Healthcare Management Analyst Resume Minnetonka, MN - Hire IT People

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:

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