Healthcare Senior Analyst Resume Samples

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G Legros

Gonzalo

Legros

235 Wava Flat

New York

+1 (555) 707 6110

235 Wava Flat

New York

Phone

p +1 (555) 707 6110

Experience Experience

Dallas, TX

Senior Healthcare Systems Analyst

Dallas, TX

Schaefer Group

Dallas, TX

Senior Healthcare Systems Analyst

Executing the QA test cases, tracking status of the QA testing and work closely with the developer to have all issues resolved prior to implementation
Develop strategies to improve service development life cycle and governance processes
Strong working knowledge of Software life cycle, IT focused framework, system and methodology, including agile and SCRUM methodology
Assist with project planning, process & workflow analysis and documentation, including methods, processes, tasks, schedules & resource management
Serve as the liaison between business and systems analysts, developers and project management groups
Responsible for creating and designing QA test cases to support Clinical program configuration and/or the new applications or enhancements to applications owned by HCM department
Develop and deliver ad-hoc reporting following department standards. Analyzing, developing, and maintaining process, integrations and reporting using the Microsoft SQL server platform

Dallas, TX

Senior Healthcare Economic Analyst

Dallas, TX

Huels, Predovic and Gottlieb

Dallas, TX

Senior Healthcare Economic Analyst

Work with very large data sets performing data extraction, manipulation, cleaning, quality checking, and analysis
Provides management with statistical findings and conclusions
Provide management with statistical findings and conclusions
Work with Shared Services Teams to improve data assets
Collaboratively develop analytic models to evaluate financial impact of business strategies to manage pharmaceutical spend and trend
Identify potential areas for medical cost improvements and alternative pricing strategies
Create and update automated processes

present

Los Angeles, CA

Senior Healthcare Documentation Analyst

Los Angeles, CA

Kiehn, Bayer and Spencer

present

Los Angeles, CA

Senior Healthcare Documentation Analyst

present

Prioritizing & Time Management
Problem Solving & Analysis
Provides quality feedback to support and develop ILP Vendors in the interest of ongoing quality improvement
Customer retention
6% quality score on monthly random audits
Collaboration & Teamwork
Delivery of customer ready documents consistent with the standards defined in the M Modal Quality Program

Education Education

Bachelor’s Degree in Quantitative Field

Northwestern University

Bachelor’s Degree in Quantitative Field

Skills Skills

Strong analytical, problem solving and influence, conflict resolution and negotiation skills
Strong working knowledge of SQL queries and SQL SSRS
Working knowledge of SharePoint
Working knowledge of data optimization, governance, security and sensitivity
Five (plus) years’ experience in one of the following disciplines: Business analysis, Project management, Quality Analysis, improvement and process management role
Demonstrate strong verbal and written communication skills. Comfortable communicating with people at all levels of the organization
Applies innovative, creative, “out of the box” thinking to problems
Successful experience in promoting and leading change
Strong working knowledge of Software life cycle, IT focused framework, system and methodology, including agile and SCRUM methodology

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9 Healthcare Senior Analyst resume templates

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Senior Healthcare Systems Analyst Resume Examples & Samples

Work with business requirements to lead service-oriented modeling, analysis and design activities
Evaluate business requirements and prepare detailed functional and technical specifications
Communicate design to all stakeholders and varying levels of the organization
Serve as the liaison between business and systems analysts, developers and project management groups
Present and evaluate design solutions objectively and facilitate conflict resolution
Define, use and communicate design patterns and best practices in service oriented analysis, design and development
Collaborate with quality assurance team to ensure testing efforts align with system deliveries and business processes
Develop strategies to improve service development life cycle and governance processes
Develop detailed source-to-target data mapping and data transformation rules
Develop and use enterprise service and data models
This role will work on automation projects for the FACETS claim platform
Experience working with the Claims Adjudication Engine FACETS
3+ years of experience in Systems Analysis or IT Development
3+ years of experience in all phases of Software Development Life Cycle (SDLC) /System Development Life Cycle
3+ years of experience translating business requirements into a detailed system specification
Proficiency with MS Project, Word, Excel, Visio, PowerPoint
3+ years of Relational Database experience
Experience working in a healthcare environment is preferred
Experience supporting government programs like Medicare and Medicaid is preferred
Experience in EDI transactions (835, 820, 837i, 837p, 834) is preferred
Experience in supporting financial transactions in a health care setting
Experience working with test plans and test cases
Experience facilitating Joint Application Design (JAD) sessions
Experience working in an Agile environment or familiarity with Agile methodology

Senior Rfp-healthcare Contracting Analyst Resume Examples & Samples

Managing RFP requests related to rebates
Managing pharmaceutical manufacturer requests for product access
Working closely with request for proposal and underwriting team
Supporting contract redline process for pharmaceutical manufacturer specialty pharmacy contracts
Reviewing and if necessary, revising contracts
Working closely with legal and business teams to ensure accurate contract language
Establishing and maintaining strong business relationships with pharmaceutical companies and internal business partners
Participating in additional department projects as needed
Strong reading comprehension skills
Work with minimal guidance; seek guidance on only the most complex tasks
Participating in department projects as needed
2+ years healthcare RFP and / or contracting experience
2+ years experience in a network management-related role, such as contracting or provider services
Healthcare, retail pharmacy, or Pharmacy Benefit Management knowledge

Senior Healthcare Economic Analyst Resume Examples & Samples

Strong communicator in a virtual setting, able to facilitate meetings, listens to answers and translates business needs into a technical requirement
Demonstrate critical thinking, facilitating a team approach to solve technical challenges
Ability to interpretation operational and business processes into reporting solutions
Documentation and development of visual models; work-flow diagrams or wireframe prototypes of short and long term operational/strategic business processes through analysis
Develop recommended reporting solutions through research, analysis of data and business process
1 -2 years of experience working with relational databases
1 -2 years(s) of experience developing Access database solutions
Intermediate level of proficiency with PC based software programs and automated database management systems (Word, Excel, Access, PowerPoint)
Ability to problem solve, manage multiple priorities and research data gaps
Ability to transform client needs into technical business requirements
2 years of experience with process improvement, workflow visualization, benchmarking and / or evaluation of business processes
Ability to communicate analysis and identify reporting opportunities to clients
1-2 year(s) of experience in healthcare or government programs
1-2 year(s) experience gathering and documenting business requirements for clients / business workflows, system implementation or reporting solutions
1-2 years of experience working with SharePoint & Visio
Project management or knowledgeable of project management principles
Experience with MS Project

Senior Healthcare Economic Analyst Resume Examples & Samples

Provide claims, premium, capitation and membership data in support of underwriting, Actuarial and utilization analyses
Intermediate level of proficiency in performing data analytics
Ability to quickly learn and use computer software tools effectively
2+ years of health care experience intermediate level of proficiency with MS Access
Experience creating Crystal reports
Experience with Oracle / Sybase relational databases

Senior Healthcare Economic Analyst Resume Examples & Samples

Collaborates within the Medical Informatics department to develop and continue improve of methods, processes, and technologies to enhance healthcare quality, affordability, outcomes, and member / provider experience
Minimum 4+ years of experience in healthcare data analytics, preferably analyzing clinical data
Industry experience in SAS programming (PC or UNIX)
Experience analyzing very large datasets and working with relational databases
Ability to be flexible and adaptable in a fast paced environment
Must be self-motivated and detail-oriented
Research and investigate key business problems through quantitative analyses of utilization and healthcare costs data
Provide management with statistical findings and conclusions
Provides data in support of actuarial, financial and utilization analyses
2+ years of health care experience is highly preferred
Preferred Master’s Degree

Senior Healthcare Operations Analyst Resume Examples & Samples

1-3 years of experience creating SQL reports with relational databases
1-3 years in technical requirements documentation
An understanding of data driven operational metrics and process improvement
Strong analytical skills and attention to detail
Prior healthcare experience a plus

Senior Healthcare Economic Analyst Resume Examples & Samples

Bachelor’s degree in quantitative field or 7+ years of experience of relevant work experience
2+ years of professional experience programming in SAS or SQL
Professional Intermediate level of experience in Excel
Experience working with database systems
Self-motivated to prioritize work on multiple complex assignments with ongoing deadlines
Ability to be flexible and adaptable
Analysis and reporting experience in a healthcare environment

Senior Healthcare Economic Analyst Resume Examples & Samples

Provide claims, premium, capitation and membership data in support of a variety of analyses
Work with very large data sets performing data extraction, manipulation, cleaning, quality checking, and analysis
Interprets findings and prepares materials to clearly communicate results for optimal business decision-making
Provide data in support of actuarial, financial and utilization analyses
At least 1 year of experience analyzing data

Healthcare Information Data Analyst / Senior Resume Examples & Samples

Identifies complex healthcare data problems or issues, researches solutions, and implements corrective steps to achieve higher level of efficiency
Analyzes data and summarizes performance on financial and healthcare data
Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies
Creates and publishes periodic reports, as well as any necessary ad hoc reports
May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking tools
Should make recommendations based upon data analysis
Advises management of various financial models and recommendations
Collaborates with team and provides deliverables to outside departments
Works with management to provide decision support analysis
Given a task, completes necessary research, work, and follow up to complete the project with minimal supervision
Focuses on business improvement initiatives and leads and directs projects
Provides guidance to less experienced financial consultants
May require taking business issues and devising best way to develop appropriate diagnostic and/or tracking tools
May require taking business issues and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools

Senior Healthcare Economic Data Analyst Resume Examples & Samples

3+ years of data analysis
Advanced degree or equivalent experience
Understanding of predictive modeling, statistical testing, and statistical sampling

Senior Healthcare Economic Analyst Resume Examples & Samples

2+ years of experience in healthcare
2+ years of data analysis experience
2+ years of experience with claims processing or adjudication systems (Such as UNET, COSMOS, Facets, Diamond, etc. or provider billing/coding knowledge on Professional and Facility claims)
Intermediate MS Excel and PowerPoint Experience
Ability to identify payment errors regardless of the claim system by reviewing data and possessing claims coding experience

Healthcare Senior Analyst Resume Examples & Samples

Work with and lead a team of healthcare analysts to deliver multi-country projects for healthcare clients in the areas of market opportunity assessment, go-to-market strategy, customer, channel and competitive insights, and environment scanning
Conduct and coordinate primary research, analysis and strategy formulation, write reports and deliver presentations to clients
Mentor and guide analysts, ensuring that they meet their performance goals and successfully grow their careers at Clearstate
Extensive experience in delivering and managing healthcare research consulting projects
Bachelor’s or Master’s degree ideally related to healthcare or life sciences

Senior Healthcare Reform Process Analyst Resume Examples & Samples

2+ years of experience in business or financial analysis, including writing business and / or system requirements
2+ years of experience managing projects or other initiatives while effectively prioritizing tasks and deadlines
2+ years of experience documenting processes and practices
Intermediate or higher level of proficiency with Excel and Word and proficient with PowerPoint
Experience and some proficiency with SharePoint and Access
Excellent problem solving, follow-through and resolution
Excellent written and verbal communication with team members and business partners
Independent, self-starter who’s driven by doing new things and making an impact

Senior Healthcare Economic Analyst Resume Examples & Samples

Ability to navigate databases
Experience working with claims or encounter data
SQL background
Big Data experience
Oracle experience
QlikView experience

Senior Healthcare Economic Analyst Resume Examples & Samples

Basic level of proficiency with SQL programming
Intermediate level of proficiency in performing data analytics with Business Intelligence tools such as MicroStrategy or Tableau
2+ years of corporate financial or operational reporting
2+ years of health care industry reporting experience

Senior Healthcare Economic Analyst Resume Examples & Samples

Create experience tracking reports at various levels of detail, including rate-cell / regional reporting consistent with revenue reimbursement for C&S products
1+ years of work experience in a corporate setting
SAS experience

Healthcare Senior Analyst Resume Examples & Samples

Mentor and guide junior analysts, ensuring that they meet their performance goals and successfully grow their careers at
Support in market development activities such as organising client events and roadshows, creation of thought leadership content to help grow our US client base and presence
Bachelor’s or Master’s degree ideally related to business, economics, healthcare or life sciences
Exceptional command of written and spoken English, command of Spanish or Portuguese viewed favourably

Senior Healthcare Systems Analyst Resume Examples & Samples

Manage and provide oversight to clinical programs; collect requirements from appropriate business areas to design and configure clinical programs with a focus on efficiencies and consistencies across the organization
Maintain system settings, new users and role access
Serve as primary contact and conduit between clinical Healthcare Management, IT PM team and appropriate vendor(s) to ensure effective and consistent communication regarding needed enhancements, changes, issues, concerns and their prioritization
Support and maintain Master Data Services (MDS) for clinical Healthcare Management applications. Become a champion for further adaption and increase efficiency within Healthcare Management
Develop and deliver ad-hoc reporting following department standards. Analyzing, developing, and maintaining process, integrations and reporting using the Microsoft SQL server platform
Be responsible for evaluation of current systems against new business needs. Gather and document business requirements, ensure innovative, efficient solutions delivered are designed to meet business needs
Support ongoing production support. Act as the liaison between Health Care Management Department and Technology to drive closure to production issues
Research assigned data & production issues received from the business. Document and communicate: Root cause of issues and recommended solution
Detailed impact including performance, data corruptions/loss, service quality, regulatory compliance and necessity for reprocessing
Leads and facilitates discussion & decisions surrounding capabilities and efficiencies within HealthCare Management
Assists with the defining configuration requirements as it relates to HealthCare Managements applications
Assist with project planning, process & workflow analysis and documentation, including methods, processes, tasks, schedules & resource management
Responsible for creating and designing QA test cases to support Clinical program configuration and/or the new applications or enhancements to applications owned by HCM department
Executing the QA test cases, tracking status of the QA testing and work closely with the developer to have all issues resolved prior to implementation
Work with a cross functional team on analyzing, testing and make recommendations to support business modeling
Formulates and makes recommendations on standard processes related to business requirements, configuration, testing, training and implementation supporting business owned applications
Perform other related project undertakings & duties as assigned
Bachelor's Degree required or an equivalent combination of education and experience
Strong analytical, problem solving and influence, conflict resolution and negotiation skills
Strong working knowledge of relational database principles required with software packages including SQL, SQL Server Management Studio or Microsoft Office Products, such as Access and Excel
Strong working knowledge of SQL queries and SQL SSRS
Working knowledge of Reporting principles required with software packages such as SQL Server Management Studio’ SSRS/SSAS or similar Reporting Products such as Crystal Reports/BO, Strategy Companion, etc
Working knowledge of SharePoint
Working knowledge of data optimization, governance, security and sensitivity
Five (plus) years’ experience in one of the following disciplines: Business analysis, Project management, Quality Analysis, improvement and process management role
Demonstrate strong verbal and written communication skills. Comfortable communicating with people at all levels of the organization
Applies innovative, creative, “out of the box” thinking to problems
Successful experience in promoting and leading change
Strong working knowledge of Software life cycle, IT focused framework, system and methodology, including agile and SCRUM methodology
Strong working knowledge of SQL queries
Facilitate business requirement gathering and document business requirements
Design, create and execute QA test cases to support Clinical efficient programs

Senior Healthcare Economic Analyst Resume Examples & Samples

Review and validation of network optimization files
Solves moderately complex data issues and/or performs moderately complex analyses for ad hoc health plan requests
Translates concepts into practice, utilizing UHN contract guidelines and department policies and procedures
Positions in this function research and investigate key business problems through quantitative analyses of utilization and healthcare costs data
Present findings of network optimization files to health plan leadership
Analysis of revenue and medical expenses to determine root cause of potential outliers
Review financial data by analyzing results, monitoring variances and identifying trends
Completion of physician scorecards according to terms of value based contracting agreements and to be presented to the Health Plan
Perform standard Model and Scorecard peer reviews
Prepare and submit monthly accrual estimates to accounting
Decision making authority
Assists lead for market, major tasks or projects

Senior Healthcare Financial Analyst Resume Examples & Samples

Minimum of a Bachelor’s degree from an accredited college or university in Business, Finance or other related field, or an equivalent combination of education and/or experience
Minimum of five (5) years of previous business & financial analysis, planning & project management experience
Minimum of two (2) years of previous experience with decision support in the healthcare industry supporting operational departments
Strong knowledge of healthcare reimbursement and costing methodologies, service line profitability analysis and physician revenue modeling
Demonstrated expertise in the use of computers and electronic systems for data handling and transfer; and independent responsibility for health information management and data analysis, or equivalent
Extensive experience with Excel, Access or similar databases, PowerPoint, and statistical and graphing applications
Master’s degree in Health Administration, Public Health or Business Administration
Demonstrated strong oral and written communication skills including ability to write business cases and effectively articulate ideas and recommendations. Ability to effectively interact with all levels of management
Independent, proactive, and innovative problem solver who concisely provides options with recommended solution for management decision

Senior Healthcare Documentation Analyst Resume Examples & Samples

Delivery of customer ready documents consistent with the standards defined in the M*Modal Quality Program
Drive ILP Quality Improvement through quality review and feedback
Consistently meets 100% of the classification, schedule, hours, quality and production requirements of a SHDA
Identifies, interprets, evaluates, corrects, and reports inconsistencies, discrepancies, and inaccuracies in transcribed or edited reports, according to criteria and methodology set forth in the M*Modal Quality Program, including routine quality assurance (aka “fill in the blank”) and 100% quality assurance (aka “full reviews”). Document review will incorporate customer specific rules as outlined in the Client Profile
Transcription, including editing of dictated jobs processed through speech recognition technology, of medical dictation by physician and other healthcare providers, including the use of medical references, websites, quality feedback, and other educational materials to consistently ensure 99.6% or higher accuracy
Compliance to Employee Requirements
6% quality score on monthly random audits
Customer Satisfaction
Customer Retention
Provides quality feedback to support and develop ILP Vendors in the interest of ongoing quality improvement
Provide 100% quality review for all customers sent to ILP Vendors until they are released from the 100% review
Customer retention
Customer satisfaction
Employment classification – Works required hours per classification
Schedule compliance – Comply with approved schedule – Any changes must be approved by the Healthcare Documentation Services Manager
Time reporting compliance – All hours worked must be accurately reported – Employees are required to punch in at the start of each shift and out at the end of each shift and in/out during any breaks
Production compliance – For all time punched in, all employees are expected to be actively working. Production time and session time are monitored on a per pay period basis
Compliance to classification, schedule, hours worked, production
Problem Solving & Analysis
Prioritizing & Time Management
Minimum High school diploma or equivalent
Tier 3 MT with at least 90 days tenure in the role
QA submission lower than 10%
Minimum 5 years acute care transcription experience
A minimum passing score of 96% on the Senior Healthcare Documentation Analyst Certification Exam
Proficiency in advanced medical terminology
Must be comfortable with handling difficult dictators, whether caused by heavy accent, poor dictation habits, or difficult dictation environment
Highly competent in research using reference books, the Internet, or previous report reference
Must possess advanced understanding of health record content, concentration and critical thinking, high attention to detail and accuracy, excellent interpersonal and communication skills, both written and oral, with transcription staff, QA coworkers, and management
Editing skills to include correction of demographics, document format, grammar, punctuation, and medical terminology
Must have strong time management, prioritization skills, and ability to meet frequent rigid deadlines
Must have the ability to work independently and follow written and verbal instructions and to identify potentially problematic situations and record proactive resolutions
CMT certification preferred

Senior Financial Analyst Role With Well-known Healthcare Company Resume Examples & Samples

Prepare and provide accurate and timely financial statements
Calculate and measure the profitability of each location
Analyze all income statement results, budget deviations and track the performance of new locations
3 – 5 years of corporate finance experience out of a healthcare company
Bachelor’s degree in Finance or Accounting
Attention to detail, organization skills and meet tight deadlines
Proficient in Excel, Access, PowerPoint

Senior Healthcare Economic Analyst Resume Examples & Samples

Assist in the development of strategic initiatives aimed at improving the access and affordability of healthcare
Package reports for distribution in a concise, yet meaningful manner
Act as a liaison to internal and external strategy and finance teams
Mentor other analysts as needed

Senior Healthcare Economic Analyst Resume Examples & Samples

Query Healthcare data
Update reports to support trend analysis
Serve as a resource to others
Bachelor's Degree in Healthcare Administration, Actuarial Math, Statistics, Economics, or a related field
Intermediate with Microsoft Excel, PowerPoint and Access for Data Analytics
2+ year of experience working with Data Analytics
Experience working with large Data sets
Experience with SAS and/or other statistical software
SQL Coding experience

Healthcare Customer Care Senior Analyst Resume Examples & Samples

Responds to all issues regarding State Hearings
Makes recommendations regarding resolution of State Hearings
Respond to email question and comments
Escalates calls with issues requiring more in-depth research to their supervisor
Support all activity regarding provider issues received from receipt through resolution
Manage list of top ten (10) provider billing activities by ongoing contact and reporting
Acts as Expert Witness for State Hearings
Attends high profile provider meetings with DHCS and provides expert analysis