Data Scientist & Healthcare Strategist

Creating
Humanized
Data Solutions

I’m a Data Scientist who believes that the more we rely on AI, the more we need the human touch. Based in Milwaukee, WI, I build "Human-in-the-Loop" models that are transparent, ethically grounded, and as compassionate as they are calculated.

Value-Based Contracting Strategy Data Science & Machine Learning Applied Artificial Intelligence Healthcare & Insurance Analytics Data Visualization & Business Intelligence Process Improvement & Automation

Career Path

The Narrative of My Career

Principal, Medical Economist

Title Pending

Chorus Community Health Plans | Milwaukee, WI

Leading the build-out of CCHP's dedicated Medical Economics function, driving end-to-end data taxonomy design, advanced forecasting engines, HEOR analyses, and applied AI/ML integration. Partnering directly with in-house actuaries to deliver actuarial analytics, CDPS early indication systems, and payment integrity engines.

Medical Economics & Forecasting Applied AI / ML HEOR

Senior Data Analyst

Chorus Community Health Plans | Milwaukee, WI

Spearheaded value-based payment models impacting 65% of the enrolled population and launched a housing initiative that saved $1.5M for over 100 families.

Value-Based Care Strategy Healthcare Economics Insurance ETL Creation

Data Analyst II

Chorus Community Health Plans

Developed an ML model boosting retention by 41% within an at risk cohort of our member population. Reduced recurring deliverable time by 65% through process automation.

Predictive Modeling Process Automation Python

Data Analyst

Care4Kids & Benefit Services Group | Metro Milwaukee, WI

Implemented actuarial models for rate projections and financial optimization for health plan clients.

Medical Economics Benchmarking Financial Optimization
Download Resume

Selected Projects

Forecasting
Live Demo GitHub

AuraBayes: Health Plan Financial Risk & PMPM Forecaster

A Tool for Finance Teams to explore Medical Claims Trends, Seasonality, and Reserve Safety Ranges.

PyMC/Stan Time Series Streamlit
Telehealth
Live Demo GitHub

Trustworthy Telehealth Risk Screener

Transparent, explainable self-harm screening tools for equitable virtual care delivery.

Sentiment Analysis AWS/Boto3/Bedrock HTML
CPRE
Live Demo GitHub

Clinical Policy & Risk Engine (CPRE)

An End-to-End Multimodal AI & Big Data Pipeline for Managed Care (HMO) Operations.

RAG Apache Spark Agentic Workflow
Mental Health
Live Demo GitHub

PRISM (Predictive Risk & SDOH Model): "Seeing Ahead" of the Discharge Date

An End-to-End Managed Care Risk Engine on Databricks Lakehouse.

Databricks Delta Lake XGBoost
Audit
Live Demo GitHub

Financial Toxicity: The Anatomy of a Medical Shock

An econometric audit of unexpected medical billing variance.

Econometrics Scrollytelling Visualization
Patholex
Live Demo GitHub

Patholex

A specialized clinical NLP engine designed for standardized pathology extraction and diagnostic terminology mapping.

Clinical NLP Explainable AI Hugging Face

About

The Data Steward & Storyteller

Most people see data as a collection of cold, sterile numbers, but I see it as a historical narrative of human lived experience. I’ve spent over 12 years in the healthcare and insurance sectors—from actuarial modeling to building machine learning systems.

I combine the precision of data science with the nuance of visual arts and storytelling to "humanize" data. Whether I’m designing and operationalizing the data evaluation framework for a housing initiative that saves $1.5M or building a complex case management risk engine that boosts high cost member identification by 25%, I prioritize the historical context and the ethical implications.

I’m an artist, a woodworker, a sewer, and a student of culture; I bring that same craftsmanship and curiosity to data, ensuring that as we innovate, we never lose the human touch that prevents AI from becoming a "black box."

MS Applied AI BA Actuarial Sciences

Technical Toolbox

Languages

Python, R, SQL, BASH, PySpark

BI & Viz

Tableau, Power BI

Cloud

AWS, Azure, Databricks

ML Stack

PyTorch, TensorFlow, Keras, Scikit-Learn

Let's find the story in your data

almanuel7@gmail.com LinkedIn