Healthcare Economics Analyst Resume Sample
Jefferey Schoen
4769 Wiley Vista,
Dallas,
TX
+1 (555) 521 4810
Work Experience
Senior Healthcare Economics Analyst
10/2016
-
PRESENT
Houston, TX
- Write business requirement documents for new algorithms and update existing documents as the algorithm logic is developed or changes over time
- Breakdown complex problems into individual root causes
- Provide ad hoc analysis and reporting for leadership leveraging Monarch’s robust data warehouses
- Supplements standard analytics with statistically and/or quantitatively driven insights to further drive the team’s understanding of the results
- Demonstrate Company’s Core Competencies and values held within
- Identify, analyze and explain medical trends
- Work with broader finance team to create the connection between medical trend evaluations and financial results
Healthcare Economics Analyst
11/2010
-
06/2016
Chicago, IL
- Synthesize analysis across different categories and initiatives
- Identify and implement appropriate analytic approaches / methodologies and perform quality assurance
- Create summarized reports for leadership
- Claims cost analysis and data analysis
- Evaluate impact of business and environmental changes on our historical/projected claims
- Identify opportunities to reduce future claim costs
- Potential for dashboard design and development
Education
Brown University
2006 - 2010
Bachelor's Degree in Statistics
Professional Skills
- Investigational and analytical skills with a proven ability to communicate effectively in both written and verbal format
- Excellent Data Visualization (Tableau, MicroStrategy, Power BI, etc.) skills
- Programming skills within SAS and/or SQL
- Displays good verbal and written communication skills, and able to professionally receive and follow oral instructions
- Exceptional attention to detail and demonstrated ability to prioritize tasks to ensure accuracy and timely completion
- Experience creating reports, scorecard, dashboards development experience data visualization software such as Tableau, MicroStrategy, Wave Analytics or similar
- Prior experience with analytical report development, either from professional or educational work
How to write Healthcare Economics Analyst Resume
Healthcare Economics Analyst role is responsible for software, finance, training, database, reporting, design, research, modeling, travel, programming.
To write great resume for healthcare economics analyst job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Healthcare Economics Analyst Resume
The section contact information is important in your healthcare economics 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 Economics Analyst Resume
The section work experience is an essential part of your healthcare economics 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 economics 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 economics analyst position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Healthcare Economics Analyst resume experience can include:
- Participate in various committees innovating and validating new data - driven performance measures and goals
- Experience with creating and manipulating pivot tables
- Experience in business / finance analysis, that includes gathering and documenting business requirements
- Experience in business / clinical healthcare analysis, that includes gathering and documenting business requirements
- 4 – 6 years of healthcare financial and analytical experience in a managed care setting
- Experience with Microsoft Office products including Access
Education on a Healthcare Economics Analyst Resume
Make sure to make education a priority on your healthcare economics 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 economics 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 Economics Analyst Resume
When listing skills on your healthcare economics 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 economics analyst skills:
- Effective problem solving and excellent customer service
- Experience in an analytics capacity and evidence of creative, proactive problem solving
- Experience in an analytics capacity and evidence of creative, proactive problem solving
- Experience with performing data analytics, either from educational study or professional experience
- Skilled in supporting contract negotiation, working with databases and spreadsheets, giving presentations, critical and analytical thinking
- Experience in tracking, trending and reporting on analyses
List of Typical Experience For a Healthcare Economics Analyst Resume
1
Experience For Senior Healthcare Economics Analyst Resume
- Support report projects to completion by contributing to reporting requirement gathering, development, and documentation
- Interpret and analyze claims, membership, and authorization data in support of cost trend analysis as well as clinical program performance evaluation
- Create innovative analytics solutions that identify actionable and impactful clinical initiatives to reduce medial expense and improve quality
- Familiarity with industry related BI population health tools
- Assist in design and deploy key dashboards and analytic tools for self-service analysis and research
- Extract data from multiple sources and databases
- Support analyses of utilization and healthcare costs
- Prepare financial and regulatory reports and exhibits
- Develop analytic models to evaluate financial impact of business strategies to manage pharmaceutical spend and trend
2
Experience For Healthcare Economics Analyst Resume
- Assist, interpret, and help analyze pharmaceutical claims and cost trends to identify management opportunities and measure the impact of strategy implementation
- Conducts financial modeling and analysis by utilizing a modeling system (or develops tools to model against) to support negotiating strategies, modeling current and future facility and physician contract rate proposals
- Generates regular and ad-hoc reports for clinical and financial review and trending to analyze and compare information related to clinical procedures, payer categories, volume, net income, net loss charges, costs, revenue, and variances
- Leads financial modeling and analysis by utilizing a modeling system (or develops tools to model against) to support negotiating strategies, modeling current and future facility and physician contract rate proposals
- Analyzes changes to reimbursement rules and regulations for all payers, evaluates impact on hospital and physician reimbursement, and educates appropriate personnel
- Reviews and evaluates the language of the Managed Care contracts and participates in negotiations, as needed. Identifies any compliance issues and coordinates contract workflow/approval through legal review to contract execution
- Maintains all contract management software and content related to executed contracts and modeling, ensuring data integrity and consistency
3
Experience For Senior Healthcare Economics Analyst Resume
- Analytical support of Regional Director as it relates to Managed Care contracts and payment issues
- Develops and generates regular and ad-hoc reports for clinical and financial review and trending to analyze and compare information related to clinical procedures, payer categories, volume, net income, net loss charges, costs, revenue, and variances
- Assists the Manager in analyzing and validating managed care claims and comp grids against provider contracts, member eligibility, benefit grids, and authorization data to ensure VNSNY CHOICE pays our Providers appropriately and VNSNY CHOICE contains cost
- Investigates utilization and claims coding patterns to identify potential fraud, waste or abuse and coordinates with Compliance and Special Investigation Unit for recoveries as necessary
- Analyzes affordability of medical cost against premium revenue for membership panels of providers, in specific settings, or across other attribution categories as appropriate
- Communicates with internal departments (i.e. Claims, Providers, Finance etc) to validate existence of integrity leakage points, and coordinates to develop and implement corrective solutions and recovery
- Attends meetings with analytics teams, product teams, operations, and allied departments to communicate status of investigative projects and identify new areas of opportunity or priorities. Keeps management informed as necessary
4
Experience For Healthcare Economics Analyst Resume
- Conducts analysis of delegated vendor claims data to test affordability, support contract negotiations, and identify potential errors or Fraud, Waste, and Abuse for further investigation by Special Investigation Unit Compliance, or other departments
- Identify and implement appropriate analytic approaches / methodologies and perform validation on data / results
- Assists encounter team in ensuring alignment of claims to encounters
- Maintain and update automated reports on multiple reporting platforms
- Develop and support relationships with our health plan and State business partners in support of meeting State and Medicaid goals and objectives
5
Experience For Senior Healthcare Economics Analyst Resume
- Solves problems and/or conducts analyses
- Provide claims, premium, capitation and membership data to support trend analyses
- Work with broader finance team to create the connection between medical trend evaluations, revenue to help explain financial results
- Create and present summarized reports for leadership
- Analyze Clinical, Operational, and Quality metrics
- Support reporting projects to completion by contributing to reporting requirement gathering, documentation and development including dashboards and analytic tools for self-service analysis and research
6
Experience For Healthcare Economics Analyst Resume
- Analysis in Clinical, Operational, and Quality metrics
- Develop and support relationships with our business partners and State regulators in support of meeting State and Centers for Medicare and Medicaid goals and objectives
- Support and validate provider network contracting and unit cost management
- Experience in Crystal
- Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
- Manage, review and complete submissions for quarterly updates
- Review work and recommend improvements
List of Typical Skills For a Healthcare Economics Analyst Resume
1
Skills For Senior Healthcare Economics Analyst Resume
- Prior experience in a healthcare or managed care organization
- Experience working healthcare claims lifecycle (i.e.: submission, processing, adjudication, and payment)
- Experience working with large data sets using SQL (preferably Microsoft’s T-SQL)
- Knowledge and experience in SAS programming
- Work successfully in an ever - changing, priority driven environment
- Experience working in UNET
- Two or more years of experience working in a corporate environment
- Experience in data manipulation, reporting, and analysis required
- Data analysis and reporting experience
2
Skills For Healthcare Economics Analyst Resume
- At least a year of SAS programming experience
- Two or more years’ experience in data manipulation, analysis, and reporting
- Previous experience working in a SQL or SAS data environment
- Experience working with health care claims data and medical codes
- Experience creating queries with SQL, PL/SQL; ability to analyze data
- Experience with clinical data systems and platforms including authorizations, assessments and activities
3
Skills For Senior Healthcare Economics Analyst Resume
- Validates accuracy, timeliness, and performance of claims processing vendor as directed
- SQL or Aqua Data experience
- Data analysis work experience/internship
- Experience with Excel functions such as SumIf, SumProduct, and VLookup
- Experience with MS Project, SharePoint
4
Skills For Healthcare Economics Analyst Resume
- Curious, self-starter, strong interest in innovation
- Background/experience in healthcare and clinical data
- Intermediate level proficiency or higher experience with Microsoft Excel
- Conduct ad hoc analyses to support data driven insights on prioritized clinical initiatives
- Demonstrated ability to pull large data sets and perform data manipulations/analysis
- Beginning proficiency in performing data analytics
5
Skills For Senior Healthcare Economics Analyst Resume
- Developing / enhancing standardized reports to go out to the providers
- Documenting and communicating work flow and methodologies used
- Set-up and maintain models used for reserving, forecasting and pricing
- Lead report projects to completion by contributing to reporting requirement gathering, development, automation and documentation
- Intermediate level of proficiency working with MS Excel and PowerPoint including formulas,calculations, charts, graphs, etc
- At least an intermediate level of proficiency working with MS Excel including formulas, calculations, charts, graphs, pivot tables, etc
- Intermediate proficiency working with MS Excel including formulas, calculations, charts, graphs, etc
6
Skills For Healthcare Economics Analyst Resume
- At least an Intermediate level of proficiency working with MS Excel and PowerPoint including Pivot Tables, Sum Ifs, Sum Products, and V-Lookups
- At least an intermediate level of proficiency working with MS Excel and PowerPoint including Pivot Tables, SUMIFS, SUMPRODUCT, and VLOOKUPs
- Intermediate level of proficiency working with MS Excel including formulas, calculations, charts
- Intermediate level of proficiency working with MS Excel including formulas, calculations, charts, graphs, pivot table, etc
- Participate in projects to completion by contributing to database creation, statistical modeling and visual representation
- Prototype new and complex reporting for hand - off to IT using knowledge of healthcare administrative claims data
- Help on projects by contributing to database creation, statistical modeling and financial reports
- In - depth knowledge of claims processing
- Thrives in highly collaborative, consulting-style, team environment
7
Skills For Senior Healthcare Economics Analyst Resume
- Ad hoc analysis and data mining
- Provide on-demand analysis and reporting in support of business and State data requirements
- Lead the team in performing analyses on population health utilization, cost and management analytics as directed
- Analyze benchmarking data, reports, processes and measurements for key managed care indicators and compare to MMO actual results
- Support relationships with our healthplan and State business partners in support of meeting State and Centers for Medicare and Medicaid goals and objectives
- Utilizes CHOICE analytic data warehouse and native claims systems and other supporting data for investigation
- At least an intermediate level of proficiency with MS Excel for data analytics
- Learn quickly and produce high - quality work
8
Skills For Healthcare Economics Analyst Resume
- Proficient with MS Excel to include pivot tables, foundational formulas, charts, etc
- Motivated to learn and stretch beyond comfort zone
- At least a basic level of proficiency with MS Word and Access
- Beginner level proficiency with Access, SQL, Sybase and/or other statistical programs
- Experience working in a Data Warehouse environment, including experience in acquiring and merging data sets from multiple sources as necessary for building analytics prototypes
9
Skills For Senior Healthcare Economics Analyst Resume
- Experience with healthcare claims data and medical codes
- Basic level of proficiency with Microsoft Excel
- Beginner level proficiency with SQL, SAS, R and/or other statistical programs
- Beginner level of proficiency with Tableau, PowerPivot, or other BI program
- Beginner level of proficiency with Access
10
Skills For Healthcare Economics Analyst Resume
- Intermediate knowledge of SAS, SQL and/or other statistical programs
- Intermediate of proficiency with Excel and PowerPoint
- Beginner proficiency with SAS, SQL, and/or other statistical programs
- Background in Medicaid or general health care
- Beginner proficiency with SAS, SQL, and/or other statistical program
- Intermediate level proficiency with SQL, and other statistical languages
- Proficiently utilizes Microsoft Excel
- Analyze results to investigate sources of trends and variations
- Develop and improve quantitative data analytics and recommend performance targets
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