Healthcare Business Analyst Resume Samples

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B Christiansen

Bailee

Christiansen

9450 Alta Forks

Boston

+1 (555) 717 2970

9450 Alta Forks

Boston

Phone

p +1 (555) 717 2970

Experience Experience

Chicago, IL

Healthcare Business Analyst

Chicago, IL

Kshlerin Group

Chicago, IL

Healthcare Business Analyst

Review work performed by others and provide recommendations for improvement
Assist in the development of metrics and performance tracking systems
Assign and guide the work of the developer team
Develop work plans to reach the target goals
Work on process improvement opportunities
Participating in the QA effort for configuration work performed by other analysts
Working with technical staff in the development of system solutions

Phoenix, AZ

IT Healthcare Business Analyst

Phoenix, AZ

Bayer-Waelchi

Phoenix, AZ

IT Healthcare Business Analyst

Developing project work plans
Working with users to define existing or new processes and recommend solutions and improvements
Conducting analysis of alternatives, recommendations, and data mapping Create end user training material and operational documentation
Developing detailed IT specifications of user requests for Information Technology
Documenting work flow processes
Proficient in performing data analysis, querying data bases, and utilizing SQL query tools
Creating end user training material and operational documentation

present

Boston, MA

Lead Healthcare Business Analyst

Boston, MA

Moore Inc

present

Boston, MA

Lead Healthcare Business Analyst

present

Create plans and lead the technical team-members, supporting Project Managers, to ensure that the solution architectural vision gets realized
Work with new EMRs to sandbox test work flows
Coach and mentor “High potential” HBAs to know how to create excellent documentation artifacts
Design and develop creative alternative architectural approaches wherever conventional ones are not possible
Develop and deliver at least one architectural recorded training session per quarter for other members of the Client Services organization
Installation, configuration, and working knowledge associated with Interface Engines (e.g. Cloverleaf, Mirth)
Present weekly status on technical approach, and roadblocks for new EMR connections

Education Education

Bachelor’s Degree in Health Care Administration

Temple University

Bachelor’s Degree in Health Care Administration

Skills Skills

Ability to use tools like SQL, and SAS or other comparable language to pull and summarize health data
Demonstrated attention to detail, ability to compile and analyze information, and provide resolutions or recommendations for process improvement
Basic testing knowledge
Solid Knowledge of Open XML & XML , MS Excel, MS Access
Solid Knowledge of SAS
MS Outlook, MS Word, MS Excel, MS SharePoint – strong skills
Knowledge of Healthcare domains (Medical, Pharmacy, Claims, Provider, Customer (eligibility data), Client structure, Benefits and Clinical)
Advance SQL, query writing, stored procedures, and table building
Support of and collaboration with operational teams in meeting contract deliverables
Basic understanding of Healthcare payer domain

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IT Healthcare Business Analyst Resume Examples & Samples

Working with users to define existing or new processes and recommend solutions and improvements
Serving as a liaison between users needs and the Information Technology Department
Gathering and documenting requirements and business processes as they pertain to application development and interfaces
Developing detailed IT specifications of user requests for Information Technology
Developing test plans and verify plans will accurately validate business requirements
Developing project work plans
Documenting work flow processes
Creating end user training material and operational documentation
Conducting analysis of alternatives, recommendations, and data mapping Create end user training material and operational documentation
Conducting analysis of alternatives, recommendations, and data mapping
BA/BS in Healthcare, Computer Sciences, or Business
3+ yrs exp w/ HC business applications with emphasis on the HC Delivery Life Cycle
3+ years in writing business and IT Healthcare specifications
Proficient in performing data analysis, querying data bases, and utilizing SQL query tools
Strong Excel/Powerpoint skills
Knowledge of Meditech Clinical and Financial Applications

Senior Healthcare Business Analyst Resume Examples & Samples

Minimum 5 years of previous data analyst experience
Minimum of 3 years of experience with one or more EMR software systems
Minimum of 5 years of experience in the healthcare industry, integrated with working on/managing major projects
Ability to assess a system's current state and future potential within an organization accounting for organizational vision and culture and system capability
Excellent written and verbal communication skills with all staff levels and backgrounds
Demonstrated ability to understand complex metrics of client care and the drivers of performance
Proficient with Microsoft Office Suite
Advanced MS Excel and Access skills/experience $
Experience with one or more of the following Behavioral Health Electronic Medical Records systems: Welligent, NetSmart, Celerity, Anasazi
Behavioral health experience
Healthcare analytics experience

Healthcare Business Analyst Resume Examples & Samples

Typically a Bachelor's degree in a technical or business discipline or equivalent experience and a minimum of 0-2 years of related experience
May include highly experienced individuals performing entry-level equivalent work who are non-degreed or degreed in an unrelated field
0-2 years experience
Essential: requirements determination using structured techniques for documentation, analysis; decomposition of high-level information into details; abstracting low-level information; distinguishing requests vs needs; classifying/prioritizing requirements; requirements change management and traceability; building relationships and working collaboratively; effective verbal/written communication

Healthcare Business Analyst Resume Examples & Samples

Develop a strong understanding of the commercial healthcare industry, particularly from a payer perspective
Develop a strong understanding of the HP products and services utilized in the commercial healthcare market and used at the client site
Develop strong relationships with the client based on trust and respect
Learn the client's business rational and processes in the use of HP products, constantly seeking opportunities to improve the end user experience
Identify changes to processes or systems to bring increased value to the client. Develop business case or proposal documenting your ideas
Work with the client and project team to document requirements, and develop test plans for the identified changes
Perform the coordination and communication activities with the client to bring the change to fruition
Communicate verbally and in written form to project and client leadership regarding work activities and accomplishments
Bachelor’s or Master’s degree (completed prior to start date) in a creative field of study
Passion for creativity, technology and innovation
Eager, quick learner with strong team-work spirit
Excellent oral and written English communication skills
Demonstrated problem solving abilities in a customer facing role
Prior client-facing experience
Able to perform in a fast-paced, demanding environment

Healthcare Business Analyst Resume Examples & Samples

Bachelors degree in Accounting or Finance
Minimum GPA 3.2
0-2+ years’ experience
Business analyst background working with large datasets – database experience, pulling data from multiple data sources, Microsoft Access, Microsoft Suite
Excel modeling; good with formulas, pivot data organization, and macros would be preferred
Project management focused
Good verbal and written skills

Healthcare Business Analyst Resume Examples & Samples

1 to 2 years of unclaimed property consulting or healthcare consulting or patient accounting experience preferred
Bachelors degree required, CPA a plus
Knowledge of accounting processes and/or patient accounting
Knowledge in SQL or other database platforms
Team-oriented, but can work independently if required
Strong Project Management and Communication skills

Senior Healthcare Business Analyst Resume Examples & Samples

Develop comprehensive, timely and accurate analyses, reports and presentations on utilization, leakage, risk performance, care management, and quality metrics on commercial managed care risk contracts for SHCN
Through analyses and business intelligence, produce new insights and identify opportunities to develop programs to optimize performance for commercial managed care risk contracts
Create and communicate complex financial and risk models for the purposes of valuating historical and future performance of existing managed care risk contracts
Assist with commercial product revenue forecasting
Track and evaluate key performance initiatives and metrics
Act as liaison between the Commercial Business Unit, Analytics, and Finance and Contracting teams
Subject Matter Expert related to the processing and synthesis of claims data in support of settlement operations
At the direction of the Executive Director, Commercial Accountable Care, interacts with various internal stakeholders, department heads, and physicians to educate staff related to managed care commercial risk models and performance
In-depth understanding of value-based payment models, managed care risk contracts, and ACO operations
Strong ability to translate complicated data into useable information for executive leadership teams
Proficiency in Excel, PowerPoint, SQL (Access preferred but not required)
Organizational and project management skills to manage projects through effective planning, resource allocation, and completion
Demonstrated knowledge of relationships between health plans and providers, including detailed understanding of health plan data
Possess an understanding of claims data, including ICD-10 & CPT codes, DRGs, health status, Risk Adjustment Factor (RAF), and other risk adjusters
Excellent verbal and written communication skills, outstanding interpersonal skills, and ability to relate positively with individuals at all levels of the organization
Creative, flexible, and self-motivated with sound judgment; ability to plan and implement
Ability to work independently in a matrixed environment while managing multiple deadlines simultaneously

Healthcare Business Analyst Resume Examples & Samples

Functions as a liaison between Production Technology, Account Management teams and business clients in gathering, defining and understanding client’s needs
Elicits, analyzes, validates, specifies, verifies and manages the requirements of the client
Transforms the business requirements and solution into Project Charter, Client Requirements Document (CRD) Conceptual Design Document/Functional Specifications (FSD) and Software Change Request Documents
Conducts or Participates in Joint Application Design sessions with Development and Quality Assurance Teams
Conducts the User Acceptance Test on assigned Projects/SCRs
Collaborate with Supervisor, Subject Matter Experts, Product Managers to find the best approaches to address the client’s requirements
Participates, collaborates and engages with Teams, throughout the Software Development Lifecycle to ensure correctness and quality software delivery
Ensures issues are identified, tracked, reported on and resolved in a timely manner
Demonstrates a dependable work ethic
Collaborates with supervisor to develop skills and knowledge
Performs all duties in accordance with established Company goals
These specifications are general guidelines based upon the minimum ordinarily considered essential to satisfactory performance in this position. Individual skills and abilities may result in some deviation from these guidelines
BSA must have the interviewing, facilitation, organizational, modeling and analytical skills necessary to deliver comprehensive requirements to the development staff that will be used to design the application model
BSA must be able to talk with individual and groups about their business needs and ask the right questions to develop essential requirements for the project
Knowledge of Healthcare, Insurance or Workers Compensation domain is a must
Ability to understand customer-facing challenges
Problem solving skill; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
Demonstrated accuracy and attention to detail
Strong desire to learn
Effective oral, written and communication skills
Good organizational skills and the ability to handle multiple activities with changing priorities simultaneously
Competency to utilize Company software and proficiency in Microsoft software applications and a willingness to learn new systems as necessary
Basic math and accounting skills
Ability to work independently and under strict deadlines
The incumbent must be able to perform this job safely, without endangering the health or safety of themselves or others
Typically these skills result from a Bachelor’s Degree, five or more years of work experience in Business Systems Analysis in a Healthcare environment
Work experience in any of the following business areas in Healthcare
Workers Compensation Claims or Group Health Claims/Encounters
Claims Management System
EDI, XML or ANSI X12 837 Transactions
Medical Billing
Provider Payment System
Regulatory Reporting

Healthcare Business Analyst Resume Examples & Samples

Strong BA skills - Communication and interpersonal skills
Must have worked in agile projects
Basic understanding of Healthcare payer domain
Requirement Gathering, Analysis and Documentation
Document business rules and User stories
Conduct JAD sessions

Healthcare Business Analyst Resume Examples & Samples

Knowledge of Healthcare domains (Medical, Pharmacy, Claims, Provider, Customer (eligibility data), Client structure, Benefits and Clinical)
Advance SQL, query writing, stored procedures, and table building
Solid Knowledge of SAS
Advanced Crystal (not needed for all roles)
Solid Knowledge of Open XML & XML , MS Excel, MS Access
Experience with relational databases and data warehouses
Advance analytical skills
Expert in requirements gathering
Expert in SDLC experience
Theoretical knowledge of tools used for data analysis
Basic testing knowledge
Demonstrated experience working independently with limited direction / guidance (i.e. start-up environment)
Demonstrated attention to detail, ability to compile and analyze information, and provide resolutions or recommendations for process improvement
Proven track record of working closely with IT, systems analysts, peers & end users
Minimum of 3-5 years industry experience, preferably focused in health insurance and/or health improvement

Healthcare Business Analyst Resume Examples & Samples

4+ of Healthcare Experience
4+ of Business Analyst Experience
2+ years of Facets BA Experience. - Good to have
Excellent Communication Skills to interact with various groups in the organization
Good Analytical skills
Self-initiative & Proactive
Understand functional specs and create FDD and BRD
Perform functional analyst role

Healthcare Business Analyst Resume Examples & Samples

Strong experience in Business Analysis & Health IT Consulting across Provider
Strong Healthcare BA, well versed with Meaningful Use, EMRs in preferably, Lab Ordering Systems and CCDA
Sound knowledge of workflows related to Provider, Patient Portal, Care plan management, etc
Should be well versed with HL7 standards
Well versed in Requirement Gathering and Business Process Consulting
Experience in writing requirements based on legacy application workflow
Sound knowledge about US Healthcare Regulations
Well versed with system gap analysis and able to create comprehensive analysis docs
Should have experience in data mapping
Should have experience working in onshore-offshore model
Should be well versed with Scrum and able to play the role of Product Owner
Exposure to Scrum tools

Healthcare Business Analyst, Junior Resume Examples & Samples

Bachelor’s degree in Health Care Administration, health-related field or Computer Science from an accredited university or college
Interpersonal: Ability to work well with mid-level or senior managers to understand their needs and work with IT personnel to translate the business needs into technical solutions
Team: Experience working on teams in lead position and/or as a team member
Written Communications: Experience writing technical documentation, creating graphics, editing documents and ensuring documentation quality and consistency
Ability to pass and maintain a government security investigation
Analyze current health-related business processes and the automated systems that support them to identify opportunities for improvement
Provide technical, business, management expertise, and support the Department of Health and Human Services and Centers for Medicare and Medicaid Services $CMS$ in building and maintaining a comprehensive enterprise architecture program
Use facilitation and modeling techniques to document the current environment in terms of business processes, data, systems, services, and technology infrastructure
Analyze business processes to help understand and manage the current environment, identify gaps, duplications, and redundancies and identify opportunities for improvement
Identify impacts and/or dependencies across the current and future environments

Healthcare Business Analyst Resume Examples & Samples

Experience onboarding data providers to a Health Information Exchange (HIE)
Ability to effectively communicate with senior level staff from a variety of stakeholders
Knowledge of management functions to plan, organize, direct, implement and evaluate processes to lead people and manage resources to achieve desired results
Ability to develop and maintain communications to generate feedback, monitor and evaluate information, make necessary adjustments to procedures, and program implementation
Serves as a resource in the connection of data providers to the KHIE. Activities will include liaison with multiple providers, scheduling meetings, motivating providers, aggressively seeking to meet provider’s needs, marshaling Commonwealth and Xerox resources to resolve provider concerns, establishing plans of action for each provider engagement
Assist in the analysis of data provider HL7 transactions to determine if any data translation is needed for consumption by the HIE
Provides timely information and accurate status via consistent status reports, effective and timely customer, technical support, and implementation communications, accurate project schedules/milestone reporting, and consistent and effective communications with manager and/or project/team lead. Communicates in a professional and courteous manner at all times and consistently documents all customer interactions
Supports knowledge transfer of product technology to customer
On-boarding: lead providers through successful connections to the KHIE
Internal Process Driver: ensure that On-boarding needs are met within Xerox, the Commonwealth, and partner organizations
Assist in new release specification, assisting client in problem identification and resolution
Setup users access to environment. Lotus Notes knowledge a plus
MS Outlook, MS Word, MS Excel, MS SharePoint – strong skills
Written and verbal communications – strong skills
HL7 knowledge
Lotus Notes a plus
Problem solving, time management and ability to work across functional teams

Healthcare Business Analyst Resume Examples & Samples

Coordinates executive and leadership governance committee meetings
Present reporting analysis and interpretation for operational and business review and planning
Consult and document business requirements to support client reporting needs
Develop recommended business solutions through research and analysis of data
Use your creativity and process improvement skills to expand and improve existing processes and create new ones in accordance with data governance best practices
Reporting includes running of ongoing reports as well as assistance with ad hoc reporting
Conducts some high level project management-type functions for ongoing initiatives
Health care experience strongly preferred
2-5 years of business analysis, data analysis, or reporting analysis work experience
Proficient with MS Office with advanced knowledge of Excel and working knowledge of MS Visio
Working knowledge of relational databases and database structures
Experience working with organizational leadership
Experience capturing and implementing detailed reporting
Knowledge of Data governance, Data quality activities and experience with reporting on large amounts of data while understanding the importance of meeting the deliverables
Basic knowledge of project management including managing

Healthcare Business Analyst Resume Examples & Samples

Experience configuring specific notice messages based on business rules and system triggers
Familiarity with enterprise member communications platforms
Plans and designs complex business processes and system modifications. Makes recommendations to improve and support business activities
Gathers business requirements through a variety of techniques such as work sessions and interviews. Analyzes and documents client complex business requirements and processes; communicates these requirements to appropriate parties
Creates complex test case scenarios to be used in testing; monitors/oversees the testing of business applications to verify that all client requirements are incorporated into the system design
Provides input into developing and modifying systems to meet client needs. Develops business specifications to support these modifications
Coordinates and facilitates meetings with clients to gather and document requirements and explore potential solutions
Coordinates business analyst tasks on information technology projects and provides project team member guidance and support. May plan, allocate and monitor work of other business analysts
Participates in technical reviews and inspections to verify 'intent of change' is carried through the entire project
Provides time estimates for project related tasks
Provides leadership and work guidance to less experienced personnel
Bachelor's degree in business administration, information systems, or related field preferred
Seven or more years of business analysis experience
Experience working with the interface of information technology with functional groups within an organization
Experience working with business processes and re-engineering
Experience working with computer programming concepts and basic language
Strong interpersonal skills to interact with customers and team members
Good presentation skills to present to management and customers
Good leadership skills to coordinate, oversee and lead team/project members
Good personal computer and business solutions software skills
Seven (7) or more years of overall experience with software requirements gathering and functional design
Five (5) or more years of experience eliciting and managing business and system / functional requirements in a waterfall system development lifecycle using Use Cases, Wireframes, Business Process Diagrams and Shall Statements, or other like products, for Functional and Non-Functional requirements
Three (3) years of demonstrated experience configuring notices sent to members by health plan issuers
Familiarity with technical operation of notices messaging platform(s)
Proven ability to work directly with application developers
Excellent interpersonal and relationship-building skills in a client-facing role
Prefer local residents in the Greater Capital Area District of Albany, NY

Healthcare Business Analyst Resume Examples & Samples

Plans, designs and recommends business processes to improve and support business activities
Analyzes and documents client's business requirements and processes and communicates these requirements by constructing conceptual data and process models, including data dictionaries and volume estimates from organization
Creates test scenarios and develops test plans to be used in testing the business applications in order to verify that client requirements are incorporated in to the system design. Assists in analyzing testing results throughout the project
Provides input into developing and modifying systems to meet client needs and develops business specifications to support these modifications
Facilitates meetings with clients to gather and document requirements and explore potential solutions
Assists in coordinating business analyst tasks on information technology projects and provide support to other team members
Assists in analyzing testing results in all phases
Participates in technical reviews and inspections to verify 'intent of change' is carried out through the entire project
Assists in providing time estimates for project related tasks
Assists with developing the methods and procedures required to identify whether current business goals and objectives meet organizational needs
Five or more years of business analysis experience
Interpersonal skills to interact with customers and team members
Presentation skills to present to management and customers
Personal computer and business solutions software skills

Healthcare Business Analyst Resume Examples & Samples

Collect, analyze, interpret, and summarize for internal and external customers
Demonstrated proficiency in MS Excel, Access, SQL, or other analytical applications
Design and initiate data queries and databases, using several data sources
Maintain data integrity of departmental databases and tracking systems and participate in the analysis and interpretation of data as appropriate
Maintain comprehensive knowledge of high-level functions within Collections as well as ROPS
Assist in the development of metrics and performance tracking systems
Develop and maintain automated data collection and tracking systems
Provide support to internal customers through creation, training and maintenance of Access Databases and Excel based tools
Provide analytical support to Collection Teams as requested
Assist in training/mentoring new team members on Access and Excel tools
Act as a liaison to IT when troubleshooting system outages or interruptions
Act as point of contact for planned system outages or upgrades
Provide technical expertise for all IT initiatives impacting Collections
Troubleshoot ODBC connections and database connectivity
Validate report criteria and provide QA to Team Excelsior as requested
Maintain confidentiality of all company, contract and patient information in accordance with HIPAA regulations and DaVita policies
Develop exception reports for analysis of system and individual performance
Minimum of three (3) years related analytical experience required, including but not limited to: solid data analysis experience, Project management skillls, and strong communication skills
Demonstrated strengths in organizational, attention-to-detail, follow-through, analytical reasoning, critical thinking, and problem-solving skills
Strong written, verbal, and interpersonal communication skills including ability to listen attentively and to communicate information clearly and effectively
Demonstrated ability to work well with cross-functional groups
Beginner level Oracle & Microsoft SQL coding knowledge
Beginner level Tableau Dashboard development
Demonstrated professionalism and courtesy in responding to phone calls and emails
Highly motivated and results-oriented
Strong customer service skills and commitment to service excellence
Demonstrated time management skills and ability to work independently, handle multiple priorities concurrently with shifting time frames, and meet deadlines; self-starter with high degree of initiative, urgency, and follow throug
Demonstrated ability to identify useful data to meet business needs without previously existing documentation
Adaptable to change in a fast-paced environment

Healthcare Business Analyst Resume Examples & Samples

Produce, publish and distribute scheduled and ad - hoc client and operational reports relating to the development and performance of products, processes and technologies pull from past postings for job code
Provides explanations and interpretations within area of expertise
Bachelor’s degree in Business, Finance, Health Administration, related field or equivalent work experience
2+ years of experience in business / finance including analysis experience
2+ years of experience gathering requirements from the client / business and documenting
2+ years of experience in analysis of business process and workflow and providing an evaluation, benchmark and / or process improvement recommendations
2+ years of experience with project methodology (requirements, design, development, test and implementation)
Ability to communicate analysis including trends and opportunities to clients and the business in writing and verbally
Healthcare Provider Network experience

Healthcare Business Analyst, Junior Resume Examples & Samples

6 months of experience with working in a dynamic environment and producing deliverables within tight timeframes and under pressure
Experience with presenting professional briefs and presentations to senior level management, clients, and stakeholders
Experience with consulting and technical tools, including Microsoft Office Suite and analytics
Public Trust clearance required
BA or BS degree in Biology
Knowledge of Microsoft Word, Excel, PowerPoint, and Access
Ability to work as a member of a team, be a self–motivator, and work independently
Ability to solve the most complex challenges facing the US health care industry
Possession of excellent quantitative analysis skills

Healthcare Business Analyst Resume Examples & Samples

Mine member, claims and COB data
Perform proof of concept analyses
Investigate and respond to routine or standard requests
Work on process improvement opportunities
Undergraduate degree or relevant equivalent experience
Coordination of Benefits experience (COB)
Experience writing and assessing business requirements documents
Proficient with Microsoft Excel
Ability to work projects from inception to completion
Excellent critical thinking and analytical skills
Excellent time management and prioritization skills in order to meet multiple deadlines; comfortable working in a high-paced / high production area

Healthcare Business Analyst Resume Examples & Samples

Functions as a liaison between Production Technology, Account Management teams and business clients in gathering, defining and understanding client's needs
Collaborate with Supervisor, Subject Matter Experts and Product Managers to find the best approaches to address the client's requirements
These specifications are general guidelines based upon the minimum ordinarily considered essential to satisfactory performance in this position. Individual skills and abilities may result in some deviation from these guidelines. To perform effectively in this position, the incumbent is required to have
Ability to work independently and under strict deadlines. The incumbent must be able to perform this job safely, without endangering the health or safety of themselves or others
Typically these skills result from a Bachelor's Degree, five or more years of work experience in Business Systems Analysis in a Healthcare environment
Work experience in any of the following business areas in Healthcare? Workers Compensation Claims or Group Health Claims/Encounters? Claims Management System? EDI, XML or ANSI X12 837 Transactions?
Medical Billing? Provider Payment System? Regulatory Reporting WORK ENVIRONMENT/DEMANDS OF THE POSITION: (Travel, Physical Demand, Mental Demand)? Travel: Occasional? Physical Demand: Light physical effort. For example, standing, bending, or stooping for extended periods, operating light office equipment, e.g., personal computer, copier, fax machine, etc., manually handling medium weight materials and/or equipment (0 to 10 pounds). ? Mental Demand: Moderate to high degree of concentration due to volume, complexity, and/or pressure of work. HIPAA PRIVACY COMPLIANCE STANDARDS: (All items listed below are a condition of continued employment) The incumbent will: Not use or disclose protected health information about any employee, claimant or other party in compliance with StrataCare's policies related to state or federal laws such as Health Insurance Portability and Accounting Act (HIPAA)
Use appropriate safeguards to protect the confidentiality of such information
Report to StrataCare’s management any use or disclosure of protected health information not permitted by StrataCare's policies related to state or federal laws such as HIPAA
Participate in StrataCare's training or briefings on HIPAA information as scheduled
Consult with supervisor, management or the Human Resources Department on any issues or questions about compliance under StrataCare's policies related to state or federal laws such as HIPAA

Healthcare Business Analyst Resume Examples & Samples

Gather, understand and analyze the business requirements of the clients
Document the requirements and specifications to address the client’s needs
Ensure correctness and quality software delivery
Typically, these skills result from a Bachelor's Degree, five or more years of work experience in Business Systems Analysis in a Healthcare environment
Work experience in any of the following business areas in Healthcare: Workers Compensation Claims or Group Health Claims/Encounters, Claims Management System, EDI, XML or ANSI X12 837 Transactions. Medical Billing, Provider Payment System, Regulatory Reporting WORK
Travel: Occasional
Physical Demand: Light physical effort. For example, standing, bending, or stooping for extended periods, operating light office equipment, e.g., personal computer, copier, fax machine, etc., manually handling medium weight materials and/or equipment (0 to 10 pounds)
Mental Demand: Moderate to high degree of concentration due to volume, complexity, and/or pressure of work

Healthcare Business Analyst Resume Examples & Samples

Experienced in designing and documenting business process requirements for all related business, financial, and operational systems critical to core business functions within FEP
Able to elicit, analyze, specify, and validate the business needs of project stakeholders at FEP. This may require the Business Analyst to research and analyze data in support of business functions, process knowledge, and systems requirements
Recommends additions or improvements to existing business and operational processes and procedures
BA experience in Healthcare Payer market
Experince interacting with healthcare end users
Expereince creating functional specs and test scenarios
Bachelor's degree or equivalent years of experience
3+ years of experience

Healthcare Business Analyst Resume Examples & Samples

Working directly with the customer in the elicitation and validation of business requirements
Analysis and documentation of system requirements
Working with technical staff in the development of system solutions
Development and execution of test plans/cases for system solutions
Development and configuration of solutions for new/changed benefit plan policies
Trouble shooting of issues in assigned areas
Participating in the QA effort for configuration work performed by other analysts
Support of and collaboration with operational teams in meeting contract deliverables
Typically a Bachelor's degree in a technical or business discipline or equivalent experience and a minimum of 6 years related experience or a Master's degree and a minimum of 4 years of experience
Quality Focused
Ability to comprehend technical information
Demonstrated analytical ability
Experience in medical coding and/or health care medical policy preferred
Strong user of Microsoft Office Suite – Outlook, Word, Excel
2 to 6 years experience as a Business Analyst or working in the Healthcare Industry, preferred

Healthcare Business Analyst Resume Examples & Samples

2-3 years client-facing experience, in commercial healthcare payer setting
Typically a Bachelor's degree in a technical or business discipline or equivalent experience and a minimum of 2 years of related experience or a Master's degree and up to two years of experience
2 or more years experience
Essential: requirements determination using structured techniques for documentation, analysis, evaluation/validation; decomposition of high-level information into details; abstracting low-level information; distinguishing requests vs needs; distinguishing requirements vs solutions; classifying/prioritizing requirements; requirements change management and traceability; identifying risks; applying creativity to solving complex problems; building relationships and working collaboratively; effective verbal/written communication; experience in an industry domain
Specialized: developing structured user manuals and training; business rules modeling; develop and executing acceptance test plans

Healthcare Business Analyst Resume Examples & Samples

Bachelor’s degree or equivalent work experience is preferred
Minimum of two years recent and relevant Medicaid, Medicare or large health insurance experience
Operational business unit familiarity is preferred (e.g. Managed Care, Claims, Member & Provider Relations, Other)
Strong PC skills (MS Office Tools); business objects query experience an advantage
Demonstrates experience in quality improvement, personal empowerment, diversity and teamwork
Demonstrates experience in interpreting business processes to technical team members on projects

Healthcare Business Analyst Resume Examples & Samples

Requires a BS/BA degree
5-7 years of business analysis experience that includes knowledge of systems capabilities and business operations; or any combination of education and experienced, which would provide an equivalent background
Proficiency with SQL strongly preferred
Proficient in statistical use of Microsoft Excel and Access or other general reporting tools strongly preferred

Senior Healthcare Business Analyst Resume Examples & Samples

Bachelor's degree and/or additional related experience in lieu of degree
Five (5) years of experience with Military Health Operations (Navy and/or Air Force is a plus)
Desire to learn JCIDS (Joint Capabilities Integration Development System) from requirements, analysis, documentation and approval (cradle to grave) for the acquisition process (training provided)
Secret clearance (Active)
Leadership experience with excellent customer-facing skills
Experience leading meetings with senior ranking officers
Experience in multiple governance boards and managing multiple tasks and see them through to completion
Military medical operations experience required
Lead a team supporting requirements management for military health systems
Lead meetings with senior ranking officers
Participate in multiple governance boards
Manage multiple tasks and see them through to completion
Provide your expertise in military medical operations
Provide the JCIDS acquisition process by hands-on oversight (requirements through fielding) and ownership of deliverables
Ensure the program is following JCIDS processes and requirements
Validate requirements, recommend solutions and be proactive as it pertains to the JCIDS process
Interface with customers at all levels and provide status/reports

Healthcare Business Analyst Resume Examples & Samples

Bachelors Degree in Computer Science or related field preferred or equivalent experience
Equivalent proven work experience and technical training and some college will be considered
5-7 years of Business Systems Analysis or equivalent experience
2+ years experience as BSA, BA, SA, QA, PM or related competency
3+ years experience with databases, SQL
Experience eliciting system design requirements, and creating technical design specifications
Experience developing testing plans, use cases, training plans, and leading system testing
Knowledge of Microsoft Visio, Project and Office (Word, Excel, PowerPoint and Access.)
Knowledge of commonly used concepts, practices, and procedures of Crystal Reports
Knowledge of SDLC, business analysis, and project management methodologies
Ability to facilitate dialogue across functional areas and provide consultative direction
Health insurance/health care experience a plus
Identify, analyze, and gather business requirements & develop technical specifications
Creates project documentation which may include Business Requirements Documents, AS-IS and TO-BE Process Flow and Data Flow diagrams, Solution Design Specifications, Test Plans, and Test Cases, etc

Healthcare Business Analyst Resume Examples & Samples

Researches, designs, develops operates and maintains support services for existing and new business applications and/or information systems solutions through integration of technical and business requirements per standard IT process methodology (such as ITIL and ITSM)
Includes identification, development and prioritization of support services according to business criticality
Applications and information systems solutions include both 3rd party software and internally developed applications and infrastructure
Responsibilities include, but are not limited to, analysis of business requirements, configuration of 3rd party software implementation of infrastructure solutions, creation of documentation, testing and maintenance of applications, and support and maintenance of infrastructure and information systems
Works within the Information Technology function, obtaining resources and working in support of objectives and strategies
Participates in architecture reviews to ensure that solutions comply with standards and uses approved technologies
Typical customers are end users and various functional areas such as Supply Chain, Research and Development, Marketing, Finance, a business, or the company
Strategist: Recognized authority internally and externally on leading-edge technologies, theories, or techniques
Provides innovative solutions to complex and critically sensitive issues affecting multiple disciplines and work groups
Determines and pursues courses of action essential in accomplishing objectives
Integrates advanced technology, theories or techniques that have a significant continued impact across disciplines and business units
Serves as organization spokesperson on specialized projects or programs
Bachelor's degree in Management Information Systems / Computer Science or equivalent experience and a minimum of 15 years of related experience or a Master's degree and a minimum of 12 years of experience
Leadership experience with infrastructure environments (e.g. operating system, hardware, data center, security, network, voice, end user and server / web related applications)
Leadership experience with business IT applications (e.g. supply chain, customer relationship mgmt., HR, finance)
Strong experience in scripting and / or programming language
Leadership experience with implementation, problem analysis and solutioning of infrastructure and business application environments
Master knowledge and experience with Information Technology Infrastructure Library (ITIL) Advanced Web Technologies

Healthcare Business Analyst Resume Examples & Samples

Bachelor’s Degree in Accounting, Finance, Computer Science, Engineering, or Mathematics/Statistics or equivalent work experience
4 years of related process improvement experience utilizing data analysis
Ability to use tools like SQL, and SAS or other comparable language to pull and summarize health data
Experience summarizing, parsing, and analyzing large datasets
Proficient with Microsoft Office products (includes Excel, Power Point, Word)
Familiarity with Statistical Process Control
Master’s degree in relevant field
Deep understanding of database structures

Junior Healthcare Business Analyst Resume Examples & Samples

Bachelor's degree or Master’s degree in Healthcare or a related field; Computer Science or other related degrees also acceptable
Experience or coursework in process modeling utilizing tools such as System Architect or Visio or the ability to learn business process modeling
Eligibility to obtain a Secret (US Citizenship required)
Provides business process modeling to complex military health systems
Participates in JAD sessions

Junior Healthcare Business Analyst Resume Examples & Samples

1-2 years professional work experience in a professional environment
Health Care: Knowledge and understanding of health-related areas such as Medicare and Medicaid
Analysis: Ability to collect information and study it to identify gaps, need for improvement, inconsistencies, etc
Research: Experience in searching the internet and other sources for reliable technical information on various subjects
Oral Communications: Experience in speaking to small to medium size audiences, developing presentations, collecting information via interviews
Tools: Experience using automated tools and ability to quickly learn new tools, for example, business process modeling tools
Provide technical, business, management expertise, and support the Department of Health and Human Services and Centers for Medicare and Medicaid Services (CMS) in building and maintaining a comprehensive enterprise architecture program
Work with CMS business owners to define their target goals and propose alternative business solutions
Develop work plans to reach the target goals

Healthcare Business Analyst Resume Examples & Samples

Assign and guide the work of the developer team
Onboard and mentor new developers
Allocate resources across multiple projects
Assist in the coordination of production releases
Collaborate across subsystems and with operational areas
Monitor and track operational obligations
Ensure team’s adherence to team methods and standards
Serve as customer liaison for issues, questions and status updates
Lead the design of business solutions cohesive with the current system and business design
Provide leadership on project requirements and specifications
Solid technical skills
Minimum of two years experience in Wisconsin Medicaid claim’s and benefit plan policy and system functionality
Demonstrated expertise in the area of Wisconsin Medicaid claims and benefit plan policy and system functionality
Prior experience working as developer preferred
Skilled in Microsoft Office Suite

Lead Healthcare Business Analyst Resume Examples & Samples

Work with PHM customers, focusing on getting required clinical data into the PHM platform
Lead the technical discussion during prospective client meetings, driving EMR connections towards a viable solution that best meets the requirements
Understand EMR vendor and business requirements. Create comprehensive solution architecture plans that address the current and future requirements
Evaluate possible options with internal teams as necessary (IT, Engineering, etc.). Confirm agreement on new architectural approaches with all relevant internal stakeholders (Product Management, Engineering, etc.) before sharing the proposed architecture with clients
Evaluate risks and dependencies
Able to design customer solutions that include various Transcend Insights’ products
Create plans and lead the technical team-members, supporting Project Managers, to ensure that the solution architectural vision gets realized
Work with new EMRs to sandbox test work flows
Design and develop creative alternative architectural approaches wherever conventional ones are not possible
Participate in meetings involving new EMR vendors, clinics, hospitals, HIEs and architect their solution
Serve as the Transcend Insights Technical Subject Matter Expert, and create solution architecture plans to ensure the environments adhere to Transcend Insights’ technical best practices, client requirements, sandbox testing results, and Transcend Insights’ business and strategic objectives
Build documentation including schematic diagrams, and solution architecture diagrams that accurately describe the architecture
Demonstrate and explain the architectural solution to the HBA team so they can accurately build future interfaces based on it
Re-architect existing architectures to better suit Transcend Insights’ business practices and strategic objectives (for example, EMR Hub Connection versus Individual Connection)
Train other HBAs to be able to sandbox test with new EMRs
Train other high potential HBAs to scope and architect solutions for future prospects, demonstrating how to maintain the fine balance between customer requirements, EMR capabilities, and Transcend Insights’ business objectives
Represent Transcend Insights at trade shows like HIMSS
Present weekly status on technical approach, and roadblocks for new EMR connections
Coach and mentor “High potential” HBAs to handle the most difficult customer and partner discussions
Coach and mentor “High potential” HBAs to know how to create excellent documentation artifacts
Develop and deliver at least one architectural recorded training session per quarter for other members of the Client Services organization
Cross-train to meet the needs of solution architecture, product installation, and basic configuration, and train Client Services resources to a level appropriate to their job function
Background in Healthcare – EMR/Interfaces/Hospitals/Claims
Familiarity with Linux
Installation, configuration, and working knowledge associated with Interface Engines (e.g. Cloverleaf, Mirth)
HL7 v.2, HL7 v.3, IHE Profiles (XDS.b and XCA), HIPAA and PHI policies, and their business applications
Expert working knowledge and ability to troubleshoot the following Transcend Insights product lines: HealthLogix (using HL7 v.2 and v.3 and IHE ITI profiles) and Population Health Management (ACO measures)
Expert-level ability to architect uni- and bi-directional clinical interface projects and analytics projects for population health management from the ground up
Ability to analyze engineering product support issues described within a bug-tracking system (JIRA) and provide guidance to other Client Services members in an advisory capacity, focusing on the quick resolution of the production issue and using this as a training opportunity for other team members
Ability to support Transcend Insights’ management and executives on architectural and implementation related discussions
Bachelors degree in Computer Science or equivalent experience
HL7 Training and Certification
TOGAF Training and Certification
HIPAA Training
PMP Training and Certification

Healthcare Business Analyst Resume Examples & Samples

Recognize inconsistencies and gaps in a complex business process
Facilitate scoping and requirements elicitation sessions for projects
Develop the requirements phase plan and resolves schedule, planning, resource and scope issues according to recommended practices
Estimate the impact of change requests on timelines, budgets, resources and project scope
Build, sustain, and leverage relationships with persons within his/her area of immediate responsibility when gathering, validating and approving requirements
Remain impartial in requirements discussions; confirms understanding by all parties involved when validating requirements
Impartially leads a session to prioritize requirements
Gain an understanding of the stakeholder's business culture and priorities, the need for different modeling techniques used when gathering requirements, the corporate standards for documentation, methods for prioritizing requirements and tools for tracking requirements
Work with business to develop a business case including return on investment, soft benefits and any regulatory/compliance issues
Document effectively in requirements discovery sessions and meetings
Identify sources of requirements, possible interfaces and affected lines of business
Maintain the group focus, leads the discussion toward stated goals and manages the group dynamics in facilitation requirements gathering sessions
Proficient in all areas of requirements elicitation (facilitation, process modeling, requirements documentation)
MUST have Healthcare experience

Healthcare Business Analyst Resume Examples & Samples

Healthcare experience is good to have if not then season or experienced delivery leader
P&L is not that much of a focus, cost containment and cost control experience
Heavy Duty on the Delivery side with this role

Public Sector Healthcare Business Analyst Associate Resume Examples & Samples

Transaction lifecycles of Financial, Healthcare, Federal and Product and Services products
Data and systems interactions including IT tools and technology
Actively participating in client discussions and meetings
Communicating a broad range of PwC services
Preparing concise, accurate documents Demonstrated some proven ability and success with serving as a team member by
Creating a positive environment
Respecting the work-life quality of team members
Providing candid, meaningful feedback in a timely manner