Health Plan Data Analyst · Population Health · Barcelona

BrianMejia

Healthcare data professional with frontline health plan experience — translating ACA enrollment, claims workflows, and compliance data into dashboards, KPIs, and actionable insights that help organizations lower the cost of care.

United States  /  Barcelona, Spain
Born · Miami, FL
Raised · Santo Domingo
Based · Barcelona
01 — Story

The arc
behind
the work

"I didn't just enroll people in health plans — I learned what breaks inside them. Now I build the data systems that fix it."

I'm a Dominican-American healthcare professional with direct experience inside the health plan enrollment pipeline — guiding members through ACA coverage, navigating prescription assistance programs, and maintaining compliance in environments where a single data error meant someone lost access to care.

That frontline exposure gave me something rare: I understand claims data, member adherence, and cost-of-care gaps from the inside out — not just from a spreadsheet. I've seen where KPIs fail to capture the real story, and where dashboard decisions ripple down to real patients.

Now I'm in Barcelona, pursuing a Master's in Digital Healthcare at the Universitat de Barcelona — deepening my expertise in population health analytics, AI-driven care models, and data strategy to support health systems in reducing unplanned admissions and improving financial performance.

02 — Tools & Languages

What I work with

📑
MS Access
🗃️
CRM Systems
🔬
mHealth Platforms
03 — Expertise

Where three worlds meet

Health Plan Domain
  • ACA Enrollment & Claims Knowledge
  • Health Plan Compliance
  • Member Adherence & Access
  • Prescription Assistance Programs
  • Regulatory & Payor Operations
  • Bilingual Communication EN/ES
The Intersection
Where I live
  • KPI Development & Benchmarking
  • Dashboard & Report Deployment
  • Population Health Analytics
  • Cost-of-Care Analysis
  • Stakeholder Insight Presentation
  • Data-Driven Care Models
Analytics & Technology
  • Tableau & Data Visualization
  • SQL & Database Management
  • MS Excel, Access, PowerPoint
  • Business Process Analysis
  • Agile & Scrum
  • Web Development (HTML/CSS)
04 — Work

Selected Projects

01

ACA Enrollment Compliance & Reporting Workflow Tool

Designed and deployed a web-based operational tool that standardized agent workflows across compliance disclosures, objection handling, and plan enrollment steps. Functioned as a real-time performance measurement system — improving call consistency, reducing compliance errors, and generating structured data for reporting and agent benchmarking. Built directly from firsthand knowledge of where claims and enrollment processes break down.

Workflow DesignPerformance MeasurementCompliance ReportingKPI BenchmarkingHTML / CSS
2024
Live
02

mHealth Integration Strategy — Hospital de la Santa Creu i Sant Pau

Population health analytics project analyzing how HSCSP can scale mHealth application adoption into the heart-failure patient pathway — moving from fragmented pilot programs to standardized, data-driven clinical practice. Focused on identifying gaps in member adherence, quantifying potential reduction in unplanned admissions, and recommending a KPI framework to measure ROI of digital health interventions.

Population HealthMember AdherenceKPI FrameworkROI AnalysismHealth
2025
In Progress
03

MSc in Digital Healthcare — Universitat de Barcelona

Graduate-level study in digital health transformation, AI in healthcare, and data-driven care models — with direct application to population health strategy, financial performance analytics, and health system operations. Coursework spans health data systems, clinical decision support, and the economics of digital health interventions across payor and provider settings.

Health Data SystemsAI in HealthcarePopulation HealthHealth EconomicsDigital Transformation
2024–25
Ongoing
05 — Contact

Let's build something that matters.

Open to Health Plan Data Analyst and Healthcare Business Analyst roles — bringing frontline health plan knowledge, population health analytics experience, and a graduate-level foundation in digital health strategy.

LocationUnited States / Barcelona
LanguagesEnglish, Spanish
StatusOpen to Health Plan DA Roles
Curriculum Vitae
Brian_Mejia_CV.pdf
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