Healthcare Analyst Resume Sample
Work Experience
- Experience with federal or commercial health policy, administration, or analytics
- Responsible for analytic support for Blue Cross local, national and internal clients
- Uses databases for analysis and dissemination of information
- Performs complex analysis of data. Researches, analyzes data, applies statistical methods when appropriate, and provides interpretation of outcomes. Identifies issues to be researched, determining affected areas, estimating the impact and contributing to the resolution
- Leads teams to develop analytic approaches, measurement plans, data analysis, and report results on health care utilization, expenditures, outcomes, and benchmarks
- Works with leadership to understand and interpret the impacts to cost and quality of proposals using relevant data sources and analytic methods
- Helps drive the implementation of new products and systems by providing actionable information and recommendations that evaluate the impact of the proposed products and systems
- Formulates strategic recommendations and present findings to management and external clients
- Serves as an analytic consultant who can explain complex measurement or analysis techniques and results in layman’s terms
- Experience working with partnerships and collaborations, across sectors and with multiple partners
- Demonstrated understanding of and experience with community engagement
- Experience working on health equity issues that relate to healthy eating, physical activity, and/or tobacco use
- Knowledge of health care performance measurement
- Fluency in languages spoken by Minnesota’s immigrant communities
- Provide support to the Provider Organizations performance improvement work-groups
- Respond to ad-hoc requests from Network Management, Provider Organizations, and physician groups. The requests include, but are not limited to, claims reports, Primary Care Physician Excess Medical Revenue (EMR) reports, and regulatory reports
- Advanced skills in Microsoft Excel – create pivot tables, formatting, sorting, use v-lookups etc
- Willingness to work in a highly interactive and collegial group of analysts
- Proactively engages in professional development opportunities to continually build competencies in diversity, equity and inclusion. Apply learnings throughout work
- Knowledge of public health evaluation principles and practices
- Demonstrated analytic and problem-solving skills
- Knowledge of qualitative and quantitative research methods and data analysis techniques
- Experience working on issues in equity and inclusion
- Demonstrated intercultural competency skills and experience in cross-cultural collaboration, including comfort in discussing individual and systemic racism and its impact on community health/wellness
- Advanced experience (5+ years of experience) analyzing and modeling data involving outcomes and utilization, using various statistical software and computer programming (SAS, R, Python, SQL, Visual Basic, DB2, Oracle, etc.)
- Perform validation techniques, as well as perform and interpret a variety of statistical analyses
Education
Professional Skills
- Excellent execution skills, combined with a proven track record of managing people
- Strong SAS skills with the ability to maintain efficiency and accuracy in SAS-driven reporting
- Demonstrated analytic and problems solving skills
- Possession of excellent quantitative analytic skills, including analysis of Medicare Part A and Part B claims data
- Excellent communication, interpersonal, and writing skills required to communicate results, strategic initiatives, goals, and objectives
- Strong communication skills, including presentation to senior level internal and external audiences
- Strong analytical and problem solving skills with the ability to turn analyses into action plans
How to write Healthcare Analyst Resume
Healthcare Analyst role is responsible for microsoft, analytical, sas, programming, modeling, analytic, health, excel, database, credit.
To write great resume for healthcare analyst job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Healthcare Analyst Resume
The section contact information is important in your healthcare 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
- Telephone number
Work Experience in Your Healthcare Analyst Resume
The section work experience is an essential part of your healthcare 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 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 analyst position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Healthcare Analyst resume experience can include:
- Strong analytic skills, including the use of data to support organizational objectives
- Strong analytical ability, problem-solving skills and attention to detail
- Strong organizational and communication skills and the ability to work with others, frequently across multiple office locations
- Strong interpersonal skills to communicate with clients on an as needed basis
- Excellent computer, organization, and project management skills
- Excellent people skills, with the ability to work well with people at all levels in the organization
Education on a Healthcare Analyst Resume
Make sure to make education a priority on your healthcare 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 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 Analyst Resume
When listing skills on your healthcare 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 analyst skills:
- Serving as an effective and collaborative member of a small (5 to 7 person) team
- Liaising with internal staff and stakeholders to problem solve and generate solutions to key issues, and effective ways to complete tasks
- Experience creating queries, pulling large data sets and performing data manipulations/analysis
- Experience reporting/analytics in Clinical/Healthcare environment
- Experience in healthcare data statistics, clinical quality assessment, outcomes reporting, and care management
- Supporting meeting activities, communication, and logistics
List of Typical Experience For a Healthcare Analyst Resume
Experience For Senior Healthcare Analyst Resume
- Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review
- Demonstrated analytic and problems-solving skills
- Utilize statistical knowledge, programming techniques, and workflow management skills in data management, data analysis and outcome reporting
- Increasingly complex experience in quantifying, measuring, and analyzing healthcare data
- Experience in working with government or commercial clients and developing integrated provider and payer healthcare delivery models
- Develop methods for consistency and validity checking to ensure accurate data selection and appropriate application development
Experience For Healthcare Analyst, Senior Resume
- Experience with working in government or commercial healthcare
- Experience with government or commercial health policy, administration, or analytics
- Understanding and synthesizing data and communicating analyses into simple language for clients and other audiences
- Applying advanced Excel techniques to develop and maintain workbooks, including the use of pivots and queries
- Creating customized reports and presentation-quality data listings, summary tables, and figures
- Understanding of payment methods such as DRG, Percent of Bill, Per Diem, Outlier, RUG, HIPPS, etc
- Reporting & Analysis: Identify opportunities to improve Operational reporting, including
- Track and provide accurate information for forecasting, planning, accruing, auditing, and trending
- Works closely with Directors across Division, ensuring overall planning objectives are maximized, achieving coordination with market and outreach objectives
Experience For Clinical / Healthcare Analyst Resume
- Assist in coordinating and delivering analytics based trainings such as webinars, classroom training and podcast
- Identifies New Overpayment Opportunities by reviewing and researching the following
- Contribute to idea generation using subject matter expertise with deep understanding of industry, competitors, market landscape, and “white space”
- Provide input on the process for taking ideas through to development of prototypes for testing
- Additional projects as assigned: verify peer assignments that support audits, investigations, policymaking-decisions, and fiscal forecasting
- Supports team leadership by periodically representing analytics team in executive-level client-facing engagements
- Assists Manager in training abstractor staff and participates in the medical record IRR
Experience For Group Risk & Healthcare Analyst Resume
- Works with leadership to understand and interpret the impacts to cost and quality of proposals using relevant data sources and analytic methods
- Assist with project management responsibilities related to medical cost meeting initiatives
- Collaborate with partners and colleagues on decisions involving data collection methods and the application of appropriate statistical methods for an analysis
- Proactively and reactively create data specifications, data sets, data dictionaries, verifications of data, FAQs, job aids and training materials
- Conduct analyses for clients and draft reports explaining the results
- Collaboration with business users to determine requirements for ad-hoc reporting among various system data sources
- Create and convert reports using visualization tools such as Cognos and Tableau from user requirements and legacy reports
- Generate ad hoc report queries following requested parameters
- Manage secure handling of sensitive data through electronic/courier delivery
Experience For Healthcare Analyst, Mid Resume
- Determine the most appropriate approach for presenting results, specific to the relevant audience
- Responds to Division and Departments as customers; providing a status response to all data requests within 24-hours
- Analyze large, complex data sets and help with turning data into actionable information
- Assist with developing models to conduct detailed analyses of healthcare data (e.g., medical and pharmacy claims information)
- Contribute to drafting proposals, client deliverables, and internal communications
Experience For Principal Healthcare Analyst Resume
- Contribute towards the growth of the practice through research, product development, and marketing
- Analytical thinking and the ability to evaluate analyses for downstream impact
- Complete ad hoc analysis based on a wide variety of Star Rating data as needed
- Develop new predictive models balancing statistical rigor with efficient business application
- Assists in the building of queries and review of queries in Payment Integrity Programs
- CMS and Medicaid Claims Processing Policies
Experience For Healthcare Analyst / Excel Expert Resume
- Establish trusting professional relationships with internal senior business customers
- Participates in meetings with vendors for the medical record collection process
- Assists Manager with medical record vendor oversight
- Identifies member service gaps based on data loaded in the MHI HEDIS application
- Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application
- Works with the corporate HEDIS team to monitor accuracy of abstracted records as required by HEDIS specifications
- Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors
- Assists the QI staff with physician and member interventions and incentive efforts as needed
Experience For Innovation Healthcare Analyst Resume
- Provides data collection and report development support for Quality Improvement studies and performance improvement projects
- Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS and state audits.Search Jobs US
- Uses databases for analysis and dissemination of information
- Performs complex analysis of data. Researches, analyzes data, applies statistical methods when appropriate, and provides interpretation of outcomes. Identifies issues to be researched, determining affected areas, estimating the impact and contributing to the resolution
- Leads teams to develop analytic approaches, measurement plans, data analysis, and report results on health care utilization, expenditures, outcomes, and benchmarks
Experience For Healthcare Analyst Intern Resume
- Helps drive the implementation of new products and systems by providing actionable information and recommendations that evaluate the impact of the proposed products and systems
- Formulates strategic recommendations and present findings to management and external clients
- Serves as an analytic consultant who can explain complex measurement or analysis techniques and results in layman’s terms
- Support the production of encounter data submissions to NYSDOH/CMS as required by the respective reporting schedules. Responsibilities include reviewing data for quality and accuracy
- Document all coding, methodology and assumptions, data issues and impact to financial measures. Document development requirements, reviewing specifications, creating test plans, and reviewing user-acceptance test data
- Take ownership of cross departmental relationships such as Information Systems, Claims, Enrollment and other departments to enhance the quality of data submission
- Excellent communication skills and high levels of motivation
- Advanced skills in SAS
Experience For Healthcare Analyst Principal Resume
- Financial or analytical experience
- A relevant educational background or have the equivalent experience
- A strong commitment to integrity, professionalism and teamwork
- Participate in client and colleague discussions, focus groups, surveys to secure client-centric ideas and evidence
- Collect research and data to validate market needs, jobs-to-be done, and current trends
- Experience with federal or commercial healthcare
- Building and maintaining detailed models from scratch across the healthcare services space
List of Typical Skills For a Healthcare Analyst Resume
Skills For Senior Healthcare Analyst Resume
- Experience with MS Excel functions that include working with large data sets, creating standardized reports, utilizing v-Lookups and advanced functions/ formulas; creating, using and interpreting pivot tables, filtering and formatting
- Strong programming database skills in a Microsoft SQL Server and SAS environment required to manipulate and analyze large volumes of health care data
- Self-directed and able to multi-task as needed to complete projects. Good problem solving skills needed
- Demonstrate ability to work effectively in a team setting having diverse professional backgrounds including business, technical, and clinical knowledge
- Possession of excellent project management and leadership communication skills
- Good computer skills in Microsoft Word, Access and Excel
- Strong and efficient communication skills both oral and written. Detail oriented and well organized
- Modeling skills required for both credit application process and Quarterly Credit Watch presentations
Skills For Healthcare Analyst, Senior Resume
- Working independently with little supervision and ability to work and communicate effectively in a team environment
- Modeling skills required
- Curiosity and enthusiasm about applying their skills to improving healthcare efficiencies, outcomes, and value
- Experience prioritizing tasks and meeting important deadlines
- Experience in analyzing medical cost and utilization trends and identifying key drivers. Experience with claims or provider reimbursement
- Strong SQL and SAS programming experience
- Solid business instincts and a practical understanding of what makes companies tick and how Application Delivery and Development executives operate the channel
- Data visualization training or skills
- Effectively operationalize SCIO’s analytic and reporting services, policies and procedures
Skills For Clinical / Healthcare Analyst Resume
- Solid credit and analytical background, including at least 1 year of experience in a related role
- Possess exceptional leadership, communication and relationship building skills
- Demonstrated experience in analytic project design
- Demonstrated interest and experience in the healthcare market and health policy
- Experience with program management or patient experience improvement initiatives
- Strong project management experience and ability to handle multiple projects in a fast-paced environment
Skills For Group Risk & Healthcare Analyst Resume
- Strong project management experience and ability to handle multiple projects in a fast-paced environment
- Key data entry, detail-oriented, multi-tasking/organizational skills
- Strong experience with database tools and technologies
- Training in and a strong foundation in quantitative and qualitative research and analytic methods
- Be detail–oriented, flexible, proactive, and capable of adapting quickly to changing client priorities and responding to ad–hoc requests
- Experience designing and constructing databases for research analysis, responding to technical data requests,
- Experience in a consulting environment, including managing staff productivity and successful delivery
- Experience directly related to planning, coordinating, and evaluating health programs
- Experience using SAS (including BASE, Macros & Proc SQL)
Skills For Healthcare Analyst, Mid Resume
- Work experience with Microsoft Excel -create pivot tables, formatting, sorting, create spreadsheets with complex formulas such as ""sum"" products, v-look ups
- Work experience with Microsoft Excel -create pivot tables, formatting, sorting, create spreadsheets with complex formulas such as sum products, v look-ups
- Experience with grant writing and seeking grant funded opportunities
- Experience writing business plans, grant proposals and identifying grant funded opportunities
- Experience working with marketing and communications staff to promote external awareness of organizational services and capabilities
- Experience working within a multi-disciplinary team including researchers, research analysts, systems analysts, and programmers
- Proficiency (2 years of experience) in at least two of the following functional areas: outcomes, statistics/modeling and SAS software developments
- Experience setting up logistics for meetings or training sessions
Skills For Principal Healthcare Analyst Resume
- Experience in investment banking, corporate development, or consulting advisory role for M&A
- Academic and/or professional experience conducting statistical modeling
- SAS/SQL programming or other programming platforms experience required
- Experience working in a project team environment or managing a project team
- Knowledge and experience working with Medicaid and Medicare programs
- Experience in managing projects across multiple departments
- Experience in supporting Network Management analytical requests
- Be detail–oriented, flexible, proactive, and adapt quickly to changing client priorities and respond to ad–hoc requests
- Demonstrated knowledge of health care financing and delivery, population health, access to care, and health care claims and administrative data
Skills For Healthcare Analyst / Excel Expert Resume
- Experience with program evaluation or data analytics, including STATA or SPSS
- A strong background in investment banking
- Strong understanding of the importance of the quality assurance process
- Experience using Microsoft Office Tools (i.e. Word, Powerpoint, Excel, Access)
- Experience working with Medicare and Commercial paid claims data sets. Other applicable data sets include Census, Eligibility, and Membership data sets
- Experience working with complex data sets and analysis software tools (SAS/SQL)
- Willingness and skill to assist current coding staff with audits and audit questions
Skills For Innovation Healthcare Analyst Resume
- Experience in provider contracting analysis specifically for Medi-Cal, Cal Medi-Connect and Medicare
- Experience with conducting process improvement in a healthcare
- Experience with analytic tools, including Microsoft Excel and Access
- Experience in working with the military health system
- Experience working for a health care organization or business reliant on analytics of health care claims data
- R, SQL or similar programming/analytic experience
Skills For Healthcare Analyst Intern Resume
- Experience working directly with customers or clients
- Skilled in data manipulation, database software, spreadsheets, and analytical software including SQL (or proc SQL within SAS)
- Experience in writing for business and policy oriented audiences
- Experience with Medical Claims Processing
- Experience working with SQL Server (SSMS, SSIS, SSRS, SSAS) and/or Oracle (SQL Developer, PL/SQL)
- Experience in preparing written reports (e.g., deliverables, publications)
- Experience in working with federal clients in a consultative role
- Excel skill, ACCESS, SQL, SAS and programming in a 4th generation language
- Proven ability to manage change - Manage, lead, and enable the process of change and its impact on people, process, and technology
Skills For Healthcare Analyst Principal Resume
- Experience using various statistical software and computer programming (e. · g. · , SAS, Visual Basic, DB2, Oracle, etc.)
- Experience using various statistical software and computer programming (e.g., SAS, Visual Basic, DB2, Oracle, etc.)
- Demonstrated ability to assess accuracy of output at report level and investigate potential issues at granular level
- Project coordination and design experience
- External or internal consulting experience in a Healthcare environment
- Experience with program evaluation or data analytics
List of Typical Responsibilities For a Healthcare Analyst Resume
Responsibilities For Senior Healthcare Analyst Resume
- Communicate effectively to internal and external stakeholders
- Organization and planning: Plans, organizes, and schedules in an efficient and productive manner; focusing on key priorities and minimizing wasted time/effort
- Experience; knowledge of healthcare contracting helpful
- Work experience with Microsoft Excel -create pivot tables, formatting, sorting, create spreadsheets with complex formulas such as sum products and v look-ups
- Project coordination and design experience
- Experience with the following products and features in programming: BASE, STAT, MACRO, or SAS/SQL
- Experience in processing and statistical analysis of health care data, including medical claims, survey, and electronic medical record
- Experience with data processing and statistical analysis of healthcare data, including medical claims, survey, and electronic medical records
- Conduct outcome analyses and program evaluations to determine impact and effectiveness of consumer corporate initiatives
Responsibilities For Healthcare Analyst, Senior Resume
- Conduct examination and explanation of complex data relationships to answer questions identified by the Consumer Experience Team
- Prioritizes opportunities for improvement
- Demonstrate an exceptionally high level of organization and attention to detail
- Investigate, validate and asses new sources of data
- Experience in the data and analytics field
- Experience with Oasis, Per-diem, payment types for Home Health Care. Perfer Oasis Certification
- Working knowledge of consumer service environments and the tactics associated with improving performance
- Understanding of appropriate uses for and limitations of administrative/claims data in analysis of health care issues
Responsibilities For Clinical / Healthcare Analyst Resume
- Understanding of SQL or other databases (SAS, VB, etc.)
- Clear understanding of Billing forms, Coding rules, Revenue Codes, Therapy types, Home Infusion, Bill Types, Face to Face
- Data mining and text mining techniques
- Honesty and integrity: Doesn't cut corners ethically and does what is right (at all times), while earning trust and maintaining the confidence of their peers
- Basic financial and business acumen, including knowledge and understanding of P&L management and other financial reports
- Interest in working in fast paced, entrepreneurial environment
- Proficiency with basic statistics and management reporting
- Clients Claims Processing Policies/Systems
- Broad understanding of the current health care environment (Commercial, Medicare, Medicaid, etc.)
Responsibilities For Group Risk & Healthcare Analyst Resume
- Normal office working conditions with the absence of disagreeable elements
- Related support. Perform a variety of healthcare research and consulting
- Educate the team/company regarding daily news and current events in the healthcare industry
- A passion for helping people: A larger desire to impact the world on a broader scale and to improve the life of other people beyond their immediate lives
- Analyze patient accounts to determine whether payments have been received and posted before being reviewed by a Rep II
- Expertise in SAS, Tableau, or any other understanding of relational databases and large data structures is required
- Clearly express ideas, direction, methodology, results and recommendations both orally and in writing to peers and management
- A demonstrable interest in finance
Responsibilities For Healthcare Analyst, Mid Resume
- Contribute to early-phase value proposition, and prototypes to communicate ideas and test them with potential end users, partners, vendors
- Help define clear assumptions that need to be proved/ disproved and hypotheses that need to be tested
- Vet and manage potential third party vendors/ partners in anticipation of the need to outsource certain activities (independent customer research, freelancer designers, marketing agencies, software developers)
- Collect applicable research during prototype testing to drive next iterationsof the project that are supported by user feedback and data
- Work with Project Lead to develop prototype specification for third parties (technology suppliers, research, design and development vendors)
Responsibilities For Principal Healthcare Analyst Resume
- Develop, evolve, deploy, and manage data integration services and processes, ensuring, at all times, that data quality meet the requirements of Customers and SCIO’s business goals and objectives
- Perform daily management of health plan operations and project teams across the health care delivery system
- Perform day–to–day management of health plan operations and project teams across the healthcare delivery system
- Practice Service Excellence (Molina Texas)
- Retrieves, compiles, reviews and ensures accuracy of data from datamart and other constructed databases and researches and corrects discrepancies, as needed. Analyzes data from internal and external sources. Acts proactively to identify and fix data quality issues before reports are generated
- Participates in design and implementation of queries, reports, etc. Provides recommendations on how to analyze large data sets in an efficient and constructive manner
Responsibilities For Healthcare Analyst / Excel Expert Resume
- Creates and summarizes large volumes of data in analytical reports that include tables, graphs, statistical analyses, and qualitative and quantitative analyses. Analyzes data using SAS to create statistical outputs associated with reports. Reviews and identifies trends and variances in data and reports
- Assists in the development of reports and projects, including documenting methodology, protocols, analysis, and design. Researches, recommends and implements efficient means of data collection, maintenance and analysis
- Reviews and identifies trends and variances in data and reports. Researches findings and determines appropriateness of elevating identified issues to leadership for further review/evaluation/action
- Ensures compliance with all regulatory reporting requirements to DOH, including but not limited to, financial cost reporting
- Analyze complex opportunities to support Mayo’s business objectives. Develop a comprehensive and integrated plan/direction for health care financial analysis of opportunities with communication and collaboration with Senior Management, Mayo Clinic Health system, practice and other interested parties
Responsibilities For Innovation Healthcare Analyst Resume
- Identify/monitor cost and utilization trends and the root causes in health plan trend performance and provide recommendations for solutions
- Create and present reports to all levels of management
- Provide analytical support to Finance, Claims, Medical Management, Network and other departments using data driven decision making in support of the HF risk model
- Perform drill down analyses to identify the root causes for medical cost and utilization trend increases and decreases
- Provide analysis and recommendations for improvement of Dovetail’s operations and clinical interventions
- Design, develop and define statistical models to improve Dovetail population risk stratification process
Responsibilities For Healthcare Analyst Intern Resume
- Design, develop, interpret and present post-intervention outcomes reports for client and internal use
- Participate as a vital member of an innovative and business focused analytic team
- Monitor costs and revenue trends for hospitals and identify route cause of developing trends. Understand and analyze impacts of new program changes such as new benefits or new populations. Prepare monthly analysis for analytic council meetings
- Respond to requests for analysis and provide analytic support to network management department and our owner hospitals. Required to pull data from warehouse using Statistical Analysis System (SAS)/Structured Query Language (SQL) code and generate reports using SAS
- Managing and organizing the bi-monthly network management meetings to discuss analysis requests, inform network management on the latest financial trends, and to keep abreast of the changes occurring in our provider community
- Work on data loading for data warehouse projects
- Partner with operations managers to research and provide weekly inputs for P&L line items to be updated on routine flash forecasting calls with Finance
Responsibilities For Healthcare Analyst Principal Resume
- Keep abreast of New York and New Jersey Medicaid and Medicare reforms and their impact on the health plan and owner hospital performance
- Provide analytic services, primarily but not exclusively associated with the analysis of healthcare claims data
- Help develop and refine analytic algorithms to analyze claims
- Conduct projects as determined by clients or consultants. Be able to work independently and but also participate actively as a member of various project teams, fostering the sharing of relevant information and helping to build consensus collaboratively
- Develop a deep understanding of what Forrester clients require to be successful as Application Delivery and Development Professionals