A Quality Improvement Analyst plays a key role in consulting with administration, operations, and clinical areas across the healthcare systems mainly on operational issues including workflow, staffing, and process improvement. A well-written Quality Improvement Analyst Resume indicates the following duties and responsibilities – coordinating and facilitating quality improvement initiatives from administrative and other idea source areas; extracting and presenting information, accessing and analyzing internal information systems, and contacting other resources for achieving assigned program goals.
While the job duties vary based on the requirements of the company, the needed skills are universally common and include the following – excellent analytical skills, proficiency in verbal and written communication skills, strong PC skills, and knowledge of the product lifecycle and improvement processes. A relevant degree is a compulsory requirement for this job role. Prior work experience will be useful.
Objective : Seeking a career that will allow me to utilize a business management and analysis skill set to be cost-effective and time efficient for an organization that will harness my abilities to multi-task and engage confidently with individuals or groups at all levels of the organization.
Skills : Microsoft Office, Typing, Data Entry, Medical Terminology, Administrative Support, Administrative Assistant.
Description :
Served as a subject matter expert in the development of programs and projects that concentrates on business practices that result in improving data reliability and validity.
Led the concurrent review process that was instrumental in saving the institution millions of dollars as well as benefiting the organization's reputation and standing in hospital compare indicators.
Led abstraction of core measure data from EHR and submission of these data to CMS.
Presented outcome of core measure abstractions to leadership.
Guided the development of agency-wide education and process improvement activities, which in turn, positively impacted patient outcomes and safety.
Managed communication with governmental quality organizations to deploy and achieve optimum quality for care delivery.
Resulted in up-to-date information on best practice and knowledge management platform to be disseminated throughout the organization.
Experience
2-5 Years
Level
Junior
Education
Master Of Science
Quality Improvement Analyst Resume
Objective : Motivating leader talented at managing a virtual team, working with customers to achieve mutual goals, and analyzing data. Technically-savvy with outstanding relationship building, communication and presentation skills.
Skills : SAS, Access, Excel, Word, Database Management, Data.
Description :
Provided technical support to Georgia's Chief of Staff Office of Performance Improvement and Executive Leadership Team, administering and sustaining performance management (PM) and quality improvement (QI) initiatives.
Driven process change, focusing on enabling the workforce to achieve improvements that address priority population health concerns and strategically align to the State's four-year Health Improvement Plan.
Facilitated agency-wide strategies to ensure PM/QI efforts are developed and monitored using a database driven focus.
Designed infrastructure and sustained technical requirements, for collaborative performance tracking and data visualization tools.
Monitored and reported key performance measures and program metrics through the development of dashboards and standard technical documentation.
Developed, constructed, and deployed SharePoint solutions that support State PM/QI initiatives including, SharePoint site and subsite design, customized branding, administration, monitoring, troubleshooting, modification, enhancements, and archival activities.
Defined, architected, and implemented solutions within the SharePoint/Office 365 framework - contribute to all stages of the project lifecycles, including client-facing activities.
Experience
2-5 Years
Level
Executive
Education
Master's In Public Health
Quality Improvement Analyst Resume
Headline : Performing ongoing measurement, analysis, and monitoring of the business process and member outcomes data sets, and also Performing ongoing quantitative and statistical analysis of performance data to include HEDIS measures, service utilization, and member/provider complaint trends.
Skills : Process Improvement, Healthcare Leadership, Medical Staff Relations, Policy Administration, Human Resource Management, Quality Management, Strategic Planning, Cross Functional Team Leadership.
Description :
Accountable for identified and facilitated correction of processing and related service delivery issues.
Reviewed transactions for accuracy, completeness, and adherence to company policies and industry regulations.
Analyzed gain/loss associated with adjustment processing.
Ensured that work performed by Operations staff met quality standards by communicating processing errors to colleagues.
Generated weekly, monthly, and quarterly quality statistics of team performance which included defining, quantifying, and analyzing reasons for processing errors.
Prepared weekly reports on areas for improvement for Operations staff members.
Responsible for reviewing complex financial adjustment requests for accuracy as a result of processing errors.
Experience
5-7 Years
Level
Junior
Education
GED
Quality Improvement Analyst Resume
Headline : Developing HEDIS measures, service utilization, and all quality report extraction specifications, Developing and updating quarterly, annual, and ad hoc reports including analysis and narrative for NCQA accreditation and Health Plan deliverables.
Skills : Word, Powerpoint, Managing Skills.
Description :
Responsible for the overall management and analysis of complaints filed against the hospital staff and physicians.
Implemented Feedback Monitor Pro Complaint Management Database.
Assisted the Director of Quality Improvement in gathering and providing pertinent information to the DOH and other outside agencies when a complaint has been reported against the facility.
Created database to track complaints reported to outside agencies (i.e. DOH, OMH, CQC).
Worked closely with department chairmen and medical staff in coordinating department meetings.
Scheduled meetings, composing and distributing agendas and minutes ensuring timely delivery and receipt of important information while at the same time maintaining confidentiality.
Assisted with library services, working with medical staff and hospital personnel in conducting literature searches, locating articles, and ordering articles through Interlibrary Loan services.
Experience
5-7 Years
Level
Executive
Education
GED
Quality Improvement Analyst Resume
Summary : Quality Improvement Analyst with over 14 years of relevant clinical experience with specialization in adult and pediatric critical care; also experienced with analysis of medical information and quality improvement.
Skills : Customer Service, Documentation, Bilingual, Fast Learner, Problem Solving.
Description :
Responsible for Outsource/Vendor relations, support, and management for 2 partners supporting 200+ seats across 3 sites.
Monitored contracted centers' performance and ensured performance metrics met contractual obligations Voice of the customer and member experience survey and study development and ownership.
Reported dashboard development and communications development and delivery Performed analysis of audit data compiled by Quality Audit team.
Ability to work on multiple audit and data projects concurrently.
Led audit teams in developing Six Sigma level DMAIC project charters.
Pointed of contact for quality monitoring data analysis and monitoring compliance.
Created and ran daily, monthly, and quarterly reports on the state of the contact center for the quality department using Excel and Business Intelligence Conducts monthly leadership meetings for review board with director and management teams.
Experience
10+ Years
Level
Senior
Education
Bachelor's Of Science
Quality Improvement Analyst Resume
Objective : Hardworking, organized, Quality Improvement Analyst professional with a proven background delivering sensible business technology solutions on time and under budget while working as a team member or team leader.
Performed health service assessment of the quality control of conscious sedation processes within a pediatric burn unit.
Evaluated standards of care and identify key personnel involved in sedation processes.
Independently designed and implemented a survey instrument to identify delays in care during routine sedations of burn victims.
Mapped entire sedation processes from patient admission to patient release through in-person and telephone interviews with key stakeholders.
Synthesized micro-level flowchart including all steps, decision points, and feedback loops of conscious sedation process.
Identified three essential quality indicators that are required for successful conscious sedation of a burn victim.
Determined that the usage of a blanket consent form should be obtained at the point of admission.
Experience
2-5 Years
Level
Executive
Education
MPH In Epidemiology
Quality Improvement Analyst Resume
Summary : A resourceful leader with 19 years of experience in high-volume call centers, and processing environments. Recognizing as a proactive leader with the proven ability to identify business opportunities, formulate strategic plans, initiate change, and implement new processes in challenging and diverse environments resulting in a reduction in costs while improving operating efficiencies.
Skills : Six Sigma Green Belt, Real Estate, Banking, Project Management, Client Management.
Description :
Screened candidates during the Interviewing and hiring process to maintain/meet current and future staffing requirements for Team Leads, & Patient Care Representatives.
Provided timely reporting of third-party Microbiology Lab KPIs; trends and analyzes microbiological testing and EM data to support Management Review.
Owned and supported investigations related to environmental and utility monitoring out of limits deviations.
Provided support to external departments for the completion of investigations.
Acquired and maintained cleanroom and gowning qualification for cleanroom manufacturing areas.
Provided support to the facilitys Contamination Control Program and continuous improvement initiatives.
Supported logistics and oversight of routine and investigational samples with our third-party Microbiology and Chemistry laboratories.
Experience
10+ Years
Level
Senior
Education
Bachelor Of Science
Quality Improvement Analyst Resume
Summary : A resourceful leader with 18 years of experience in high-volume call centers, and processing environments. Recognizing as a proactive leader with the proven ability to identify business opportunities, formulate strategic plans, initiate change, and implement new processes in challenging and diverse environments resulting in a reduction in costs while improving operating efficiencies.
Skills : Microsoft Office, Data Entry.
Description :
Collaborated with the Senior Director of Special Care Pharmacy Operations in Managing Production, Staffing, Quality, Training, Incentives, and overall Business Capacity Planning to increase departmental statistics and company generated revenue.
Managed the Quality process for 6 Team Leads, & 75 Patient Care Representatives, focusing on Managed activities and deliverables of internal departments including Training, Quality Assurance, Audit Preparation, Union Negotiations, and Human Resources to ensure that relative tasks are completed and delivered correctly within specified time parameters.
Serviced a Nationwide Client/Consumer base for Specialty Pharmaceutical Benefits to ensure production goals and standards are met/surpassed for Turnaround Time, Average Speed of Answer, External/Internal Quality, & Training focusing on Client Retention.
Created Standard Operating Procedures and Job-Aids to decrease ambiguity and increase overall departmental knowledge of Special Care Pharmacy Practices to ensure Pharmaceutical Guidelines are met.
Interfaced with Site/Corporate Finance department for capacity planning to determine business needs and objectives for both short and long-term standards based on current/projected headcount.
Worked collaboratively with Direct Reports, Peers, and Upper Management to achieve common individual, departmental, and global objectives to facilitate organizational cohesion.
Familiarized with the medications in other to understand past diagnosed.
Experience
10+ Years
Level
Senior
Education
Master Of Science
Quality Improvement Analyst Resume
Objective : As a Quality Improvement Analyst Geospatial Imagery, Quality Improvement, McKesson Horizon Homecare, Call-A-Nurse, Cancer Treatment Scheduling that provides analysis, support, training, healthcare monitoring, reports processing, and conduct audits. Support systems applications and users' that; included six cities and two states.
Skills : Microsoft Word, Office 2003/2007/2010, Lotus Notes, Access, Excel, PowerPoint, SharePoint, LMS Software.
Description :
Assured call quality by translating customer satisfaction and call monitoring data into associate coaching and development processes.
Provided timely reporting on key quality metrics to members of management.
Used quality monitoring data management system to compile and track performance at team and individual levels.
Worked collaboratively with other continuous improvement analysts, trainers, and instructional design team members to design and implement appropriate new and continuing education training programs and job aids.
Participated in the design of call monitoring scorecards and quality standards in alignment with shared services key performance indicators.
Coached partner site QA's an agent improvement and calibration.
Contacted Providers office and schedule appointment for charts review Advice Provider to contact their members and schedule appointments Talk to the Doctor and educate for the QIC (Quality Improvement Compliance) Peer Review- Review their Performance Have a Report at the end for the Review Knowledge of Coding-Encounter Progress Note- Required all information pertaining to the members.
Experience
2-5 Years
Level
Executive
Education
GED
Quality Improvement Analyst Resume
Headline : Deploying and supporting all phases of organizational projects and initiatives and guiding teams and departments to successful implementation, Supporting the process for project selection, prioritization, project charter development, work plan, communication plan, and resource management.
Skills : MS Office, Analyst.
Description :
Discovered that nothing per orem (NPO) status should be indicated the night before a procedure versus in the morning.
Proposed the usage of a specification sheet of all key personnel involved in the sedation process.
Analyzed trends and recommended workflow changes and processing improvements including system enhancements.
Acted as a technical resource and recommended process improvements to management.
Served as the technological and functional subject matter expert for SharePoint solutions internally and externally.
Elicited and analyzed processes and requirements from technical and non-technical teams; Facilitating SharePoint adoption by end-users.
Led institution-wide training and education for physicians, nurses, and allied professionals to achieve quality care, to implement evidence-based practice, and comply with regulatory demands.
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