Healthcare Analyst Resume Samples

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Healthcare Analysts handle medical data and help designing new approaches to healthcare delivery. These professionals write reports for senior managers, compare medical budgets, and provide assistance in customer service issues. Based on our collection of example resumes, essential skills for this role are familiarity with medical terminology, attention to details, analytical thinking, computer proficiency, database administration experience, and teamwork. Employers select resumes displaying at least a Bachelor's Degree in healthcare administration or a similar field.

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1

Healthcare Analyst

Developed and managed systems to track and trend core metrics in partnership with the Bureau of Medicine and Military Health Systems (MHS) business planning and Access to Care (ATC) directives.

  • Recovered over 1Mil in workload using Lean Six Sigma methodologies
  • Prepared and presented trend reports to the Board of Directors on target metrics including financials, productivity, utilization rates and demand studies; identified problematic data quality issues and/or ineffective practices
  • Partnered with Directors to streamline & strengthen the quality and efficiency of programs
  • Awarded "Best Practice" by Navy Medicine West for development of the TRICARE Referral Database
  • Acquisitioned, processed and ensured the completion and coding compliance of 38,000 annual outpatient Emergency Room and Same Day Surgery visits.
  • Developed and implemented tracking databases to monitor and measure command compliance and clinic processes.
  • Completed two Lean Six Sigma projects that resulted in enhanced clinic effectiveness and recouped over $600K over a six month period.
  • Managed one subordinate employee
Candidate Info
1
year in
workforce
1
year
at this job
2

Healthcare Analyst

Determined utilization, cost, and quality of health care services received under the funds' benefit plans.

  • Provided effective research and analysis to the Assistant Director of Patient Care with data support.
  • Conducted and performed population needs assessments.
  • Supported the planning and evaluation of new provider networks.
  • Responded and attended to ad hoc reports requests.
Candidate Info
13
years in
workforce
11
years
at this job
BA
Political Science
MA
Master of Arts
3

Healthcare Analyst

Participating in rotation program among 4 departments which aims to overview the company operations

  • Preformed sub-acute medical billing on timely basis for MCARE, MCAL and managed care departments
  • Fastened the revenue cycle by filtering the problem claims in MCARE department for re-billing
  • Developed excel macro to decrease the usage of man power on billing process
Candidate Info
2
years in
workforce
9
months
at this job
BS
Mathematics And Applied Science
Art, Mathematics
4

Healthcare Analyst

Generated and distributed standard reports weekly, monthly, and quarterly.

  • Documented reporting processes and procedures.
  • Created and maintained comprehensive workflows for the production and distribution of assigned reports.
  • Established and maintained timelines for reports and projects.
  • Identified and completed report enhancements and fixes.
  • Assisted and supported with completion of special projects as requested by various internal departments.
  • Supported and attended requests from regulatory agencies, contracting agencies and other external organizations.
  • Developed and prepared various ad-hoc reports.
  • EHR/Practice management implementation.
Candidate Info
10
years in
workforce
1
year
at this job
AA
Liberal Arts
BS
Management Information Systems
5

Healthcare Analyst

  • Gathered and created functional requirements, and performed Quality Assurance testing
  • Served as Project Manager for foreign programmers
  • Implemented SQL scripts and triggers for various database operations
  • Responsible for implementing and on-site training of 72 practices on the use of Practice Management Software (MedStar and DrWorks) and Electronic Health Records (iPatientCare) applications throughout the United States
  • Maintained relationships with third party vendors for integration testing
  • Provided technical support to 268 clients which included software updates, troubleshooting software, hardware, EDI, HL7, SQL and Windows related issues
  • Responsible for the design of Practice Management Software (DrWorks)
  • Provided consulting to practices on matters which entailed business operations, financial reporting and Meaningful Use
Candidate Info
14
years in
workforce
14
years
at this job
AS
Arts
BBA
Management Information Systems
6

Healthcare Analyst

  • Undertook opportunity analysis on various disease conditions to identify long and short term cost savings
  • Evaluated the effectiveness of different physician and member facing programs
  • Developed analytics for Physician Group Incentive Programs (PGIP)
  • Worked on ad-hoc reporting as and when required
  • Prepared Dashboard reports for the various initiatives implemented by the organization
  • Developed analytical plan, sourced data and undertook analysis for various program evaluation
Candidate Info
8
years in
workforce
5
years
at this job
MS
Master of Science
7

Healthcare Analyst

Analyze UB and 1500 claims to make sure they are paid correctly to the set Medicare Guidelines.

  • Correct CPT and Revenue Codes on UB and 1500 clam forms.
  • Receive and process any adjustments on commercial billing claims.
  • Follow up on claims to make sure payments are processed and posted correctly to the patients account.
Candidate Info
3
years in
workforce
9
months
at this job
8

Healthcare Analyst

Support healthcare providers increase revenue, productivity, and clinic performance through integrating technology into clinical settings.

  • Manage quality assurance and testing for cloud-based medical technology.
  • Research public health industry by conducting interviews, presentations, and webinars.
  • Generate and maintain agreement contracts, consulting frameworks, and reports for all clients.
  • Coordinate medical coding and systems analysis to improve process of claims management.
  • Gained extensive knowledge of contracting and credentialing for commercial and government insurances.
  • Initiate and execute special projects on as needed basis for immunizations, claims management.
Candidate Info
17
years in
workforce
1
year
at this job
BA
Sociology
MA
Healthcare Management
9

Healthcare Analyst

Provide support to clients during the implementation of electronic medical records.

  • Participate in go-live sessions and provide elbow support to clinicians and end users.
  • Develop curriculum and train users in an adult education environment.
  • Configure SMART tools (SmartText, SmartLink, SmartSets and SmartPhrase) for physician documentation.
  • Assist users on hyperspace navigation, home screen customization, manage in-basket, document encounters, and order entry.
  • Design clinical workflows and translate business requirements into functional requirements for developers.
  • Provide leadership and support to teams by utilizing my skills in change management, problem resolution and conflict management.
Candidate Info
21
years in
workforce
9
years
at this job
MA
Master of Arts
Business And Computing
10

Lead Healthcare Analyst

Leading the team of terminology mappers. Performing laboratory, radiology and textual report mapping of codes to LOINC through Regenstrief dictionary, using Distributed Terminology System (DTS) tool.

  • Submission of new lab tests as needed to LOINC through Regenstrief Institute.
  • Monitoring of unit of measure exceptions that come across multiple data feeds and providing resolution of the errors in a timely manner.
  • Validation of the display of patients' test results in Indiana Network for Patient Care (INPC) in collaboration with Indiana Health Information Exchange (IHIE).
  • Took responsibility for and led new initiatives including ways for increasing work efficiency and level of effort assessment.
  • Identified problems, planned and executed a resolution to improve processes in place.
  • Managing team work load while meeting time constraints and expectations.
  • Developed and implemented mapping procedures and guidelines for the team.
  • Creating monthly reports for management.
  • Interviewed candidates for the clinical terminologist position.
  • Used SQL statements to generate reports.
Candidate Info
7
years in
workforce
2
years
at this job
BS
Clinical Pathology

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