Healthcare Analyst Resume Samples

The Guide To Resume Tailoring

Guide the recruiter to the conclusion that you are the best candidate for the healthcare analyst job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

Craft your perfect resume by picking job responsibilities written by professional recruiters

Pick from the thousands of curated job responsibilities used by the leading companies

Tailor your resume & cover letter with wording that best fits for each job you apply

Resume Builder

Create a Resume in Minutes with Professional Resume Templates

CHOOSE THE BEST TEMPLATE - Choose from 15 Leading Templates. No need to think about design details.

USE PRE-WRITTEN BULLET POINTS - Select from thousands of pre-written bullet points.

SAVE YOUR DOCUMENTS IN PDF FILES - Instantly download in PDF format or share a custom link.

Create a Resume in Minutes

C Conn

Candice

Conn

171 Keira Fort

Houston

+1 (555) 523 1769

171 Keira Fort

Houston

Phone

p +1 (555) 523 1769

Experience Experience

Dallas, TX

Healthcare Analyst

Dallas, TX

Carter, McClure and Prosacco

Dallas, TX

Healthcare Analyst

Provide support to the Provider Organizations performance improvement work groups
Provides support to Corporate Development in interpreting network data and providing recommendations
Collaborates with Care Managers to find efficient ways to include the patients in the disease management programs and improve the care of the patients
Provide Business analysis and development support for core healthcare analytic solutions supporting internal and external customers
Assist in quality control analysis to ensure client satisfaction and performance guarantees are met and/or exceeded
Provide assistance to IT for data integrity
Provide assistance in maintaining integrity of clinical database including process for managing system changes

Houston, TX

Senior Healthcare Analyst

Houston, TX

Hartmann and Sons

Houston, TX

Senior Healthcare Analyst

Provides analytical/administrative support to leadership in the development of department workflows, project plans, policies and procedures
Assist in identifying short term improvements that align with business/program goals and recommend longer term solutions
Create specifications and logic to perform analyses that support program goals or answer questions about MassHealth populations
Identify opportunities to improve and enhance analyses and information provided to customers
Candidate will work on analytics process improvement projects
Expert-level knowledge of various risk adjustment methodologies; and managed the risk adjustments of health plans they supported
Support ad hoc analytic requests, providing accurate and timely data, analysis and insightful interpretations

present

Phoenix, AZ

Healthcare Analyst / Senior Analyst

Phoenix, AZ

Mante-Pagac

present

Phoenix, AZ

Healthcare Analyst / Senior Analyst

present

Support project teams in matters such as solution design, primary research coordination, analysis and creative strategy formulation, reporting and presentations
Lead team of healthcare analysts and researchers to deliver multi-country projects for healthcare clients in the areas of market opportunity assessment, go-to-market strategy, customer insights, channel optimization strategy and competitive benchmarking
Liaise with clients during the course of the project engagement, including communicating project updates, presenting key milestones, pre-empting project issues, managing different client stakeholders, etc
For Senior Analysts: Be responsible for the mentoring and guidance of analysts, ensuring that they meet their performance goals and successfully grow their careers at Clearstate
Exceptional command of written and spoken English, as well as command of a second European language
Keen interest in and knowledge of the healthcare sector
Willingness to travel

Education Education

Bachelor’s Degree in Health Policy

University of California, San Diego

Bachelor’s Degree in Health Policy

Skills Skills

Proficiency with PC-based systems, and the ability to learn other systems through knowledge of MS Excel and Access
Ability to quickly assimilate knowledge of processes and systems to develop and deliver necessary training to departmental staff and internal customers
Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
Knowledge of cloud computing infrastructure (e.g. Amazon Web Services, SAS Cloud, Microsoft Azure) and considerations for scalable, distributed systems
Strong knowledge of MS Word, Visio with general familiarity of Outlook and other MS Office applications
Ability to generate data-driven and dynamically generated programs, Code Efficiency, Hash Tables, Objects, Array Processing, Batch and parallel processing
Working knowledge of Data Visualization
Fundamental understanding of contracts (able to articulate contractual obligations)
Excellent interpersonal communication - both written and over the phone - VERY IMPORTANT
Establish trusting professional relationships with internal senior business customers. Maintain alignment of expectations and priorities in autonomous fashion

Create a Resume in Minutes

15 Healthcare Analyst resume templates

Read our complete resume writing guides

European L / S Consumer / Healthcare Analyst Resume Examples & Samples

Building and maintaining detailed models from scratch
Supporting in financial statement analysis, cash flows, balance sheets, etc
Producing write-ups on investment ideas, both longs and shorts
Generating ideas with the Portfolio Manager
Developing relationships with management and sell side teams under coverage area
Conducting deep fundamental work and channel checks
Ideally has 2-5 years of relevant experience
Ideally have previous experience covering European and/or US equities

Clinical Healthcare Analyst Resume Examples & Samples

Assist in the production of cost trends
Prioritize data and analysis
Identify and quantify practice variances
Formulate performance measurement strategies
Utilize data for provider compliance
Interpret and analyze data for both internal and external customers

Healthcare Analyst Lead Resume Examples & Samples

Experience with military health
Experience in the US Navy
Ability to lead teams
MD degree

Claims Healthcare Analyst Resume Examples & Samples

Associates degree or equivalent work experience is preferred
Must be available to work on-site in Indianapolis, IN
Minimum of 5 years recent and relevant Medicaid, Medicare or large health insurance experience
Operational business unit familiarity is preferred (e.g. Claims, Member & Provider Relations, Other)
Strong presentation skills (training and education skills)
Strong PC skills (MS Office Tools)
Demonstrates experience in coordinating interaction with client and business and technical teams to assist in defining, understanding and achieving the client's goals

Healthcare Analyst Resume Examples & Samples

Prior health insurance experience
Comprehensive knowledge of all Microsoft Office applications, with emphasis on Access
Experience working with SAS or statistical applications
Prior work history in a fast paced sales environment or market office

Senior Healthcare Analyst Resume Examples & Samples

Experience in conducting medical cost and revenue analyses using claims and other data sources
Experience in Hospital, Healthcare or Managed Care
Experience with SAS Enterprise Guide software and creating and developing new reports that can be used for analysis
Skilled in data manipulation, database software, spreadsheets, and analytical software including SQL

Healthcare Analyst Resume Examples & Samples

Building and maintaining detailed models from scratch across biotechnology space
Supporting in financial statement analysis, cash flows, balance sheets, and maintaining consensus models
Producing write-ups for portfolio manager on completed diligence

Senior Healthcare Analyst Resume Examples & Samples

2-7 years of analytical work experience within the healthcare industry
Work experience with SAS and/or SQL
Experience with MS Excel functions
Basic understanding of Medicaid and Medicare programs or other healthcare plans
Degree with a concentration in Finance, Accounting, Business, or Healthcare Administration
Strong project management experience and ability to handle multiple projects in a fast paced environment
Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRGs), Ambulatory Patient Groups (APGs), Ambulatory Payment Classifications (APCs), and other payment mechanisms

Coverage Healthcare Analyst Resume Examples & Samples

Taking an active and productive role in live projects and developing an understanding of our clients’ businesses
Preparing complex financial analyses and models
Conducting due diligence investigations
Supporting the preparation of detailed memoranda and presentations describing the key attributes of client companies
Researching potential buyers/investors
Participating in various marketing and recruiting activities for the firm

Informatics Healthcare Analyst Resume Examples & Samples

Bachelor's Degree in Accounting and/or Information Systems
Experience with complex Data Analysis and Statistics Analysis
Familiarity with DB2, ORACLE, and MS SQL Server Syntax and their purposes
Solid analytical and critical thinking skills
General Healthcare knowledge
Previous experience with Financial Systems

HY Healthcare Analyst Resume Examples & Samples

Formulation of company- and sector-level investment theses
On-going authoring and production of written research to promote investment views
Leveraging relationships with companies under coverage as part of channel checks and due diligence efforts
Organizing ad hoc client events and conferences
Maintenance of financial models in support of investment views
Managing junior staff aligned with the sector

Senior Healthcare Analyst SAS Resume Examples & Samples

Statistical analysis of large data, predictive modeling, data manipulation, and reporting
Develop methods to analyze claims, HRA, pharmacy, and socio-demographic data
Must be able to create innovative solutions that line up with the ever-changing needs of the health care system
Strong analytical expertise: data analysis, statistical analysis, data manipulation, data extraction and reporting required
Excellent written and verbal communications with the ability to communicate effectively with leaders across the organization and external customers
Validation of report and data findings
Demonstrated capability in driving business result through modeling and segmentation implementation, analysis and refinement
MS in statistics, biostatistics, clinical informatics or related field
5+ years of statistical analysis, predictive analytics, quantitative analysis, and/or forecasting
A 3+ years of healthcare experience, plus 2 years of SAS. (Understanding of health care data) OR no healthcare, but 2+ years work experience in R or Python
Ability to work on multiple projects at the same time, meeting deadlines as agreed with our development and project partners
Available locations for this position: Twin Cities, MN; Boston, MA
2 years work experience with R or python

Senior Healthcare Analyst Resume Examples & Samples

5-7 years experience required
Develop and program comprehensive, timely, and accurate analyses and reports on volume and revenue for Steward Healthcare using primarily Meditech data and other billing/EMR systems
Work with IT and subject matter experts throughout Steward Healthcare to understand the structure and content of the various data systems available
Collaborate with business units and operational leaders to understand performance-related priorities and related analytic needs, identify appropriate enterprise data sources, and build-out reporting and analytics to meet the business objectives
Act as subject matter expert for the Analytics team as it relates to enterprise level data
Identify opportunities to improve and enhance analyses and information provided to customers
Possess strong analytic and technical skills plus an ability to translate complicated data into useable information
Possess strong skills in SQL, Excel, Access and PowerPoint
Meditech expertise preferred
Familiarity with Avega and Athena Collector desired
Exposure to hospital and physician reimbursement principles preferred
Organizational and project management skills to manage collaborative projects across departments
Possess an in-depth understanding of healthcare data, including ICD-9/10 & CPT codes and DRGs
Excellent verbal and written communication skills, outstanding interpersonal skills and ability to relate positively with individuals at all levels of the organization

Healthcare Analyst / Senior Analyst Resume Examples & Samples

Support project teams in matters such as solution design, primary research coordination, analysis and creative strategy formulation, reporting and presentations
Lead team of healthcare analysts and researchers to deliver multi-country projects for healthcare clients in the areas of market opportunity assessment, go-to-market strategy, customer insights, channel optimization strategy and competitive benchmarking
Liaise with clients during the course of the project engagement, including communicating project updates, presenting key milestones, pre-empting project issues, managing different client stakeholders, etc
For Senior Analysts: Be responsible for the mentoring and guidance of analysts, ensuring that they meet their performance goals and successfully grow their careers at Clearstate
Bachelor’s or Master’s (or equivalent) degree ideally related to healthcare or life sciences
Relevant experience in business research / consulting project execution and management
Exceptional command of written and spoken English, as well as command of a second European language

Healthcare Analyst, Junior Resume Examples & Samples

Experience with Microsoft Office, including developing and manipulating Excel spreadsheets and creating PowerPoint presentations and deliverables
Ability to prioritize tasking and meet project deadlines
BA or BS degree or experience as a former enlisted DoD member
Experience with consulting or in a federal government environment
Experience in working with or supporting the DoD
Experience in a fast-paced federal consulting setting

Healthcare Analyst, Mid Resume Examples & Samples

4+ years of experience with account management, program management, or contract administration work in the healthcare field
Knowledge of QI concepts methods, clinical workflow, and vocabulary
Experience with Microsoft Office at an advanced level
Experience with implementing patient centered medical home programs
Experience with federal agencies' healthcare programs and initiatives
MPH or MHA degree
Post-secondary certification or training

Healthcare Analyst Resume Examples & Samples

6+ months of experience with health policy
Scheduled to obtain a BA or BS degree by August 2017
MA or MS degree in Health Policy or Health Management preferred; MBA degree a plus

Healthcare Analyst, Mid Resume Examples & Samples

1+ years of experience with health policy in a professional or internship environment
Scheduled to obtain a BA degree by August 2017
MA, or MS degree in Health Policy or Health Management preferred; MBA degree a plus

Senior Healthcare Analyst Resume Examples & Samples

Candidate will work on analytics process improvement projects
This position is an individual contributor within our Analytics organization supporting the business through the development of prospective COB analytics to detect other insurance enrollment
Contributor on a team of 26 team members
Intermediate level of proficiency in performing business analysis
Strong research/investigation skills
Self-driven, ability to work independently and facilitate changes
Experience reading SAS/SQL code
Payer experience/knowledge
Certification of Medical coding, or 1+ years of extensive coding experience
1+ years of Project Team leadership experience

Project Healthcare Analyst Resume Examples & Samples

Risk Management
Resource Management
Information Assurance
Customer Relationship Management
Design and Development Services
Deployment Services
Sustainment Services
Support the development, management and ability to build professional relationships (new and existing) to advance the capabilities of all MAXIMUS Service offerings
Prepare program and project schedules
Define program tasks and milestones
Incorporate schedules for concurrent or related tasks
Define predecessors and successors for each task or milestone
Use schedule techniques to determine if time-frames required are sufficient to perform the tasks required
Demonstrate project and/or program management success of leading teams toward accomplishment of measured results
Develop processes to manage IT investments, measure IT effectiveness and increase customer satisfaction
Provide direct supervision of other employees and subcontractors
Oversee performance of subcontractors supporting client implementations
Perform other duties assigned consistent with the project
Bachelor’s degree from an accredited college or university required
Master's degree from an accredited college or university preferred
At least three (3) years of health informatics experience required
At least six (6) years of health informatics experience preferred
At least three (3) years of relevant Project Management experience required
At least six (6) years of experience managing small/large teams (5 – 20+ personnel) required
At least four (4) years of demonstrating teaching Small Groups and Counseling individuals required
PEBLO (Physical Evaluation Board Liaison Officer) training required
Advanced skill in using Microsoft Word, Excel, PowerPoint, and Project
Ability to provide leadership and mentorship to existing MAXIMUS team members
Ability to work proactively and effectively with clients, and deliver high quality work products in a timely manner
Ability to provide leadership in recommending, developing, and communicating approaches for resolving specific issues
Ability to provide leadership in obtaining data needed for specific analysis across the EI Office and related organizations
Ability to effectively communicate with personnel at all levels in the organization
Ability to perform complex tasks with minimal supervision and guidance
Ability to manage across multiple tasks with differing priorities
Proactive attention to detail
High degree of knowledge of Military Health Systems and Disability Evaluation System(s)
Demonstrated experience working in the Military Health System or Defense Health Agency (DHA) environment(s) preferred
PMP (Project Management Professional) Certification preferred

Innovation Healthcare Analyst Resume Examples & Samples

5 - 10 years working in the particular area of expertise with a proven trackrecord. Working in a start-up or exposure to start-ups is desirable
Expert knowledge of particular area which includes latest thinking, techniques, ideas and concepts to ensure we are well versed and can identify opportunities
Multi-tasking with multiple priorities and competing deadlines
Ability to bring commercial focus to the delivery of the area of expertise
Ability to draft a brief for team members and third parties, and explain/ translate requirements in simple terms
Management of third parties and stakeholders to deliver according to our requirements
Ability to partner with others internally and externally
Demonstrated track record in idea generation, creative and out-of-the-box thinking and approach to problem solving
Well-developed influencing skills
Superior written and visual communication

Senior SAS Healthcare Analyst Resume Examples & Samples

Design and develop analytic methodologies for multiple projects on a wide variety of total health care and clinical pharmacy issues. Providing consultative support to internal teams and external collaborators, support the development of clinical analytic approaches, draft analytic approaches, evaluate clinical value, and lead the interpretation and positioning of analytic findings and value. Responsible for clinical report development and presentation of findings, including identification of actionable insights related to Optum’s value in terms of clinical quality, cost outcomes and patient safety
Develop clinical quality assurance and improvement processes and reports. Develop the approach for integration of new and existing provider performance data into comprehensive analytic evaluation tools. Conduct data analyses for evaluating healthcare cost effectiveness and quality, health systems impact, and other health related outcomes. Generate actionable insights and make strategic recommendations that drive decision in quality area. Identify best practices and innovations in Optum leveraging data for impact to effect continuous quality improvement (clinical and non-clinical) and recommend performance improvement activities. Design predictive modeling and data mining approaches, based on quality, utilization and cost data, to support consistent delivery of cost-effective, high quality care initiatives that can drive value for our clients
Propose clinical methodologies and execute a wide variety of data analysis activities. Assess and validate use of various externally available datasets to improve the outcomes and design of clinical analytics, such as outcomes, Census data, and Consumer behavior data
Build consensus with clients, clinicians, product managers and executives on clinical analytic strategies and priorities. Develop ideas for new clinical analytic projects and programs to strengthen partner relationships with Optum’s client base. Serve as liaison to vendors to develop and evaluate reports related to clinical decision-making, reliability, validity and productivity. Serve as project leader, or clinical research manager
Author or co-author clinical analytic reports and peer-reviewed articles. Prepare and give presentations at conferences for the field. Translate complex clinical analytic concepts for executive or lay audiences. Have major responsibility for the management of specific projects or tasks
Must have the ability to work on multiple Tasks at once
Adapt to change quickly
Master’s degree in statistics, mathematics, computing sciences, public health or related discipline with relevant healthcare experience
Expert in using analytic software programs, including hands on ability to code in SAS and SQL, and expert in MS Office tools including Excel, Access, Word, Visio and Power Point
Strong written and verbal communication skills are needed, including the ability to “translate” analytic concepts, approaches and results for executive or lay audiences, and analytic interpersonal skills with an ability to communicate to small and/or large audiences (both internal and external to Optum). Experience in communicating to a senior management audience and ability to drive consensus on complex, controversial issues
Knowledge of pharmacy and medical metrics and clinical quality measures, with critical thinking skills to apply variations of methods based on business needs
Demonstrated success in analytic or healthcare related consulting engagements
Requires demonstrated analytic skills and creativity to quickly integrate information and develop proposals for new analytic initiatives. Demonstrate curiosity and determination in pursuing complex and innovative approaches to data needs. Progressive experience and leadership in clinical analytics in healthcare environment is essential
5+ years of progressively responsible experience in conducting analytic projects using administrative pharmacy and medical claims, preferably in a Pharmacy benefit manager, health insurance Company, or other healthcare setting
Demonstrated experience in planning and execution of complex analytic projects

Healthcare Analyst Resume Examples & Samples

Experience with research, program evaluation, health communication campaigns, health policy analysis, program management, life or social sciences, office management, financial management, program coordination, or strategic communication
Knowledge of the federal, military, or commercial healthcare industry and programs
BA or BS degree in health, communications, or business fields

Infection Prevention & Control Healthcare Analyst Resume Examples & Samples

5+ years of experience in a professional work environment with 3+ years in a healthcare or clinical setting with a focus on infection prevention and control
Experience in leadership, management, education, consultation, advanced analysis, and strategic planning, including interacting effectively with external stakeholders
Experience in at least one TJC, CMS, or DNV-GL accreditation survey
Knowledge of infection prevention and control concepts and principles of epidemiology and infectious disease
Ability to demonstrate competence as an infection preventionist and patient safety advocate
BA or BS degree in Nursing, Public Health, Microbiology, or Environmental Health
5+ years of experience in a healthcare or clinical setting with a focus on infection prevention and control
Possession of excellent critical thinking skills
Certification in Infection Prevention and Control (CIC) through the Certification Board of Infection Control (CBIC)

Healthcare Analyst, Senior Resume Examples & Samples

5 years of experience with healthcare program evaluation
3 years of experience with coordinating or managing evaluation projects
Experience in the use of quantitative and qualitative software programs
Knowledge of contractual and financial responsibilities for government projects
Knowledge of HHS agencies, including CDC, CMS, HRSA, and SAMHSA
MPH, MA, or MS degree
Experience in a client advisory and leadership role
Experience in business development and proposal management
Possession of excellent quantitative and qualitative analytic skills
PhD degree or equivalent in quantitative fields of Social Science

Healthcare Analyst, Senior Resume Examples & Samples

7+ years of experience with account management, program management, or contract healthcare administration work
5+ years of experience in a management or supervisory role
Experience with project management and quality improvement
Knowledge of QI concepts, methods, clinical workflow, and vocabulary
Experience with the advanced use of Microsoft Office
Experience in a clinical environment
Experience with implementing patient-centered medical home programs
Experience with federal agency

Healthcare Analyst, Senior Resume Examples & Samples

8+ years of experience with working in a professional work environment
Experience with executive-level client management and engagement
Experience with Microsoft Office, including PowerPoint, Word, and Excel
Ability to thrive in a high OPTEMPO environment and handle a myriad of requirements on a daily basis
Possession of excellent leadership and analysis skills

Healthcare Analyst Resume Examples & Samples

Develop, evolve, deploy, and manage data integration services and processes, ensuring, at all times, that data quality meet the requirements of Customers and SCIO’s business goals and objectives
Interprets and analyzes outcomes data to accurately assess and demonstrate program performance of various healthcare interventions
Coordinates and prioritizes analytic projects including client communication, planning, and identifying operational process flow
Performs advanced statistical analyses including opportunity assessments, clinical and financial risk tracking, trend identification and predictive modeling exercises using SAS
Establish, evolve, and reinforce the existing data process and infrastructure, constantly improve performance, and accurately measures success of internal data initiatives
Writes and interprets specifications for systems
Implements improvements to models and provides clear program recommendations to other departments (internal and external)
Provides interpretation of findings to both the internal executive team as well as to the client teams using clear and concise methods
SAS, Advanced statistical assessment
Care intervention methodologies
Outcomes and opportunity analytics
A minimum of a bachelor degree in Statistics/Bio-Statistics, Actuarial science, Epidemiology, Economics, Mathematics or other related field; advanced degree is preferred
2-4 years of experience in healthcare data statistics, clinical quality assessment, outcomes reporting, and care management

Healthcare Analyst Resume Examples & Samples

Develop large data sets from structured and unstructured data
Coordinate cross-functionally to schedule data extraction
Lead the model pre-processing process: design, testing and deployment of programmatic SAS/Hadoop programs
Hands-on experience with the Hadoop stack (e.g. MapReduce, Pig, Hive, HBase, Flume)
Hands-on experience developing applications connected to or within Hadoop stack
Knowledge of cloud computing infrastructure (e.g. Amazon Web Services, SAS Cloud, Microsoft Azure) and considerations for scalable, distributed systems
Proficiency of the SAS Data-Step, including processing very large databases and applying optimization or efficiency measures
Proficiency in MACRO programming in SAS, using macro loops, macro variables, conditional macro execution, distinguishing global and local macro variables, and creating or referencing macro variables from within the regular DATA STEP
Experience with Extraction, Transformation and Load (ETL) using SAS Pass-Through SQL code
Experience with SAS/Hadoop connection
Experience with SAS Clients: SAS Enterprise Guide, SAS Enterprise Miner, Base SAS, SAS Microsoft Add-in Client Installation & Troubleshooting

Healthcare Analyst Lead Resume Examples & Samples

10+ years of experience with healthcare
5+ years of experience with provider health care practice transformations
Experience with project management or quality improvement
Experience with consulting or technical assistance
Knowledge of QI concepts and methods and clinical workflow and vocabulary
Experience with clinical expertise
MPH or MHA degree preferred

Senior Healthcare Analyst Resume Examples & Samples

Develop SAS/SQL programs to properly transform and harmonize large data sets
Document and train modelers, business analysts on related best practices
Collaboration with the core advanced analytics team and business project teams
Lead the model pre-processing process: design, testing and deployment of programmatic SAS/SQL programs
Excellent English fluency, both spoken and written
Hands-on experience with SQL
Proficiency of Data Step, Functions, Arrays, Data Manipulation techniques, import/export, join/append
Perform and document quality control checks for the programs
Strong background with change control management and code version control procedures
Strong analytical reporting and data analysis skills including summary and trend reporting
Working knowledge of Data Visualization
Other Programming (preferred) - R and Python, Experience with Perl and/or UNIX shell script development
Prefer healthcare claims experience
Bachelor's Degree is required. Statistics, Mathematics, or Computer Science is preferred
Minimum 5 years SQL Experience, preferably in applied business or data processing context
Healthcare claims adjudication, claims data and pre sales/Client Engagement experience

Healthcare Analyst Resume Examples & Samples

Bachelor's Degree in Mathematics, Statistics, Economics, Computer Science, or a related quantitative discipline
Ability to solve complex problems with Data Analytics and present results in a clear manner
Master's Degree or PhD in Mathematics, Statistics, Economics, Computer Science, or a related quantitative discipline
1+ years of experience working with SAS or SQL
Basic level of proficiency with MS Access desired

Healthcare Analyst Resume Examples & Samples

Identify and analyze data to assess market trends and emerging issues
Perform original data analysis and distill findings
Review and synthesize research literature and analytic reports
Support the Center's leadership in other capacities as needed
Degree in a relevant field, including Economics, Finance, Statistics, Mathematics, Public Policy Public Administration, or Public Health
5+ years of professional experience in health care, public policy, or a related field
Advanced in Word, Excel, and PowerPoint
Superior analytic problem solving skills and attention to detail
Excellent writing and verbal communication skills
Passionate about health care reform and modernization
Prepared and highly motivated to make immediate contributions to the Center’s work
Sound judgment, confidence and poise
Experience performing data analysis, and interpreting and summarizing results

Healthcare Analyst / Excel Expert Resume Examples & Samples

Solve moderately complex problems and/or conduct moderately complex analyses
Work with analyzing large sets of data and come up with solutions
Translate concepts into practice
Provide explanations and information to others on difficult issues
Undergraduate degree or equivalent work experience
Healthcare Experience a must
Familiar with provider relations and/or provider network
Familiar with healthcare claims data
Working with large sets of data
Advanced skills with Excel
Exceptional presentation, written and verbal communication skills
Ability to work independently and remain on task
Good organization and planning skills
Ability to prioritize and meet deadlines from multi-staff members within the department
Intermediate Access and Power Point
2+ years of experience with SQL, SAS or any other relational databases
Familiarity with Accountability Care Organization (ACO) and value based care

Clinical / Healthcare Analyst Resume Examples & Samples

Analyze clinical literature, healthcare industry guidelines, including but not limited to national coding standards, Quality Payment Programs and other regulatory programs, coding system updates, and client feedback to provide product content recommendations and support
Translates complex source information from regulatory / Quality Payment Programs (QPP) and other technical and clinical specifications into precise rules requirements. Examples include PQRS, Meaningful Use, MSSP ACO, HEDIS, CHIPRA, MIPS, APMs and many others
Responsible for the end-to-end process of developing and testing assigned quality measures and methodologies for quality reporting and analyses. The process includes the following tasks
Healthcare Information Technology Experience
Ability to manage multiple projects, meet project deadlines; adapt to changing priorities
Demonstrated effectiveness as both an independent worker and as a team contributor
Strong ability to understand Boolean logic statements
Problem solving skills; ability to step through logical pathways to confirm expected results
Strong business/data analytical skills
Excellent communication (verbal and written), interpersonal, presentation/computer skills
Demonstrated proficiency with various software applications and database tools, including but not limited to: Microsoft Office products MS Word; MS Excel; MS Access; Visio; Outlook, git, SQL, SharePoint, JIRA
Research capabilities, writing experience, and knowledge of clinical/facility coding schemes
Aptitude for working with McKesson developed applications in support of work objectives
SQL proficiency pulling data, querying data and writing queries and understanding relational database concepts
Basic understanding of software development phases/life cycles
Knowledge of existing HL7 standards and the evolving Fast Healthcare Interoperability Resources (FHIR) standard
Working knowledge of healthcare quality measures and hospital / physician quality programs for regulatory submission a plus
Working knowledge or understanding of measure authoring tools desirable. Examples: Value Set Authority Center (VSAC), Measure Authoring Tool (MAT), BONNIE Testing Tool, Clinical Quality Language (CQL) for logic expressions
Working knowledge of healthcare related coding systems and terminology for interoperability and billing
Working knowledge of Third party claims processing, Medicare billing
Significant healthcare knowledge with strong preference to payor/ revenue cycle
Knowledge of Electronic Health Record and or practice / claims management billing systems

Healthcare Analyst, Senior Resume Examples & Samples

5+ years of experience in working with government or commercial clients and developing integrated provider and payer health care delivery models
Experience with human-centered design
Ability to perform day-to-day management of health plan operations and project teams across the health care delivery system
5+ years of experience with private sector health plans or provider and payer networks
5+ years of experience with managing consulting engagements
Experience in working with government health care providers or payers, including the Veterans Administration, military health, or CMS
Possession of excellent facilitation skills
PMP Certification or 10 years of experience with project management

Healthcare Analyst Resume Examples & Samples

Consult and advise on clinical program outcomes reporting and analysis
Provide analytic support for clinical quality initiatives including NCQA accreditation and HEDIS (Healthcare Effectiveness Data and Information Set) efforts
Support internal and external customers with decision support information derived through healthcare data analysis
Monitor changes related to healthcare data to identify improvements for analytic approaches
Provide assistance to IT for data integrity

Healthcare Analyst Resume Examples & Samples

Consulting and advising on clinical program outcomes reporting and analysis
Provide analytic support for clinical quality initiatives including NCQA accreditation and HEDIS efforts
Provide Business analysis and development support for core healthcare analytic solutions supporting internal and external customers
Provide decision support information derived through healthcare data analysis
Monitor changes related to healthcare data to identify enhancements for analytic approaches
Acquire and maintain expert knowledge of MTM program and clinical database system
Provide assistance in maintaining integrity of clinical database including process for managing system changes
Assist in quality control analysis to ensure client satisfaction and performance guarantees are met and/or exceeded
Expectation of ongoing development of skills and training

Healthcare Analyst Resume Examples & Samples

Collaborating with and influencing clients and customers to develop analytic models, methodologies and reports that support CVS Health products and services
Prioritizing competing client requests to ensure focus on highest impact activities
Handling on-site or teleconferenced presentations as an individual or team, and written documents for assigned clients and in support of other clients

Healthcare Analyst, Senior Resume Examples & Samples

5+ years of experience in working with government or commercial clients, developing integrated provider and payer health care delivery models
Experience with human centered design
Experience in a consulting environment and competence in managing staff productivity and successful delivery

Healthcare Analyst Manager, Senior Resume Examples & Samples

10+ years of experience with leading, directing, and managing evaluation projects
Knowledge of CMS/CMMI, CMS/CCSQ, and other HHS agencies
PhD degree
Possession of excellent quantitative and qualitative analytic skills, including analysis of Medicare Part A and Part B claims data
MA or MS degree in quantitative fields of the Social Science preferred; PhD degree in quantitative fields of the Social Science a plus

Healthcare Analyst, Senior Resume Examples & Samples

Experience with human
Centered design
Ability to perform day
Day management of health plan operations and project teams across the health care delivery system

Healthcare Analyst Resume Examples & Samples

Assisting CMS (and other federal health agencies) with policy or data analysis in support of federal health program implementation
Developing technical products such as research papers, briefing papers, and policy recommendations for program implementation
JD, MA, MPH, or related degree

Healthcare Analyst Intern Resume Examples & Samples

Develop SAS/Hadoop programs to properly transform and harmonize large data sets
Partner with modelers to develop data frame requirements for projects
Function as a project team member defining requirements and executing task within time, scope and cost
Minimum 2 years SAS Programming Experience, preferably in applied business or data processing context
Experience with Spark and working knowledge of Apache or Cloudera implementations are preferred
Proficiency in major BASE SAS procedures such as SORT, MEANS, FORMAT, SQL
Experience debugging Code and SAS Error Diagnostics
Ability to generate data-driven and dynamically generated programs, Code Efficiency, Hash Tables, Objects, Array Processing, Batch and parallel processing
Strong knowledge of MS Word, Visio with general familiarity of Outlook and other MS Office applications
Certified in Foundation (Base) SAS Programming, Certified in Advanced SAS programming and/or SAS/Hadoop are preferred

Healthcare Analyst Grad Intern Resume Examples & Samples

Assisting CMS, HHS, or other federal health agencies with policy or analysis in support of federal health program implementation
Provide document analysis, information preparation, project management support (status reports, staffing spreadsheets, etc.); deliverable preparation (document and presentation), deliverable editing, or health care operations and/or health IT background research
BA/BS and currently enrolled in a graduate program related to healthcare. Undergraduates may be considered on a case by case basis
Work in the health care sector, administrative, clinical or information systems
Knowledge of health policy, payment models health analytics, public health, health information technology, or other health-related government initiatives

Healthcare Analyst, Lead Resume Examples & Samples

Experience with design thinking
Experience with human–centered design
Knowledge of commercial healthcare plans and Accountable Healthcare Organizations (ACOs)
Experience with managing clients and overseeing large and complex projects
Possession of excellent analytical and facilitation skills

Healthcare Analyst Resume Examples & Samples

Implement and use software and systems to support the department's goals
Responsible for timely completion of projects, including timeline development and maintenance, and coordination of activities and data collection with requesting internal departments or external requestors
Establish and maintain positive working relationships with internal customers and external vendors, including individuals who are supervised by others
Provide leadership to other members of the team, including training of Healthcare Analyst I level personnel and internal customers
Healthcare Analyst II is an individual contributor role that provides senior-level healthcare analysis for the state health plans, including quantification and analysis of health care costs, development and maintenance of databases and other sources of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination
Ability to manage various sources of information and large data sets including pharmacy, claims and encounter data
Proficiency in compiling data, creating reports and presenting information, including expertise with Crystal Reports (or similar reporting tool), SQL query, MS Access and MS Excel
Ability to combine clinical and financial data
Demonstrated ability to meet established deadlines
Ability to function independently and manage multiple projects
Ability to develop scenario analysis using different approaches
Ability to present ideas and information concisely to varied audiences
Proficiency with PC-based systems, and the ability to learn other systems through knowledge of MS Excel and Access
Ability to maintain attendance to support required quality and quantity of work, yet be flexible enough to work off-hours to meet deadlines
Ability to quickly assimilate knowledge of processes and systems to develop and deliver necessary training to departmental staff and internal customers
Ability to work in a deadline driven department
4 years increasingly complex database and data management responsibilities
Healthcare Payer industry experience

Healthcare Analyst Resume Examples & Samples

Generate and distribute standard reports weekly/monthly/quarterly/annually
Establish and maintain timelines for reports and projects
Identify and complete report enhancements/fixes
Develop ad-hoc reports as requested
Evaluates non-standard requests from consultants, customers, and internal business areas, and provides summary documentation to support analysis reports
Generates and reviews the GEO access and disruption analysis
Provides support to Corporate Development in interpreting network data and providing recommendations
Interprets network analysis requests submitted as part of the RFP or RFI processes. Utilizes the GeoNetworks software to perform analysis of disruption for potential customers based on supplied historical utilization data. Utilizes the Geo Access software to produce standard sets of reports to illustrate the network access of a customer's population to Molina's network providers
Ability to consider and/or develop alternative scenarios and approaches to problems
Ability to meet deadlines and work within a deadline driven department

Healthcare Analyst Resume Examples & Samples

Identifies and completes report enhancements/fixes
Assists with completion of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations
1-3 years

Healthcare Analyst Lead Resume Examples & Samples

Experience with managing teams in a healthcare setting or hospital
Experience with patient safety, quality, and consulting
Knowledge of health operations, processes, and policies
Possession of excellent client relationship skills

Healthcare Analyst Resume Examples & Samples

Conduct data extraction and research studies that may include analyzing, reviewing, trending, and presenting information, based upon provided specifications, to support ad-hoc data requests
Designing, developing, modifying, supporting, debugging and evaluating SAS programs and other technical platforms to meet business requirements
Communicate results in abstracts, graphs or summaries with minor editing and input from manager
Monitor and report on pricing data
Recommend pricing updates and measure impact
Verify accuracy and performance of pricing implementations
Research issues with performance to determine the origin and work on rectifying them as required
Utilize technical platforms to create/maintain new processes for tracking and analyzing pricing data
Daily, weekly, and monthly reporting of key metrics and performance indicators
Provide ad-hoc consultative analyses to internal and external clients
Works closely with Industry Relations management to prioritize internal and external analyses
Other ad-hoc projects as needed
Contribute to knowledge sharing, ideas and information related to technical platforms and be a key technical expert within the team
Prepare presentation material as needed from time to time
Prioritize personal workload to meet specified completion dates
Role will utilize the following technical platforms / competencies
1+ years of experience in either SAS, SQL, Tableau, Alteryx and/or other similar platform, specifically with building and maintaining/editing queries for analytical and reporting purposes
1+ years of analytic experience
Excellent Microsoft Office skills including advanced Excel skills
Healthcare industry experience (health plan, pharmacy benefit manager/PBM, pharmacy, etc.)

Healthcare Analyst Resume Examples & Samples

Experience running ad-hoc Crystal Reports and communicating findings to non-technical employees
Strong understanding of the ongoing changes within the world of health care, specific to Meaningful use, MACRA, MIPS, Medical Reimbursement, and a working knowledge of payment models
Ability to review the aforementioned requirements to help raise practice standards
Sharp presentation skills for interaction with management

Healthcare Analyst Resume Examples & Samples

3 years of experience in a health operation, hospital, healthcare, and clinic process
Knowledge of health industry, operations, and policy
Ability to clearly communicate orally and in writing, contribute critical thinking to client problems, develop documents and presentations, and be a team player and overall contributor
3 years of experience with patient flow, health policy, and health consulting preferred

Healthcare Analyst Resume Examples & Samples

5+ years of experience in working with federal officials, states, and other relevant stakeholders on the development and execution of Medicaid and CHIP quality measures
Experience with state and federal Medicaid and CHIP healthcare initiatives and policies
Experience with conducting policy and program analysis and presenting research findings through high–quality project reports and briefings
Ability to communicate effectively orally and in writing, including providing a writing sample required
Experience with the variables, file construction, and data layouts of Medicaid and CHIP data sets
Experience with market research data, program outreach, and environmental survey and evaluation services
Experience in the consulting business
Possession of excellent critical thinking and logic skills
MA or MS degree in a health–related field

Healthcare Analyst Resume Examples & Samples

Provides appropriate group training and education on current and future coding guidelines based on group findings and industry trends
Provides input to physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations
Utilizes resource materials appropriately in order to support accurate coding practices
Reviews encounters, superbills, reports and medical records to assign appropriate billing and diagnosis codes in preparation for charge entry
Accesses provider/hospital Electronic Health Record (EHR) system to obtain chart documentation
Minimum 3 years coding experience in oncology coding, particularly infusion therapy
Minimum 3 years E/M and procedure coding experience in various physician specialties
Experience in educating providers and staff on coding guidelines
Proficient in typing and usage of computer/internet sites

Healthcare Analyst Resume Examples & Samples

Focus on aligning the financial arrangement for clients
Using medical and pharmacy claims data
Developing effective and actionable statistical analysis to support the movement towards business optimization goals

Senior Healthcare Analyst Resume Examples & Samples

Lead analyses and produce standard reports using healthcare claims which support the development, implementation, and monitoring of MassHealth programs
Create specifications and logic to perform analyses that support program goals or answer questions about MassHealth populations
Serve as a subject matter data expert for MassHealth programs, providing insight into the capabilities and limitations of MassHealth data to members of program teams
Analyze, interpret, and present information from multiple data sources utilizing a broad array of technology resources (Cognos, Excel, SAS, Access, PowerPoint, SQL, etc.)
Liaise with and manage Data Warehouse staff to build tools that require Data Warehouse development staff, and to ensure that development timelines crucial to program operations are met
Effectively communicate with internal and external stakeholders and respond to requests
Manage a multitude of complex tasks simultaneously, including prioritizing various tasks, analyzing and evaluating policy and program issues and ensuring that tasks are brought to completion
Ability to use data to communicate effectively
Can take initiative and work on projects independently
At least five years of work experience in a healthcare analytic or data management environment
Masters’ degree in a public policy, public administration, public health, economics, health care administration, epidemiology, statistics, or a related field
Experience performing successful analyses under strict timeline pressure
Strong critical thinking and problem solving skills
Advanced understanding of health care administrative data and complex healthcare databases
Ability to work with technical staff, including programming staff and analytic contractors
Strong analytical, organizational, interpersonal, verbal, and written communications skills
Knowledge of payment reform and care delivery reform strategies, including an understanding of the relationship between payment reforms, delivery system change, quality improvement, and patient satisfaction

Principal Healthcare Analyst Resume Examples & Samples

Analyze complex opportunities to support Mayo’s business objectives. Develop a comprehensive and integrated plan/direction for health care financial analysis of opportunities with communication and collaboration with Senior Management, Mayo Clinic Health system, practice and other interested parties
Define, develop, and enhance actuarial modeling relative to opportunities and/or challenges to support strategic risk/reward analysis and decisions
Collaborate in an inter-disciplinary team to develop analytics needed for success in a value-based care environment
Design, automate, and maintain revolving key performance indicators (KPI) on provider performance, payment innovation, episode-based analytics, coding complexity and risk contracting analytics
Work with stakeholders to set meaningful data-driven measurements and goals as represented in the KPI
Provide ad hoc analysis and reporting for leadership
Design and run complex data programs
Bachelor’s degree in Math, stats, econ, business, finance with equivalent work experience
6+ years relevant work experience in a healthcare or managed care environment working with large data sets
Healthcare industry experience, which could include consulting, insurance, payers (government or commercial), hospital systems
Advanced data skills and capability in driving solutions from data and effectively presenting data and solutions
Advanced proficiency in SAS and Microsoft Excel
Experience analyzing performance of the VBP financial model (e.g. Medicare/Commercial ACOs, Bundle payment, etc.) and/or risk contracting
Experience in risk adjustment models and coding complexity (e.g. CMS-HCC, HHS-HCC, ACG, etc.)
Experience using population health analytics or care management tools
Experience in provider network analytics
Health plan expertise in the area of Medical informatics, Health Economics or Actuarial Science
Experience in managing and/or building teams

Healthcare Analyst Resume Examples & Samples

3+ years of experience in federal or commercial healthcare
Experience in a consulting or account management position in the healthcare industry
Experience with managing multiple tasks simultaneously
MBA, MA, or MS degree in Nursing, Health Policy, or Health Management a plus

Healthcare Analyst Resume Examples & Samples

Gains access and learns the tools used to access population's data
Understands the medical and pharmacy claims adjudication circle terminology and general healthcare related concepts
On regular basis, utilizes different data sources to produce meaningful cost and utilization reports, track the performance of various products and plans and provide meaningful information to care managers to assist them in providing better care to the patients
On regular basis, from analytical perspective, tests healthcare concepts in LCPN's data warehouse to assure accuracy and integrity of data
Collaborates with other analysts to define appropriate mappings for healthcare terminologies to be displayed in the data warehouse
Understands and utilizes back-end entry to data warehouse, knows SQL and apprehends complexities of data architecture
Produces reports for variety of stakeholders using either the super pivots, running own SQL queries to drill through data or other computer-based applications
Translates analytical findings into easy to follow recommendations and summaries
Performs own quality checks on performed analyses and utilizes internal benchmarks to verify the results
Incorporates CHIA cost relativity benchmarks into analyses when appropriate
Documents performed processes and assures the correct documentation exists and is appended to the analyses
Collaborates with the Medical Director(s) and business associates (e.g., healthcare plan, PBM, consultants) to define the best approaches to find areas for improvement and trend mitigations
Collaborates with Care Managers to find efficient ways to include the patients in the disease management programs and improve the care of the patients
Has knowledge of a medical and pharmacy claim cycle
Analyzes cost and utilization trends at the network level
Receives and reviews administrative payer's newsletters and assesses the impact of changes on the network and data when necessary
Understands the drivers of healthcare trends
Understands the impact of benefit changes on the plan performance
Serves as analytical resource and internal consultant for organization's multidisciplinary quality and utilization improvement initiatives
Upon discussions with other stakeholders, provides actionable data to constituencies within LCPN upon request
Designs analyses that calculate cost savings opportunities for LCPN's population
Communicates effectively with cross-functional teams
Provides clinical and administrative leaders with routine and timely updates on key clinical quality and utilization indicators at the network level
Assist in reporting package preparation for the Board of Directors and other Senior Executives
Assist in designing analyses that calculate cost savings opportunities for the network as well as individual accountable care units
Collaborates with others to identify, understand and promote opportunities to analyze data more efficiently and accurately, and improve data integrity
Assists Data and Performance Analytics Director with keeping internal PointShare site up to date
Supports vendor pilot programs via assessing and distributing reports made available by the partners
Uses visualization tools to display date for key customers
Performs other related tasks as necessary

Healthcare Analyst / Senior Analyst Resume Examples & Samples

Work as part of consulting teams to deliver multi-country engagements for healthcare clients in the areas of market opportunity assessment, go-to-market strategy, customer insights, channel optimization and competitive benchmarking
Conduct secondary research, primary research interviews, and qualitative and quantitative analysis, as well as report writing and presentations
Coordinate external resources such as contributors and vendors; and
Liaise with clients to communicate project updates, present key milestones, pre-empt project issues, manage different client stakeholders, etc
Bachelor’s or Master’s degree from a top-tier university, in business or a healthcare-related subject
Relevant experience in consulting and a proven track record in project delivery, and a keen interest in healthcare
Exceptional command of written and spoken English, and command of a second European language (French / German / Spanish)

Senior Healthcare Analyst Resume Examples & Samples

Assume ownership of all data initiatives specific to the Encounter Department to support internal and external reporting requirements
Participate in meetings and create reports for senior staff to facilitate decision making
Encounter data analysis of RAPS, EDPS & APD, in a health care or health plan Organization
Accurately monitor and reconcile submitted encounters against response files to ensure that submission gaps are addressed in a timely manner
Develop methodologies for and conduct ad-hoc analyses as needed on data management needs
5+ years of experience preferred
Extensive experience with SAS or SQL - create queries and manipulation of data including macros, functions, data step and proc sql
Ability to communicate effectively, and work well in a team oriented environment
Ability to manage projects and project plans within stated time lines
Resourceful and creative in solving complex issues and working corroboratively with others on a solution
Customer Focus: Provides timely responses to concerns, questions and requests

Principal Cost of Healthcare Analyst Resume Examples & Samples

Financial analysis related to hospital, medical group and ancillary provider contracting
Development of financial models to support provider contracting
Partnering with Network Management staff to formulate solutions
Participation in provider meetings as needed
Potential managerial oversight of 1 junior analyst

Senior Healthcare Analyst Resume Examples & Samples

Develop ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed
Generate and distribute standard reports on schedule using SQL, Excel, and other reporting software
Collects and documents report / programming requirements from requestors to ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce report writing errors and rework
Responsible for timely completion of projects, including timeline development and maintenance; coordinates activities and data collection with requesting internal departments or external requestors
Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations
Maintains SharePoint Sites as needed
Bachelor's Degree in Finance, Economics, Computer Science
5-7 years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
Healthcare Analyst I or Financial/Accounting Analyst I experience desired
Multiple data systems and models

Group Risk & Healthcare Analyst Resume Examples & Samples

Conducting market reviews of group risk and healthcare benefits and reporting to clients with recommendations, comparisons between providers and advice in relation to their risk and healthcare benefit policies
Explain both financial and non-financial impacts of benefit policies
Develop relationships with clients through attendance at meetings following market reviews
Transferring cover between providers
Placing new cover/policies
Dealing with renewals and mid-term alterations for a portfolio of clients
Develop relationship with insurers and multinational pooling providers to achieve best client service and innovative solutions for clients
Provide ad hoc risk and healthcare consulting advice to clients and Mercer colleagues
Work as part of a global team to service the Irish entities of our multinational clients
Assist clients in the handling of difficult claims
Working within the Group Risk & Healthcare team - maintain Company and regulatory standards/requirements including compliance and peer review
Assist in the on-going development of Company Standards and Procedures
The person should have a minimum of 2 to 3 years’ experience working in a corporate/commercial group risk and/or healthcare environment
QFA qualification and, ideally, APA (Personal General Insurance) qualification
Proficient in the use of Microsoft packages
Strong client focus
A strong mathematical or analytical background and experience in detailed analysis of data
Hard working, proactive and flexible in their approach to business
Desire for a comprehensive understanding of the industry and to become a technical leader
Good interpersonal and communication skills
Good IT skills including a high level of proficiency with the Microsoft Office suite

Healthcare Analyst Resume Examples & Samples

Minimum of 2-4 years of health policy experience
Strong quantitative skills and knowledge of descriptive statistics, statistical tests and statistical inference; Proficiency working with analytical software (e.g., SQL, STATA, SAS and/or SPSS)
Experience managing programs and processes, monitoring budgets, delegating tasks and managing communication with internal and external partners. Demonstrated ability to lead projects through to completion within defined guidelines
Highly motivated with a strong work ethic
Willingness to work in a highly interactive and collegial group of analysts. Excellent interpersonal skills
Excellent organizational skills and attention to detail, including demonstrated ability to manage and prioritize multiple activities
Experience writing grant proposals and identifying grant funded opportunities
Experience conducting program evaluation, including developing evaluation plans, logic models, and measures; understanding of formative, summative and participatory methods
Understanding of survey methodology and analysis

Healthcare Analyst Resume Examples & Samples

Contractual background - doesn't necessarily need to be in clinical research, but able to understand clinical contracts is important
Previously seen people with experience in business administration, clinical research, business analysts that reviewed contractors, legal backgrounds - NOT looking for people with accounts payable background
Previously worked in CRO or clinical sites
Excellent interpersonal communication - both written and over the phone - VERY IMPORTANT
Fundamental understanding of contracts (able to articulate contractual obligations)

Healthcare Analyst Resume Examples & Samples

Utilizes various sources of healthcare data to assess through advanced statistical methods the impacts of various care intervention, coordination, and cost containment objective using SAS
Assessment of various programs designed to impact population health and identify key areas of opportunity
Clearly communicate research to executive and client teams
Ability to plan and design analytic activities as well as analyze and solve complex problems
Strong ability to communicate complex data analytics clearly in written and oral presentations
Desire to work within a fast-paced environment and ability to work in a team environment and be flexible in taking on various projects
Ability to lead, track, and manage projects and work directly as a client-facing team member
Payment methodologies

Healthcare Analyst Resume Examples & Samples

2+ years of UAT experience
Must have previous Healthcare experience
Claims testing experience (writing test plans and test scenarios, executing tests and documenting)
Ability to define and document business requirements
Strong communications skills. Must be able to translate business requirements to technical lingo and vice versa

Healthcare Analyst Resume Examples & Samples

5+ years of experience with healthcare policy, including working with state or federal government agencies, think tanks, industry associations, advocacy groups, or on Capitol Hill
Experience with leading others on multidisciplinary teams
Experience with Microsoft Office suite of tools

Healthcare Analyst, Mid Resume Examples & Samples

Experience in a previous internship
Ability to gather and analyze data effectively
Experience with working in a team environment

Healthcare Analyst Resume Examples & Samples

1 year of consulting experience
1 year of experience in science or healthcare-related research
Military Health System experience
Masters (MPH, MSW, MBA etc) or Bachelors degree with 3+yrs directly relevant employment experience
Demonstrated willingness to be flexible and adaptable to changing priorities & ambiguous situations
Highly organized/Detail oriented
Analytical thinker & problem solver
Must have a federal government Common Access Card
Ability to work overtime required on occasion
Meet or exceed continuing professional education (CPE) requirements

Healthcare Analyst Resume Examples & Samples

Provides analytical support and expertise when compiling and reporting information
Develops, analyzes and monitors new, routine and ad hoc reports
Works with minimal guidance; seeks guidance on only the most complex tasks
Provides consultative advice, interprets, summarizes analytical findings, and presents information in a manner that will facilitate management’s understanding of the results and its impact
Researches, identifies, and implements new approaches and methods to facilitate process management
BA / BS degree or equivalent work experience
Microsoft Access (i.e. create SQL, Forms, Table normalization, Reports, VBA)
Experience in healthcare data query and analytics
Experience with T-SQL (SQL Server) and PL-SQL (Oracle), or tools like Microstrategy, SAS and other relational databases
Crystal Reports

Healthcare Analyst Principal Resume Examples & Samples

Responsible for analytic support for Blue Cross local, national and internal clients
Performs complex analysis of the data. Researches, analyzes data, applies statistical methods when appropriate, and provides interpretation of outcomes. Identifies issues to be researched, determining affected areas, estimating the impact and contributing to the resolution
Analyze data and report results on health care utilization, expenditures, outcomes, and benchmarks
Initiates action to discover new analysis or programming that will contribute to the: (1) continuous growth of the Data Insights department, and (2) ability of the department to play a more strategic role in meeting customer needs
Assists in the implementation of new products and systems by providing actionable information and recommendations that evaluate the impact of the proposed products and systems
Represents the division on corporate projects and may have leadership roles on these teams
Works closely with Data Insights Analysts to produce reports and analysis that support discussions in client meetings
Acts as a resource and/or mentor for other members of the department and company on business issues and may be responsible for training and guidance of other employees

Healthcare Analyst Resume Examples & Samples

Understand and regularly monitor cost and revenue trends for risk-bearing organizations, including hospitals and provider groups. Identify areas for improvement and proactively facilitate change
Responsible for creating, modifying, and updating financial reports and providing analysis for aforementioned organizations. Prepare periodic financial performance review presentations on the assigned organizations
Respond to ad-hoc requests from both internal and external parties. These requests include, but are not limited to, claims reports, financial performance reports, and regulatory reports
Responsible for contract analysis and fee schedule modeling
Gather data and conduct ad-hoc analyses as directed by other Risk Model Analysis team members and assist with the development of reports
Keep abreast of government reforms and their impact on both the health plan and owner hospital performance
Document all coding, methodology and assumptions, data issues and report results for each analysis
Ability to analyze large data sets and assist in the documentation of processes for change control purposes
Knowledge of financial terms such as revenue, cost and utilization
Advance skills in Microsoft Excel – create pivot tables, formatting, sorting, use v-lookups etc
Working knowledge in Microsoft PowerPoint
Previous or Current work experience in Healthcare industry
Good communicator and ability to work independently
Working knowledge of SAS or SQL programming
Work experience with SAS data sets, proc sql and macros
Understanding of Medicaid, Medicare, and commercial products-VF1

Healthcare Analyst Resume Examples & Samples

Provide support to the Provider Organizations performance improvement work groups
Monitor costs and revenue trends for Provider Organizations and assist in understanding trends
Understand and analyze impacts of new program changes
Responsible for creating, modifying, and updating analysis for Provider Organizations
Respond to ad-hoc requests from Network Management, Provider Organizations and physician groups. The requests include, but are not limited to, claims reports, Primary Care Physician Excess Medical Revenue (EMR) reports, and regulatory reports
Maintain current project logs and work plans on assignments
Ability to pull data from various sources
Work experience in the healthcare industry
Current or previous work experience with a Health insurance company
Experience with analyzing medical cost and utilization trends
Knowledge of Medicaid and Medicare programs
Advance skills in SAS

Healthcare Analyst Resume Examples & Samples

Create, maintain and optimize SAS programs to support Finance data process
Utilize research methods to analyze various data sets to support material financial adjustments for all Healthfirst products
Gather data and conduct ad-hoc analyses as directed by other Finance team members and assist with the development of reports using Qlikview, Tableau
Reconcile between large data sources and research/correct discrepancies
Assist, train and educate team members on data and encounters submissions
Bachelor's degree from an accredited institution
Work experience with SAS and/or SQL where you have created complex queries, pulled large data sets, performed data manipulations/analysis, performed direct programming functions
Keen understanding of managed care concepts such as util/k, PMPM, healthcare reimbursement methods and data analysis
Experience with MS Excel functions that include working with large data sets, creating standardized reports, utilizing vLookups and advanced functions/ formulas; creating, using and interpreting pivot tables, filtering and formatting
Bachelor's degree or higher from an accredited institution with a concentration in Finance, Economics, Accounting, Business, or Healthcare Administration
Analytical work experience within the healthcare industry (i.e. hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, pharmaceutical, behavioral health organization, etc.)
Experience with encounter data/submissions and risk adjustment
Experience with medical, benefit or revenue cost
Understanding of Medicaid or Medicare programs

Senior Healthcare Analyst Resume Examples & Samples

3+ years of experience or proven subject matter expert working as an analyst, preferably in the health care industry, particularly with administrative healthcare claims and provider data preferred
Expert level knowledge working with Medicare and Commercial paid claims data sets. Other applicable data sets include Census and Member Eligibility data sets
Expert level knowledge of Structured Query Language (SQL) required. Ability to learn/adapt to new analytic toolsets is a must
Knowledge of HIPAA compliance and security requirements as it relates to healthcare data
Experience in data mining, statistical analysis, and data transformation/manipulation
Experience working with large data repositories and/or relational databases
Expertise in MS Excel, with proficiency using formulas, PivotTables, linked worksheets, graphing and other reporting and presentation features
Advanced analytic skills with the ability to analyze and interpret data through complex analysis
Ability to tell a succinct, meaningful, and actionable story with data using visualization and other techniques
Ability to work on multiple projects simultaneously with minimal supervision
Excellent computer skills, strong leadership qualities, organization and project management skills
Ability to quickly adapt to changes in both technology and business environments
Ability to analyze data, and apply investigative skills in resolving issues
Ability to produce clear, written operational instructions and supporting documentation
Ability to troubleshoot technical and functional problems
Highly self-motivated and directed with keen attention to detail

Senior Healthcare Analyst Resume Examples & Samples

Provide Subject Matter Expertise on Risk Adjustment, Reinsurance, and Claims processing
Reviewing documentation and meeting with business owners and business community to understand the customer’s current systems/business processes; performing analysis of customer’s stated needs
Draft requirements/test cases/test data files and scenarios for testing team
Participate in weekly/daily meetings and gate reviews with the business owners
Providing technical writing support (testing artifacts)
Mentor technical staff
8+ years of experience performing the role of a business analyst with sound understanding and knowledge in claims processing for CMS, testing of electronic billing systems
EDGE server expertise and experience in Risk Adjustment and Reinsurance. Their current role must be directly involved with EDGE/RA/RI
Expert-level knowledge of various risk adjustment methodologies; and managed the risk adjustments of health plans they supported
Expert - level knowledge of CPT, ICD-10 & 9, and hCC coding
Hands on experience working with on site and AWS EDGE server including provisioning, updates and rollbacks
Work with various business stakeholders for requirements to translate to test scenarios/cases
5+ years Healthcare claims processing in payer/provider settings
Monitor testing schedule and ongoing operations for the team
Experience with testing of financial billing systems and issuer/payer testing
Assist in identifying short term improvements that align with business/program goals and recommend longer term solutions

Healthcare Analyst Resume Examples & Samples

Implements process for identifying under-allowed claims using software and other available tools
Reviews and analyzes EOBs for identified under-allowed claims
Verifies applicable contract by, as dictated by operational procedures: reviewing EOB messages, reviewing patient ID card, verifying member information for managed care plans
Batches appeals by payer or network, by CPT/HCPCS code combination, by error type, or by provider
Uses software to track appeals and recoveries
Establishes and cultivates helpful and effective contacts in payer or network offices
Establishes follow-up protocol with payers and networks
Prepares monthly performance statistics regarding appeals and recoveries
Monitors and tracks contractual, billing, registration, and posting errors, and provides continuous feedback to Appeals Manager
Participates in professional development efforts to ensure currency in managed care reimbursement trends
Minimum of two years’ experience working with managed care claims and appeals for health care professional services (physicians and other health care professionals)
Experience in a production environment desirable but comfort in such an environment is essential
Advanced knowledge and PC skills, with proficiency in utilizing Microsoft office products (Word, Excel, Outlook, PowerPoint, etc.)
Knowledge of the health care professional services billing (physicians and related health care professionals) and reimbursement environment
Knowledge of networks, IPAs, MSOs, HMOs, PCP and contract affiliations
Demonstrated skill in gathering and reporting claims information
Ability to work effectively with other departments and management
Ability to identify, analyze and solve problems and to recognize patterns in data
Ability to learn, understand and use the software application

Download Healthcare Analyst Resume Sample as Image file

Related Job Titles

Director, Healthcare Resume Sample

Healthcare Economics Resume Sample

Healthcare Data Analyst Resume Sample

Healthcare Business Analyst Resume Sample

Account Executive, Healthcare Resume Sample

Healthcare Economics Consultant Resume Sample

Healthcare Economics Analyst Resume Sample

Healthcare Director Resume Sample

Healthcare Sales Resume Sample

Associate, Healthcare Resume Sample

Healthcare Senior Analyst Resume Sample

Health Analyst Resume Sample

Browse More

Healthcare Analyst Resume Samples

The Guide To Resume Tailoring

Craft your perfect resume by picking job responsibilities written by professional recruiters

Pick from the thousands of curated job responsibilities used by the leading companies

Tailor your resume & cover letter with wording that best fits for each job you apply

Resume Builder

Resume Builder

15 Healthcare Analyst resume templates

Read our complete resume writing guides

How to Tailor Your Resume

How to Make a Resume

How to Mention Achievements

Work Experience in Resume

50+ Skills to Put on a Resume

How and Why Put Hobbies

Top 22 Fonts for Your Resume

50 Best Resume Tips

200+ Action Words to Use

Internship Resume

Killer Resume Summary

Write a Resume Objective

What to Put on a Resume

How Long Should a Resume Be

The Best Resume Format

How to List Education

CV vs. Resume: The Difference

Include Contact Information

Resume Format PDF vs Word

How to Write a Student Resume

European L / S Consumer / Healthcare Analyst Resume Examples & Samples

Clinical Healthcare Analyst Resume Examples & Samples

Healthcare Analyst Lead Resume Examples & Samples

Claims Healthcare Analyst Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

Senior Healthcare Analyst Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

Senior Healthcare Analyst Resume Examples & Samples

Coverage Healthcare Analyst Resume Examples & Samples

Informatics Healthcare Analyst Resume Examples & Samples

HY Healthcare Analyst Resume Examples & Samples

Senior Healthcare Analyst SAS Resume Examples & Samples

Senior Healthcare Analyst Resume Examples & Samples

Healthcare Analyst / Senior Analyst Resume Examples & Samples

Healthcare Analyst, Junior Resume Examples & Samples

Healthcare Analyst, Mid Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

Healthcare Analyst, Mid Resume Examples & Samples

Senior Healthcare Analyst Resume Examples & Samples

Project Healthcare Analyst Resume Examples & Samples

Innovation Healthcare Analyst Resume Examples & Samples

Senior SAS Healthcare Analyst Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

Infection Prevention & Control Healthcare Analyst Resume Examples & Samples

Healthcare Analyst, Senior Resume Examples & Samples

Healthcare Analyst, Senior Resume Examples & Samples

Healthcare Analyst, Senior Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

Healthcare Analyst Lead Resume Examples & Samples

Senior Healthcare Analyst Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

Healthcare Analyst / Excel Expert Resume Examples & Samples

Clinical / Healthcare Analyst Resume Examples & Samples

Healthcare Analyst, Senior Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

Healthcare Analyst, Senior Resume Examples & Samples

Healthcare Analyst Manager, Senior Resume Examples & Samples

Healthcare Analyst, Senior Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

Healthcare Analyst Intern Resume Examples & Samples

Healthcare Analyst Grad Intern Resume Examples & Samples

Healthcare Analyst, Lead Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

Healthcare Analyst Lead Resume Examples & Samples

Healthcare Analyst Resume Examples & Samples

How to Make
a Resume

50 Best
Resume Tips

200+ Action
Words to Use

Internship
Resume