Healthcare Business Analyst Resume Samples

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Healthcare Business Analysts are employed by healthcare facilities or medical billing companies in order to monitor and optimize management processes. Their duties are leveraging costs, increasing staff productivity, conducting research, and making suggestions on how to allocate resources and improve patient care standards. Those seeking to fulfill this type of role should highlight in their resumes qualifications like analytical thinking, business acumen, attention to details, communication, teamwork, and strong math skills. A degree in business administration and healthcare industry expertise are common experience on Healthcare Business Analyst example resumes.

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1

Healthcare Business Analyst

Analyzed and collected national account benefit benefit package information regarding subscriber liability and covered services such as cost-share and visit or dollar maximums on a ICD- 9 code level of detail and built requirements using custom applications such as Benefit Explainer and Benefit Editor

  • Performed ongoing quality assurance to ensure accuracy and consistency of output in the system
  • Acted as project team member on [company name] Blue Shield of Michigan's initiative to combine a local and national claims processing system into one single platform
  • Conducted user acceptance testing and data validation of web applications used to present benefit information
  • Loaded and maintained Health Care Certificates and Riders in Document Database
  • Wrote and entered SQL language in Benefits at a glance (BAAGS) chart templates
  • Generated reports and performed data validation in SMART ([company name] Blue Shield Custom App.)
  • Implemented and maintained account benefit updates in system as part of National Health Care Reform mandates.
Candidate Info
8
years in
workforce
6
years
at this job
BBA
Computer Information Systems
2

Jr. Healthcare Business Analyst, India

Worked closely with IT personnel and business partners to identify and maximize opportunities to improve products services and program business processes.

  • Reviewed, analyzed and created detailed documentation of business systems and user needs, including workflow, program functions and steps required to develop or modify application programs.
  • Assisted in developing and maintaining business & financial reports and IT work/databases which was required to support the various lines of business and specific projects.
  • Consulted with IT Personnel to determine business, functional and technical requirements for specified applications.
  • Developed effective reporting tools for the business unit and completed existing projects from original concept through final implementation
  • Organized chart-holding facilities and assisted in training staff. Assisted various projects from start to finish through the SDLC process.
  • Participated in Code Reviews, System Testing and UAT followed by production verification, post production testing and support
  • Performed internal & external reporting, cash management, cost reduction & efficiency
Candidate Info
2
years in
workforce
2
years
at this job
MA
Healthcare Administration
Finance
3

Senior Healthcare Business Analyst

  • Gathered and documented existing client processes and data using Microsoft Excel in order to perform gap analysis between client’s system and McKesson’s system in order to access client’s readiness.
  • Identified specifications for billing and accounts receivable requirements, performed gap analysis and presented information to technical team to identify system requirements.
  • Facilitated strategic meetings between Perot technical team and hospital administrators resulting in identifying key differences in clinical systems.
  • Created and designed SharePoint website to be used as project data repository for project.
  • Created new processes/procedures/guidelines to leverage data.
  • Trained all new associates which were on-boarding on how to use SharePoint website.
Candidate Info
11
years in
workforce
2
years
at this job
BS
Computer Science
4

Senior Healthcare Business Analyst / Software Development

Was the resident subject matter expert for all health-related projects. Trained as business analyst using e-
[company name]. Awarded more than $1M by DARPA over 3 consecutive years to develop a
healthcare modeling application. Won Cleveland Clinic bid to develop EMR.

  • Developed algorithm for healthcare simulation model.
  • Gathered functional, business and technical requirements using individual and group meetings.
  • Documented system functional and technical requirements.
Candidate Info
17
years in
workforce
2
years
at this job
AS
Respiratory Care
BA
Biology
MA
Information Systems
5

(intern) Healthcare Business Analyst and Project Manager

Managed Data Aggregation project for BCBSIL medical groups keeping project on schedule and on budget

  • Jr. Project Manager for IMH, HEDIS and CCM projects
  • Developed project proposal for BCBSIL HIE project to increase company revenue and capabilities
  • Developed website and marketing materials for company and client outreach
  • Developed operational processes for increase company organization, productivity and performance
Candidate Info
2
years in
workforce
5
months
at this job
BA
Liberal Arts And Sciences
MA
Operations And Health Sector Management
6

Healthcare Business Analyst

  • Researched, defined and analyzed changes to both state and federal laws affecting the Medicaid Management Information System (MMIS) for Texas Medicaid account.
  • Served as a project management analyst on multiple initiatives involving maintenance and systems changes for HIPAA implementation.
  • Researched and gathered detailed requirements and translated it into proposed systems system enhancements.
  • Completed system documentation, researched system requirements, participated in system testing and verification for HIPAA implementation.
Candidate Info
4
years in
workforce
2
years
at this job
BS
Advertising And Communications
Journalism And Broadcasting
7

Senior Healthcare Business Analyst

Served as business analyst implementing McKesson Healthcare software.

  • Gathered and documented existing client processes and data in order to perform gap analysis between client's system and McKesson's system in order to access client's readiness.
  • Identified specifications for billing and accounts receivable requirements, performed gap analysis and presented information to technical team to identify system requirements.
  • Facilitated strategic meetings between Perot technical team and hospital administrators resulting in identifying key differences in clinical systems.
  • Defined, designed and created initial specifications for SharePoint website to be used as project data repository for project.
  • Created and designed custom webpages on SharePoint to maximize storage on SharePoint website.
  • Created new processes/procedures/guidelines to leverage data.
  • Trained all new associates on SharePoint website.
  • Completed Perot's Project Management class. Utilized Project Management Institute (PMI) methodology.
Candidate Info
16
years in
workforce
2
years
at this job
BS
Computer Science
8

Healthcare Business Analyst

Analyzes Medicare business processes and translates to business requirements for users within Medicare Operations.

  • Works closely with business users to define requirements, prioritize issues, and address production support issues.
  • Coordinates and facilitates work sessions with Medicare Operations users and IT development to define projects' scope and requirements and manage project expectations.
  • Acts as liaison between the users and the IT development team to determine and deliver the most effective solution for development and implementation including preparing detailed business requirements documents.
  • Develops implementation and testing plans and assists in coordinating testing.
  • Performs user acceptance testing to ensure system integrity before release to production
  • Participates in driving the success of the software design, implementation, testing, production deployment and post-production phases of the Medicare tool.
Candidate Info
17
years in
workforce
6
years
at this job
BS
Computer Science
MBA
Finance
9

IT Healthcare Business Analyst/developer

  • Served as the Applications developer developing the solutions agreed upon by Business.
  • Performed Vulnerability Analysis and Deep Dive analysis of the application to find out vulnerable areas and to strengthen them by offering solutions.
  • Provided post implementation support and performed root cause analysis and fixed post implementation issues.
  • Participated in IT Audits and made sure all the project artifacts were available whenever required to produce them.
Candidate Info
3
years in
workforce
2
years
at this job
BE
Computer Science
MS
Software Engineering
10

Healthcare Business Analyst

  • Reported to and worked directly with the CIO.
  • Researched the progression of the national Beacon Project, in regards to the adoption of Health Information Exchanges for San Diego and Riverside County area medical facilities.
  • Assessed how Planned Parenthood Southwest could benefit in partnering with this program.
Candidate Info
13
years in
workforce
4
months
at this job
BS
Sociology
MS
Counseling Psychology
Implementation Support Specialist

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