Healthcare Analytics Resume Sample
Beryl Hermiston
18145 Nels Point,
San Francisco,
CA
+1 (555) 296 8246
Work Experience
Manager, Healthcare Analytics
07/2015
-
PRESENT
Los Angeles, CA
- Review other writers’ proposal material, making recommendations for content and improvement
- Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners’ (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer
- Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Related experience or equivalent combination of transferable experience and education. This includes
- Experience with analytics and inferential statistics
- Experience writing SQL or SAS code or related code
- Experience manipulating data in Excel
- Manage tasks independently, take ownership of responsibilities, and meet deadlines
Healthcare Analytics Consultant
05/2011
-
06/2015
Chicago, IL
- Proficient use of applicable software programs, including Microsoft Office
- Travel if necessary to meet business demands
- Provide analysis and recommendations to support Sales in the acquisition and retention of employer groups
- Analyze and interpret the needs of functional business areas and create insights to satisfy requests
- Develop rapport and credibility with business stakeholders utilizing strong verbal and written communication skills
- Responsible for ensuring the integrity of the claims/encounter data so that it is current, complete, and processed accurately through the organization’s systems/tools
- Research, analyze, and make appropriate corrections to erroneous claims for the encounter data submission to all contracted health plans
Cost of Healthcare Analytics Summer Intern
07/2008
-
04/2011
Houston, TX
- Experience validating, manipulating, analyzing, and interpreting information from highly technical areas (e.g. medical informatics, service delivery and finance) to make effective cost and process decisions resulting in increased satisfaction and retention
- Experience working with cross functional teams within and outside an organization
- Experience with web-based reporting tools (MBI), analytic software packages (Tableau) and programming languages (SAS/SQL)
- Advanced Excel skills (ability to create and use pivot tables, macros and formulas)
- Supervisory experience required
- Demonstrated high level of expertise with Medicaid data analytics using SQL or similar tools
- Health care coding desirable
- Outstanding ability to work in a fast paced and high energy position
Education
Brown University
2003 - 2008
Bachelor's Degree in Engineering
Professional Skills
- Strong analytical skills and evidence of creative, proactive problem solving
- Demonstrable analytical skills and strong Excel abilities (including VBA)
- Apply problem solving skills to help solve critical business issues and engage with business areas to impact results
- Advanced Microsoft Office skills – Excel, MS Access and PowerPoint
- Deliver on analytical solutions in Healthcare leveraging deep business understanding and analytical expertise. Program management and prioritization
- Experience with Big Data and Cloud Computing frameworks, including Hadoop or Spark
- Experience with advanced analytics, statistical modeling, or machine learning
How to write Healthcare Analytics Resume
Healthcare Analytics role is responsible for excel, advanced, analysis, finance, database, reporting, design, research, insurance, travel.
To write great resume for healthcare analytics job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Healthcare Analytics Resume
The section contact information is important in your healthcare analytics 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 Analytics Resume
The section work experience is an essential part of your healthcare analytics 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 analytics 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 analytics position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Healthcare Analytics resume experience can include:
- Demonstrates excellent analytical, mathematical and problem-solving skills
- Strong technical skillset to identify, define, and analyze various data sets
- Experience in business intelligence development. Strong experience with BI tools, data extraction, data manipulation and analysis (SQL Queries)
- Effectively communicate among internal and external parties to address any issues, concerns, and/or barriers
- Strong experience with BI tools, data extraction, data manipulation and analysis (SQL)
- Basic skills with SQL
Education on a Healthcare Analytics Resume
Make sure to make education a priority on your healthcare analytics resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your healthcare analytics 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 Analytics Resume
When listing skills on your healthcare analytics 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 analytics skills:
- Demonstrate experience in quantifying, measuring and analyzing financial and utilization metrics of healthcare
- Strong Data Analysis experience working with healthcare data
- Checking and validation of peers’ work product and results
- Experience of working on complex engagements, mentoring and coaching junior staff to maximise performance
- Experience of analytics packages including Programming in R or Python and visualisation packages including Tableau, Qlikview, Power BI or Spotfire
- Be a good data story teller with understanding of how visualizations can aid understanding
List of Typical Experience For a Healthcare Analytics Resume
1
Experience For Healthcare Analytics Consultant Resume
- Experience with building analytically focused software solutions
- Experience selling analytic products or services to healthcare organizations
- Experience with analytics in data warehouse environment
- Identify key client trends, issues and opportunities and assist in formulating strategies to improve customer experience
- Knowledge and experience work with EMR data
- Performing analytical investigations in support of customer service optimization and making initial recommendations
- Developing an annual GTM business plan for healthcare analytics services
- Developing client-specific solutions based on client business needs
- Supporting product development with concepts for new Milliman tools based on market needs
2
Experience For Manager, Healthcare Analytics Resume
- Managing relationships with client accounts
- Data mining, developing predictive models and conducting data experiments to verify assumptions and hypothesis
- Create actionable financial projections, decision support models, and financial reporting for new and evolving products, programs and initiatives
- Work with other departments and clearing houses to improve processes and reduce the encounter errors
- Develops trending reports, dashboards, and analytics packages using the full range of functionality available through MemorialCare’s business intelligence suite of tools in order to present a clear picture of the current encounter submission state
- Collaborate with IT and business units to advance the company’s reporting capabilities and improve accuracy of data
- Designs custom analyses using tools like Excel, Tableau, SAS, R, or ZS' proprietary software
- Ensures messaging and market position are appropriately communicated and understood by the market
- Knowledge of statistical programming languages such as R or SAS
3
Experience For Director, Cost of Healthcare Analytics Resume
- Highly adept at data querying languages
- Provide analytical support for Joint Venture contract negotiations and on-going analytical support for active Joint Venture relationships
- Works with other team members to develop solutions that are high performance, rapid response time, and as close to real-time as possible
- Use visuals/infographics to tell the data story
- Understand and define data requirements for various data sources in support of analytics team initiatives
- Extract, analyze and use data to build analysis, metrics and business cases to support decision-making using various sources including Hadoop, SQL Server, and flat files
- Work with our stakeholders to design and implement new analytics solutions, including reports and dashboards
- Provide ad hoc information and insights support to key stakeholders
4
Experience For Supervisor, Healthcare Analytics Resume
- Experience in business intelligence and/or statistical analysis with quantitative measurement skills. Strong experience with BI tools, data extraction, data manipulation and analysis (SQL Queries)
- Provides input on cross-functional teams to gather and integrate evaluations of customers’ environments, performance evaluations, performance problems and potential alternatives in support of growth and retention
- Validates, analyzes, and interprets information from highly technical areas (e.g. medical informatics, service delivery and finance) to make effective cost and process decision resulting in increased satisfaction and retention
- Conducts analysis and provides input to customized evaluations, which include the identification, interpretation and communication of overall account performance against known benchmarks (including new information from Intellimedix and Care Management Sources) and account specific expectations
- Supports external stakeholders in development and implementation of analytic solutions
- Conducting data mining and predictive analysis with basic and advanced statistical techniques, using statistical software packages (e.g., SAS, R) and programming languages
5
Experience For Healthcare Analytics Business Analyst Resume
- Visualizing data and communicating complex information to technical and non-technical audiences
- Be the thought leader in the focus area, the go to person for internal teams, Generate knowledge sharing trends in the team, participate in developing white papers & share new trends in analytics with colleagues, evolve one’s own opinion on the concepts
- Develop strategic working relationships with clients
- Perform health care and/or health policy focused quantitative and qualitative research and analysis to review data and achieve measureable outcomes for clients
- Assist in determining business and/or customer needs by effectively conducting interviews and leveraging various tools and analytical methods; summarize findings in a coherent manner to develop and propose appropriate solutions
- Research, develop and document reporting and dashboard design standards and best practices
6
Experience For Senior Financial Healthcare Analytics & Affordability Consultant Resume
- Analyze, understand, interpret and explain sometimes complex medical trends
- Identify claim trend drivers and recommend strategies to reduce future claim trends
- Evaluate impact of business and/or environmental changes on our historical/projected claims
- Create reports and visual dashboards to monitor risk
- Define and complete analyses to uncover trend drivers
- Determine data needs based on task at hand
- Develop creative solutions when data availability or integrity is a concern
- Pull and manipulate data from several data sources
7
Experience For Senior Healthcare Analytics Manager Resume
- Create meaningful exhibits, dashboards, and presentations to summarize findings
- Present findings to manager as well as senior leadership
- Draws conclusions and takes necessary actions
- Travel ~5% to markets as needed
- Daily management of Healthcare Analytics team
- Allocate new report/project requests (workload distribution)
- Coordinates with Health Plan departments to meet data analysis and database development needs
- Reviews, evaluates, and improved Company business logic and data sources
8
Experience For Analyst, Healthcare Analytics Resume
- Reviews Health Plan analyst work products to ensure accuracy and clarity
- Represents Healthcare Analytics department in cross-departmental and operational meetings
- Interfaces and maintains positive interactions with Health Plan and Corporate personnel
- Management Health Plan Encounter workflow process
- Coordinate with plan departments to meet their data analysis and database development needs
9
Experience For Director of Healthcare Analytics Resume
- Review, evaluate and improve company business logic and data sources
- Review health plan analyst work product to ensure accuracy and clarity
- Maintain report turn-around benchmarks for the HCA department
- Represent HCA department in cross-departmental operational meetings
- Manage health plan Encounter workflow process
- Develop ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed
10
Experience For Engagement Manager, Healthcare Analytics Resume
- Develop ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Power BI, Medinsight and other analytic / programming tools as needed
- Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytical findings to senior leadership
- Develop ad-hoc reports using SQL programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Executive Dashboard, and other analytic / programming tools as needed
- Experience with Sales and Renewal Process
- Ensure resource availability and assists with project allocation
- Develops expertise in healthcare operations processes and data
- Performs complex queries, reports, and graphs
List of Typical Skills For a Healthcare Analytics Resume
1
Skills For Healthcare Analytics Consultant Resume
- Strong analytical, organizational, presentation, communication, and problem solving skills
- Experience in SAS or STATA or SPSS programming, modeling, data manipulation
- Experience understanding and explaining financial impacts of revenue cycle activities within large, complex organizations
- Experience of working in a professional services environment, including exposure to high profile engagements
- Experience in working with a range of healthcare datasets including HES, theatre data, RTT Data or HSCIC datasets
2
Skills For Manager, Healthcare Analytics Resume
- Experience in working with a range of healthcare datasets including HES, theatre data, RTT Data or HSCI datasets
- Maintains and assists in developing effective controls to monitor health plan financial performance and assures adherence to all contract financial provisions
- Over 3 years and up to and including 5 years of related financial analysis experience
- Relevant work experience, preferably in healthcare data analytics or consulting
- Some experience in coaching more junior staff to maximise performance
- Experience managing analytical teams
- Identify key customer trends, issues and opportunities and assist in formulating strategies to improve customer experience
- Demonstrated adaptability and flexibility to new ideas and approaches
- Experience with Java, Scala, Go, Python, or other object–oriented programming languages
3
Skills For Director, Cost of Healthcare Analytics Resume
- Experience in working with Blockchain technologies
- Experienced in preparing information for clients, contribute to reports
- Strategic consulting experience
- Experience analyzing medical claims data
- Experience in data manipulation and reporting
- Experience working with Medicare claim data
- Developing new engagements, managing existing ongoing service contracts
- Extracting and preparing data sets from various sources including Hadoop, SQL Server, and flat files
4
Skills For Supervisor, Healthcare Analytics Resume
- Managing existing technical team; determining future recruitment needs
- Providing insight to the clients about their reporting needs
- Defining service offerings that include existing Milliman tools and services
- Monitoring and reporting business unit performance
- Leading client engagements, to include providing data interpretation and quality control
- Developing visualizations to help explain patterns and trends in large data volumes
- Aiding in the deployment of decision automation models into the operational landscape
- Being able to manage clients’ expectations in relation to deliverables
- Building on analytics mandate across different functions/departments in Healthcare (payer, provider etc.) organizations
5
Skills For Healthcare Analytics Business Analyst Resume
- Complete assigned projects by evaluating data requirements, designing analytical studies and delivering reports and results to management
- Assures receipt of all health plan reports according to contract and historical schedules. Follows-up on missing or erroneous reports within 30 days
- Protects client rights by documenting unresolved health plan issues including quantification of financial effects where pertinent
- Analyze medical claims data using analytical tools and techniques to support contracting and business results
- Resource to Health Plan staff for mentoring, coaching, and analysis questions
- Serves as liaison between Corporate IT and Health Plan regarding reporting needs
- Serve as a liaison between Corporate IT and the health plan regarding reporting needs
- Work directly with our provider partners and other internal units in designing and implementing evolutionary changes in Aetna’s Joint Venture Strategy
- At least an intermediate level of proficiency working with Microsoft Excel, including formulas, calculations, pivot tables, charts, graphs, etc
6
Skills For Senior Financial Healthcare Analytics & Affordability Consultant Resume
- Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing and actuarial functions Excel, Visio, Access
- Analyzes results and provide appropriate feedback to insure that the information being requested and provided make sense in the context of what is being asked
- Manages assigned tasks and projects, meeting deadlines and ensuring the quality of the deliverables
- Knowledge of multiple programming languages, including R, SQL, SAS
- Visualizing data and communicating complex information to technical and non-technical audiences
- Reviews regulatory reporting requirements and Health Plan project documentation
- Maintains reporting service level benchmarks for Healthcare Analytics team
7
Skills For Senior Healthcare Analytics Manager Resume
- Creates reporting for strategic analysis, profitability, financial analysis, utilization patterns and medical management
- Create reporting for strategic analysis, profitability, financial analysis, utilization patterns and medical management
- Analyze data sets and trends for anomalies, outliers, trend changes, and opportunities to provide support for finance, pricing and actuarial functions
- Develops analyses, profiles, and statistical models to provide insight into the organization's performance and the variables affecting performance
- Develops documentation to support reporting
- Interacts with users, management and staff to identify reporting needs
- Approximately 20% of time
8
Skills For Analyst, Healthcare Analytics Resume
- Develops and implements models to predict health plan performance
- Implements health plan reporting including enrollment, capitation, pharmacy, hospital fund and other factors. Implements other additional health plan reporting as dictated by the current needs of client organizations
- Recommends revenue enhancement or cost reduction strategies in relation to health plan management and contracting
- Ensures supportability of health plan revenue accruals and consistency to general ledger entries
- Implements models and/or systems which assure parity in allocations between the various entities
9
Skills For Director of Healthcare Analytics Resume
- Develops audit procedures and systems for health plan financial activity for assigned plans which identifies discrepancies and maximize recovery
- Analyze networks, historical provider trends, clinical programs, and alternative payment programs to monitor and evaluate the program or contract effectiveness and impact to corporate goals
- Communicate results and recommend improvements where applicable
- Act as primary Analyst for assigned projects and proactively identify topics for analysis
- Develop analytic tools to evaluate historical trends and forecasts to identify best practices
- Lead efforts to analyze the financial impact of annual updates to the Charge Description Master (CDM)
- Perform analysis of Inpatient (MS-DRG) and Outpatient (CPT and HCPCS) annual charge updates per code and additional analysis as needed and provide summary of changes
10
Skills For Engagement Manager, Healthcare Analytics Resume
- Review nationwide Geographical Area Adjustment Factors (GAAF) changes and identify variances for each zip code from year to year and provide summary of changes
- Review all codes and identify unit dose changes and utilization changes per code using knowledge of conversion from Milliliters to Milligrams to properly set charge rates for prescriptions
- Summarize all code changes and project the impact to future revenue as a result of the changes
- Support analysis of the effect of alternative payment methodologies and the financial impact of emerging payment methodologies in the insurance industry on revenues
- Prepare and present results of analysis to executive level clients
- Develops reports, dashboards, and analytics packages using the full range of functionality available through MemorialCare’s business intelligence suite of tools
List of Typical Responsibilities For a Healthcare Analytics Resume
1
Responsibilities For Healthcare Analytics Consultant Resume
- Translates business requirements into analyses and reports using SQL and other software tools (e.g., MS Access, Excel) as needed to achieve analytic results defined in project plans
- Experience managing and recruiting technical staff
- Experience with Enterprise Miner or Enterprise Guide
- Experience with consumer or enterprise analysis software
- Some Experience with consumer or enterprise analysis software
- Experience with MicroStrategy or Tableau
- Management or team leadership experience
- Strong knowledge of SQL 2005/2008 SSRS report development
- Medical device/ health care industry experience
2
Responsibilities For Manager, Healthcare Analytics Resume
- Knowledge/Experience with Big Data/Hadoop tools
- Provider reimbursement analysis, medical cost analysis & health industry experience
- Understanding of emerging payment methodologies in the insurance industry and the financial impact of these methodologies on revenue
- Participates in research design and perform ROI and program evaluation analyses
- Effectively collaborates with both technical and non-technical staff; translates business needs into technical requirements and ensures that requirements conform to overall objectives and specifications
- Communicates results to key stakeholders through presentations and papers
3
Responsibilities For Director, Cost of Healthcare Analytics Resume
- Maintains client relationships through the delivery of high quality work
- Provides guidance and assistance to other analysts as required
- Completes various special projects as assigned
- Present and tell the data story with visuals/infographics
- Curiosity to pursue self-directed data analysis paths
- Knowledge of data structures and runtime complexity
- Knowledge of Linux system administration
4
Responsibilities For Supervisor, Healthcare Analytics Resume
- Significant experience using analytical software such as Structured Query Language (SQL), My SOL, Workbench, Oracle Discoverer and Oracle Business, Tableau, Spotfire, and MS Office
- Experience performing qualitative and/or quantitative analysis, overseeing day-to-day management of project tasks and preparing presentations and reports for clients
- Knowledge of Medicare and Medicare data
- In a technical role
- In the healthcare / payer industry
5
Responsibilities For Healthcare Analytics Business Analyst Resume
- In a business intelligence or advanced analytics areas
- Knowledge of data visualization suite(s) such as Tableau; D3JS; Cognos etc
- At least an intermediate level of proficiency with SQL, SAS and/or other statistical programs
- At least a basic level of proficiency with MS Word and PowerPoint
- Lives within a commutable distance of Horsham, PA
- Healthcare analytics experience with either health payers or healthcare providers, with a preference given to candidates with practical experience in payer analytics
6
Responsibilities For Senior Financial Healthcare Analytics & Affordability Consultant Resume
- Use of software for data analysis; specifically spreadsheet and database systems (MS Excel, MS Access), data extraction and manipulation (COGNOS, SAS), data visualization (Tableau) and analytic automation (scripting, macros)
- QlikView and/or Qlik Sense experience
- Cultivate a high performing team of associates
- Think strategically, ensure execution and influence others
- Increasingly complex database and data management responsibilities, also basic knowledge of SQL
- Conduct analytical projects in support of Aetna’s Health SystemJoint Venture Strategy
7
Responsibilities For Senior Healthcare Analytics Manager Resume
- Develop innovative analytics, insights and solutions for medical cost drivers, program valuation studies and network design/provider reimbursement issues
- Perform financial reconciliations as part of JV contracts
- Experience with healthcare data, specifically in Medicare and Medicaid analytics, provider and consumer analytics, and/or Fraud, Waste, and Abuse (FWA) analytics
- Works with other team members to develop solutions that are high performance, rapid response time, and as close to real-time as possible. Right information of the right data age to the right person using the right tool at the right time
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