Health Operations Resume Sample
Fiona Sipes
5884 Moore Lights,
Philadelphia,
PA
+1 (555) 877 3106
Work Experience
Health Plan Operations Leader
05/2017
-
PRESENT
New York, NY
- Brand Teams across BioMeds (IHP, Alzheimer’s, Cardio, Osteo, Diabetes, and Oncology
- Participates in behavioral health program strategic development and implementation planning including process improvements, and operations management
- Participate in national and global expansion of HLI’s Health Nucleus network, as needed
- Proven solid negotiation and leadership skills
- Demonstrated experience to drive projects from the start to finish
- Exhibits ability to interface and succinctly present to senior management effectively
- Shows ability to anticipate and tie operational issues to financial outcomes in order to positively impact Health Plan's bottom line
- Knowledge of the federal, military, or commercial healthcare industry
- Answer inbound calls to provide assistance to members, providers, and/or healthcare personnel regarding coordination of care, enrollment, benefits, or claims within defined business guidelines
Electronic Health Records Operations Analyst
12/2011
-
11/2016
Detroit, MI
- Facilitate cross functional communication to all groups within Health Plan Service Operations
- Confirm requests are fully resolved and all questions are answered, ensuring member satisfaction
- Adhere to Medicare guidelines, if applicable
- IH Sales Leadership, Market Managers, DOS, DSM
- US BioMed, DBU, OBU, US & Global Commercial Operations cross functional teams
- Demonstrated ability in developing and implementing strategic initiatives
- Demonstrated ability to collaborate with and influence others
- Demonstrated ability to manage large, cross divisional projects
- Experience in managed care network development and provider relations/contracting management in a health care and/or managed care environment
Analyst, Health Plan Operations
12/2007
-
11/2011
New York, NY
- Experience in managing, directing and supervising a provider relations staff
- Work experience with medical insurance industry, especially Medicaid and Medicare Company lines of business
- Prior experience in healthcare strategic planning, project management, financial analysis, and managed care principles
- Prior experience in promoting positive business relationships, both internal and external to the business
- Experience managing multiple projects / tasks to meet contractual deadlines or other time sensitive commitments
- Demonstrated ability to anticipate and tie operational issues to financial outcomes in order to minimize unexpected hits to Health Plan’s bottom line
- Build and maintain positive working relationships with company’s current and prospective provider community to protect and enhance company’s goodwill
- Demonstrated experience working in a highly matrixed environment
Education
Buena Vista University - Mason City Campus
2003 - 2007
Bachelor's Degree in Health Care Administration
Professional Skills
- 2 – 3 years’ experience as an individual contributor; or 1 – 3 years’ experience as a Supervisor
- Experience with working in federal or commercial healthcare
- Experience working within the Healthcare Industry or Healthcare Insurance field
- Experience managing multiple projects/tasks to meet contractual deadlines or other time sensitive commitments
- Experience with health policy, administration, or analytics
- Health plan operations work experience in a call center or phone support role within the health plan or insurance industry
- Medicaid, CHIP, long term care and/or government health plan experience
How to write Health Operations Resume
Health Operations role is responsible for software, government, insurance, design, reporting, training, health, negotiation, leadership, visio.
To write great resume for health operations job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Health Operations Resume
The section contact information is important in your health operations 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 Health Operations Resume
The section work experience is an essential part of your health operations 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 health operations responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular health operations position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Health Operations resume experience can include:
- Reside within a commutable distance to Oklahoma City
- In-depth managed care health plan operations experience to include, but not limited to claims, member/provider call center, enrollment and/or eligibility, and provider operations
- MS Office Suite and Visio skills at an intermediate to advanced level
- Design and advise on databases development, data entry, carrying out data analysis using quantitative methods to produce communication products such as situation reports, bulletins, alerts, and other ad-hoc reports using standard tools and templates
- Support the HIM software developer on the development of suite of outbreak applications based on the outbreak toolbox
- Develop the weekly update on outbreaks and other public health emergencies in the region
Education on a Health Operations Resume
Make sure to make education a priority on your health operations resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your health operations 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 Health Operations Resume
When listing skills on your health operations 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 health operations skills:
- Willing to work on a flexible schedule as needed
- Driving distance to the Kansas office for meetings with the HP and State as applicable
- Driving distance to the Ohio office for meetings with the HP and State as applicable
- Develop SOPs/guidance on situation reports which include among others criteria and standards for assessing the quality of situation reports
- Develop multi-year specific disease reports as well as scientific articles on outbreaks occurring in the region
- Review, develop and/or updated country profiles for major outbreak and public health emergencies occurring in the region
List of Typical Skills For a Health Operations Resume
1
Skills For Electronic Health Records Operations Analyst Resume
- Proactively participate in outbreak and other epidemiologic investigations in emergencies in carrying out epidemiological and technical analysis using appropriate quantitative methods to interpret and analyze disease or health outcome data
- Foster a culture of collaboration toward the development and implementation of Standard Operating Procedures (SOPs) for WHO-wide tools for data collection, management and analysis of public health data in emergencies
- Critical listening and systematic thinking skills
- Maintain confidentiality and act in the company’s best interest
- Position requires ability to lift 35 pounds and travel 12-20 hours a week to perform site reviews, participate in business development or related activities. Work is indoors and outdoors
- Familiar with MS Word, Excel, PowerPoint, and computer user interfaces
- Objectives of the Programme and of the immediate Category
- Develop and provide capacity building and training to colleagues within WHO and partners, including Ministries of Health, with focus on enhancing epidemiology and information management core competencies; and stimulate collaboration with officials at the regional and national levels, to ensure a coordinated response using standardised, innovative information systems and tools
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