Alfonza B.

Summary Experienced Health Scientist and Epidemiologist with deep expertise in Medicare policy, claims analysis, data quality management, and fraud detection. Expert in leveraging large-scale claims data (IDR, CCW), AI-driven methodologies, and automation to detect fraud, optimize risk adjustment, and inform national policy decisions. Recognized for delivering measurable impact on Medicare Advantage programs, modernizing data workflows, and advising executive leadership through clear, actionable insights. Proven mentor and cross-functional collaborator with a track record of building analytic capacity and aligning technical innovations with regulatory goals.