Quality Improvement Consultant Resume Sample
Ken Boyle
15783 Imogene Rue,
Phoenix,
AZ
+1 (555) 177 0121
Work Experience
Quality Improvement Consultant, Senior
09/2015
-
PRESENT
Chicago, IL
- Facilitate patients’ participation in clinical programs & identify opportunities member participation
- Define gaps in Humana’s service relationship with providers and facilitate resolution
- Successfully promote practice-patients’ participation in clinical programs - providing information on participation, Clinical Program availability/descriptions and facilitating members with program engagement
- Accurately define gaps in Humana’s service relationship with providers and facilitate resolution
- Manage key strategic initiatives and drive meaningful progress in a collaborative and constructive manner with various levels of stakeholders
- Utilize strategic interpretation of data to extract new, actionable discoveries about our members and provider partners and to provide market leaders with meaningful insights to help drive decision making
- Experience with leading improvement initiatives
- Experience with practice transformation or chronic disease improvement initiatives
- Evaluate provider current state willingness to work with Humana to improve Stars performance and tailor messaging accordingly
Quality Improvement Consultant
07/2009
-
06/2015
San Francisco, CA
- Identify key point of contact for each prioritized PCP and effectively develop / enhance provider clinical relationship across product lines. Accurately define gaps in Humana’s service relationship with providers and facilitate resolution through Service Alignment Manager (SAM)
- Deliver provider/member-specific metrics and supporting collateral (e.g., HEDIS Summary, Patient Experience, Rx Opportunity, etc.) and coach providers on improving all aspects of Stars performance
- Educate PCP’s on Stars program, changes and best practices to enhance all aspects of Stars performance
- Identify provider best practices and needs, disseminate for sharing and / or resolution
- Maintain documentation of provider visit, including focus and performance trending (Quality Journal)
- Facilitate effective collaboration and communication with workgroup members (including operations, clinical and MRA) and Stars and Quality team members
- Identify opportunities to improve Stars and Quality processes, methods, team engagement, etc. and present resolution options / cost
- Varied clinical nursing experience
Healthcare Quality Improvement Consultant
05/2003
-
01/2009
New York, NY
- Assess and influence Humana’s Medicaid healthcare quality operations strategies and tactics using in-depth analytics and knowledge of healthcare industry best practices and new innovations
- Work closely with partners in the Healthcare Quality, Reporting, and Improvement organization, the Medicaid markets, and throughout the enterprise to understand the specific needs of those partners and organizations and develop risk adjustment and quality initiatives that deliver the right behavior and interventions for our members and providers
- Develop subject matter expertise in the latest quality improvement and risk adjustment methods for Humana’s Medicaid programs and serve as a consulting resource for the needs of partners across the enterprise
- Examine and communicate trends to senior leaders regarding opportunities to improve outcomes in quality and risk adjustment
- Healthcare experience with a proven ability to make independent decisions that drive business results
- Strong understanding of healthcare policy developments; such as the Affordable Care Act, Medicaid and/or Medicare
- Comfortable defining own work priorities and timelines with limited supervision
Education
Troy University - Colorado Springs/Ft. Carson
1999 - 2003
Bachelor's Degree in Healthcare
Professional Skills
- Strong organizational, strategic and prioritization skills with ability to collaborate across multiple departments
- Excellent PC skills (including MS Office Suite)
- Prior successful account management experience
- Experience with PQRS reporting
- Previous experience managing healthcare quality improvement projects in a clinical environment
- Detail oriented, ability to work independently, prioritize work and meet deadlines
- Willing to travel 25 % locally and to Tampa when needed
How to write Quality Improvement Consultant Resume
Quality Improvement Consultant role is responsible for word, training, database, analysis, reporting, travel, power, messaging, processing, health.
To write great resume for quality improvement consultant job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Quality Improvement Consultant Resume
The section contact information is important in your quality improvement consultant 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
- Telephone number
Work Experience in Your Quality Improvement Consultant Resume
The section work experience is an essential part of your quality improvement consultant 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 quality improvement consultant responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular quality improvement consultant position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Quality Improvement Consultant resume experience can include:
- Experienced clinical background as LPN or RN
- Experience with federal agencies’ healthcare programs and initiatives
- Experience in the health care field
- Plan and participate in webinars with participating hospitals
- Teach and coach teams on process improvement at and in between learning collaborative sessions
- Support faculty participation in the learning collaborative
Education on a Quality Improvement Consultant Resume
Make sure to make education a priority on your quality improvement consultant resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your quality improvement consultant 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 Quality Improvement Consultant Resume
When listing skills on your quality improvement consultant 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 quality improvement consultant skills:
- Previous experience planning and managing medium/large scale projects
- Assist proposal teams, including writing sections, coordinating efforts, and preparing proposal submissions
- Assist with learning collaborative administration, including project timeline, contracting, and participant support
- Assist with the development of learning collaborative session content and the preparatory materials for participating hospitals (“prework”)
- Provide assistance in managing complex projects and/or producing sophisticated deliverables
- General understanding of Risk Adjustment, specifically CDPS + Rx
List of Typical Skills For a Quality Improvement Consultant Resume
1
Skills For Medicaid Quality Improvement Consultant Resume
- Implement our suite of Get With The Guidelines hospital-based quality improvement programs and our Mission: Lifeline System of Care program for heart attack patients within area hospitals and EMS agencies, and our Guideline Advantage outpatient program within area outpatient clinics
- Lead clients through implementation and training processes for our web-based technologies
- Prepare materials for training seminars and sales presentations
- Serve as a key contact for ongoing communications with clients
- Identify, cultivate and manage relationships with hospital accounts, and other key healthcare stakeholder activities with regards to quality improvement
2
Skills For Healthcare Quality Improvement Consultant Resume
- Work with clinical teams (Physicians, Nurses, Quality Improvement, EMS, etc.) on quality and process improvement initiatives, specifically with regards to heart disease and stroke
- Engage and educate the medical community with regards to our initiatives (lead regional Task Forces, conduct workshops, teleconferences, etc.)
- Work with state health departments, quality improvement organizations, health plans and other agencies to ensure that our quality improvement initiatives are key priorities within their organizations; and
- Implement our suite of Get With The Guidelines hospital-based quality improvement programs and our Mission: Lifeline Systems of Care program within area hospitals and EMS agencies, and our Target: Blood Pressure and Check, Change, Control Cholesterol campaigns within area outpatient clinics
- Work with state health departments, quality improvement organizations, health plans and other agencies to ensure that our quality improvement initiatives are key priorities within their organizations
- Certified Professional in Healthcare Quality (CPHQ) Credential or ability to obtain within one year of hire
- Familiar with the operations of the healthcare industry and healthcare delivery systems
- Successfully provide support of practice-patients’ participation in clinical programs - providing information on participation, Clinical Program as applicable (availability/descriptions and facilitating members with program engagement)
3
Skills For Quality Improvement Consultant, Senior Resume
- An active RN/LPN license in the designated state or background in healthcare with solid experience working in a medical business office doing coding and billing
- Clinical background as a RN
- Interest and ability to define and pursue understanding of a customer’s business obstacles to success and the ability to make clear solution recommendations
- Prior successful account management experience in a fast paced environment
- A strong desire to serve Humana’s underserved and vulnerable membership
- Comfortable working on new projects with limited knowledge/expertise of the content and be able to learn quickly in order to effectively manage the implementation
4
Skills For RN Quality Improvement Consultant Resume
- Demonstrated proficiency with MS Office Suite (Word, Excel, PowerPoint, Outlook, and Visio)
- Provide a designated workspace; free from distractions with the ability to secure any protected information
- 48 Hours Per Pay Period - Benefits Eligible
- 80 Hours Per Pay Period - Benefits Eligible
- 64 Hours Per Pay Period - Benefits Eligible
- Exercise independent judgement with minimal direction many times under ambiguous circumstances
- Process complex concepts and deliver in an easy to understand format
5
Skills For Quality Improvement Consultant Frontline Leader Resume
- Conduct presentations to clients and other program stakeholders
- Support in-person conference preparation and provide on-site support
- Help identify necessary changes in key technical content, measurement, and use of improvement methods in the hospital quality projects
- Assist with the management and logistics of all meetings
- Coordinate communication among all hospitals
- Develop competency in DSRIP program policy
6
Skills For Quality Improvement Consultant Resume
- Collect, analyze, and report on project related data
- Move multiple projects forward within a specific timeline and budget
- Flexible, adaptable, self-starter personality
- Prepare parts of written status reports for clients
- Serve as an internal consultant to other projects or product lines
- Work on complex IT projects and in database management systems to organize and store
- Present parts of status reports in meetings
7
Skills For Medicaid Quality Improvement Consultant Resume
- Assist with preparation of other written reports and materials for clients
- Subject matter expertise in the use of the IHI Model for Improvement in clinical environments
- Present at conferences/seminars
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