Health Analyst Resume Samples
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Health Analyst Resume Samples
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MC
M Collier
Madie
Collier
53994 Selmer Lodge
Los Angeles
CA
+1 (555) 842 8388
53994 Selmer Lodge
Los Angeles
CA
Phone
p
+1 (555) 842 8388
Experience
Experience
San Francisco, CA
Health Services Systems Analyst
San Francisco, CA
Pfannerstill-Runolfsson
San Francisco, CA
Health Services Systems Analyst
- Coordinates and provides initial and follow-up training to customers, working with the analyst team to clarify workflow, and then creating training curriculum
- Building workflow diagrams with the assistance of business leaders to optimize workflow
- Build workflow diagrams with the assistance of business leaders to optimize workflow
- Perform Quality Assurance on new reports and changes to reports and work collaboratively with the Clarity Report team
- Develops and maintains training environments and materials, and provides role-based education (classroom setting, handouts, e-learning, etc.)
- Performing Quality Assurance on new and changed reports and working collaboratively with the Clarity Report team
- Participation in testing and workflow validation efforts
Dallas, TX
Claims Quality Analyst Qualchoice Health Based
Dallas, TX
Heller, Kutch and Zboncak
Dallas, TX
Claims Quality Analyst Qualchoice Health Based
- Develop and maintain claims payment procedures in support of increasing auto-adjudication rates
- Monitors and analyzes operational performance metrics, quality assurance and turn-around-time standards when indicated
- Reviews daily production reports in conjunction with the Claims Manager and/or Director of Operations
- Serves as the internal claims subject matter expert and provides guidance as requested or as necessary
- Identifies and conducts focused and random claims audits
- Receives and researches claims issues identified by TPA and internal departments
- Interfaces with vendors to facilitate external claim reviews
present
Los Angeles, CA
Telecommuting IT Clinical Data Analyst Qualchoice Health Based
Los Angeles, CA
McCullough LLC
present
Los Angeles, CA
Telecommuting IT Clinical Data Analyst Qualchoice Health Based
present
- Create and maintain monthly dashboards with performance metrics
- Develops, documents and implements validation test plans for various database and data collection components
- Builds effective working relationships with vendors
- Designs and delivers analytics and reporting of pharmacy data to support Medicare Part D
- Responsible for providing project management, oversight, and coordination for Quality Improvement initiatives including analyzing, monitoring, and reporting their effectiveness
- Build reports and dashboards using SQL, SSRS, Excel, and other tools to analyze clinical data sets
- Benchmarks and compares Quality Improvement and Utilization Management performance data across clinics, delegated groups, and physicians establishing performance goals and standards
Education
Education
Bachelor’s Degree in Business
Bachelor’s Degree in Business
Colorado State University
Bachelor’s Degree in Business
Skills
Skills
- Self-starter with demonstrated ability to work independently and also ability to work collaboratively in a multi-disciplinary team environment
- Able to work successfully in a complex, fast-paced, and ambiguous environment
- Knowledge of Federal healthcare systems including claims and payments
- Highly-developed consulting skills, including communications, both verbal and written at the executive and senior executive levels
- Experience and track record producing, documenting, and quality work
- Deep experience with the health and healthcare industries and the ongoing transformational activities that are changing the industries
- Familiarity with collaboration and facilitation with Federal sponsors and potential private industry and demonstrated experience interacting with them successfully
- Significant experience with tools and solutions designed for program analysis including Microsoft Word, Excel, PowerPoint and others and the ability to apply a pragmatic, practical and analytical approach to problem-solving
- Previous experience working with the Federal Government in various aspects of health program analysis
- Experience with many aspects of program analysis in the healthcare environment including program integrity, risk assessments, program evaluations, program effectiveness, performance alignment and/or fraud waste and abuse
15 Health Analyst resume templates
Read our complete resume writing guides
1
Health IT Senior Analyst Resume Examples & Samples
- Conduct research in and report on changes to the regulatory environment for Health Information Technology (HIT)
- Study and evaluate population health programs, policies, and trends
- Research provider participation in HIT initiatives including: meaningful use compliance, HIE collaboration, and EHR adoption
- Demonstrate excellence in communication skills, data gathering, analysis, reporting, and process improvement
- Maintain security and confidentiality of all protected health information when analyzing material
- Maintain thorough electronic documentation
2
Health Statistics Analyst Resume Examples & Samples
- Master’s degree in a relevant field related to Biostatistics or Epidemiology (MS, MPH, MPP, MSPH)
- Minimum of 5 years’ experience in a related role
- Statistical modeling which includes logistic and linear regression; GEE or random effects models for longitudinal or multilevel analysis, latent variable analyses, missing data analyses, program evaluation methods and relevant statistical analyses (intention-to-treat etc.)
- Proficiency in statistical programming (SAS, STATA or similar)
- Effective skills in project management, preferably in health promotion programs
- Ability to work collaboratively and independently
- Proficiency in database development, management, and quality control methods
- Excellent written communication skills with a focus on interpretation of statistical output appropriate for a variety of audiences
- Interest in tobacco control and media campaigns
- Effective writing skills for different audiences (scientific, media, lay, etc.)
- Experience with analysis of data focused on cardiovascular disease epidemiology or similar/related chronic disease
3
Health & Business Information Analyst AIM Chicago Resume Examples & Samples
- Plan, coordinate and manage the process of analyzing and manipulating all data necessary for client utilization analysis, and client financial analysis
- Assist Client Management with the pricing process for prospective clients, as well as financial reconciliations for current clients
- Manage the monthly, quarterly, annual production process of client and sales analytics reports to ensure timely delivery
- Assist Client Management with the development of AIM program design by determining cost trends, P/L threats and opportunities, and pricing/cost impact for existing and potential clients
- Track program performance for comparative benchmarking and provide support with analysis and presentation development for educational and clinical initiatives
- Review and verify client's compliance with AIM Inc.'s program design pertaining to order entry, order fulfillment and transaction validation
- BA/BS in a related field such as business/healthcare, information science, or mathematical sciences
- Minimum of 2 years of work experience in data analysis, workflow design, system development, automation, and project management
- Working knowledge of current generation of tools to support analytics is essential – for example, MS Access, MS Excel, pivot tables, SQL and databases, statistical tools, visual analytics, and/or data mining
- Quantitative and qualitative analytical skills essential
- Excellent oral and written communication skills essential
- Project management skills would be beneficial
- Strong proficiency in SQL, database systems, and/or current generation of tools to support analytics
- Masters degree is a plus
- Analytical experience developing business recommendations based on financial analysis and familiarity with healthcare claims data
- Critical thinking and self-motivation with problem definition and analysis skills with attention to details
- Strong interpersonal skills – must be able to interface with management and executives, and with clinical staff
- Experience in managed care and/or health care financial analysis preferred; background in radiology and/or utilization management is a plus
4
Health Plan Operations Analyst, Mid Resume Examples & Samples
- 1+ years of experience with health policy or administration
- 1 year of experience with working in a health-related environment
- Ability to be a self-starter, function independently, and problem solve
- Ability to collaborate and work well in a team environment
- BA or BS degree
- 1+ years of experience with Marketplace issuer health plan operations
- Experience with consulting
- Experience with collecting and analyzing data
- Possesses excellent oral and written communication skills
- Public Trust clearance
5
Health Plan Operations Analyst Resume Examples & Samples
- 5+ years of experience with health plans or related healthcare operations
- Experience with public insurance programs, including health insurance exchanges, Medicare, or commercial health plan operations
- Knowledge of insurance statutory requirements
- Knowledge of the Accountable Care Act (ACA)
- Ability to navigate ambiguity with the aid of structured problem-solving techniques
- Possession of excellent oral and written communication skills in English
- BA or BS degree in a related field preferred; JD degree a plus
6
Health Systems Analyst Resume Examples & Samples
- Health systems analysis services consisting of developing, deploying and providing operational support for evaluation of BH programs within primary care, as well as evaluation reports of training and other products. Reviewing and updating the performance data from FIRST-STEPS. Providing evidence-based feedback on site performance benchmarked against program standards. Leading the development and collecting and analysis of metrics in support of the evidence base and program evaluation. Maintaining and updating a list of critical program performance metrics in collaboration with DHA and Service PCMH-BH leads. Establishing and maintaining data collection tools to support Patient Centered Medical Home Clinic-level reporting of critical program performance metrics. Coordinating with analysts supporting the clinical data repository (CDR) to ensure routine data pulls from the electronic health record pertinent to program performance metrics. Establishing and maintaining a central data repository specific to the PCMH-BH effort to consolidate centrally pulled and program-generated performance data. Updating the PCMH-BH data repository monthly to maintain timely and up-to-date performance data from all participating PCMH-BH clinics. Conducting ad hoc PCMH-BH performance reviews for program stakeholders upon request. Clarifying stakeholder questions prompting request for ad hoc performance review. Identifying appropriate analysis plan to address stakeholder questions. Collecting any additional data not included in the PCMH-BH data repository necessary to address requested review. Conducting data analysis in accordance with established analysis plan. Performing data integrity and quality assurance checks. Preparing ad hoc PCMH-BH performance review reports. Disseminating ad hoc PCMH-BH performance review report to stakeholders. Facilitating discussion of report findings and assist stakeholders with the development of necessary action plans. These reports are requested by the PCMH-BH Service Leads, OTSG, DCoE, MEDCOM, etc. Updating the DHCC website with progress and information. Participating in Center and department meetings. Preparing items for publication through the website
- Develops plans, including budgets and schedules, and monitors tasks to meet contractual/project requirements for assigned program
- Monitors and reports performance against plans to ensure contractual, cost, and schedule objectives are met
- May perform business development activities
7
Health Program Analysis Analyst Resume Examples & Samples
- Deep experience with the health and healthcare industries and the ongoing transformational activities that are changing the industries
- Experience with the implementation of regulatory requirements and new and evolving policy
- Highly-developed consulting skills, including communications, both verbal and written at the executive and senior executive levels
- Significant experience with tools and solutions designed for program analysis including Microsoft Word, Excel, PowerPoint and others and the ability to apply a pragmatic, practical and analytical approach to problem-solving
- Self-starter with demonstrated ability to work independently and also ability to work collaboratively in a multi-disciplinary team environment
- Able to work successfully in a complex, fast-paced, and ambiguous environment
- Previous experience working with the Federal Government in various aspects of health program analysis
- Payment and claims systems both from a provider and insurer perspective
- Experience working directly in the health industry
- Experience with issues the health industry is facing, e.g., risk management, introduction of new payment processes, cost containment, outcomes measurement
8
Health IT Business Analyst Resume Examples & Samples
- Analyze and document business processes, workflows and use cases for system design and health information exchange
- Work with technical staff to translate business requirements into functional requirements and specifications
- Plan and facilitate functional design sessions
- Work with project managers to identify and document technical tasks
- Develop testing, validation and implementation plans and processes
- Perform quality assurance analysis on HL7 V2 and V3 messages and documents
- Perform research on national interoperability standards and vocabularies
- Perform data mapping and data translations from local codes to national standards (SNOMED, LOINC)
- Create and maintain system design and operational procedure documentation
- Bachelor’s: Computer Science or Health Information Technology
- Knowledge of clinical terminologies such as SNOMED, LOINC, RxNorm and ICD-10
- Knowledge of interfaces/data sharing standards such as HL7 and IHE
- Demonstrated ability to critically evaluate information gathered from multiple sources
- Demonstrated ability to produce requirements documents, develop use cases and process flow charts, create presentations, and to capture, track and report statistical data
- At least 2 years of experience on healthcare related projects developing and documenting technical requirements based on business requirements using interviews, document analysis, site visits, business process descriptions, use cases, scenarios, business analysis, task and workflow analysis
9
Health IT Analyst Resume Examples & Samples
- Web application development
- Leading and/or supporting the execution of technical tasks and activities with minimum of supervision, within time and budget constraints
- Collection, querying, and management of health related data
- Translating client data requirements into SQL based queries and conducting quality assurance checks on the results
- Collaborative work in teams of health care professionals, as well as independently, to develop and implement disease surveillance, program assessment/evaluation, and medical informatics
- Effectively communicating, both orally and in writing, with diverse stakeholders
- Preparing and writing technical documents, including product descriptions, specifications, test plans, and user manuals
- Plan programs by studying specifications and arranging specifications by developing logical sequence; preparing flowcharts; researching solutions
- Troubleshooting issues with existing web applications both programmatically and via user interface
- Periodic domestic and/or international travel may be required, but is anticipated to be minimal
- Preferred recent college graduate
- Ability to provide objective advice, expertise and specialist skills in the area of healthcare information management and analytics with the aim of creating value, maximizing growth and/or improving the business performance of clients
- Ability to actively participate in all aspects of client work including project planning and execution, client presentations and issue resolution
- Experience at the Federal, state or service delivery level strongly desired
- Familiarity with public health related topics
10
Business Analyst, Health & Human Services Resume Examples & Samples
- Evaluate integrator and client deliverables related to requirements specification, process analysis, system-based and manual controls, functional design, and test plans for government accounting systems
- Conduct on-going reviews of integrator deliverables through system development life cycle (SDLC)
- Clearly communicate business functional issues to various levels of clients and internal staff
- Two years of experience as a business analyst during the system and/or user acceptance testing planning or execution of a health and human services engagement in a team environment
- Strong understanding of data models and typical SDLC phases
- Demonstrated experience assisting other organizations in reviewing or implementing Information Technology Infrastructure Library standards
- Applied experience related to Enterprise Architecture and Service Oriented Architecture
11
Health Program Analyst Resume Examples & Samples
- Key Functions
- Required Qualifications
- Experience with many aspects of program analysis in the healthcare environment including program integrity, risk assessments, program evaluations, program effectiveness, performance alignment and/or fraud waste and abuse
- Familiarity with collaboration and facilitation with Federal sponsors and potential private industry and demonstrated experience interacting with them successfully
- Experience and track record producing, documenting, and quality work
- Knowledge of Federal healthcare systems including claims and payments
- Understanding of analytics and predictive modeling using sophisticated statistical approaches such as geographic analysis, outlier detection, or other appropriate methods
- Experience with Medicare, Medicaid or other data
12
Configuration Analyst Qualchoice Health Based Resume Examples & Samples
- In-depth knowledge of Medicare claims processing as it relates to adjudication, coding, provider networks, and medical terminology
- Experience with Medicare health insurance programs, plans, and administration
- Experience with provider office and/or network administration a plus
- Good math skills and knowledge of relative value methodology
- Ability to work well in team environment
- Working knowledge of current Microsoft Office applications (Word, Access, Outlook, Excel
- Prefer a Bachelor’s degree or equivalent work experience in healthcare operations
- Prefer a minimum of 4 years’ work experience in a healthcare setting which predominately involved knowledge of computer data maintenance and provider or health plan operational practices
- Minimum 2 year of claims processing experience
- Knowledge of Medicare benefits and payment rules strongly preferred
- Experience on the TriZetto QNXT platform preferred, but not required
13
Telecommuting IT Clinical Data Analyst Qualchoice Health Based Resume Examples & Samples
- Develops and maintains a reporting and analysis production process that supports the distribution of reports, both routine and ad hoc, to appropriate QualChoice Health Plan Services staff or delegated groups
- Accountable for optimal usage of the existing data systems and applications and to provide QualChoice Health Plan Services staff
- Responsibilities include data mining, summarizing, validation and integrity
- Interprets needs and specifications in creating analytical reports
- Develops, documents and implements validation test plans for various database and data collection components
- Defines and implements analysis or derived data sets and reports, including summary reports, in graphical and/or tabular format. Assists and educates users in running and interpreting results from these reports
- Build reports and dashboards using SQL, SSRS, Excel, and other tools to analyze clinical data sets
- Responsible for providing project management, oversight, and coordination for Quality Improvement initiatives including analyzing, monitoring, and reporting their effectiveness
- Review and analyze Medical and pharmacy claims data. Prepare monthly reports required for Executive Finance and Board meetings
- Prepare and present other reports as requested on an ongoing basis
- Create and maintain monthly dashboards with performance metrics
- Designs and delivers analytics and reporting of pharmacy data to support Medicare Part D
- Benchmarks and compares Quality Improvement and Utilization Management performance data across clinics, delegated groups, and physicians establishing performance goals and standards
- Builds effective working relationships with vendors
- Participate in Stars project team meetings as needed
- Work with other departments to identify and collect data needed for reporting
- Develop other reports and analysis as needed
- Minimum of 5 years data analysis experience is required – preferably in health care. Managed Care experience a plus
- Experience and expertise with Clinical Data Management systems and relational database management systems including SQL
- Working knowledge of database applications, including extraction and querying skills. Proficient using SQL to extract data
- Strong qualitative and quantitative skills, including but not limited to healthcare, finance and operational data and the use of analytical tools
- Bachelor’s Degree in Healthcare Administration or Health Informatics or equivalent. Clinical background a plus
- Ability to present information logically and is able to assist others understand the information
- Strong Excel experience (Pivot tables, calculations, statistic tools and charts/graphs); Access experience a plus; knowledge of mail merge required
- Presentation software experience & samples will be expected during the interview process
- Critical to be an independent learner and have the ability to learn new data systems and applications
- Ability to interpret, analyze and summarize large datasets and develop professional reports
- Strong skills presenting complex data and outcomes to executive teams
- Knowledge of statistical process control techniques and strong quantitative skills
- Knowledge of medical terminology, healthcare coding conventions and industry standard payment methodologies
- Excellent judgment and decision making skills
- Excellent time management, multi-tasking, and prioritization skills
- Enthusiastic, curious, and self-driven
14
Business Operations Analyst Qualchoice Health Resume Examples & Samples
- Supports development of the national standards for health plan operations to ensure consistency with standardized contract language, guidelines, key definitions, tools and processes
- Reviews, creates or updates standard processes and tools to support the operational component of the contracting lifecycle and to achieve best-in class capabilities. Continually looks for ways to improve the operational processes and tools for end users and leads the design/implementation of such improvements
- Business experience in problem-solving for complex and multi-disciplinary capabilities at a market, regional and/or national level
- Experience in developing processes and tools for business models and operations across an organization and implementing them successfully
- Comfortable with ambiguity in a fast-paced environment. Ability to work effectively under deadlines and produce accurate work
- Highly demonstrated ability to work effectively in a matrix-oriented organization
15
Claims Quality Analyst Qualchoice Health Based Resume Examples & Samples
- Manages the pended claims queues and monitors daily claims inventory and work flow
- Facilitates the claims adjustment process and system remediation as required
- Conducts weekly quality assurance review of member explanation of benefits (EOBs) and provider’s Remittance Advice (RA), provides vendor feedback to the Claims Manager, as necessary
- Reviews daily production reports in conjunction with the Claims Manager and/or Director of Operations
- Serves as the internal claims subject matter expert and provides guidance as requested or as necessary
- Identifies and conducts focused and random claims audits
- Receives and researches claims issues identified by TPA and internal departments
- Interfaces with vendors to facilitate external claim reviews
- Regularly monitors claims processing contractual compliance with CMS requirements including managing the collection and submission of required operational performance metrics and data reporting requirements
- Monitors and analyzes operational performance metrics, quality assurance and turn-around-time standards when indicated
- Develops and executes claims test plans for vendor implementations or system upgrades
- Administers claim functions in support of corporate recovery strategies
- Develop and maintain claims payment procedures in support of increasing auto-adjudication rates
- Conducts high dollar claims review and works with reinsurance vendor to file claims
- Assists the Claims Manager and/or the Director of Operations with planning and development of the annual and ongoing system configuration and other business activities associated with a project schedule
- Maintains a favorable working relationship with all internal and external stakeholders to foster and promote a cooperative and harmonious working climate which will be conducive to maximum employee morale, productivity, and efficiency/effectiveness
- Represent QualChoice Health in a courteous manner in attitude and appearance, behaving ethically and using a professional demeanor in oral and written communications with internal and external customers
- Adhere to all company compliance standards
- Perform other duties as required or assigned
- Bachelor’s degree in information systems, business or health care administration, or other related field OR a minimum of 4 years of experience in a directly related field
- High school diploma or GED is required
- Minimum three (3) years managed care/health plan claims operations experience required, with proven broad knowledge and execution of quality improvement methods and tools
- Minimum of two (2) years’ experience in adjudicating claims
- Advanced proficiency in MS Office Suite of products
- Knowledge of industry standard codes
- Must possess strong problem-solving skills and have the ability to multi-task in an effective and organized manner
- Ability to establish and maintain good working relationships with staff, external customers and government agencies, as necessary
- Understanding of government billing regulations, including; Medicare, Medicare Managed Care, and Medical Terminology
16
Operations Business Analyst Qualchoice Health Based Resume Examples & Samples
- Develops, reviews, revises and finalizes templates, user guides, policies and procedures related to the development of various national standards for health plan operations
- Develops, implements and maintains standard processes and tools to support the integrity and accuracy of health plan operations. Provides education and training as required
- Produces, reviews, implements and distributes real-time reports utilizing tools developed for defined time periods and regions that support national visibility across all contracts to National leadership
- 3 or more years of health plan experience; knowledge of managed care contracting and Medicare reimbursement methodology preferred. Ideal candidate will demonstrate progressively responsible healthcare work experience in payer and/or provider health plan operations
- Knowledge of health plan principles, key terms/definitions, and contract negotiations
- Proven ability to interpret health plan terms and regulations and translate applicability to other areas of the business
- Demonstrated business experience in supporting, managing, and leading projects and initiatives
- Proven ability to translate concepts/ideas into written material (e.g. presentations, whitepapers, newsletters, policies, process flows, etc.) and verbally
- Proficiency in Microsoft Office suite including Word, Excel, Outlook, PowerPoint, Access, SharePoint, and Visio
- Exceptional communication skills including written and interpersonal
- Extremely self-motivated with effective time management skills
- Proven ability to work independently as well as collaboratively to achieve specific goals and objectives and provide recommendations for improvement
17
Retiree Health Exchange Scheduling Analyst Resume Examples & Samples
- Ongoing communication between team members and Operations Managers to complete workforce tasks within the team as needed
- Execution of adding training, meetings, appointments to schedules and updating skills, etc
- Produce and accountable for daily, weekly, monthly forecasted call volume, AHT, shrinkage
- Support Real Time Monitoring of appointments and ensure they are not late or missed on rotation scheduled daily
- Monitor intraday delivery for all clients and recommend actions team should take on inbound and outbound activity
- Process PTO, early leave requests in Microsoft CRM platform
- Level/smooth appointments for agents
- Support for any adhoc reporting within the CRM platform
- Oversight of skill routing on team with skill audits and skill optimization
- Monitor and recommend actions to enable teams to meet Service Level Goals
- Scheduling Experience
- Understanding of workforce management concepts such as service levels, adherence, handle time, smoothing, phone routing
- Strong working knowledge of Operations and operations measures
- Strong math aptitude
- Strong understanding of computer skills such as Outlook, Lync, CRM platforms
- Intermediate Excel skills
- Able to travel up to 10% if needed
- 1 to 2 years experience in call center workforce analyst or management role
- Strong workforce management and statistical background
- Experience working in an inbound or outbound call center
- Call center operations management experience
- Staffing forecasting experience
18
Health Services Systems Analyst Resume Examples & Samples
- Ambulatory Certified (not just credentialed)
- EpicCare Ambulatory training experience required
- Experienced with MST build and curriculum development required
- Excellent documentation, communication, interpersonal, and strong organizational skills
- Ability to prioritize and manage multiple projects and tasks
- Prior Epic employee desired
- Clinical experience (i.e., RN, etc.) desirable, but not required
- Certifications or credentials for other Epic applications a plus
- Solid understanding of processes/procedures and workflow within a hospital/clinical/health plan setting
19
Prognostics & Health Management Analyst, Mid Resume Examples & Samples
- 6 years of experience in an engineering, science, or technical field
- 2 years of experience with demonstrating knowledge and application of probability and statistics
- 1 year of experience with conducting R&M analysis to assess system reliability and maintainability performance
- 1 year of experience in working with Microsoft Office products, including Excel, PowerPoint, and Word
- Experience with maintenance of 4th or 5th generation combat aircraft
- Knowledge of Failure Reporting Analysis and Corrective Action System (FRACAS)
- MA or MS degree in Mathematics or Operations Research
20
Data Analyst, / Health Claims Resume Examples & Samples
- 4-6 years of statistical analysis or data analysis experience preferred
- Advanced knowledge of Enterprise Reporting and Analysis tools, SQL, and Microsoft Office applications, including Excel and Access
- Proficient in writing SQL queries
- Healthcare Background, with preference in Health Insurance would be ideal
21
Health Economic Analyst Resume Examples & Samples
- Thorough knowledge of TRICARE medical claims processing in accordance with established regulations, procedures, and policies to ensure payment of legitimate claims
- Skilled in oral and written communication to address various audiences and tailoring presentations to meet the audience’s requirements
- US Citizenship
22
Health Management Data Analyst Resume Examples & Samples
- 2+ years of group insurance experience
- 4+ years relevant experience in health plans and/or care systems including familiarity with hospital, ancillary and clinic care delivery and core business and financial processes. Includes experience in population health, ACOs, integrated health system delivery and an understanding of innovative care models to improved care while decreasing costs
- 4-7 years Clinical experience in a hospital or clinic setting
- 4-7 years Strong working knowledge of worksite health promotion, risk reduction and care management programs combined with a strong business acumen
23
Health Centers Quality Analyst Resume Examples & Samples
- At least 2 years of experience in the medical, behavioral health, or dental field
- At least 1 year experience leading quality performance improvement activities
- Experience with health care data collection and analysis
- Experience with one or more process improvement methodologies: Total Quality, Lean, Six Sigma, ISO 9000 or other
- Ability to establish priorities, organize tasks and projects and work independently
- Experience developing and presenting complex information to people with varying levels of background in a variety of formats, which may include in-person presentations, written reports or visual tracking systems, such as dashboards and scorecards
- Must successfully pass a criminal history check which may include national or state fingerprint records check
- Driving may be necessary for County business. Possession of a valid driver's license or an acceptable alternative method of transportation is required for occasional/incidental driving. Specific information on the County's driving policy can be found at Driving and Vehicle Policy (EPP 52)
- Experience conducting quality assurance recognition and/or accreditation efforts, such as NCQA, Joint Commission, Oregon PCPCH, or other established criteria
- Experience developing data and/or information from the EPIC electronic health record system
- Experience in the Behavioral Health field
- Familiarity or experience with Medicaid, Oregon Health Plan and/or Federally Qualified Center rules, regulations and policy
- For Veterans qualified for Veteran’s Preference: If you believe you have skills that would transfer well to this position and/or special qualifications that relate to this position, please list those skills and/or qualifications in the open-ended question at the end of the application and explain how those skills and/or qualifications relate to this position
- Establish and maintain liaison relationships with personnel engaged in similar work with other local programs and agencies, including senior level staff
- Review, examine and evaluate all indicators that have been identified in the Primary Care Quality Improvement Annual Work Plan
- Make presentations to the Quality Management Committee regarding clinic performance
- Conduct performance improvement projects relating to departmental goals, objectives, and specific program performance
- Attend internal and external meetings as indicated and as they relate to job tasks
- Fax: 503-742-5468
24
Systems Analyst, Telus Health Resume Examples & Samples
- Establish system specifications by conferring with users, analyzing workflow, access, information, and security requirements; designing system infrastructure
- Lead and Manage implementation of Service Desk and ITIL best practices, incident management, change management, configuration database etc
- Participate in planning, selection, installation, configuration, and testing of Operating Systems, server software, system management software; defining system and operational policies and procedures
- Configure, deploy, maintain, troubleshoot and support computer workstations, laptops, printers, mobile devices, phones and other computer and telecommunications equipment
- Perform installation of Microsoft software, updates and security patches; provide recommendations on best practices and efficient use of applications to streamline back-office operations
- Liaise with vendors, suppliers and professional services with regards to products upgrades, support issues and problem troubleshooting; review, assess and evaluate application updates with the development team to ensure optimal performance
- Maintain system performance by implementing system monitoring, analysis and tuning; troubleshoot and diagnose system hardware, software, networks and system management tools; design and perform system load/stress testing; escalate application problems to vendors
- Monitor and respond/react to the incident and service request queues
- Must be able to work on multiple projects simultaneously, adapt to rapid changes in scope and agenda to meet changing business needs
- Maintain excellent workplace communication skills, prepare, deliver and present reports, results, and findings as required
- Provide after-hours coverage for scheduled and unscheduled events, as well as emergency 24/7 support on a rotating basis with other systems analysts and engineer
25
Village Health Privacy Analyst Resume Examples & Samples
- Maintain a working knowledge and understanding of relevant health care laws and regulations related to DaVita privacy program, the health care industry, integrated care and case management
- Develop and implement project plans to evaluate business initiatives and processes, identify privacy risks and coordinate process improvement activities, includes tasks such as data analysis, creation of assessment tools and surveys, industry and regulatory research, policy and procedure development, corporate communications, etc
- Prepare and provide accurate and timely verbal and/or written reports and recommendation on assigned projects to Privacy Director and other relevant teammates
- Assist with the development, implementation and maintenance of corporate privacy policies and procedures, training, and other related processes
- Monitor, investigate, and oversee remediation plans related to privacy complaints and violations
- Serve VillageHealth, as a resource for privacy issues. Direct and/or coordinate responses as necessary
- Participate in new and/or ongoing workgroups, committees, etc., to provide privacy input into operational activities
- Deliver exceptional customer service to internal business partners while balancing multiple competing interests and projects of considerable complexity
- Other duties as assigned which promote the Privacy Team’s mission and function within DaVita Inc
- Bachelor's Degree in Business, Health Care Administration or related field, or Associate’s Degree and two years’ experience in related area required
- Health care privacy or comparable experience preferred
- Self-driven desire and flexibility to take on new responsibilities and learn new things
- Exceptional analytical, critical and creative thinking, and project management skills
- Professional level of written and oral communication skills
- Ability to establish and nurture collaborative professional relationships
- Comfortable working with all levels within the organization, in a team environment and independently
- Moderate to advance use of the Microsoft Office Suite (Outlook, Word, Excel, PowerPoint, Access)
- Ability to maintain confidentiality required
26
Watson Health Test Analyst Resume Examples & Samples
- Accurately and comprehensively analyze business requirements and identify risks to the successfully delivery of software
- Mitigating all risks, by identifying the test types that require execution
- Engaging with delivery leads to plan test execution
- Creation of UAT to ensure new functionality is fully tested before signoff
- Writing and executing test cases, use cases & test scenarios
- Identifying potential automation solutions and designing how this could be implemented
- Have a working knowledge and experience with functional and regression testing and working with formal testing tools
- Continually identify areas for improvement and identifying solutions
- Experience of engaging with teams located in more than one country
- An excellent understanding and experience of the Software Development Lifecycle
- Experience working with agile teams and with continuous delivery
- Strong analytical, communication, and organizational skills and the ability to manage multiple tasks at a given time
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Medicaid & Charitable Health Coverage Business Analyst Resume Examples & Samples
- Understand their functional area business processes
- Is assigned to investigate, document, and analyze client requirements in project areas such as: new/existing business operating models with innovative approaches to applicable department solutions support, market research of emerging or available product functionality and operational readiness assessment
- Assesses scope and impact of client business needs
- Support Business Case Development
- Participates in workflows, process diagrams and gap analysis
- May assist in the development of project plans
- May use the associated project planning tools
- Bachelor's degree in business/health care administration or related discipline
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Senior Financial Analyst, Health Resume Examples & Samples
- Bachelor’s degree or equivalent combination of education and relevant experience
- Three to four years of experience in financial analysis
- Sound accounting and insurance knowledge. Related experience in health and benefits field is an advantage
- Previous experience in system implementation, business analysis and project management is a plus
- Proficient in Microsoft Office suite including Excel, Access and visual basic applications (VBA)
- Able to organize and prioritize multiple projects in a fast-paced and deadline oriented environment
- Good command of both English and Chinese (Cantonese and Mandarin) language
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Health & Benefit Consulting Analyst Resume Examples & Samples
- Marketing efforts – gather benchmarking, utilization or rate data from the vendors via a Request for Proposal (RFP); interpret the meaning of the data and summarize the responses from the RFP in Excel or PowerPoint format for presentation to the client
- Participating in client calls and meetings as appropriate
- Required to obtain and maintain appropriate licenses as required by state regulations and Mercer policies, including Life and Health, Property and Casualty and Long Term Care certification
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Financial Analyst Purchasing Days CHI Health Mcauley Center Resume Examples & Samples
- Maintain an effective system for performing maintenance of the charge master file
- Charge Master follows Medicare, Medicaid, and other regulatory managed care requirements, HIPAA regulations and internal policies and procedures
- Works closely with service line departments, IT staff and Corporate Compliance to maintain the integrity of the Charge Master and service departments charge entry system. Maintain current billing regulations and requirements, monitor anticipated and issued regulatory changes for billing hospital services. Maintain knowledge of current and future updates to Federal Register, UB Editor, CPT and HCPC Codes, HIPAA requirements and regulations for health care transactions
- Identify service departments with problem areas related to charge capture and documentation, then provide education and work with the departments at the appropriate campus to find solutions
- Work closely with various Alegent System departments to handle inquiries about charges that need the help of a medical professional or billing expert in providing an explanation
- Identify charging errors within the charge master and ancillary systems and discuss problem areas and request corrections, based on thorough knowledge and understanding of compliant charging
- Works with compliance officer and department heads regarding billing compliance issues, corrections of errors, systems modifications or practice changes for proper billing of services provided
- Maintains a system of reporting that provides timely and relevant information in all areas of responsibility including charging methodology, billing or claims issues
- Utilizes project management skills to accomplish special projects that improve revenue cycle integrity and operations as assigned
- Be an effective leader, trainer, and coach to all staff across the system where a need is identified as the result of a charge or payment audit
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Senior Business Analyst, Health Systems Resume Examples & Samples
- Bachelor's degree and/or additional related experience in lieu of degree and 7+ years' experience as business analyst to include a minimum of 3 years in supporting a Federal Health System/Organization
- Proven work experience in one of these six areas
- Facilitate sessions with business stakeholders to elicit and document business processes, business requirements, business rules, data and systems to modernize projects
- Analyze process improvement and business process reengineering
- Create graphical models using standard tools including data models, business process models, use case diagrams and user stories
- Develop technical solutions to business problems
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Business Analyst, Health Division Resume Examples & Samples
- Develop a deep understanding of operational, customer and financial data
- Coordinate with leadership team to define key business metrics
- Design and deliver dashboard tools
- Support ad-hoc analytical reporting to drive business insight
- Collaborate with product, database and operations teams to support data integrity needs
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Health Operations Analyst Resume Examples & Samples
- 5+ years of experience in healthcare systems or in a hospital and an in–depth comprehension of health operations and administration
- Knowledge of how to apply clinical or operational expertise to the consulting environment
- Ability to perform independently and oversee the work of more junior staff
- Experience in data analytics and performance measurement, strategic planning, and communications
- Knowledge of patient safety and quality a plus
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Health Project & Planning Senior Analyst Resume Examples & Samples
- A Bachelor's Degree from an accredited college or university in public health, social work, criminal justice, science, a social science,or a closely related field.*
- Two (2) years of professional experience performing mental health case management (e.g. intensive case management, ACT, or FACT), work must have included experience with justice-involved individuals. This experience must have included conducting screening for mental illness, performing mental health assessments to inform diagnosis, and developing and tracking an individual service plan. OR Two (2) years of professional experience providing direct services to individuals with mental illness in the justice system, preferably through a problem-solving court or diversion program
- Yes
- 4 years to less than 5 years
- 5 years to less than 6 years
- 7 years to less than 8 years
- 8 years to less than 9 years
- 9 years to less than 10 years
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Health Analyst Resume Examples & Samples
- Experience with statistical programming and data analysis tools, including SAS or Excel
- Experience in presenting to and interacting with clients, including working closely with both Booz Allen and client matrixed teams of technical and non-technical staff
- Knowledge of health policies for a variety of fields, including the HHS, CMS, VA, NIH, and FDA
- Ability to provide input and support on memos, reports, and documentation in the areas of health analytics and policy
- Ability to write clearly and concisely about analytical and technical aspects of projects, for both internal Booz Allen staff and clients
- Ability to perform analytics independently, research anomalies in the data, perform quality assurance, and present this type of information to technical and non-technical clients
- BA degree
- Base SAS Certification
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Health Economic Analyst Asc Resume Examples & Samples
- Strong Microsoft Office application skills (moderate to advanced experience with Excel)
- Data review and/or data analysis experience
- Effective communication and writing skills
- Ability to produce reports and/or documents and formalize conclusions
- Ability to obtain a Public Trust Clearance
- Knowledge of TRICARE and/or the Military Health System
- Knowledge of DoD/Defense Health Agency structure and terminology
- Knowledge of healthcare terminology and/or medical coding/medical billing terminology
- PII/PHI (HIPPA) Awareness
- Leidos is a global leader in the integration and application of information, technology and systems working to solve the world’s toughest challenges in the civil, health, defense, intelligence and homeland security markets. The company’s 33,000 diverse employees support vital missions for government and commercial customers in 30 countries. Headquartered in Reston, Virginia, Leidos reported annual revenues of approximately $10 billion for the fiscal year ended January 1, 2016 after giving effect to the recently completed combination of Leidos with Lockheed Martin's Information Systems & Global Solutions business (IS&GS). For more information, visit www.Leidos.com. The company’s diverse employees support vital missions for government and commercial customers. Qualified women, minorities, individuals with disabilities and protected veterans are encouraged to apply. Leidos is an Equal Opportunity Employer
37
Health Services Systems Analyst Resume Examples & Samples
- Work closely with other teams that support Epic applications including: Orders, ASAP, OpTime and Anesthesia and the Ambulatory team to understand data structures, set and follow best practices and other team policies
- Perform Quality Assurance on new reports and changes to reports and work collaboratively with the Clarity Report team
- Uses basic analytical and problem solving skills to resolve problems within production application
- Participation in testing and workflow validation efforts
- Participate with clinical stakeholders in work groups to discuss opportunities for greater system utilization and enhancements
- Responsible for answering phone calls and tickets to resolve issues raised by end users and/or internal staff regarding modules in ccLink and 3rd party vendors
- Guidance on resolution for new features / functionality / optimization build in ccLink
- Thorough documentation and maintenance of all documentation on Sharepoint for build changes, workflows, etc. in ccLink
- Work directly with principle trainers on training material / lesson plans / workflow bulletins / steps and skills in regards to any changes or new build in ccLink
- Assist users who are having issues with the ccLink application
- Build workflow diagrams with the assistance of business leaders to optimize workflow
- Knowledge of business operations / work flow experience
- Functional clinical and application knowledge
- Experience troubleshooting problems and issues as typically triaged from help desk calls
- Experience or knowledge in nursing and physician inpatient workflows
- Excellent documentation, communication, interpersonal and strong organizational skills
- Must be self-motivated and have the ability to work with a team
- Able to drive a decision when most stakeholders are unsure of their needs
- Must be able to complete Epic certification within 6 months of notification by supervisor
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Health Services Systems Analyst Resume Examples & Samples
- Working closely with other teams that support Epic applications including: Orders, ASAP, OpTime, Anesthesia, and Ambulatory to understand data structures, set and follow best practices, and learn other team policies
- Performing Quality Assurance on new and changed reports and working collaboratively with the Clarity Report team
- Using basic analytical and problem-solving skills to resolve problems within production application
- Participating in testing and workflow validation efforts
- Participating with clinical stakeholders in work groups to discuss opportunities for greater system utilization and enhancement
- Working directly with principle trainers on training material / lesson plans / workflow bulletins / steps and skills in regards to any changes or new build in ccLink
- Assisting users who are having issues with the ccLink application
- Building workflow diagrams with the assistance of business leaders to optimize workflow
39
Health Operations Analyst Resume Examples & Samples
- Experience with health operations
- Knowledge of health operations, policy, and care delivery models
- Ability to apply critical–thinking expertise to help solve clients’ complex problems
- Possession of excellent interpersonal skills
40
MA&F Personal Health Analyst Resume Examples & Samples
- Build comprehensive market size and forecasting models (in excel)
- Develop expertise in your segment’s product offerings and market dynamics and generate insightful analyses for key executives across Royal Philips
- Collaborate on a project basis with Group Strategy and Business Development, business groups and markets organizations, marketing intelligence teams, finance, investor relations, and other key stakeholders to leverage the MA&F models and analytical capabilities
- Manage historical market share performance and develop competitor analyses for key stakeholders
- Develop and maintain relationships with key members of the markets and business groups teams to capture relevant data points and knowledge required to drive further model forecast accuracy
- Minimum of 5 years of experience in an analytical role
- Proven background in market analysis (i.e., equity research analyst, investment banker or other relevant employment)
41
Health Program Analyst Resume Examples & Samples
- Experience in program planning and development
- Ability to prioritize multiple assignments
- Proficiency with Microsoft Word, Excel and PowerPoint
- Self-starter and ability to work independently and in teams
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Health Program Analyst Resume Examples & Samples
- Provide analytical support to the Mental Health Clinical Program Manager III, administrative team and contract provider network. Respond to inquiries and provide solutions on various funding and contract issues on a regular basis
- Monitor, synthesize and analyze contractor claims and client data via multiple interdepartmental reports for Specialized Foster Care (SFC) Programs. Prepare reports in excel format for the purpose of monitoring SFC contract providers, reflecting data such as claiming utilization, demographic client counts, treatment costs, length of treatment, etc
- Serve as a liaison between CWD and the Human Resources (HR) Bureau. Work closely with the HR Classification unit on various requests/initiatives
- Serve as a liaison between CWD and the DMH Budget Division; work closely with CWD Program Managers and Budget Division in order to prepare the required documentation to facilitate the DMH budget phases for SFC staffing and programs
- Prepare routine and more complex cost projection analyzes used on an ongoing basis to facilitate payment and budgetary planning between DMH and DCFS
- Prepare various ad hoc reports to monitor contractor financial data to identify unusual trends or areas of concern. Complete additional analysis and make recommendations as needed for corrective actions, liaising with providers and DMH managers as appropriate
- Other special projects/duties as assigned
- Experience with contracts, budget, and/or program operations
- Experience in liaising with the HR Classification unit; previous experience completing HR related requests such as Permanent Position Transfer Requests or Ordinance Position Authority Requests is a plus
- Intermediate or advanced skill in Excel
- Skill in Outlook, Visio, PowerPoint, Word, and Cognos
- Skill in self-management, organizing, prioritizing, and completing multiple assignments
- Possess attention to detail and strong analytical/logic ability; good math skills are a plus
- Flexibility and willingness to alter planned work flow
- Ability to work as a member of a team
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Health Operations Analyst Resume Examples & Samples
- 3 years of experience in an healthcare operations setting or consulting environment
- Knowledge of health operations, process improvement, clinical workflow
- Ability to communicate effectively in writing and orally
- Ability to manage multiple duties in a fast-paced environment
- Experience with process improvement in a healthcare setting, performance, and outcome measurement
- PMP or CMAP Certification
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Health Services Systems Analyst Resume Examples & Samples
- Coordinating major aspects of the project
- Updating customer, vendor, and management on project progress
- Documenting all aspects of the project and/or process
- Providing objective assessments of implementation quality, documenting sources of error and "lessons learned"
- Creating and maintaining project plans and coordinates steps to meet implementation and/or upgrade schedule
- Implementing applications to support the internal/external customer
- Developing detailed procedures on software installation and configuration
- Developing testing plans for all changes/upgrades to ensure performance and maintenance of data integrity
- Proposing comprehensive options for solutions to complex problems including both technical and business aspects
- Performing integration of systems/process as needed within scope of project
- Identifying, tracking and reporting problems to vendors and follow-up/resolution to customers
- Developing proposals for system modification or replacement including cost/benefit analysis and resource requirements
- Coordinating activities to meet department and customer service goals
- Communicating changes to internal and external customers and department management in a timely manner
- Developing requirements documents to ensure that the business needs including functional specifications are documented and reviewed prior to system acquisition or system enhancement
- Coordinating and providing initial and follow-up training to customers
- Providing and promoting excellence in customer service for both internal and external customers
- Developing and maintaining training environments and materials and providing role-based education (classroom setting, handouts, e-learning, etc.)
- Facilitating communication between customer and all internal/external support resources and performing other duties as assigned
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Health Operations Analyst Resume Examples & Samples
- 2+ years of experience with health operations, including workflow analysis, process improvement, and patient safety and quality
- Experience with clients or consulting
- Ability to contribute to tasks and projects and organize tasks logically
- Ability to manage small teams
- Completion of Lean Methodologies training
- PMP and CMAP Certifications
46
Epidemiologic Health Analyst Resume Examples & Samples
- Assists in the conduct, analysis, and reporting on employee-based epidemiological studies
- Manages the Epidemiology mortality database content as well as the performance of the demographic and vital status updates and cause of death coding
- Identifies and evaluates health-based studies related to petroleum industry operations
- Assists in the conduct, analysis, and reporting on Health R&D studies, including but not limited to Health/Environment/Safety sensing, epidemiologic occupational hygiene, occupational health, and wellness data
- Develops and delivers training on performing health impacts assessments; acts as an SME for the HIA portion of the ESHIA Process
- Master’s degree in Public Health, Epidemiology, or closely allied health science
- Experience applying epidemiology methods, including designing, analyzing, interpreting, and reporting on occupational, environmental, and community health studies
- Knowledge and experience regarding software used to process and analyze epidemiological data and to manage relational databases
- Knowledge and experience in evaluating epidemiological studies, identifying gaps and limitations, and recommending alternatives to improve studies
- Knowledge and experience in in manipulating large data sets in preparation for subsequent epidemiologic/statistical analysis and reporting
- Knowledge and experience in statistical analysis techniques and working knowledge of data analysis software tools (e.g. SAS, R)
- Demonstrated ability to write technical reports
- Ability to understand business issues and formulate analytical solutions
- Ability to listen carefully and asks questions to understand the views, concerns and comments of others
- Ability to work effectively in a highly collaborative environment and with multiple levels of the organization, internally and cross functionally
- 3+ years epidemiology and health analytics experience with computer-based statistical software packages (e.g. SAS and R)
47
Return to Health Analyst Resume Examples & Samples
- Ensures compliance with applicable policies, laws and regulations
- Ensures data integrity
- Communicates designation of leaves, denials, leave extensions, re-certifications, return to work plans, and
48
Health Operations Analyst Resume Examples & Samples
- Experience in a healthcare operations setting or consulting environment
- Knowledge of health operations, process improvement, or clinical workflow
- MS degree in Health Systems Administration
49
Health Program Analyst Resume Examples & Samples
- Coordinates functions of epidemiologists, informaticists, and evaluators in gathering and analyzing data for health programs in the division
- Designs and conducts data analysis and evaluation of health programs for efficiencies and effectiveness
- Conducts community needs assessments to monitor health indicators, behavior risk and protective factors, and population profiles
- Manages active and passive surveillance activities on infectious and chronic diseases, environmental health events, public health syndromes, injuries, and similar issues. Develops conclusions from surveillance data and identifies implications for public health programs
- Develops reports of behavior risk factors and public health data to identify trends. Disseminates key findings to public health professionals and the community
- Represents health department with key community agencies and outside workgroups to coordinate data gathering and analysis
- Helps administration implement strategies for the use of data to improve evidence-based decision making
- Analyses and provides supportive data to assist managers in writing contracts, grant applications and presentations
- Utilizes, maintains, and modifies public health databases to organize and analyze data, ensuring confidentiality of information
- Designs instruments and methods for the collection and analysis of disease-related data. Conducts epidemiologic studies and leads field investigations to assess risk factors for adverse health outcomes and to determine sources of disease outbreaks
- Interprets data using epidemiological methods to describe public health problems, population impacted, and factors contributing to the findings. Provides data to help establish targeted prevention activities and program goals and provides education as needed
50
Health Analyst Resume Examples & Samples
- 1+ years of experience in a professional healthcare or health research environment
- Experience with data analysis and research
- Experience with health performance measures
51
Health Systems Analyst Resume Examples & Samples
- Ability to conduct an environmental scan and write a comprehensive plan
- Ability to work in a fast-paced environment with many stakeholders and constituencies
- Experience with equity and social justice issues
- Bachelor's Degree with experience in physical or behavioral health and early learning
- Master's Degree in Nursing, Mental Health, Social Work, Health Policy, Planning, Organizational Development, or the equivalent
- A letter of interest clearly describing how you meet the QUALIFICATIONS listed
- Your chronological résumé/work history depicting work experience and/or education that support your letter of interest
- A list of at least 3 professional references including names, professional titles, and current phone numbers
