We provide IT Staff Augmentation Services!

Healthcare Management Analyst Resume

Minnetonka, MN

SUMMARY:

Experienced RN leader and analyst who wants to utilize my clinical, compliance and financial experience to make a positive impact in healthcare.

PROFESSIONAL EXPERIENCE:

Confidential, Minnetonka, MN

Healthcare Management Analyst

Responsibilities:

  • Collect, organize and analyze claims and care gap data to identify trends and opportunities for improvement
  • Develop and deliver health webinars, health blogs, and health newsletters to clients focusing on population health, women’s health, men’s health and preventive health
  • Presentation of clinical data to external keyholders
  • Promote evidenced based care to internal and external keyholders
  • Collaborate with employer groups on strategies to improve their employee’s health

Confidential, Eagan, MN

Manager of Utilization Management

Responsibilities:

  • Analyzed data and recommend strategies for pilots and care management initiatives
  • Analyzed usage and cost trends for strategic interventions
  • Created and implemented processes for service improvements
  • Collaborated with Medical Policy department on current and future medical policies
  • Ensured adherence to regulatory, accreditation, compliance and quality standards
  • Coached and developed staff to achieve productivity and quality metrics

Confidential, Eagan, MN

Manager of Case Management

Responsibilities:

  • Collaborated with large employer groups creating client - specific solutions based on usage and cost trends
  • Collaborated with Affordable Care Organizations (ACO’s)
  • Ensured adherence to regulatory, accreditation, compliance and quality standards
  • Coached and developed staff to achieve productivity and quality metrics
  • Hired, interviewed, and trained new personnel
  • Assured department operated within budget
  • Collaborated with internal and external key holders

Confidential, St. Louis Park, MN

Senior Clinical Data Analyst

Responsibilities:

  • Reviewed and analyzed clinical data
  • Collaborated with quality improvement teams on health trends
  • Performed and audited surgical charts for quality measures used for internal and external reporting
  • Validated charts for pay for performance measures, Confidential and Confidential measures
  • Created and updated statistical reports
  • Member of Acute Myocardial Infarction ( Confidential ) Workgroup

Confidential, St. Louis Park, MN

Financial Services, Operational Analyst

Responsibilities:

  • Performed month end performance variance analysis
  • Collaborated with Surgical Services leadership to expand and grow services
  • Collaborated with service lines concerning financial performance
  • Communicated and presented complex technical information to non-technical audiences
  • Analyzed usage and reimbursement trends
  • Member of Surgical Quality Outcomes Committee

Confidential, St. Louis Park, MN

Clinical Data Analyst

Responsibilities:

  • Conducted medical record reviews for Confidential and Confidential
  • Validated external chart audits
  • Constructed simple data queries
  • Created and updated statistical reports

Confidential, Eagan, MN

Manager of Healthy Start

Responsibilities:

  • Researched, analyzed and implemented current health trends and best practices
  • Collaborated with employer groups on strategies to improve their employee’s health
  • Discussed and met with executive management concerning perinatal trends and issues
  • Performed human resource duties: hired employees, terminated employees, performed evaluations, coached performance behaviors
  • Assured compliance of regulatory and accreditation requirements ( Confidential )
  • Assured department operated within budget
  • Wrote, revised and implemented policies and procedures
  • Served as interim director

Hire Now