Healthcare Analytics Resume Samples
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Healthcare Analytics Resume Samples
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HM
H Marquardt
Haleigh
Marquardt
3321 Lind Forge
Philadelphia
PA
+1 (555) 782 7395
3321 Lind Forge
Philadelphia
PA
Phone
p
+1 (555) 782 7395
Experience
Experience
Philadelphia, PA
Healthcare Analytics Consultant
Philadelphia, PA
Gleason-Rohan
Philadelphia, PA
Healthcare Analytics Consultant
- Assisting management with auditing and reporting projects
- Running daily, weekly and monthly reports for client
- Checking and validation of peers’ work product and results
- Contribute to the building and management of the analytics infrastructure for the Advanced Research & Analytics (ARA) team
- Facilitate the creation of complex statistical statements on healthcare data that measures various aspects of healthcare services, consumer episodes, and operational events
- Collaborate with analytics practitioners, business analysts and methodologists to design and oversee the development of working prototypes of technical solutions
- Manage technology solutions portfolios, and identifying new technology approaches to solve business problems with a strong focus on leveraging enterprise data
Detroit, MI
Director of Healthcare Analytics
Detroit, MI
Kris and Sons
Detroit, MI
Director of Healthcare Analytics
- Research, identify, & implement new approaches and methods to facilitate operational efficiencies through cost management and operational benchmarking
- Hire, train, and develop existing and new team members
- Strong knowledge of insurance reimbursement data reporting and analysis
- Develop and prepare departmental scorecards & dashboards showing high level results and trends
- Contribute to a learning culture
- Collaborate with IT and business units to advance the company’s reporting capabilities and improve accuracy of data
- Determine opportunities and identify solutions to improve capabilities and efficiency of reporting
present
Dallas, TX
Director, Cost of Healthcare Analytics
Dallas, TX
Mante-Jones
present
Dallas, TX
Director, Cost of Healthcare Analytics
present
- Develop documentation and creates and executes work plans for analyses of high complexity
- Assess business risks associated with analytical processes and data systems and develops strategies to mitigate risks
- Develop programs and processes that can be run by other lower levels analysts
- Apply healthcare business knowledge and key concepts in health insurance to develop routine and ad hoc analyses
- Produce accurate work under tight deadlines
- Create system QA processes and documentation
- Design, implement, and manage complex data structures and analysis systems
Education
Education
Bachelor’s Degree in Engineering
Bachelor’s Degree in Engineering
Florida International University
Bachelor’s Degree in Engineering
Skills
Skills
- Implementing business development initiatives with previous proven experience of achieving sales targets greater than £0.5m
- Managing multi-disciplinary teams, client and 3rd party professionals on client engagements
- Being a subject matter expert in advising clients to gain greater insight into their data and the value that data analytics can bring to an organisation
- Highly numerate, with a good understanding of dashboard design and experience communicating the result with visualisation techniques
- Strong experience in MS Excel, plus at least one SQL dialect (e.g. SQL Server, Python, R, MS Access, Postgresql, Oracle, PLSQL or MYSQL)
- Being actively involved throughout the life-cycle of an assignment; managing WIPs and setting and agreeing budgets whilst keeping the leadership team informed of the status
- Previous direct experience of working within or providing specialist modelling/analytical support to health informatics or finance teams, or developing analysis which underpins strategic changes in healthcare provision
- Direct relevant experience of working within or providing specialist modelling/analytical support to health informatics/finance teams or developing analysis which underpins strategic healthcare provision
- Being able to manage clients’ expectations in relation to deliverables
- Supporting clients on the benefit of data analysis, complex calculations and visualisations demonstrating how it can be applied at all stages of the transaction life cycle
15 Healthcare Analytics resume templates
Read our complete resume writing guides
1
Healthcare Analytics Sme Resume Examples & Samples
- Provide programmatic subject matter expertise to support the pursuit of new business opportunities in various government healthcare lines of business, including Healthcare Analytics, Care and Quality Solutions, and other specialized areas
- Provide expertise related to functional requirements and specifications, using knowledge of evolving regulations and emerging industry trends
- Work with the solution manager to understand gaps between Request for Proposal (RFP) requirements and company products and services, and how those gaps will be filled
- Work with proposal managers and writers to define technical, business and functional proposal content
- Write assigned proposal sections in specific areas of responsibility
- Write proposal sections in other areas as necessary
- Review other writers’ proposal material, making recommendations for content and improvement
- Participate in the bid costing process to ensure that all aspects of the proposed solution have been addressed
- Participate in post-proposal activities as required, including oral presentations, product demonstrations, etc
- Maintain a current understanding of industry and technology trends that may affect potential new business opportunities
- Where necessary, travel anywhere in the US to attend proposal planning and review sessions
- Work with other Business Development staff to develop and implement future plans for solution improvements and long term business growth
- Must be able to develop proposal content that is aligned with Xerox brand standards for tone of voice and writing style
- A Bachelor’s degree. In some circumstances, exceptional experience may be substituted for a degree
- A strong knowledge of state government healthcare programs and administration, including analytics
- A strong understanding of complex healthcare projects, especially those related to Medicaid, including technology implementation, operational services, and project management
- Significant writing experience related to complex projects is required; writing experience related to Medicaid projects is strongly preferred
- Experience in new business development, including proposal preparation, is strongly preferred
- Outstanding written and verbal communication skills in English are an absolute requirement. Must also have strong organization, presentation, and problem solving skills
- Must be proficient in latest versions of MS Office applications (Word, PowerPoint, Excel)
- Must be able to work with minimal supervision, both independently and in a team
2
Executive Healthcare Analytics Resume Examples & Samples
- Delivering sophisticated assignments covering some of the largest issues in health such as reconfiguration, planning and optimisation, business case development and major investment appraisals
- Identifying the factors that drive financial and operational performance in health care and a knowledge of how the market operates
- Leading modelling and analytical assignments through the full analytical project lifecycle
- Applying strategic thinking and quantitative rigour to unstructured client problems in the context of the pressures facing our clients across the health care industry
- Professional Services or consulting experience
3
Healthcare Analytics Resume Examples & Samples
- Candidates who are highly motivated, numerate, logical thinkers, with a passion for strategic thinking and applying quantitative rigour to unstructured client problems in the context of the pressures facing our clients across the health care industry
- A competent modeller and recognised analytical leader bringing skills in Excel and Access and knowledge of the analytical tools in the industry such as the LTFM, Dr Foster, etc etc
- Desire to deliver sophisticated assignments covering some of the largest issues in health such as reconfiguration, planning and optimisation, business case development and major investment appraisals
- Direct relevant experience of working within or providing specialist modelling/analytical support to health informatics or finance teams or developing analysis which underpins strategic changes in healthcare service provision
- We also require a minimum 2:1 degree (or equivalent) and further education (e.g. a Master’s degree or a Ph.D) in a relevant healthcare related subject
- A strong commercial awareness and an ability to identify the factors that drive financial and operational performance in health care and a knowledge of how the market operates
- Evidence that you have led modelling and analytical assignments through the full analytical project lifecycle
4
Healthcare Analytics Resume Examples & Samples
- A competent modeller and recognised analytical leader bringing skills in Excel and Access and knowledge of the analytical tools in the industry such as the LTFM, Dr Foster, etc
- Suitable candidates will typically have direct relevant experience of working within or providing specialist modelling/analytical support to health informatics or finance teams or developing analysis which underpins strategic changes in healthcare service provision
- A recognised accounting or finance qualification and/or an MBA would generally be an advantage. We also require a minimum 2:1 degree (preferably in a numeric subject) and strong A level results
5
Director of Healthcare Analytics Resume Examples & Samples
- Oversee analytical team in the extraction, aggregation and quality assurance of data from multiple sources in support of performing operational reporting and quantitative analyses
- Direct the development and execution of analytical activities to provide senior leadership with information and tools for strategic decision making and planning, health care utilization and costs, affordability opportunities, reimbursement projects, forecasting, data and informatics needs
- Research, identify, & implement new approaches and methods to facilitate operational efficiencies through cost management and operational benchmarking
- Provide critical data to M & A Team when required
- Provide reporting, analytics, and consultation that is relevant and actionable to 7 Surgery Centers and 4 Hospitals located in Texas
- Ensure consistency of approach related to analysis techniques, and key findings
- Develop and prepare departmental scorecards & dashboards showing high level results and trends
- Provide direct skills and lead a team of analysts in developing and preparing a consistent set of operational and member satisfaction reports/dashboards for leadership that reflect established services standards and metrics
- Manage 3 direct reports and 3 indirect support analysts
- Collaborate with IT and business units to advance the company’s reporting capabilities and improve accuracy of data
- Research outliers and identify root causes of issues identified in reports; will require understanding of overall business
- Maintain relationships with executive leadership at all surgery and hospital facilities, while providing reporting & analytical support to business units and support cross-functional projects
- Determine opportunities and identify solutions to improve capabilities and efficiency of reporting
- Effectively communicate workload prioritization and progress to all interested parties
- Hire, train, and develop existing and new team members
- Contribute to a learning culture
- Educate account teams and sales leadership so that they better understand informatics capabilities and performance metrics and manage client needs/demands
- Strong leadership and mentoring skills and experience
- Ability to translate data into meaningful information in report or presentation formats
- Innovative/Creative
- Strong knowledge of insurance reimbursement data reporting and analysis
- Ability to think strategically with appropriate level of detail analysis to plan and execute
- Ability to solve problems and drive issues or projects to conclusion
- Ability to work collaboratively across the organization
- Proactive—does not wait for things to happen—makes them happen
- Ability to effectively delegate
- Self-assured and results oriented
- Excellent written and verbal communications skills
- 5 plus years in healthcare analytics/informatics and report development experience
- 3+ years’ experience with analytics in data warehouse environment
- 2+ years’ experience managing analytical teams
- Experience with advanced data visualization tools a plus
- Occasional travel to multiple hospital and surgery facilities within Texas
6
Finance Consultant / Healthcare Analytics Resume Examples & Samples
- Analyze data reports, interpret findings and communicate recommendations to internal stakeholders and medical groups
- Collaborate with internal leaders (Finance Director, Medical Director, Healthcare Services Director, Clinical Nurse Lead) on results, metrics, underlying root causes, outliers and trends; with all engaged, be ready to present to IPAs of detailed findings during a medical management meeting
- Develop cost mitigation strategies for medical groups to reduce their institutional costs
- Analyze and review complex accounting and financial transactions for monthly internal and external reporting
- Develop methods and criteria for measuring and summarizing data for complex analyses
- Maintain and review various system reconciliations between source systems and financial and operational reporting processes
- Lead and manage special projects that may necessitate cross-functional partnerships
- Bachelor’s Degree in Accounting, Finance, Economics or a related field
- Progressive leadership and management experience
- Prior experience within the financial industry
- Training, Facilitation, or Presentation experience
- Strong SQL knowledge
- Comprehensive knowledge of Microsoft Office Word, Excel, PowerPoint
- Experience with Senior Products (Medicare Advantage) Finance
- Previous health insurance industry experience working in a Finance/Analytics department
7
Healthcare Analytics Resume Examples & Samples
- Implementing business development initiatives with previous proven experience of achieving sales targets greater than £0.5m
- Managing multi-disciplinary teams, client and 3rd party professionals on client engagements
- Being a subject matter expert in advising clients to gain greater insight into their data and the value that data analytics can bring to an organisation
- Supporting clients on the benefit of data analysis, complex calculations and visualisations demonstrating how it can be applied throughout organisations
- Building relationships with colleagues across the business, supporting them and promoting a collaborative culture
- Being actively involved throughout the life-cycle of an assignment; managing WIPs and setting and agreeing budgets whilst keeping the leadership team informed of the status
- A strong academic background, e.g. Degree or equivalent in a numerate or analytical subject
- Previous direct experience of working within or providing specialist modelling/analytical support to health informatics or finance teams, or developing analysis which underpins strategic changes in healthcare provision
- Competence in using database management software, statistical and predictive modelling and data visualization software
- Experience of leading large teams, complex engagements, mentoring and coaching junior staff to maximise performance
8
Healthcare Analytics Senior Manager Resume Examples & Samples
- Perform complex data and financial analysis, as well as manage and manipulate data
- Possess and apply a solid understanding of appropriate federal and state Medicaid laws, regulations, policies, and procedures
- Develop and manage staff
- Maintain successful client relationships
- Oversight of work plan functions, due dates, and preparation of deliverables
9
Healthcare Analytics Consultant Resume Examples & Samples
- Decision support system implementation
- Manage existing client relationships and projects
- Assist with developing new client relationships and projects
- Assist with development of new service and product opportunities
- Assist with staff development, department management and daily operations
- Supervise monthly data updates of MedInsight decision support system
- Work internally with Milliman consultants to determine MedInsight reporting needs, address data quality issues, and support data reconciliation
- Become proficient in the use of the MedInsight product to support data analysis and validation
- Perform ad hoc programming and analysis
- Build translation programs in SQL that convert client datasets into Milliman standard formats
- Perform validation of data received
- Investigate data validation and quality issues
- Implement improvements to the Milliman data processing system
- Perform system administration tasks, as required
- Checking and validation of peers’ work product and results
- Comply with all Milliman established standards and operating procedures
- Minimum 5 years proven experience in healthcare data analytics
- Minimum 3 years proven experience as consultant or multi-person department manager
- Minimum 3 years proven experience selling healthcare information technology services
- Experience in SQL programming
- Experience using Microsoft Reporting Services
- Proficiency with the Office Suite, especially Excel
- Manage large and small scale healthcare data analytic projects
- Strong customer service and client management skills
- Strong analytical and problem resolution skills
- Demonstrated ability to work within a team
- Be skilled in the use of relational databases and be familiar with database extract and analyzing tools for utilizing multiple large data sets
- Familiarity with healthcare reimbursement, medical claims, pharmacy claims, eligibility data or systems and employee benefits
- Ability to understand the big picture but also pay close attention to details
- Strong organizational and detail oriented skills
- Ability to meet deadlines and to set and achieve goals
- Ability to multi-task effectively and efficiently
- Ability to clearly articulate ideas and concepts both in written form and orally
10
Healthcare Analytics Consultant Resume Examples & Samples
- Strong Data Analysis experience working with relational databases (SQL)
- Demonstrated ability to multi-task and manage multiple projects simultaneously
- Demonstrated strategic/systemic thinking
- Demonstrated ability to translate data into actionable information to support business decisions
- Ability to travel ~10-20% to markets as needed
- Previous health insurance industry experience working with data analytics or similar role
- Advance degree
11
Healthcare Analytics Consultant Resume Examples & Samples
- Combine their technical expertise with the ability to architect, deploy, and oversee integrated analytics / business technology solutions
- Consult with leaders of internal customer teams and manage expectations, meet project and deliverable timelines, ensure accurate and timely completion of deliverables
- Collaborate with several other teams and roles across the business on requirements gathering and solution deployment
- Make analytical product, service or process decisions likely to impact multiple groups of employees and / or customers (internal or external)
- Manage technology solutions portfolios, and identifying new technology approaches to solve business problems with a strong focus on leveraging enterprise data
- Contribute to the building and management of the analytics infrastructure for the Advanced Research & Analytics (ARA) team
- Work with Analytics Directors on staffing needs, strategic technology trend identification, monitoring project progress and completion, issue resolution and technical solutions related to data, data flow and advising on algorithm deployment
- Facilitate the creation of complex statistical statements on healthcare data that measures various aspects of healthcare services, consumer episodes, and operational events
- Bachelor’s degree in Engineering, Economics, Healthcare Economics, Mathematics, Statistics, Biostatistics, Computer Science, Theoretical Physics, Quantitative Social Sciences, Actuarial Science
- Minimum of 5 years in a technical role with at least 3 years of strategic consulting experience
- Proficiency in one or more programing languages such as Python, Java, C++, PHP, VB etc., with demonstrated experience developing technical solutions using them
- Demonstrated experience in analytics management
- Strong business acumen and communication skills (written & oral), critical thinking ability, strong analytical and problem solving skills
12
Healthcare Analytics Resume Examples & Samples
- Implementing business development initiatives
- Supporting the management of multi-disciplinary teams, client and 3rd party professionals on client engagements
- Supporting clients on the benefit of data analysis, complex calculations and visualisations demonstrating how it can be applied at all stages of the transaction life cycle
13
Healthcare Analytics Resume Examples & Samples
- A passion for designing and building complex analytical models to perform analysis on a variety of large health datasets
- Being able to manage clients’ expectations in relation to deliverables
- Identifying risk on the assignment, involving Directors and Partners appropriately in its resolution
- Being actively involved throughout the life-cycle of an assignment
- Direct relevant experience of working within or providing specialist modelling/analytical support to health informatics/finance teams or developing analysis which underpins strategic healthcare provision
- Strong experience in MS Excel, plus at least one SQL dialect (e.g. SQL Server, Python, R, MS Access, Postgresql, Oracle, PLSQL or MYSQL)
- Highly numerate, with a good understanding of dashboard design and experience communicating the result with visualisation techniques
- Previous evidence of working with clients and model users to identify their particular needs, and evidence of problem-solving previous client problems
14
Senior Analyst of Healthcare Analytics Resume Examples & Samples
- Obtains a thorough understanding of medical and operating infrastructure of each region’s operations to be able to proactively analyze and identify opportunities for cost savings and revenue enhancements. Regularly meets and interacts with regional teams or other applicable internal constituencies in reviewing historical operating results and to proactively identify and analyze potential revenue enhancement and cost saving opportunities in the medical and operating expense areas
- Performs a variety of pro forma financial and operating analyses as requested by regional teams to support potential proposals
- Generates various reports of financial and operating data as requested by regions or as necessary to assist regions in better understanding issues underlying data requests
- Works with regions and other applicable Finance departments to effectively analyze sources of significant budget variances and fluctuations in medical and operating expenditures. Meets with regional teams to review results and develop recommendations for necessary follow-up
- Reviews and understands fluctuations across regions in delivering cost of care of given specialties (supplementing existing specialty cost analysis reporting) and variations in cost of care of key institutional services. Differentiates impact of rate versus utilization variations
- Performs and executes other financial and operational analyses as requested by Finance or regional management
- Knowledge of Microsoft applications (Excel, Access)
- Excellent analytical and problem-solving skills
15
Senior Analyst Healthcare Analytics & Special Projects Resume Examples & Samples
- End-to-end leadership on projects with support from colleagues and manager
- Build and quality control complex financial and predictive models
- Clearly present insights and recommendations to executives
- 1-4 years of total work experience required
- SQL, VBA, and other programming skills desired; willingness to learn required
- Prior experience at top-tier consulting firm, investment bank, or corporate finance / strategy team with demonstrated interest in healthcare industry desired
- Good understanding of healthcare / integrated care
- High level of proficiency with Microsoft Excel and PowerPoint
- Refined written and oral communications skills
- SPSS, Python and other predictive modeling abilities preferred
- Bachelor’s Degree from top 20 undergraduate institution highly preferred
- Knowledge of Microsoft applications (Excel, Access, SQL Server a plus, Reporting Services a plus)
16
Manager, Healthcare Analytics Resume Examples & Samples
- Develops and maintains systems that allow for ease of data retrieval and manipulation from a variety of sources including claims payment, utilization management, health plan risk pools, subcontractor capitation, internal charges, subcontractor risk pools and others
- Audits and recovers claims overpayments, capitation revenue underpayments by the health plan (e.g., ESRD, Institutional), inappropriate risk pool expense deductions (HealthNet Aids and Transplants), and other areas identified as a cost benefit to direct audit and recovery efforts
- Assures accuracy and timeliness of subcapitation payments
- Develops systems to assure the timeliness if risk pool reconciliations
- Develops financial models for new ventures
- Performs historical studies to forecast future costs
- Develops subcapitation and risk pool models
- Develops models to evaluate provider contract proposals
- Identifies trends in claims expenses and recommends methods for reduction
- Coordinates requests for analysis from internal and external clients including assignment, mentoring and establishing timelines
- Performs research on industry performance measures for evaluation of client performance
- Ensures accuracy and readability of for all team projects
- Proficient in Microsoft Office applications (Word, Excel, Access)
17
Healthcare Analytics Analyst Resume Examples & Samples
- Bachelor's degree in Finance, Computer Sciences or Actuarial Science or a related
- 3+ years Analytics experience
- Intermediate / advanced or expert level experience with MS Excel (Pivot tables, lookup functions, sumif(s), sumproduct, charts, graphs, formulas etc.)
- Completion of 2+ Actuarial exams
- SQL experience
- Risk Adjustment
18
Manager, Healthcare Analytics Resume Examples & Samples
- Develops and implements analytical approaches for identifying variation in practice patterns by region and provider
- Develops and implements specific approaches for improvement of data architecture needs
- Develops and maintains systems that allow for ease of data retrieval and analysis from a variety of sources
- Oversee development of dashboard reporting (back end and front end design)
- Translate business requirements into specification that will be used to implement required reports and dashboards, created from potentially multiple data source
- Participate in business analysis activities to gather required reporting and dashboard requirement
- Design, implement, and support a platform providing ad-hoc access to large datasets
- Use data mining, model building, other analytical techniques to develop and maintain customer segmentation and predictive models to drive the business
- Designing and implement BI reporting applications
- Debugging, and troubleshooting BI solutions
- Identifies critical areas of the data structure and recommends improvements to existing reports and reporting processes
- Documents data systems, processes, and technical Meta data
- Tracks the results of interventions through analysis of subsequent practice patterns
- Develops and implements methods of evaluating outcomes of interventions/programs to help improve patient experience
- Develops recommendations to management concerning the best method/practice to provide data in an accurate, efficient and effective way to our internal clients
- Coordinates requests for analysis from leadership, markets and other internal clients including assignment, mentoring and establishing timelines
- Assures accuracy and timeliness of all analyses, reports and profiles produced
- Performs research on published practice patterns and protocols, process improvement
- Develops individual goals with team members
- Ensures accuracy and readability of all team projects
- Must be able to perform duties with low supervision
- Proficient in Microsoft applications (Word, Excel, Access) and other database and statistical software packages
- Proficient in reporting and analytical tools (Microsoft Reporting Services, Cognos, Tableau)
- Excellent conceptual and analytical skills
19
Healthcare Analytics Consultant Resume Examples & Samples
- Strong Data Analysis experience working with relational databases
- Ability to travel up to 10% to markets as needed
- Previous health insurance industry experience working with data analytics or a similar role
20
Healthcare Analytics Resume Examples & Samples
- Bachelor’s degree (preferably in Health Policy, Public Health, Economics, Mathematics and/or Statistics)
- Outstanding record of academic achievement
- Have experience and appetite in analytics and quantitative/data analysis and ideally in the health care sector
- Enjoy technical environments and do not fear to understand and influence technology choices
- Have a background in our technology environment and tools (SQL, R)
- Proven record of leadership in a work setting and/or through extracurricular activities
- Ability to work effectively with people at all levels in an organization
21
Senior Financial Healthcare Analytics & Affordability Consultant Resume Examples & Samples
- Lead affordability support to specified Optum product and channel leads
- Support channel and product leads in monthly affordability reporting and analysis, and deal support
- Lead affordability analytics and modeling across all Lines of Business to include mentoring, advising and supporting other Affordability Consultants in analysis and reporting
- Partner with UHC customer affordability and finance teams on targets, variances, methodologies, planning and executive reporting and analysis support
- Partner with Finance and Health Care Economics to maintain, review & assess affordability programs and initiatives
- Partner with product leads to report and analyze product affordability and incremental affordability initiatives
- Support monthly and quarterly affordability reporting
- Assist in the planning of annual affordability targets
- Deliver value to customers by assisting product leadership in making sound financial decisions
- 5+ years of financial and operational management experience including experience in Healthcare and Healthcare related data management
- Bachelor's degree in Accounting, Finance or related field
- Exceptional financial acumen
- Proven experience driving business performance in a high growth environment
- Strong ability to work collaboratively and influence across a matrix environment to drive revenue enhancement and expense management initiatives
- Strong executive presence, communication and influencing skills with internal and external stakeholders
- Must be flexible and willing to work in environment where priorities change to meet changing business condition
- Advanced level of proficiency with MS Office (Excel, PowerPoint)
- Finance/Product Development/HealthCare Economics experience - a combination of the two is preferred
- Experience with Hyperion Essbase and PeopleSoft
22
Analyst, Healthcare Analytics Resume Examples & Samples
- Analyze data sets and trends for anomalies, outliers, trend changes, and opportunities
- Assist with completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations
- Bachelor's Degree in Finance, Economics, Math, Computer Science; or equivalent experience
- Basic knowledge of SQL
- Proactively identify and investigate complex suspect areas regarding medical cost issues
- Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
- Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc
23
Mgr, Healthcare Analytics Resume Examples & Samples
- Bachelor's Degree in Finance, Economics, Math, Computer Science, Information Systems or related field
- 10 years work experience preferable in claims processing environment and/or healthcare environment
- Familiar with relational database concepts, and SDLC concepts
- 3 – 5 years supervisory experience
24
Manager, Healthcare Analytics Resume Examples & Samples
- Personal values in line with DaVita’s values of service excellence, integrity, team, continuous improvement, accountability, fulfillment, and fun
- 4-7 years of total work experience required
- SQL, VBA, and other programming skills required
- Prior experience at top-tier consulting firm, or corporate finance / strategy team with demonstrated interest in healthcare desired
- Understanding of managed care industry as it pertains to insurance, physician groups, hospitals, risk contracting and incentive arrangements
- In-depth knowledge of various types of contractual relationships payors may have with providers High level of proficiency with Microsoft Excel and PowerPoint
- Strong attention to detail and comfort working with numbers
- Bachelor’s Degree from a ranked undergraduate institution preferred
- Ability to work efficiently and effectively for 10+ hours / day
- Ability to grow a team of leaders and manage talent effectively
- Provide quantitative and analytical support to executives at DaVita
- Ability to take direction from and communicate effectively with senior management
- Pose the right questions and structure analytical frameworks to address those questions
- Use SQL to query databases and surface insights from large sets of data
- Collaborate with other teams as needed to implement operational initiatives
- Must be willing to stretch “up” and “down” in responsibilities
25
Lead Analyst, Healthcare Analytics Resume Examples & Samples
- Develops, implements and uses software and systems to support the department's goals
- Develops and generates ad-hoc and standard reports using SQL programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools
- Coordinates and oversees report generation by team members and distribution schedule to ensure timely delivery to customers, ensuring the highest quality on every project/request. Responsible for error resolution, follow up and performance metrics monitoring
- Provides peer review of critical reports and guidance on programming / logic improvements; provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques to determine significance and relevance
- Participate in and guide the design of large scale predictive and statistical models to predict future trends in cost, utilization and performance. Guide team members on appropriate writing skills for executive summaries tailored to the audience.·
- Applies process improvements for the team's methods of collecting and documenting report / programming requirements from requestors to ensure appropriate creation of reports and analyses while reducing rework
- Manage the creation of comprehensive workflows for the production and distribution of assigned reports; document reporting processes and procedures
- Maintains SharePoint Sites as needed, including training materials and documentation archives
- Five or more years of progressive responsibilities in Data, Finance or Systems Analysis
- Expert knowledge on SQL, SSRS and SSIS or similar tools
- Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing and actuarial functions
- BI tools (ProClarity, MEd Insight, etc.,)
26
Supervisor, Healthcare Analytics Resume Examples & Samples
- 3-plus years healthcare industry background
- 3-plus years managed care experience, preferably working with the Medicaid product
- Knowledge of state encounter submission process
- Knowledge of SQL & QNXT
27
Healthcare Analytics Consultant Resume Examples & Samples
- Combine their technical expertise with the ability to architect, deploy, and oversee integrated analytics/business intelligence / technology solutions
- Consult with leaders of internal client teams and manage expectations, meet project and deliverable timelines, ensure accurate and timely completion of deliverables
- Make analytical product, service or process decisions likely to impact multiple groups of employees and/or customers (internal or external)
- Bachelor’s degree in Engineering, Economics, Healthcare Economics, Mathematics, Statistics, Biostatistics, Computer Science, Theoretical Physics, Quantitative Social Sciences, Actuarial Science or any such related fields
- Minimum of 5 years in a technical role with at least 1 year of strategic consulting experience
- Demonstrated experience in analytics and/or Business Intelligence solution management
- Master’s degree degree in Engineering, Economics, Healthcare Economics, Mathematics, Statistics, Biostatistics, Computer Science, Theoretical Physics, Quantitative Social Sciences, Actuarial Science or any such related field
- Minimum of 3 years in business intelligence or advanced analytics areas
- Minimum of 2 years in the healthcare / payer industry
- Experience with statistical programming languages such as R or SAS. Experience with Enterprise Miner or Enterprise Guide. Highly adept at data querying languages
- Experience with app development, analytical infrastructure development, and business solution consulting experience in the consumer experience, provider management, medical or pharmacy policy space, fraud-waste-abuse detection, marketing analytics and healthcare economics
- Highly experienced in data visualization suite(s) such as Tableau; D3JS; Cognos etc
- Ability to navigate and drive results in a matrix environment
- Competency to convert research requirements to analytical specifications
- Effective in fast-paced team-oriented Environment
- Advanced experience with statistics – hypothesis testing; design of experiments; data mining; machine learning
- Hands on experience with building forecasting and capacity planning models; stochastic simulation models; operations research and optimization techniques
- Experience analyzing and coordinating financial data, generating reports, tables, listings and graphs
- Advanced visualization and story-boarding skills
28
Healthcare Analytics Developer Resume Examples & Samples
- Minimum 5 years related work experience required
- Expert skills with SQL (SSIS, SSRS) required
- Experience creating, maintaining and supporting all implementations and ETL processes from data warehouse to Cozeva, MDX, Access Express, NextGen, and all other internal systems related to Quality Measures
- Expert development skills with consumer and enterprise analysis software
- Epic Clarity experience preferred
29
Healthcare Analytics Business Analyst Resume Examples & Samples
- Define detailed requirements, functional design specifications and user scenarios for approved solutions and develop design artifacts to support ISO processes
- Analyze user requirements and their impact on the application and/or system performance expectations
- Document appropriate features, functions and methodologies for internal and external audiences
- Lead and or participate in business and technical design reviews
- Perform gap analysis to current regulatory reporting requirements
- Estimate scope and resource requirements related to requirements documentation
- Collaborate with product owners for industry-segment solutions
- Prepare for and conduct usability testing and confirm adherence to documented requirements
- Develop material to support customer implementation and product documentation
- Participate in solution meetings/proposal teams as needed
- Complete all mandatory (e.g., privacy, security, HIPAA, ISO) training as requested
- Advanced degree preferred (MBA, MHA, MPH)
- 6+ years business analysis or industry-related experience; healthcare consulting, health plan payer, or product related experience in a healthcare technology company
- Proficiency with Microsoft Office Suite is required
- SQL query experience preferred
- Prior experience with Predictive modeling, Quality Management, HCC risk adjustment required
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Engagement Manager, Healthcare Analytics Resume Examples & Samples
- The Engagement Manager, Healthcare analytics will play a vital role in leading and managing consulting and analytics engagements and teams
- He / She will be expected to solve business problems, develop analytical solutions, prioritize objectives, assign tasks, and manage multiple teams in order to achieve the highest levels of client satisfaction and targeted financial results
- The person additionally will be expected to provide leverage to the management in the business development and capability development activities
- The person should be open to travel to client locations in India / abroad for short durations depending on the project requirements
- Expected to have 7-10 years of work experience in developing and deploying sophisticated analytical solutions
- Minimum 4 years in Healthcare (Payer, provider etc.) analytics
- BE / BTech, Masters / Bachelors in Statistics, Economics, Operations Research or MBA from good B School
- Knowledge of advanced analytics and market research approaches, including but not limited to regression, GLMs, survival modeling, forecasting, machine learning, decision trees etc. using analytics tools like SAS, R etc
- Experience working in a consultative capacity (internal or external) is a strong plus
- Strong analytical thinking. Ability to creatively solve business problems, innovating new approaches where required
- Experience interfacing with clients or high-level executives
- Must have excellent project management skills and have experience managing multiple work streams and projects at one time
- Must have the ability to adapt to changing business priorities in a fast paced business environment
- Should be a thought leader and be able to question and push boundaries
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Senior Healthcare Analytics Analyst Resume Examples & Samples
- Bachelor’s degree or five or more years experience in the area of financial analysis and health care reporting in ambulatory health care setting
- 5+ years of experience in reporting/analytics in healthcare industry
- Proven ability to perform advanced data mining, report designing and developing using SQL and other reporting tools
- Autonomous individual with mathematical aptitude and strong design, analytical, problem solving, and project management skills
- Working knowledge of PC applications for data analysis, specifically spreadsheet and database systems (Microsoft Excel, Access)
- Ability to work independently and as a member of a team with users, management and staff
- Ability to manage assignments within specified deadlines
- Experience with T-SQL highly preferred
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Cost of Healthcare Analytics Summer Intern Resume Examples & Samples
- Pursuing a Bachelor's degree in Mathematics, Statistics, Biology, Health Science, Chemistry, Computer Science, or a related field from an accredited college/university
- Minimum 3.00 cumulative GPA
- Proficient in Word, Excel and PowerPoint, and Visio
- Experience with a programming language - SQL and SAS strongly preferred
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Director, Cost of Healthcare Analytics Resume Examples & Samples
- Develop routine reports in accordance with business unit and medical management needs and run monthly production processes on an agreed upon schedule
- Ascertain insights and identify areas of concern from monthly reports
- Summarize key analytic concepts, methodologies, and results for audiences of varying level of analytic understanding
- Communicate key findings and significance of findings to stakeholders
- Reconcile data results from different sources and combine them into integrated reports spanning cost, quality, utilization, and risk profile metrics
- Apply healthcare business knowledge and key concepts in health insurance to develop routine and ad hoc analyses
- Prioritize work and work enhancement requests while providing key deliverables to stakeholders in a timely manner
- Collaborate with junior and senior colleagues on analytic approaches
- Mentor junior colleagues in analysis and business knowledge
- Develop and maintain clinical databases to guide business decision making for BSC population health management, cost of health care management, quality of care, and network design and strategies
- Function as a facilitator and mentor for analysis workgroups
- Provide training and mentoring for team members on best practices for analysis and reporting; assists in the development of supplemental analytic training tools and materials; conduct formal training sessions for lower level analysts and analysts in other Departments
- Consult and coordinate with analysts in other departments to reconcile analytical approaches
- Participate on internal workgroups and committees to provide analytical insight and support for the implementation and enhancement of new programs, products, and services. This may include interactions with internal and external customers to define analytical needs and specifications
- Work with other departments and business units to gather business requirements to design, build, and/or enhance data systems and applications that will better serve specific reporting requirements
- Advise analysts in other departments and business units on standardization of business rules and methods for analysis and reporting
- Design, implement, and manage complex data structures and analysis systems
- Create system QA processes and documentation
- Use appropriate technical, clinical, and financial knowledge to assess the completeness and reliability of data and the validity and accuracy of analytical results
- Assess business risks associated with analytical processes and data systems and develops strategies to mitigate risks
- Critically review and revise existing analytical processes for currency, efficiency, and sufficiency. Identifies existing inefficiencies and problems and takes action to implement solutions
- Develop programs and processes that can be run by other lower levels analysts
- Produce accurate work under tight deadlines
- Develop documentation and creates and executes work plans for analyses of high complexity
- Continuously refine and expands the technical, clinical, and financial content knowledge required to successfully complete these duties
- Experience with data visualization software such as Tableau or Business Objects data visualization tools
- Experience using Phyton, R and Netezza desirable
- Knowledge or experience using clinical risk adjustment, burden of illness scoring, episode analysis, and provider profiling strongly preferred
- Certifications: SAS Certified Base Programmer Credential or equivalent strongly preferred
- Requires 5-10+ years’ experience in Health Care (managed care, academic, or gov't payer), typically has 5 or more years’ experience as a Health Data Analyst, Medical Economist or related role in a health care setting
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Senior Healthcare Analytics Manager Resume Examples & Samples
- 3-5 years of analytic team leadership
- 5 years of progressive experience mining large complex data sets, using a variety of advanced quantitative/modeling techniques to support a marketing discipline
- Diverse and up-to-date experience using advanced analytic methods to solve business problems
- Strong understanding of direct marketing theories and processes
- Polished communicator: must be able to interface with senior leadership and influence decisions
- Previous experience in healthcare industry highly desired
- Proficiency in SQL and/or SAS, with broad working knowledge of methodologies used for advanced analytics is required
- Experience with Tableau or other similar visualization tools
- Has managerial skills needed for making recommendations within a department in the areas of compensation, staff selection, disciplinary action, complaints, staff performance appraisal, and similar supervisory duties. Plans, assigns, and evaluates the work of subordinates for effective operations and results of the unit
- Work is broad in scope covering one or more complicated areas. Policy, procedure, and/or precedent are often created by this position. A high degree of analytic ability and inductive thinking is required to devise new, non-standard approaches to highly intricate, technically complex problems
- Ability to make analytical decisions. Supervision is present to establish and review broad objectives relative to basic position duties or divisional responsibilities. Independent judgment is required to study previously established, often partially relevant guidelines; plan for various interrelated activities; and coordinate such activities within a work unit /division or while completing a project
- Responds to and handles unfamiliar situations with limited or no supervisory guidance
- Has advanced professional skills at the level of a "seasoned" professional. Requires extensive knowledge of their discipline and a working knowledge of related fields. Understands information in several unrelated professional disciplines
- Solves problems that are complex, varied and only mildly related to those seen before. Simply determining what the problem is requires major individual effort and/or consultation with others within the department. A high degree of analytical ability and inductive thinking may be required to solve highly intricate, technically complex problems. Must be able to develop new and nonstandard approaches
- Completes work that requires the development of innovative methods, procedures, products or systems. This is a significant part of the job and results generally affect multiple divisions and locations
- Applies, recommends and implements advanced technology concepts to improve the efficiency and effectiveness of one or more divisions or has approval for the use of technology for multiple divisions
- Serves as a project manager responsible for oversight of a project team. Projects are usually complex in nature. The manager is responsible for a project budget
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Consultant, Healthcare Analytics Resume Examples & Samples
- Understand and translate statistics to address client business problems
- Interface with client to understand their problems and work with the delivery team on solutions that address the client needs
- Develop & conceptualize sophisticated & innovative analytical solution and actionable insights with high client and business understanding
- Provide high-end consulting to clients to help them sharpen their business strategy by implementing
- Analytical models that support the realization of business objectives
- Be the thought leader in the focus area, 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
- Knowledge of R/SAS/SQL mandatory
- Should have at least 2-4 years of hands-on modeling experience on R/SAS
- Knowledge of at least a few analytical approaches required
- Knowledge of Healthcare Analytics is preferred
- Client results and response focus
- Demonstrated ability to handle multiple types of data
- Excellent problem solving skills and communication skills required
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Senior Consultant, Healthcare Analytics Resume Examples & Samples
- Interface with clients to understand business problems and translate them into analytical problems that can be addressed by data analytics
- Develop & conceptualize sophisticated & innovative analytical solutions that integrate diverse information solutions and generate actionable insights
- Provide high-end consulting to clients to help them sharpen their business strategy by implementing analytical models that support the realization of business objectives
- Manage end to end project delivery with project teams and build client relationship
- Lead with limited direction, usually within a complex environment, to drive rigorous, fact-based solutions and insights for clients
- Support business development teams in preparing client pitches
- Build a team of skilled and motivated consultants to deliver large data-based projects to the insurance clients; outline goals, conduct the performance review and appraisal of the team and coach employees
- 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
- Expected to have 5-8 years of work experience in developing and deploying sophisticated analytical solutions
- Minimum 4 years in Healthcare/ Pharma Domain
- Should have at least 3-5 years of hands-on modeling experience on R/SAS
- Key technical skills: R, Python, predictive modelling - GLM (GBM, XGBoost, RF will be a plus)
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Healthcare Analytics Cons Resume Examples & Samples
- Must be a self-initiated team player with strong organizational and analytical skills
- Must be able to work both independently and in a team setting
- Must be capable of prioritizing multiple projects and meeting deadlines with good time management
- Effective oral and written communication, presentation and problem solving skills required
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Analyst, Healthcare Analytics Resume Examples & Samples
- Analyze data and use analytical tools and techniques
- Assist in the analysis of processes and programs to achieve stated goals
- Provide analysis and recommendations
- Investigate and discover areas of opportunity
- Monitor and evaluate patterns, costs, and trends
- Produce spreadsheets, documents, and presentations that are well-documented and easily understood
- Write, modify, and refine basic SAS and/or SQL programs for data extraction
- Proactively seek training and build knowledge of tools, coding languages, and data sources
- Bachelors degree in Business Analytics, Health Economics, or similar program is preferred
- Prior healthcare experience is preferred
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Supervisor, Healthcare Analytics Resume Examples & Samples
- Ensure the Advanced Healthcare Analytics team works collaboratively, efficiently and impactfully toward team and enterprise goals
- Develop and enforce scalable, reliable and effective data mining, prescriptive analytics and model development management and validation structures and processes
- Recruit, retain and make hiring and promotion decisions for the Advanced Healthcare Analytics team
- Conduct outcomes research, quality, cost and risk modeling to support oral health care optimization
- Help DentaQuest establish a leadership position in innovation, analytic methodology and research in achieving the Healthcare Triple Aim
- Perform data mining, statistical modeling, reporting and data collection and preparation
- Collaborate with, cross-train and exchange ideas with a diverse team of analysts and statisticians
- Self-manage multiple tasks and define priorities, requirements and project plans with minimal supervision
- Use SAS Enterprise Guide and Enterprise Miner to analyze
- Project and small team management skills
- Accurate and fast SAS statistical modeler with modeling experience in SAS STAT, SAS Enterprise Miner plus at least one other predictive modeling language, such as R, STATA, SPSS, S+ or similar tools
- Model validation and formal model development and model development management expertise in a federal regulated industry or equivalent
- Statistical modeling using proportional hazard/survival models, Structural Equation Modeling, Generalized Linear Models, genetic algorithms, parametric and non-parametric methods, random forest search, Bayesian inference
- SQL expert to extract data from relational databases
- Master’s degree in public health, behavioral or natural sciences, business analytics, applied mathematics or comparable field, or equivalent experience
- 15+ years experience in SAS programming, data mining, statistical analysis and modeling to include experience with manipulating and analyzing clinical and financial data using SAS at an expert level
- Expert at SQL
- Experience working in a federally regulated industry
- Strong foundation in statistical theory and practice required
- Team and project management experience required
- Model validation management experience required
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Healthcare Analytics Consultant Resume Examples & Samples
- Combine their technical expertise with the ability to architect, deploy, and oversee integrated analytics / business intelligence / technology solutions
- Bachelor’s degree in Engineering, Economics, Healthcare Economics, Mathematics, Statistics, Biostatistics, Computer Science, Theoretical Physics, Quantitative Social Sciences, Actuarial Science or any such related fields or equivalent experience
- 5 years in a technical role with at least 3 years of strategic consulting experience
- Master’s Degree in Engineering, Economics, Healthcare Economics, Mathematics, Statistics, Biostatistics, Computer Science, Theoretical Physics, Quantitative Social Sciences, Actuarial Science or any such related field
- 5 years in a business intelligence or advanced analytics areas
- 2 years in the healthcare / payer industry
- Advanced experience with statistics - hypothesis testing; design of experiments; data mining; machine learning
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Healthcare Analytics Business Analyst Resume Examples & Samples
- Must be able to work full time
- Frequent wrist and/or hand movement is required
- Occasionally required to stand, walk and reach with hands and arms
- Must occasionally lift and/or move up to 10 pounds
- Specific vision abilities required include close vision, distant vision and the ability to adjust focus
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Healthcare Analytics Data Consultant Resume Examples & Samples
- 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
- Supports internal stakeholders in providing enhanced analytics and decision support
- Supports and Delivers external / internal presentations that demonstrate the value of products
- Experience working with large organizations
- Healthcare or Health Insurance experience
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Healthcare Analytics Analyst, Senior Resume Examples & Samples
- Bachelor's degree or five or more years experience in the area of financial analysis and health care reporting in ambulatory health care setting
- Autonomous individual with mathematical aptitude and strong design, analytic, problem solving, and project management skills
- Proven ability to perform advance data mining, report designing and developing using SQL and other reporting tools. Experience with T-SQL highly preferred
- Working knowledge of PC applications for data analysis (specifically spreadsheet and database systems (MS Excel, MS Access)
- Ability to adapt to a changing internal data environment
- Delivers upon the service expectations of both our patients and fellow staff members by listening to their needs; engaging in positive interactions; and following through on promises made in a thoughtful, efficient, timely and courteous manner so that their total outcome is better than expected
- Respects the dignity, confidentiality and privacy of patients
- Works in a safe manner, adhering to general safety precautions and standards. Reports any unsafe conditions to their supervisor and/or the safety hotline
- Responsible for design and development of analyses of healthcare data using business intelligence tools and actuarial, statistical, and analytical techniques to better understand and trend efficacy of the organization's clinical practice patterns and initiatives
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Senior Healthcare Analytics Consultant Resume Examples & Samples
- Deliver client specific annual reports, representing high - level, UHC / Optum performance metrics
- Ongoing playbook maintenance
- Create a clear, compelling assessment of root causes and actionable/non-actionable contributing factors when opportunities for problem solving arise
- Quantify value generated by historically implemented solutions
- Negotiate complex situations and sensitive situations with a win-win attitude
- Accountable for timely preparation and delivery of all health analytic deliverables as defined by the customer
- 4+ years of work experience in a corporate setting
- 3+ years of experience in health care analytics and working with large data sets
- Strong project management, analytics and presentation skills
- Must be willing to travel as required
- Background with political acumen
- Management / supervisory experience
