SUMMARY:

• Self - motivated data analyst who has excellent verbal, communication, organizational skills and who has a good eye for detail.
• Experience with analyzing healthcare claims, combine strong resolution proficiency with reliable follow through with proven ability to gather, extract, and efficiently organize information for analysis.
• A quick learner who can absorb information and generate new ideas.
• Looking for a suitable data analyst position with an ambitious company.

LEADERSHIP COMPETENCIES:

• Data Management
• Data Cleansing
• Research and Data Analysis
• Staff training & Development
• Process Development
• Cost Reduction Management
• Office/Administrative Operations
• Creative Problem Solving
• Organizing & Coordinating
• Presentation Skills

SKILLS:

Microsoft Office: Word, Excel, Access and PowerPoint. SharePoint, Training in Writing Queries using MS SQL Server 2008, Medical Insurance Billing/ICD9, CPT, HCPCS and ADA Coding Class, Diversity Trainer.

Systems: EMR, Paragon System (Registration), Cerner, Relay Clearance, Meditech, MIIS Registry (Immunizations), Oracle(Payroll), Ceridian, Net Reveal (Detica)-Predictive Modeling Program, Adobe Photoshop, HP ALM Quality Center, ADP, Kronos Payroll, and RL6.

WORK HISTORY:

Confidential, St, Melrose, MA

Quality Data Analyst

Responsibilities:

• Responsible for the design, management, presentation and integrity of data collection, data entry, and data presentation using data visualization tools.
• Collaborate and assist the VP and Director of Quality in planning, prioritizing, implementing, and evaluating clinical quality and performance improvement measures and related projects and initiatives.
• Responsible for obtaining data, hospital reports and benchmark rate reports from internal and external applications such as Vizient, Press Ganey, RL6, QualityNet, MassHealth, CMS, DPH, Quintiles, and Meditech.
• Initiate and execute RL6 Incident Reporting. Update picklist and back-end changes, create scopes, inactivate users and provide 1:1 RL6 training to end users.
• Create reports and trend graphs from RL6 Incident Reporting System for Senior Management to able to identify risks and implement interventions/processes to reduce these risks (i.e. Med Fluid, Complaints, Grievances and Mislabeled lab specimens).
• Managing RL6 Incident Reporting Upgrade/Weekly RL6 Meetings with Risk Managers - Updating provider list, scopes, locations, events, depts., etc.
• Develop and manage quality measure dashboards for Inpatient, outpatient, behavioral, Mass Health, Stroke (Getting with the Guidelines) quality measures.
• Submit quality measures to Press Ganey; download and upload reports from Meditech to Press Ganey on a monthly basis, review data for accuracy, sample data so abstractors can begin reviewing cases, run critical error reports and input data into the Dashboards, graphs and control charts.
• Maintain inventory quality measures, data definitions, data sources, and technical specifications

Confidential, St, Nashua, NH

Project Coordinator

Responsibilities:

• Manipulated, cleansed and processed claims data/employee data using excel, access and SQL.
• Analyzed raw data; drew conclusions & developed recommendations to senior management.
• Data entry, data auditing, created data reports & monitored all data for accuracy.
• Created pivot tables and graphs for PPT presentations based on the data given. Exporte data from Ansos system into Excel spreadsheets for analysis.
• Updated and maintained nursing expense reports and Lippincott Master Reports.
• Assisted and prepared documentation for nursing/provider orientation and trainings
• Updated PCS Divisional Manual/BHS policies on the Pulse website and update, edit and upload documents in the Contribute website/Pulse.
• Managed all orders and distribution of Patient Education Resources for the hospital.
• HealthStream education administrator. Assisted providers with setting up classes.

Confidential, Lexington, MA

ITS/Healthcare and Marketing Communication Contractor

Responsibilities:

• Managed quality center changes, created new processes to help the business and other projects. Analyzed data from the Quality Center/EHR system. Developed and maintained marketing communication tool for the entire organization.
• Analyzed and organized the data in the Quality Center for all Information system change requests from clinical areas and pharmacy. Ran queries on a daily basis through the Quality Center to assist with audits. Presented findings at weekly meetings.
• Created and maintained Dashboards and reports in the Quality Center. Trained staff and created a PPT presentation on how to use the Dashboards in QC at the BA/Developer/Mgmt. weekly meeting. Ran Queries using Microsoft SQL Server 2008 as needed.
• Strategized, created mockups and assisted with IT projects.
• Developed and maintained marketing communication tool template for our partners and customers on current and upcoming project releases via newsletter “eCC News” and adobe voice video.
• SharePoint Administrator - Helped with adding, deleting user groups and documents and provided permission levels to end users.
• Developed a quick guides for SharePoint users
• Reviewed and updated Quality Center processes and helped Identify gaps and Opportunities

Confidential, St, Lowell, MA

Substitute Teacher

Responsibilities:

• Managed two supervisors and twenty-two registrars
• Updated and maintained Emergency Center staff schedule for 22-28 employees in 3 shifts
• Initiated, developed and Implemented Registration Process for new and existing staff in the EC. Analyzed and reviewed reports weekly on CRC edits in which resulted in a decrease in patient data errors.
• Developed quick guides for Registration and Relay Clearance, Implemented electronic downtime template and ADP forms.
• Interviewed, hired and trained new EC staff on registration (Insurance verification, copay collection’s/health insurance billing questions- HMO’s and Mass Health/Medicare
• Setup trainings for staff on emergency protocols and customer service
• Prepared Cases for Unemployment Hearings
• Increase Point of Service collections for health insurance copay reimbursement from $3,000 monthly up to $40,000 monthly within a 3 month period.
• Meaningful Use: Participated in a 3 month Patient Portal Pilot - Initiated and created training guide on collecting PHR Date/Time, consent, patient emails and assigned an audit team for the pilot. Goal was 50% within 3 months and achieved 66% by the end of the pilot. Began new fiscal year (October 2014) at 90% Patient Portal data collection.
• Developed and implemented changes that improved efficiencies and departmental performance by implementing proper equipment and software (scanners, printers, computer on wheels, MS office, templates)
• Strategized and assisted in a Triage Pilot to decrease patient wait times from greet to Rapid Medical Evaluation.
• Participated in a pilot, implementing a short registration process at the front desk to improved patient to Triage times.
• Acted at the department liaison for all IT requests, enhancements, Paragon testing ad review of requirements/design documents
• Participated in a weekly Registration Committee and subcommittee to improve processes in the Registration areas.
• Attended Leadership and Monthly staff meetings with physicians and nurses
• Enforced departmental policies, practices, procedures and work rules in accordance with approved hospital policies: Improved absenteeism and tardiness within the department.
• Managed and approved ADP payroll (vacation, sick, personal time, tardiness, absenteeism).

Confidential, South St, Jamaica Plain, MA

Research Analyst

Responsibilities:

• Monitored provider compliance with program requirements.
• Performed 60-65 immunizations audits yearly and follow-ups at both public and private provider sites in the Central Massachusetts area.
• Assisted with data collections, entry, analysis and summaries with knowledge of basis statistics
• Gathered data collected during audit to provide recommendations for improvement and a corrective action plan.
• Identified and reported potential cases of fraud and abuse related to state supplied vaccine
• Performed school audits and surveys of immunization records
• Provided Vaccine for Children compliance and vaccine management trainings to new staff and new sites.
• Provided backup for provider assessments in other parts of the states
• Participated with testing for the MIIS registry.
• Kept current on trends in Epidemiology of infectious rare diseases through literature, meetings and seminars