Business Intelligence Analyst Resume Hartford, CT - Hire IT People

PROFESSIONAL SUMMARY:

Over 6 years of experience in Insurance Industry and over 3 years of experience in Healthcare Industry.
Proficiency working with MS Excel including calculations, charts, graphs, Visio, Pivot table, Power Query & Data Validation.
Expert knowledge and proficiency in Microsoft applications, Word, PowerPoint, Visio & MS Access
BI Reporting Tool: SAP Crystal Report
Statistical Process Control: Minitab 17
Intermediate level SQL
Knowledge of SAS 9.2 Base, Power BI, Tableau & Qlickview
Interested in learning Java, Python & R
Ability to quickly learn and use computer software tools effectively
Team player with a proven ability to organize and prioritize work in high - pressured environments
Self-starter who supports complex, deadline-driven processes and resolve issues in initial stages
Thorough knowledge of Six Sigma lean concepts, tools and techniques
Dedicated Individual with a strong work Ethic and the ability to build lasting client relationships.

PROFESSIONAL EXPERIENCE:

Confidential, Hartford, CT

Business Intelligence Analyst

Worked with large healthcare data sets from multiple data sources.
Monitoring Quality Performance Gaps in Care.
Provided analysis for population health teams in delivering performance analysis on all quality metrics for covered populations.
Analyzed data to view population health trends and patterns; identify individual health risks and high-risk populations for example, CHF & COPD; find opportunities to improve care at the population and individual level.
Identified top physician performers and did detailed analysis to identify what distinguishes those who excel.
Developed reports for use within the ACO in order to help the care team target the right preventative medicine priorities and identify gaps in care and quality issues.
Tracked all Payer monthly Reports from Aetna Commercial, Aetna MA, Anthem COM+ MA, United MA+ COM & CCI MA + COM.
Quality Practice Specific report created on timely manner uploading reports in database running scripts in SQL Server.

Business Intelligence Analyst

Expert knowledge of healthcare data (e.g., claims, eligibility & EMR).
Familiar with healthcare claims and CPT/HCPCS/ICD/DRG/Revenue Codes, Medical Claims, Provider reimbursement & HEDIS performance requirements.
Developed and documents system procedures and workflows.
Membership Reports imported across all payers to generate a list of attributed Patients.
Tracked Monthly attribution count by payer for BOD and Executive team Reporting.
Tracked out of Network or termed Providers that are currently being attributed to our Membership lists across payers.
Imported Data from a variety of outside source in to the data repository.
Import / Export Claim files, Eligibility files & Enrollment files monthly basis & Upload to Third Party vendor.
Developed and generated Production Reports listed on the Production Calendar & Responded other departments request timely manner.
Successfully completed GPRO, Shared Saving & Patient Ping Projects.
Data extraction and manipulation for use in SFHCP systems

Confidential, Manchester, CT

Accounting Analyst/ Family Owned Business

Source and screen resumes from Indeed email Account
Determining staffing needs, prepared work schedules; established and implemented work procedures and priorities.
Facilitates new hire orientation for full-time and part-time employees and training employees; assigning work; prepare and conducts performance evaluations; handling employee problem & solving issues; conducts staff training on store products, proper customer service skills and sales techniques; approving employee leave and payroll records; established procedures that comply with store policies and appropriate laws.

Confidential, Windsor, CT

Senior Policy Analyst

Over 6 Years’ Experience with People Soft, ACES, OMNI, Recon Plus, Wise DC, Acrobat, Areba, ACE Pay, Garwin, Publication Date Collect, CSW, Life Cad, DST Vision, Pais, Signature View, and Front End, ACES Corporate.
Analyzed and processed policy/plan holder requests for less complex policy changes, premium accounting and disbursements within time and quality standards.
Coordinated with other departments and field personnel to ensure accurate and complete processing of transactions & generating reports.
Provided guidance to junior associates. Assisted & monitored completion of transactions to ensure that production and accuracy standards are being met. Following up on the entire team's Deadline Reached items.

Confidential, Manchester, CT

Student Assistant

Processed student applications and briefly discussed curriculum requirements.
Updated student and account information using banner database system.
Performed general office tasks including filing, faxing, folding, copying and mailings.