Healthcare Analyst Resume Samples

A Healthcare Analyst takes charge of evaluating medical data to improve the business part of the hospitals and medical facilities. A well-drafted Healthcare Analyst Resume mentions the following duties – developing and implementing effective record-keeping tasks; preparing accurate reports on the latest trends in billing and cost evaluation; researching and evaluating data from various sources to identify discrepancies; presenting and explaining status reports; recommending ways to improve healthcare quality and minimize costs; working with management and other internal departments; performing regular site visits and preparing policy guidelines and public hearing testimonies.

To succeed in this role, the analyst requires the following skills and abilities – excellent analytical and mathematical skills; good time management skills; strong knowledge of data management systems and analysis tools; and presentation skills. Employers pick resumes that mention a degree in Health Information Systems or a relevant field.

 

Healthcare Analyst Resume example

Healthcare Analyst Resume

Objective : As a Healthcare Analyst, responsible for Supporting government customers in a variety of tasks, utilizing critical thinking and analysis skills. Experience in Assisting in the development of executive-level briefs and enterprise policy documents.

Skills : Business Analysis, Healthcare, Upgrades, Claims Processing, Facets, Software, Joint Application Design, Test Scripts, Test Cases.

Description :

    1. Cleveland, OH  Project aimed at gathering requirements for the implementation of Process Reverse Engineering to make the company more efficient and modernize.
    2. Incorporated AGILE methodology to establish a business analysis by interacting SMEs and end-users.
    3. Completed a Business and Technical Requirement Document (BTRD).
    4. Developed Use Case documents using MS Visio of As-Is and To-be business.
    5. Designed and developed business flow and workflow diagrams to develop the software.
    6. Created Use case diagrams, Activity, Sequence, and Collaboration diagrams using UML.
    7. Participated in walkthroughs with the development team and QA team, to help them understand the requirements and help them formulate the test plans and test scripts on EDI 834 benefit enrollment.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
GED


Healthcare Analyst Resume

Objective : Dedicated, enthusiastic and hard-working Healthcare Analyst professional with several years' experience working within the Military Health System and collaborating with the Department of Veterans Affairs to improve health processes and outcomes for U.S. Service members, Veterans, and their families. I currently work remotely from New Orleans, LA.

Skills : MS Office, Analyst, Healthcare.

Description :

    1. Designed Compile clinical data through the use of computer-based applications and use current trends in the healthcare system to make well-informed decisions in healthcare modeling.
    2. Worked daily with vendor agencies and hospitals gathering, compiling, modeling, validating, and analyzing data needed by the company.
    3. Prepared monthly status reports, aid incorporate projects that deal with health care, compare medical budgeting to their prior analysis and assist in customer service issues.
    4. Provided reliable information for their medical staff and patients for the template in Armed Forces Health Longitudinal Technology Application (AHLTA) and Ambulatory Data Module (ADM) based on revisions/deletions to ICD-9 and ICD-10, Current Procedural Terminology (CPT), and Health Care Common Procedural Coding System (HCPCS) codes, changes in coding practices or changes in the clinic scope of practice.
    5. Developed initiatives for providing more effective health care to resolve current service issues with DRG.
    6. Successfully navigated clients through customized implementation and managed to ensure product enhancement requests along with coordinating open tickets, new reports, and product optimization.
    7. Analyzed financial and operational metrics at institution and system levels to improve collections, reduce overhead, and maximize employee efficiency.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
G.E.D


Healthcare Analyst Resume

Summary : Results motivated technical-financial Healthcare Analyst professional with over 20 years of analytical experience in industries of automotive, healthcare-healthcare management, and consumer goods. A quick learner who has highly achieved at automated reporting, identifying key business factors, pinpointing financial opportunities including cost savings, budgeting, and contractual investments.

Skills : Healthcare, Interpersonal Skills, Problem Solving Skills.

Description :

    1. Possessed and maintained a comprehensive understanding and knowledge of BCBSM business, Medicare Advantage products, CMS regulations, HEDIS and STARS programs, and basic research principles/methodologies.
    2. Assisted in the management and monitoring of multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
    3. Communicated results of the analysis to management and supporting departments via reports/presentations and assist management in implementing programs that provide solutions.
    4. Recommended, communicated, and implemented solutions to identified problems/root causes of issues.
    5. Provided expertise and guidance to the unit and corporate staff as required.
    6. Represented and participated in group or committee discussions.
    7. Coached new employees in the onboarding process.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Bachelor Of Science

Healthcare Analyst Resume

Objective : Seeking a Healthcare Analyst, responsible for Researching and evaluating data from different sources to identify emerging trends. Experience in Recommending ways to improve quality of care and patient engagement.

Skills : EMT Certified, CPR Certified, Level Firefighter II, Hazmat Operations Certified, Trench and Confined Space Certified Efficient in Office and Excel Programs. Good organizational and typing . Great personality and conversational.

Description :

    1. Responsible for developing long-term goals and strategic objectives for a DoD organization.
    2. Identified, analyzed, and monitored issues that affected growth and productivity.
    3. Recommended financial and nonfinancial strategic alternatives.
    4. Developed and maintained operational plans.
    5. Conducted assessment interviews, provided ongoing therapy and crisis intervention.
    6. Facilitated meetings, conduct interviews, and developed business cases to implement process changes, develop training materials, and instruct clients on new processes and procedures.
    7. Collaborated with other community agencies.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
GED

Healthcare Analyst Resume

Headline : Highly qualified Healthcare Analyst with experience in the industry. Enjoy creative problem solving and getting exposure on multiple projects, and I would excel in the collaborative environment on which your company prides itself.

Skills : Access, Word, Communication, Planning.

Description :

    1. Focused on data integrity validation, intensive data mining, utilization, and cost trend analysis.
    2. Identified cost drivers through benchmarking of hospital/physician financial performance trends.
    3. Developed specific recommendations for improving financial performance through network augmentation or expansion, benefit design changes, new product development, membership retention, and geographic/ethnic marketing strategies.
    4. Communicated with senior leadership and hospital partners to design, implement, and validate cost and quality incentive improvements to the existing contracts.
    5. Reported Business owner of design and adoption of web-based reporting/analytical tools for internal and external clients.
    6. Designed to include performance metrics for providers - primary care, specialists, and hospitals.
    7. Responsible for data/reporting accuracy for premium reconciliation, DRG accuracy, inpatient advances, specialist capitation, and quality incentives.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
High School Diploma

Healthcare Analyst Resume

Headline : As a Healthcare Analyst, responsible for Developing ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic and programming tools as needed, etc.

Skills : Motivated, Organizational Skills, Healthcare.

Description :

    1. Reviewed payer-related documentation for Medicare/Medicaid for accuracy and make the necessary corrections as needed.
    2. Verified insurance information and computer data entry for accuracy and completeness and resolves discrepancies as needed.
    3. Obtained clinical information needed to support payer medical necessity requirements and to support the billing process.
    4. Processed information received from intake and branch personnel.
    5. Organized and cataloged incoming documentation for the department.
    6. Facilitated communication between the branch personnel and departments. Prepares reports using MS Excel and PowerPoint.
    7. Prepared client-ready service documents as required by the Policies and Procedures Manual.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
High School Diploma

Healthcare Analyst Resume

Objective : To obtain a Healthcare Analyst with 2 years of experience in Developing and facilitating the standardization of data format, transport, and security protocols to exchange patient-controlled substance history between Prescription Drug Monitoring Programs (PDMPs) and health IT systems.

Skills : Microsoft Office, Assisting, Managing.

Description :

    1. Guided community members to adhere to the phases outlined by the S&I Framework and to develop various outputs and artifacts for each phase.
    2. Managed team to develop documents outlining pilot metrics for the Office of the National Coordinator PDMP Initiative.
    3. Collected and analyzed data for the Li-Fraumeni Exploration (LiFE) Research Consortium.
    4. Developed use case materials for the Office of the Chief Privacy Officer (OCPO) Patient Choice Initiative to document policies for HIE and Consent systems in order to enable the execution of client initiatives.
    5. Performed data analysis between the NCI Cancer Data Standards Registry and Repository (caDSR) and the NLM Common Data Elements (CDE) Repository.
    6. Enhanced strategic models and presented recommendations to improve the NLM repository- this led to significant enhancements and a 70% increase in user satisfaction.
    7. Served as liaison between Quality Utilization Management, Risk Management, and Legal Affairs Department Scheduled and Prepared for pre-trial meetings.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Bachelor Of Science

Healthcare Analyst Resume

Objective : Seeking a Healthcare Analyst with 3 years of experience in Collecting and documenting report and programming requirements from requestors to ensure appropriate creation of reports and analyses. Responsible for Using peer-to-peer review process end-user consultation to reduce report writing errors and rework.

Skills : Microsoft Office, Spreadsheets, Editing, Writing, Proposal Writing, Proposal Writing, Proposals, Proposals, Project Management, Organization.

Description :

    1. Provided epidemiologic input into development strategic plans and submissions.
    2. Provided expertise in clinical research, project monitoring, evaluation, medicine, public health issues, public health epidemiology, public health surveillance coordination, health research coordination, and analysis.
    3. HIV / AIDS, TB, Family planned, and maternal health Data analysis and reporting.
    4. Experienced Inpatient coding MS-DRG, APR-DRG, Risk of Mortality (ROM).
    5. Applied ICD-9 and/or ICD-10 inpatient codes for diagnoses and procedures (Diagnostic Related Group is automatically assigned by the grouper software) for inpatient stays.
    6. Prepared and developed reports by researching and synthesizing data from various research studies, health reports, drafts, and recommendations Data manipulation skills using database and spreadsheet applications.
    7. Worked knowledge of database applications, including extraction and querying skills.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Master In Public Health

Healthcare Analyst Resume

Objective : Seeking a Healthcare Analyst position with an outstanding career opportunity that will offer a rewarding work environment along with a winning team work.

Skills : Business Analysis, Healthcare Process Improvement, SDLC, Scrum Master, Agile Project Management, Quality Assurance Analyst, Information Technology Project Management, Healthcare IT Product Management, SQL.

Description :

    1. Provided comprehensive management services to Independent Physician Practices and Healthcare Networks.
    2. Assembled and reviewed Utilization Management and Claims data and analyze healthcare costs to assist physician groups effectively manage their practice by improving their profitability.
    3. Led special projects and targeted assignments for the senior Finance leadership team.
    4. Performed mapping and harmonization of data elements and standards between the NCI cancer Data Standards Registry and Repository (caDSR) and the Meaningful Use Common Clinical Data Sets (CCDS)- results led to updates to the NCI registry and development of a white paper for ONC.
    5. Involved in verifying EDI 834 raw data from different portals such as fax, websites, or email.
    6. Managed multiple projects, as well as meet time constraints and expectations.
    7. Supported government customers in a variety of tasks, utilizing critical thinking and analysis skills.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
Bachelors of Science

Healthcare Analyst Resume

Objective : Healthcare Analyst with 4 years of experience in Performing research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Responsible for Evaluating, writing, and presenting healthcare utilization and cost containment reports and makes recommendations based on relevant findings.

Skills : Planning, Healthcare, Communication Skills.

Description :

    1. Worked as an analyst with a focus on healthcare process improvement.
    2. Traveled to client sites weekly to analyze healthcare processes and develop procedural improvements, with the objective of reducing client spending and maximizing revenue.
    3. Focused on the revenue cycle to ensure that client business processes are functioning efficiently.
    4. Analyzed all the procedures involved and restructuring to ensure the client is meeting national standards.
    5. Worked with a team of Huron consultants, as well as with client counterparts, to achieve process improvement goals.
    6. Led internal and client meetings as needed to accomplish the necessary steps within a specified timeframe.
    7. Manipulated, cleansed, and processed internal health plan data using Excel, Access, and SQL.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
GED