Kyle Protho
Risk Management / Intelligence Analyst / Solution Builder
I reduce uncertainty for decision-makers, ensuring that their actions are both well-informed and impactful.
Selected Operations
Mission
An open-source Python library (500+ commits) designed for data collection, statistics, and intelligence analysis.
Impact
Developed 100+ functions for sense-making, including anomaly detection, Monte Carlo simulations, geospatial clustering, and LLM integration (OpenAI/Anthropic).
Star Rating Risk Management Tool
Creator
Mission
Architected a risk management tool for CMS and NCQA Stars, using predictive modeling to optimize performance targets.
Impact
Optimized performance targets for major healthcare quality measures through predictive modeling.
Anti-Human Trafficking Initiative
Analyst
Mission
Published research for Bloomberg's Data for Good Exchange outlining Western Union's key role in utilizing data analysis to combat human trafficking globally.
Impact
Explored a four-component strategy involving partnership, intelligence exchange, agent empowerment, and predictive analysis to stop illicit transactions.
Professional Timeline
Senior Quality Improvement Analyst
“Specializing in predictive optimization and intelligent automation to enhance healthcare quality measures.”
- ▹Predictive Optimization: Architected a risk management tool for CMS and NCQA Stars, using predictive modeling to optimize performance targets.
- ▹Intelligent Automation: Reduced manual reporting processing time by 96% (from 20 hours to 45 minutes) through custom automation solutions.
- ▹Executive Communication: Leveraged SQL and Python to translate complex performance metrics into actionable insights for leadership.
- ▹Data Strategy: Drove quality initiatives through in-depth data visualization and analysis using Power BI and Excel.
Vice President, Specialist – AML Compliance & Controls
“Assisted in regulatory compliance initiatives to strengthen AML controls and risk mitigation.”
- ▹Regulatory Compliance: Strengthened AML controls by utilizing SQL and Python to evaluate scope of controls.
- ▹Risk Mitigation: Identified control deficiencies and partnered with business units to implement effective, audit-ready compliance programs.
Strategy Analyst
“Focused on population health strategies and competitive intelligence.”
- ▹Population Health: Analyzed member claims data using SQL, R, and Python to shape population health strategies and actionable insights.
- ▹Competitive Intelligence: Researched market best practices to strengthen clinical service offerings.
Sanctions Analyst
“Conducted financial investigations to detect fraud and sanctions evasion.”
- ▹Financial Investigations: Conducted in-depth research on flagged entities and suspicious payments to detect fraud or sanctions evasion.
Research Analyst
“Provided market intelligence for the cryptocurrency sector.”
- ▹Market Intelligence: Established a competitive intelligence program and launched the ICO Alert Crypto Minute to provide daily market updates.
Market Intelligence Analyst
“Monitored competitors and reduced uncertainty on market conditions.”
- ▹Market Intelligence: Established a competitive intelligence program to monitor competitors and reduce uncertainty on market conditions in countries of interest.
AML Risk Assessment Analyst
“Analyzed geopolitical patterns to forecast financial crimes.”
- ▹Forecasting Risk: Analyzed geopolitical and crime patterns to forecast money laundering and terrorism financing risks.
- ▹Visual Analytics: Created an interactive Excel infographic to streamline risk assessment processes and user insights.
Background & Philosophy
About Me
I am motivated by the challenge of solving "unsolvable" puzzles and creating frameworks that enable organizations to move from reactive to proactive.
I translate complexity into clarity, and I do what AI can't: I understand the intelligence and insights decision-makers need before they know to ask for it. While AI can crunch numbers and spot patterns, I architect the questions worth asking and build the simulation frameworks that reveal what those patterns actually mean for your organization's future. I don't just analyze data -- I reduce the uncertainty that bothers decision-makers.