1. Jon B. Huus
jbradh58@yahoo.com
Work Experience:
Supervisor Data Research, Analytics and Quality: Health Research& Quality Division - State of
Minnesota, Dept. of Human Services
03/2014 to present
Objective: To tangibly and demonstrably better serve low income disabled, elderly and families by
creating an environment for optimal research activity. To enable data driven fiscal and
compassionate decision-making through the use of data and informatics.
Primary mission of team has been to successfully ensure accurate, timely, complete & consistent
data flows from the 9 vendor Managed Care Organizations.
Manage a team of highly skilled analytical staff and mainframe development staff. Priority focus on
staff development and team functionality. Technical training on analytics and process management
represent management dedication to staff empowerment.
Provide useful information derived from data to a wide variety of customers and groups.
Management of advanced analytics, control processes, relational databases and mainframe facilities
to support a stable and reliable environment for research.
Create transparent and trusted processes with partners and vendors.
Developed web reporting environments, predictive analytics, privacy-compliant data sharing,
knowledge repositories and customer oriented relationships, both inside and outside the Department
of Human Services.
Comply with a wide variety of legislative, Federal and internal regulations regarding data, reporting
and privacy.
Very experienced SAS and SQL programmer and trainer. 18 years’ experience building and
creating relational structures.
Senior Research Analyst: PMQI & HSMM - State of Minnesota, Dept. of Human Services
11/1997 to 03/2014
2. Extensive work with MEIP (Medicaid Electronic Health Record Incentives Program). Beginning in
2009 and through the present, assisted in interpretation of federal regulations and designed and
develop systems for validating attestations from providers making application for federal funds.
Played key role in partnership with management, staff and vendors.
Fifteen years’ experience and extremely active participation in improvement of the quality of
encounter claims data collected from the Managed Care Organizations (MCOs) and county-based
purchasers. The idea to create the Encounter Data Quality Unit (EDQU) was first proposed by
myself and another colleague in the mid-2000’s.
Chaired the Encounter Data Workgroup for 4 years, chartered to focus on encounter data quality
and its co-existence with DHS’ FFS data. This group is the foundation for common understanding
of encounter data throughout DHS, participating counties and DHS research partners. Standard
Operating Procedures (SOPs), process improvements, reporting systems (SAS EBI), True Denials,
numerous voids/re-submission projects, the Final Version Indicator (FVI)… all were either a direct
result of, or were built by, people heavily invested in the Encounter Data Workgroup.
Extensive knowledge of the role DHS data plays in the development of policy, legislation and
research.
Extensive knowledge of DHS provider enrollment, claims payment processes, and services used by
Medicaid Program enrolled providers and hospitals.
Extensive knowledge of the many categories of providers, the place they hold in their communities,
DHS’ responsibilities and relationships with those providers, the special programs DHS administers
(Critical Access Dental, FQHCs, MERC, DSH providers, RHSs, IHCs). Extensive understanding of
the informational and financial processes with many of these groups and the role managed care and
FFS data play in those processes.
Extensive knowledge of the role of the Managed Care Organizations (MCOs) in MHCPs, the
contractual relationships, the obligations of the MCOs to provide care for DHS clients and their
responsibilities to provide complete, accurate and timely data to DHS.
Built several long term and more complex projects with high impact on DHS-wide policy, such as
Spends & Trends financial reporting used agency-wide for budgeting, and calculations of the cost of
smoking for the “cigarette tax”, designed a SAS tool that identifies disabled individuals for SMRT,
designed and implemented several managed care incentive and withhold measures for the Managed
Care Organizations.
Design and build data structures to facilitate reporting, analysis, and the use of specialized BI
functionalities. These data functions include a variety of techniques, such as SDMs (Simplified Data
Models), dimensional models, data marts, and OLAP cubes.
Advanced SAS and SQL coder.
Built several long term and more complex projects with high impact on DHS-wide policy, such as
Spends & Trends financial reporting used agency-wide for budgeting, and calculations of the cost of
smoking for the “cigarette tax”, designed a SAS tool that identifies disabled individuals for SMRT,
3. designed and implemented several managed care incentive and withhold measures for the Managed
Care Organizations.
Helped to develop new techniques and methods using a range of software applications for data
manipulation and reporting.
Created longitudinal analyses, enrollment pattern studies, analyses of patterns of claim and
encounter data quality/submissions, etc.
Participated in MANY policy planning committees and meetings where analytics were pivotal
decision-making tools.
Business Analyst: Aware Integrated Systems Division - Blue Cross and Blue Shield of Minnesota
7/1994 to 11/1997
- Developed data research strategies to solve process problems for various operational improvement
opportunities.
- Designed a customer outreach research program designed to deliver measurable improvement to customer
satisfaction performance.
- Delivered numerous projects that measurably improved efficiency of operational processes.
- Worked within a team that managed the claims division over six months in an effort to reduce a large
backlog of claims, enrollment applications and customer service inquiries.
- Provided process mapping and subject matter expertise to numerous projects that required a liaison
between business and technical (systems and programmer) staff.
- Developed numerous reporting systems that helped operational leadership develop understanding of their
processes.
- Acted as the (default) corporate “expert” concerning PC applications.
Manager Operations - Claims Division - Blue Cross and Blue Shield of Minnesota
3/1989 to 7/1994
- Acted as Group Coordinator (Manager) for three successive customer accountabilities:
4. 1. Individual Medicare Supplement
2. Small (2 to 49 size) groups
3. Large accounts (State of Minnesota)
- Managed claims, customer service and membership functions.
- Responsible for customer satisfaction at all levels.
- Managed renewal and open enrollment activity.
- Major participant in marketing and financial activities.
Manager of Operations - Corporate Benefits Services of America, Inc.
3/1987 to 2/1989
- Acted as Manager of operations for the Third Party Administrator (TPA).
- Managed claims, customer service and membership functions.
- Responsible for all computer systems (maintenance, backups, upgrades, software transitions, problems,
etc.).
- Responsible for all renewal and open enrollment activity.
- Major participant in marketing activities.
Investigator for Claims Division - AEtna Life Insurance Company, MN & California
2/1981 to 3/1987
- Started entry level as claim examiner, was promoted and relocated to California as an Investigator in
1982.
- Investigated health, life, disability and fraud.
- Delivered claims related presentations to assist marketing.
Education:
Luther College, Decorah, Iowa
B.A., Psychology/Sociology
June 1980
Minor: English
5. Training:
Continuing Education:
- Advanced SAS programming technique
- Advanced SQL structures
- SAS BI analytical Suite. Metadata, Information Maps, OLAP Data Cubes, Web Report Studio, Web
Portal publishing
- Visual Basic Access (VBA) training
- Process Mapping and Re-engineering
- Group Facilitation Methods
- Project Management
- Systems Management Technique
- Covey Leadership Series (Seven Habits of Highly Effective People)