Healthcare Senior Analyst Resume Sample

4.5
14 votes

The Resume Builder

Create a Resume in Minutes with Professional Resume Templates

Cierra Wilkinson
887 Howell Lock,  Los Angeles, CA
+1 (555) 991 1303

Work Experience


Senior Healthcare Documentation Analyst
09/2016 - PRESENT
New York, NY
  • Lead process design and data analysis activities
  • Quality reporting, analysis and investigations; audits and for developing plans and programs to support continuous quality improvement using applicable tools
  • 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 99.5% or higher accuracy
  • Quality score on monthly random audits
  • Works independently with no supervision and makes decisions related to provider research issues and high profile issues
  • Works projects requested by DHCS for claim resubmissions and coordinates conference calls with providers, DHCS, and Associations
  • Develops reports and response letters on behalf of DHCS and Conduent
Senior Healthcare Economic Analyst
08/2010 - 05/2016
Phoenix, AZ
  • Manage automated response back to the providers confirming message received
  • Escalates inquiries to appropriate staff as required
  • Verify the claim for completeness
  • Assist with all other department tasks as instructed by supervisor
  • Strong analytical skills and ability to research and resolve issues
  • Perform the analysis, assessment and monitoring activities related to the detection of fraud, waste, and abuse of medical claims
  • Validate analytics for claims analysis
  • Lead projects to completion
  • Interpret and analyze claims, membership and provider data in support of risk and quality initiatives
Healthcare Senior Analyst
11/2007 - 05/2010
Los Angeles, CA
  • Lead projects to completion by contributing to database creation, statistical modeling and client reporting
  • Interpret and analyze claims, membership, and provider data in support of risk and quality initiatives
  • Lead projects to completion by contributing to database creation, statistical modeling, and client reporting
  • Contribute to meeting the team’s goals and priorities
  • Communicate consistently and effectively about your activities, progress, and issues
  • Create presentations, memoranda, and related analyses as required for projects
  • Understand Cox’s operating division strategies, industries, and competitive dynamics
  • Collaborate with Cox’s operating divisions on strategic and growth initiatives, as appropriate

Education


Kaplan University
2002 - 2007
Bachelor's Degree in Quantitative Field

Professional Skills


  • Research and analytical competence: Gather, process, assimilate, analyze, summarize, and develop insights from vast amounts of information – whether qualitative or quantitative
  • Robust analytical and critical thinking skills with strong attention to details
  • Adapt to changing assignments and balance multiple and/or conflicting priorities
  • Experience with medical terminology, medical coding or medical records
  • Experience optimizing SQL query performance
  • Health care experience working with healthcare data
  • Interpersonal flexibility: Collaborate effectively with teammates and colleagues across the company and with external resources

How to write Healthcare Senior Analyst Resume

Healthcare Senior Analyst role is responsible for finance, research, database, training, reporting, design, modeling, events, software, health.
To write great resume for healthcare senior analyst job, your resume must include:

  • Your contact information
  • Work experience
  • Education
  • Skill listing

Contact Information For Healthcare Senior Analyst Resume

The section contact information is important in your healthcare senior analyst resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

  • First and last name
  • Email
  • Telephone number

Work Experience in Your Healthcare Senior Analyst Resume

The section work experience is an essential part of your healthcare senior analyst resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous healthcare senior analyst responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular healthcare senior analyst position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions. Representative Healthcare Senior Analyst resume experience can include:

  • Minimal knowledge or demonstrated ability to learn and understand HSCRC/CMS regulations, CPT (Current Procedural Terminology), and ICD-10 coding
  • Passion for identifying opportunities and problem solving
  • Independent, self-starter who’s driven by doing new things and making an impact
  • At least an intermediate level of proficiency working with MS Excel, including formulas, calculations, charts, graphs, etc
  • At least a beginning level of proficiency working with Big Data, Hadoop, Python, NoSQL, and Hive
  • At least a beginning level of proficiency working with SSIS

Education on a Healthcare Senior Analyst Resume

Make sure to make education a priority on your healthcare senior analyst resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your healthcare senior analyst experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

  • School you graduated from
  • Major/ minor
  • Year of graduation
  • Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in Healthcare Senior Analyst Resume

When listing skills on your healthcare senior analyst resume, remember always to be honest about your level of ability. Include the Skills section after experience. Present the most important skills in your resume, there's a list of typical healthcare senior analyst skills:

  • Work effectively in a matrix work environment and to manage multiple deadline-driven tasks and projects
  • Exceptional ability to collaborate effectively with colleagues and project teams
  • Intermediate experience with power point
  • Experience with ICD 9 or ICD 10
  • Demonstrated ability to execute multiple projects
  • Curiosity and judgment: Interest in learning and exploring; ability to determine and focus on “what matters”

List of Typical Skills For a Healthcare Senior Analyst Resume

1

Skills For Senior Healthcare Documentation Analyst Resume

  • Project management: Lead or manage teams focused on the completion of specific projects or tasks, with clear definition of objectives and the steps and timing required for completion
  • Understanding of data flow and information systems of business operations
  • At least a beginning level of proficiency working with Tableau
  • Mentor and guide junior analysts, ensuring that they meet their performance goals and successfully grow their careers at Clearstate
  • At least an intermediate level of proficiency working with MS Excel
2

Skills For Senior Healthcare Economic Analyst Resume

  • Database scripting and/or software development work
  • At least an intermediate level proficiency in performing data analytics
  • Knowledge of UHC systems as well as desk top applications
  • Some exposure to SQL, SAS and/or other statistical programs
  • Intermediate level proficiency in SQL, SAS and/or other statistical programs
  • Some exposure to SQL, SAS, and/or other statistical programs
  • Intermediate level proficiency in SQL, SAS, and/or other statistical programs
3

Skills For Healthcare Information Data Analyst / Senior Resume

  • Knowledge of Medicaid health plan and payment methodology
  • Data System expertise in SAS SQL
  • 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
  • One year of progressively responsible professional financial, reimbursement, or analysis experience is required
  • Help identify and evaluate interesting strategic diversification opportunities for Cox
  • Effective verbal and written communication skills are necessary in dealing with a variety of healthcare and finance professionals including senior management staff
4

Skills For Senior Healthcare Financial Analyst Resume

  • A keen interest in and knowledge of the healthcare sector
  • Analytical ability and interest in intellectual challenges
  • Versatility, ability to think inside and outside of the box
  • The ability to work as part of a fast-paced team
  • Resourceful, entrepreneurial, commercial ability
  • Participate on and/or lead cross-functional internal teams and work streams (e.g., due diligence), including external resources, on strategic transactions or priority projects
5

Skills For Senior Healthcare Reform Process Analyst Resume

  • Develop and nurture external relationships of potential value in meeting the team’s goals
  • Whatever is necessary to complete the job – assuming it’s legal!
  • Able and willing to take initiative and work independently
  • Support Cox’s initiatives in the Atlanta venture ecosystem
  • Imagine and execute projects to improve the team’s organizational capabilities and capacity
  • Monitor and reflect upon important, impactful external trends and developments
  • Represent the company at external conferences and events
6

Skills For Healthcare Customer Care Senior Analyst Resume

  • Desire to excel in fast-paced, cross-functional, and results-oriented work environment
  • Produces and submits various reports and data submissions to external agencies. Ensures complete and accurate data capture in compliance with published regulations and deadlines for assigned hospitals
  • Works collaboratively with departments within and outside of Finance to ensure compliance with all regulatory submissions and requirements
  • Coordinates the development of educational in-services to clinical departments, CBO, IS&T and other administrative staff related to CPT, CMS and HSCRC regulations as well as charging and billing issues
  • Responsible for performing audits with a focus on accuracy, maintaining compliance with regulatory agencies, and assisting facilities with charge capture, billing, coding, clinical documentation and compliance issues
7

Skills For Senior Financial Analyst Role With Well-known Healthcare Company Resume

  • Analyzes reports to determine areas of improvement or in need of further investigation; determines appropriate plan of action and works with department to rectify any charge capture problems. Exhibits a general knowledge of hospital specific charge capture processes to be able to effectively resolve issues
  • Participates in testing and data validation during new system implementations and upgrades to existing systems
  • Provides analytical and technical support regarding hospital volume changes and helps to resolve the issues identified
  • Monitors and analyzes variances in financial, patient-level coded, and charge data to determine areas of improvement or in need of further investigation. Determines appropriate plan of action and works with departments and others to coordinate resolution of issues and identification of opportunities for improvement
  • Fulfills ad-hoc data and reporting requests as needed
  • Assists team members and management in developing, enhancing, and maintaining standard processes, reports, databases, and reference data to support accurate, consistent, efficient, and quality service to internal and external customers
8

Skills For Senior Healthcare Economic Data Analyst Resume

  • Attends and participates in in-service training and various educational programs for continuous professional development
  • Knowledge of charge master components, coding and Epic charge master description application
  • Oversee the processes to establish, maintain and continuously update and monitor the accuracy of the charge master files in various hospital and clinical systems, including oversight of annual CPT and quarterly HCPCS updates, compliance to State and Federal billing / compliance regulations
  • Knowledge and understanding of all charge processes within the organization and providing oversight to staff who assist other department managers/directors with determining chargeable services and appropriate CPT/HCPCS coding. Ensure clinical department staff comply with established charge capture and charge reconciliation policies and procedures
  • Proficient in SQL/SAS

Related to Healthcare Senior Analyst Resume Samples

Healthcare Business Analyst Resume Sample

Work Experience

  •  Hands-on experience in a business analyst role or equivalent position in the healthcare space   •  Worked in any software development life cycle or product development life cycle for a health care or non-health care company   •  Facing with clients and users to gather requirements ...
Professional Skills

  •  Strong computer skills, especially advance...
  •  Analytical skills and problem solving- exp...
  •  Excellent verbal communication skills – cl...
4.9
12 votes

Healthcare Data Analyst Resume Sample

Work Experience

  •  Perform routine and special audits of par and no-par provider claims to determine payment accuracy   •  Make recommendations regarding the accuracy of claim payments and process improvements   •  Utilize Excel and Access to launch theoretical claim queries into the system  &nb...
Professional Skills

  •  Raw technical skills include strong SQL wr...
  •  Experience in organizing and maintaining f...
  •  Experience with database querying skills u...
4.9
13 votes

Senior Consultant, Healthcare Resume Sample

Work Experience

  •  Impeccable clinical expertise with a strong understanding of care delivery and practice level workflows   •  Deep expertise in the delivery and coordination of behavioral health services   •  Recognition of the importance of social determinants of health and strategies to address t...
Professional Skills

  •  Strong interpersonal skills including coll...
  •  Strong analytical, organizational, outcome...
  •  Strong Microsoft PowerPoint skills with th...
4.8
22 votes

Health & Medical Resume Sample

Work Experience

  •  Obtains Virtual Care consent from the patient upon admission, under the direction of the Virtual Nurse, and places in the patient’s record   •  Maintain EMT certification/active RN education program/current CNA certificate   •  Actively seeks to expand knowledge through In-services...
Professional Skills

  •  Exhibits high-level communication skills a...
  •  Experience in organized healthcare system ...
  •  Women’s Health experience including
5.0
7 votes

Vision Care Resume Sample

Work Experience

  •  Designing and/or implementing insights-based marketing and communications programs for eye care professionals, customers and/or consumers   •  Demonstrated ability to understand customer’s and companies financial data, business models & profit drivers, and can evaluate sales strategies in light of...
Professional Skills

  •  Winning attitude, Customer focus, Team pla...
  •  Strong skills analyzing data using Cognos,...
  •  Excellent time management, critical thinki...
4.8
11 votes

Health Director Resume Sample

Work Experience

  •  Work usually performed in an office setting   •  Significant time engaging customers in OR theatre and hospital or lab settings   •  Develops, along with the Medical Director, departmental and team member goals and meets with team members on a periodic basis to review and assess as...
Professional Skills

  •  Strong consulting skills and ability to sh...
  •  Experience in current case or utilization ...
  •  + Proven ability to operate in a matrix or...
4.6
27 votes