In-house PR Representative
    Preferred Care Partners
    Aug 2008 - Dec 2008 (5 months)
  • P
    Claims Examiner
    Preferred Care Partners
    Jun 2007 - Sep 2007 (4 months)
Education verified_user 0% verified
    Projects (professional or personal) verified_user 0% verified
    • F
      FHIR 2 SQL
      Dec 2024 - Current (1 year 11 months)
      A minimal Python-based pipeline that ingests FHIR resource files (including CDex) and loads them into a relational database. This is an MVP project demonstrating how to organize scripts for upserting, inserting, truncating tables, and generating SQL scripts from FHIR JSON data. It also includes a utility to update environment variables via the command line. GitHub Repo: https://github.com/b-rico/fhir2sql LinkedIn Article:ht
    • H
      Hospital Executive Dashboard
      Oct 2024
      This Power BI project provides comprehensive dashboards designed to offer insights into hospital performance, specifically focusing on revenue and patient volume metrics. The dashboards are intended for executive leadership and hospital management, enabling data-driven decisions across different hospital departments and time periods. Git Repo: https://github.com/b-rico/hospital-pbi-exec-dash
    • C
      CMS Stars 2025 Results
      Oct 2024
      The CMS Stars Analytics Dashboard is a comprehensive Power BI dashboard that analyzes and visualizes Medicare Advantage plan performance based on CMS Star Ratings. The dashboard enables healthcare organizations to gain insights into their plans' performance across various measures, domains, and counties, facilitating data-driven decision-making to improve healthcare outcomes. GitHub Repo: https://github.com/b-rico/2025-cms-dashboard
    • i
      img2sql Pypi Package
      Sep 2024 - Current (2 years 2 months)
      A tool to convert images to WebP format with both GUI and CLI interfaces. GitHub Repo: https://github.com/b-rico/img2webp_pypi PyPi Documentation: https://pypi.org/project/img2webp/