Toni Ventura, CHDA

Associate Consultant

San Antonio, Texas, United States15 yrs 9 mos experience
AI ML PractitionerAI Enabled

Key Highlights

  • Expert in healthcare data analytics and reporting.
  • Proven track record in reducing claims denials.
  • Skilled in building predictive dashboards and ETL pipelines.
Stackforce AI infers this person is a Healthcare Data Analyst with strong expertise in data analytics and software development.

Contact

Skills

Core Skills

Data AnalyticsHealthcare Data ModelingData VisualizationBatch Operations SupportClaims AnalysisHealthcare OperationsBusiness OperationsHealthcare ManagementClinical PracticeHealthcare ServicesSoftware DevelopmentData Engineering

Other Skills

Fast Healthcare Interoperability Resources (FHIR)Python (Programming Language)Microsoft Power BIPostgreSQLGoogle BigQueryGoogle Cloud Platform (GCP)Machine LearningNeuro-Linguistic Programming (NLP)Extract, Transform, Load (ETL)LinuxOracle SQL DeveloperRelational DatabasesAnalytical SkillsDBeaverOracle Database

About

CHDA-certified Healthcare Data Analyst with 4+ years of experience supporting analytics and reporting across FQHCs, government contracts, and population health programs. Skilled in transforming clinical and claims data into actionable insights, building predictive dashboards, and implementing FHIR/HL7-based ELT pipelines. Technical Proficiency: SQL, Python, Excel, Power BI/Tableau Cloud-based data warehouses: Redshift, BigQuery, databases: PostgreSQL, Oracle, SQL Server Monitoring and troubleshooting batch data pipelines (Splunk, DBeaver) UDS/HEDIS reporting, HIPAA-compliant analytics Open to full-time, contract, or freelance opportunities where I can leverage data analytics to improve healthcare operations and outcomes. Portfolio available: https://tventura18.github.io/Portfolio/

Experience

15 yrs 9 mos
Total Experience
3 yrs 8 mos
Average Tenure
1 yr
Current Experience

Independent Healthcare Data Analytics Projects

May 2025Present · 1 yr

  • Built FHIR ETL pipelines in Python/BigQuery, staging raw clinical and claims data in Postgres with queryable keys for analytics and dashboards.
  • Engineered features from clinical notes and lab data to develop full preprocessing and ML pipelines, including a Chronic Kidney Disease (CKD) prediction model using TF-IDF and key lab values (eGFR, creatinine).
  • Modeled claims and encounter data to create interactive dashboards in Power BI, visualizing utilization, cost, and patient-level trends.
  • Applied star schema and healthcare data modeling principles for clinical and claims data, following industry-standard EHR reporting patterns.
Fast Healthcare Interoperability Resources (FHIR)Python (Programming Language)Microsoft Power BIPostgreSQLGoogle BigQueryGoogle Cloud Platform (GCP)+5

Asm research

Batch Operations Support Analyst

Jun 2024May 2025 · 11 mos · San Antonio, Texas Metropolitan Area · Remote

  • Monitored and troubleshot high-volume SFTP pipelines to ensure education benefit payment data in PostgreSQL and Oracle met reporting requirements, enhancing overall claims data accuracy.
  • Developed Python reconciliation scripts to align flat-file inputs with XML and CSS files, reducing payment discrepancies by 30%.
  • Proactively identified pipeline and workflow risks, shortening hot-fix resolution times by 2 weeks through targeted SQL queries.
  • Streamlined reporting team workflows by investigating flagged data issues, accelerating claimant error resolution by 25% and reducing daily working group meetings to weekly.
  • Mapped and validated data into Amazon Redshift, improving reporting efficiency and enabling stakeholders to access accurate dashboards for payment status and errors.
  • Created ad hoc SQL queries and dashboards to track batch errors, system issues, and payment exceptions, increasing operational transparency.
  • Documented workflows and SOPs for handling sensitive VA education benefit data, ensuring consistent procedures and audit readiness.
Python (Programming Language)LinuxOracle SQL DeveloperRelational DatabasesAnalytical SkillsDBeaver+16

Community health centers of south central texas

Claims Analyst/Applications Analyst-Remote

Dec 2020Jun 2024 · 3 yrs 6 mos · Gonzales, TX

  • Reduced payer denials by 12–25% across 7 clinics by analyzing claims data, identifying trends, and implementing process improvements.
  • Decreased average Accounts Receivable cycle time by 2–3 weeks by reconciling claims, validating billing data, and supporting reporting workflows.
  • Extracted/staged, cleaned, and analyzed clinical and claims data using SQL, Excel, and EHR systems (Intergy, eCW) to support reporting, audits, and operational decision-making.
  • Developed standardized reporting and tracking processes for provider credentialing, claims trends, and operational metrics, improving transparency and audit readiness.
  • Applied data governance principles to ensure HIPAA-compliant access, accuracy, and consistency across clinical, billing, and operational reporting.
  • Trained consultants and staff on reporting workflows and insurance verification processes, ensuring adherence to operational standards.
Operational RequirementsFQHCFinancial SystemsClinical DataRelational DatabasesStatistical Analysis+34

Toni mascarenas lac

Wellness Contractor/Practice Owner

Apr 2018Jun 2020 · 2 yrs 2 mos · Austin and San Antonio, TX

  • April 2018-March 2020
  • Owned contracting acupuncture business in Austin, San Antonio.
  • Created websites for advertising and marketing for clinics, managed herbal and supplement inventory.
  • Resolved IT/EHR issues during intake.
Financial SystemsJavaScriptClinical DataAnalytical SkillsCustomer ServiceProblem Solving+12

Aoma graduate school of integrative medicine

Clinical Acupuncture Intern

Jan 2015Dec 2017 · 2 yrs 11 mos · Austin, Texas Area

  • Completed 972 hour graduate clinic internship at AOMA and several community clinics in Austin.
  • Completed 3006 total didactic acupuncture/biomedical classes and clinical hours.
Clinical DataAnalytical SkillsCustomer ServiceProblem SolvingMicrosoft PowerPointHealthcare+6

Intelligent software solutions - a polaris alpha company

Software Engineer

Mar 2004May 2012 · 8 yrs 2 mos · Austin, TX

  • TBONE provides automated end-to-end system enterprise resource planning for
  • all phases of the Air Operations Center (AOC) process. It features strategic,
  • tactical and logistical decision support. TBONE aims to replace hundreds of
  • disparate systems currently in use by the AOC. It is a traditional client-server
  • application with most of the business logic living on a Java client and persistence
  • handled by an Oracle database.
  • ● Developed user interfaces with Java Swing and an in-house object
  • relational mapping tool
  • ● Overcame limitations of a historical query engine by implementing efficient
  • client-side joins
  • ● Implemented data visualizations with both traditional charts via a third party
  • library and a custom tree that simplifies large object graphs
  • ● Employed design patterns pragmatically to model domain entities and
  • rules
  • ● Refactored code
  • CIDNE is a web-based reporting framework that serves to bridge disparate
  • communities by providing structure to unstructured data. It supports workflows
  • and advanced geospatial search capabilities. It is the primary reporting tool for
  • operations in Iraq and Afghanistan with the aggregate data having visibility to the
  • President of the United States.
  • ● Designed key generation strategy for a multi-master replicated enterprise
  • ● Debugged existing Lucene-based search subsystem
  • ● Performed transformations with XSLT for loading third-party data
  • ● Improved validation code by using regular expressions
  • ● Trained new developers in best practices
  • ● Created custom reports with in-house framework
  • ● Engineered business rules with XML-RPC based web services
Relational DatabasesStatistical AnalysisAnalytical SkillsTimelinesCustomer ServiceData Analytics+17

Education

Weber State University

Bachelor’s Degree — Manufacturing Engineering

Academy of Oriental Medicine at Austin

Master’s Degree — Integrative/Oriental Medicine

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