Health Care Resume Samples

The Guide To Resume Tailoring

Guide the recruiter to the conclusion that you are the best candidate for the health care job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

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S Turner

Salma

Turner

8956 Wintheiser Forges

San Francisco

+1 (555) 569 7645

8956 Wintheiser Forges

San Francisco

Phone

p +1 (555) 569 7645

Experience Experience

Boston, MA

Health Care Analyst

Boston, MA

Morissette-Ondricka

Boston, MA

Health Care Analyst

Generate hypotheses for provider medical cost trends and quality performance
Contribute to the development and maintenance of operational, financial, and performance-related reporting packages
Work with analysts and analytic tool vendors to improve standard report design
Identify overall gaps in the MHS’ delivery of care and develop recommendations
Develop algorithms for data validation, membership/payment reconciliation, and PCP attribution
Work with business and operational leaders to identify TME opportunities and quantify ROI for related programs
Assist in managing projects and timelines

Dallas, TX

Health Care Data Analyst

Dallas, TX

Kreiger-McDermott

Dallas, TX

Health Care Data Analyst

Performs data cleaning, preparation, reporting, and analysis
Provides analytical support and expertise when compiling and reporting information
Leverages existing and ad-hoc reporting capabilities to identify trends in health plan performance and opportunities for improvement
Identify data elements for monitoring of contraceptive use in MassHealth administrative claims data and in provider-generated data sets
Provides ongoing communications on project status, results and conclusions from analyses
Performs standard and ad hoc reporting and develops/facilitates development of technical solutions
Liaise with external stakeholders on outward-facing data initiatives to provide basic technical assistance and solicit feedback

present

Los Angeles, CA

Health Care Economics Consultant

Los Angeles, CA

Renner-Nikolaus

present

Los Angeles, CA

Health Care Economics Consultant

present

Provide management weekly reports outlining work completed and issues encountered
Lead special projects with little to no manager supervision or assistance
Provides management with statistical findings and conclusions
Maintenance existing production algorithms to maximize performance while working directly with the data programmers to test and implement changes
Provide management with statistical findings and conclusions
Develop and prepare highly complex reports and provide and / or interpret information and data across divisions and departments
Maintenance existing production algorithms to maximize performance while working directly with the programmers to test and implement changes

Education Education

Bachelor’s Degree in Nursing

Rutgers University

Bachelor’s Degree in Nursing

Skills Skills

Strong organization and interpersonal skills with the ability to work as part of a diverse team of mental health professionals
Possess strong analytic and technical skills plus an ability to translate complicated data into useable information
- Strong analytic skills and problem-solving ability
- Strong written and oral communication skills. Knowledge of Access
Detail-oriented, organized, fast learner, meticulous, and able to work at a fact-pace with tight deadlines
Ability to translate data into clear and actionable results
Masters in Public Health or Health Services Administration is highly desirable
Advanced knowledge of Excel, Access and an analytic tool such as Business Objects
Self-starter with demonstrated ability to work independently
Able to apply a pragmatic, practical, and analytical approach to problem solving

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IBD Health Care Sector Equity Analyst Resume Examples & Samples

Equity Analyst to cover Health Care Sector to support IBD Coverage bankers
Minimum 7 year equity research experience of Health Care Sector in Japan
Native level fluency in written and spoken Japanese and Business level English
Equity research experience for Global Investment Bank based in Japan

Health Care Integrator Resume Examples & Samples

Bachelor's degree in social work, psychology or in a related field
A minimum of four (4) years of experience with providing service coordination
Experience working with OMRDD, DD and special needs populations $
Foster Care case management experience
Mental health experience

Audit Senior Bkd Health Care Group Resume Examples & Samples

Ability to prioritize and work independently in a fast-paced environment
Ability to relate well to people of diverse backgrounds and experience levels
Excellent client relationship and time management skills
Strong computer skills, including proficiency with Microsoft Word and Excel
Knowledge of current audit and accounting concepts
2-4 years of public accounting audit experience
Current CPA license
Bachelor’s or Master’s degree in accounting

Audit Manager BKD Health Care Group Resume Examples & Samples

Proficient in MS Office suite - Word, Excel and PowerPoint
Ability for some travel to serve clients
Minimum 5 years of health care audit experience in public accounting required
Current CPA designation required
Bachelor’s or master’s degree in accounting required
Currently located or willing to relocate to the following areas

Health Care Reimbursement Manager Resume Examples & Samples

Correctly performs routine Medicare and Medicaid cost report engagements in a timely and professional manner
Ability to leverage work to staff and senior associates
Lead engagement relationships with appropriate levels of client interaction
Demonstrates ability to recognize problems and proposes sensible solutions, with appropriate balance between clients’ needs and the firm’s risk
Balances assigned workload between self and staff
Meets assigned deadlines or budgets and provides advance warning of problems
Shows ability to supervise and train other professionals
Proficient in MS office suite- Word, Excel and PowerPoint
Excellent client relationship skills and time management skills
2-5 years of public accounting audit experience required; industry experience will be considered
Bachelor’s or Master’s degree in accounting required

Senior Consultant Health Care Resume Examples & Samples

Prepare Medicare/Medicaid cost reports
Manage/ Lead multiple consulting engagements to deliver unmatched client service
Develop work plans, complete complex analyses, and prepare “client ready” deliverables
Support existing client project teams with analytical and reporting needs
Develop and maintain productive working relationships with engagement team members and client personnel at all levels
Work with clients and other BKD team members to define and recommend solutions

Health Care Business Banker to Resume Examples & Samples

Minimum 2 years in high-end, sophisticated commercial/business banking sales and business lending experience
Above average experience and/or knowledge of the healthcare segment preferred
An undergraduate degree required; business, economics or finance is preferred
A Minimum of 7 years of progressively responsible experience in servicing the financial needs of the healthcare business may substitute for a 4 year degree

Health Care Finder Resume Examples & Samples

Processes all incoming referrals/authorizations from WEB and imaging system in order of receipt. Enters information into MSR computer and other required/applicable systems
Coordinates authorizations with PCCs and/or Case Managers according to established HUMANA GOVERNMENT BUSINESS contract standards and guidelines to include timely data entry
Under direct supervision of RN, directs beneficiaries to high quality, cost-effective network providers, monitors outstanding pended authorization referrals for timely completion, verifies DEERS eligibility and Prime enrollment as needed prior to preauthorization or referral
Communicates effectively with all disciplines of the medical and beneficiary community
3 years experience in public contact position
Ability to handle high volume of calls and customer contacts in a polite and professional manner
Above average written and verbal skills
Including organizational abilities
Associate or Bachelor’s Degree

HPS Web Operations Consultant for Health Care Reform Resume Examples & Samples

Knowledge of Healthcare Reform or previous Product Owner experience
Extensive written and oral communication skills
Possess a solid understanding of operations, technology, communications and processes
Bachelor’s degree in Business or IT field
Experience with pharmacy benefits / health benefits and the Affordable Care Act
2+ years of equivalent web, mobile or social media experience
Experience in leading customer engagement strategy

Health Care IT Customer Manager California Resume Examples & Samples

Overall ownership of assigned customer relationship(s), n egotiates and owns the customer contract (non-government), e nsures positive customer experience and satisfaction as reflected by continuously improving NPS scores
Builds strong collaborative relationships with Consultants, Account Executives, Domain Sales
10+ years of relevant experience or equivalent combination of education and work experience

Health Care Consulting Director Resume Examples & Samples

Develops, grows and manages the group's Health Care strategic consulting practice
Manages/performs consulting engagements as required for organizations in the areas of planning, operations, systems and finance
Assists with proposals and business development
Teams with personnel from other offices and industry groups
Manages staff as appropriate
Bachelor’s degree required; emphasis in healthcare, business or finance fields preferred; graduate degree (MBA, MHA, MPH, MPA) a plus
Minimum of 7 full years of external consulting experience to healthcare organizations required
Proven experience effectively managing healthcare consulting projects
Understanding of healthcare reimbursement
Hands-on experience working with providers and payers
Strong client service skills (both internal and external)
Strong interpersonal and presentation skills and experience with client interaction
Proficiency with Microsoft PowerPoint, Microsoft Word, Excel and Outlook
Travel - up to 50%

Health Care Senior Consultant Resume Examples & Samples

Bachelor's degree required; Graduate degree (MBA, MHA, MPH, MPA) preferred
Minimum of 3 years of progressive work experience in a consulting or health care environment
Operational and or clinical healthcare experience preferred
Solid understanding of managed care, medical group, or health plan operations
Understanding of healthcare reimbursement/coding and claims payment methodologies (ICD-9, CPT, HCPCS, DRG etc.)
Microsoft Access or SQL experience preferred
Understanding of healthcare industry trends

Health Care Marketing Manager Resume Examples & Samples

Guides strategic marketing planning as well as tactical execution for the health care practice
Works with industry leadership to produce firm wide annual conference for industry group, including program development, speaker acquisition, driving client and prospect attendance, site selection and other logistics
Serves as an industry expert, knowledgeable of the current business climate and issues facing the industry
Develops and manages industry marketing budget
Manages content marketing program and other industry-related marketing communications, including the website, collateral, e-communications, webcasts and proposal library content
Fosters relationships with industry trade organizations, driving firm involvement to raise brand awareness and create effective sales and marketing opportunities
Pursues and coordinates sponsorship, speaking, tradeshow and event opportunities to enhance firm reputation and increase exposure with target audience
Works with creative team to develop industry-specific ads and other varied collateral, and manages distribution of all content to designated audiences
Coordinates with firm PR resources to pursue media relations with industry trade publications and regional/national business outlets
Collaborates with regional sales and marketing personnel to guide industry-based marketing initiated at the office level
Manages and produces industry group marketing and sales reporting, dashboards, and internal communications, including the industry group’s SharePoint site, as directed by industry, marketing and firm leadership
Builds relationships with and supports marketing activities of client service professionals within the industry group
Utilizes CRM to execute effective marketing programs. Supports activity tracking, data maintenance and mailing list management
Provides input and insight into large, complex sales pursuits and written proposals as requested
Manages market and competitor research projects
Bachelor’s degree required, degree in business, marketing or related field preferred
Minimum of seven years related experience; professional services or related industry experience preferred
Strong organizational, interpersonal and decision-making ability
Exceptional project management skills and attention to detail
Client service oriented
Creative and persistent problem solver
Previous experience with CRM system and knowledge of email marketing tools
Efficiency with Microsoft Office; working knowledge of SharePoint preferred
Willingness to travel to the industry’s key markets and attend marketing meetings/conferences

VP-health Care Resume Examples & Samples

Developing strong client relationships by providing strategic counsel, building and leading solid account teams, mentoring, motivating, growing and retaining employees and managing accounts to consistently achieve business objectives
Demonstrating independence and autonomy with respect to their responsibilities and must exhibit a deep understanding of the clients, their industry, the account and the agency
Participating in new business development, company-wide initiatives, and managing finances and resources profitably
A passion for ideas and moving clients into new ways of thinking about the role of PR are critical to success in this role
Ability to develop/execute integrated communications strategies/programs and work collaboratively with partner agencies across disciplines (promotions, advertising, etc.)
General business acumen, budget management, leadership and mentoring skills required
Minimum of 8-10 years public relations experience with relevant healthcare agency experience or equivalent required. (position # 1) Preferred experience in provider, hospital systems, and corporate health communications. (position # 2) Preferred experience in pharmaceutical and/or medical device experience
Bachelors degree required (Public Relations, Journalism, Communications or related degree preferred)

Health Care Operational Consultant Resume Examples & Samples

Handle Medicare/Medicaid reimbursement issues for health care providers
Handle various health care operational issues and give feedback for improvement
Supervise staff
Commitment to client service
At least three years of health care experience is required

Health Care Consulting Senior Resume Examples & Samples

Works as a team member with the existing HCCG reimbursement consultants so that all team members meet client expectations
Prepares of Medicare and Medicaid cost reports
Applies analytical skills to data and information received and recognizes issues with data
Researches and articulates knowledge and information on Federal and State regulations relating to reimbursement issues encountered in day-to-day work
High School Diploma/GED required; Bachelor's degree preferred with an emphasis in accounting
Minimum of 3 years of related experience preparing cost reports
Knowledge of Medicare reimbursement guidelines; ability to accurately complete cost reports a must
Client service oriented (both internal and external)
Able to multi-task, prioritize workload and meet deadlines
Ability to work a flexible schedule including overtime
Efficiency with Microsoft Office and Medicare cost report software

Health Care Manager Resume Examples & Samples

Design and deliver consulting services to hospitals and health systems in areas of cost reduction, strategy, performance improvement and operational efficiency
Provide project oversight related to quality and compliance on multiple projects and initiatives
Leading project teams to deliver excellence on client assignments
Contribute to revenue growth
Establish credibility, support current and develop new relationships with mid to senior level client leaders
Establish relationships within EY to support the Healthcare Practice
Keep current on regional strategies and investments that can be leveraged locally
Work collaboratively with internal EY stakeholders
Contribute to knowledge management assets
Develop expert knowledge in selected areas of the Healthcare consulting services portfolio
Master’s Degree in business, health care administration, policy or related
4 years’+ experience in at least one of these disciplines: Healthcare Consulting, Strategic/Operational or Financial Planning or related field
Minimum 4 years’ experience managing projects to expected scope, budget and implementation schedule
Project management designation preferred
Experience contributing to business growth
Excellent analytical, writing and assessment skills
Strong and confident communication and presentation skills
French language competence preferred for Atlantic Canada

Health Care Business Analyst Resume Examples & Samples

Formulates recommendations on alternative approaches to realize desired functionalities and/or enhancements and desired levels of performance. Performs feasibility studies, life cycle analysis and/or cost/benefit studies
Consults with hardware, communications and database experts and/or vendors to ensure viability of systems
Prepares acceptance test plans, conducts acceptance tests and confirms results. Develops sampling methodologies by applying standard statistical techniques and software packages. Performs data sampling and provides interpretation
Ensures that documentation is updated according to client and Xerox’ standards
Analyzes and performs detailed reviews and analysis of program changes, new technology and other factors and trends impacting existing systems modifications
Benefit Plan Maintenance
Membership and Billing issues, if applicable
Billing rates, if applicable
Monthly/quarterly reports to clients, if applicable
A minimum of 5 years working in the Healthcare industry. Working on any medical claims, enrollments and finance administrating systems
Systems knowledge o Windows o Office – Word and Excel o Medical claims administrator system

Director of Health Care Reimbursement Resume Examples & Samples

Strong organization and time management abilities
Bachelor’s degree in accounting preferred
8+ years of health care accounting and/or consulting experience

Account Supervisor, Multicultural Health Care Resume Examples & Samples

Creative writing: programs, materials, and engagement tools for the HIV advocacy community
Media: tap into your deep understanding of media within the HIV community
Spearhead and roll out advocacy programs: direct research, gather insights, and vet opportunities with the HIV community, organize a framework and execute a plan, measure results and continuously refine plans

VP, Health Care Resume Examples & Samples

The work will support franchise wide communications
We will support all product areas as well as corporate reputation
Heavy focus on media

Health Care Consulting Manager Resume Examples & Samples

Develops, grows and manages members of the consulting group's Health Care Regulatory Compliance practice
Develops opportunities and manages regulatory compliance projects to our Health Care clients
Creates and sustains relationships with Health Care entities, management and project liaisons
Works with the practice offices and their health care clients to provide compliance support
Develops effective team relationships to enable strong client satisfaction
Assists with creating and editing proposals and statements of work
Bachelor’s degree in healthcare, business or finance fields or equivalent required
Minimum of 5 years of experience to health care organizations
One of the following required: CHC, CMCO, CPCO
Knowledge in leading and managing compliance investigations to completion
Health care privacy knowledge or experience
Experience with training related to regulatory compliance
External consulting experience to healthcare organizations preferred
Ability to work independentlyStrong project management experience
Strong analytical and writing skills required for proposal, client discussions and report development
Proven experience effectively managing multiple health care consulting projects desired
Ability and willingness to meet client service billable hours expectation
Ability to travel 30%

Equity Analyst for Health Care Sector Resume Examples & Samples

Equity Analyst to cover Health Care Sector
This is Equity Research position within Investment Banking Division
Working knowledge of Health Care sector is must
Sell side or Buy side Equity Analyst experience, Strategic Consulting or Business Planning Department of the industry background in Japan
Global Investment Bank experience in Japan
Equity research experience in Health Care sector

Health Care Internal Audit Director Resume Examples & Samples

Leads the region and has leadership in the firm’s Health Care Internal Audit Services team by cultivation and nurturing of long-term client relationships through effective sales and delivery of internal audit services
Sources and sells internal audit services to new and existing clients
Leads projects to analyze client business processes to improve bottom line results
Prepares effective written reports and supports findings with proper documentation
Reports to Audit Committees and Executive Management summarizing the results of audit activities, reporting significant issues related to the processes for controlling the activities of the organization and its affiliates, including process improvement recommendations
Ensures that engagement economic goals are achieved
Bachelor's degree in business administration or related field required
Minimum of 10 years of experience in analyzing business risks, evaluating business processes, assessing internal controls, documenting work performed, and writing concise and persuasive project reports
CPA and CIA, or similar certification preferred
Demonstrated skills in effectively working with all levels of management and successfully achieving long-term client relationships that have resulted from the value of project work delivered
Successful professional service sales and delivery experience
Excellent leadership and management abilities with supervisory experience over multiple projects and at least five professional staff
Travel expected at 30%

Senior Accountant With Health Care Experience Resume Examples & Samples

Work with staff level accountants on g/l, a/p, fixed assets, the monthly reporting package and corporate reporting
Uses professional accounting concepts and internal company policies to solve complex accounting issues including the maintenance of internal controls
Participates in and implements monthly financial close, supervises the assignments of the staff accountants to include general ledger, accounts payable and fixed assets. Prepares monthly management financial reporting package and executive summary schedules
Coordinates and facilitates the process of documenting accounting policies and procedures

Consultant, EIU Health Care Resume Examples & Samples

Lead project teams of healthcare analysts in multi-country engagements for industry clients, with a focus on strategic analyses such as market opportunity assessment, customer insights, channel optimization, competitive benchmarking and go-to-market strategy
Liaise with the client during the course of project engagement, including communicating project updates, presenting key milestones, pre-empting project issues and managing different client stakeholders
Manage and continuously deepen and strengthen client relationships, particularly those private and public sector clients based in the US
Work with our Business Development Executives to develop "winning" proposals from leads and RFPs generated by interpreting client needs, conceptualising the project framework, defining clear project approaches and output, and demonstrating EIU Healthcare knowledge
Support the Head of EIU Healthcare in the US in identifying and developing new target customers through client meetings, collateral creation and event attendance
Drive key company initiatives including new solutions development and workflow improvement
Develop sector specific expertise around healthcare product categories, key therapeutic areas, US regulatory developments and competitive strategies
5+ years of relevant experience in healthcare business consulting
Proven track record in project management and client handling, preferably in the healthcare sector or in business consulting
A Bachelor’s or Master’s degree from top tier universities, preferably Science major, with an MBA (or equivalent)
Highly analytical, organized and meticulous consulting skill
Strong knowledge of the US healthcare sector, including market dynamics, competitive environment and regulatory developments
Experience in project execution, support teams in matters such as solution design, field operation overview, analysis and creative strategy formulation and project presentation
Ability to understand client needs and transform ideas into successful proposals
Effective client management skills and experience liaising with senior executives

Senior Consultant, Health Care Resume Examples & Samples

Professional appearance and disposition
5+ years of health care accounting and/or consulting experience
Strong computer skills and comfort with various computer applications, including Windows, Adobe, Internet applications and others

Health Care Audit Senior Associate Resume Examples & Samples

Work with the client's engagement team to ensure the various components of the engagement are performed, including gathering information from the client, analyzing and assessing client financial data
Conduct collaboration sessions and/or discussions with key leaders within the client company
Stay aware of general business trends or issues in order to professionally represent and apply this knowledge to the client's solutions, potentially developing new or additional business for the Firm
Prepare accounting-related reports through a paperless office environment and provide financial analysis upon completion of fieldwork in an effort to improve client internal controls, accounting procedures, and operations
Attend professional development, networking events and training seminars on a regular basis

Life Sciences & Health Care PhD Consultant Resume Examples & Samples

Within one year of graduation from a PhD Program with a focus in Biomedical sciences
1+ years of business focused extracurricular activities, internships, or work experience
Strong academic track record
Experience conducting high-level analyses and communicating findings with others
Experience leading and working collaboratively with a team
Willingness to travel up to 80%
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Health Care Audit Manager Resume Examples & Samples

Coordinate engagements to include overseeing staff who enter or download financial data into electronic medium
Prepare various financial analyses, which may include financial analysis write up, research, preparation of financial projections and forecasts, due diligence, report preparation and summarization of client information
Present results of engagement to client and other third parties
Keeps current with new audit and/or accounting pronouncements and provides regular updates to other health care practice audit professionals to keep them current
Ensures timely adoption of new audit and/or accounting pronouncements
Assures alignment with Firm-wide audit services
Assesses efficiency, effectiveness, and accuracy of current audit process on an on-going basis and identifies/implements improvement plans to assure delivery of quality services with a customer-service focus, while driving out unneeded costs
Provides limited oversight of the process for responding to RFP’s to assure we optimize our proposal opportunities by providing a consistent, timely response
Perform business development activities including meeting with prospects, participating in presentations, and preparation of proposal or engagement letters
Travel to client locations to provide audit and consulting services
Bachelors Degree in Accounting, Business or related field
4 years of audit experience, preferably in the health care industry
CPA
Proficient in Word, Excel, Outlook, and Powerpoint
Uses personal vehicle to travel as required
Occasional over-night travel required (1-2 times per month)

Senior Financial Analyst for Health Care Resume Examples & Samples

Create robust financial models for health care clients using Excel
Create robust reimbursement models for hospitals, clinics and a variety of other provider types
Research Medicare and other payer reimbursement systems and incorporate information into Excel based models for consulting projects
Plan and manage multiple projects at any given time
Bachelor’s degree required, preferably in Accounting or Finance, possibly with a Masters of Healthcare Administration
Strong Excel based and other analytical skills
Strong financial modeling skills including creation of projections and projections
Three to five years’ experience working directly with health care reimbursement systems. An understanding of health care billing systems and health care claims processing systems for PPS hospitals, Critical Access Hospitals, clinics, ambulatory surgery centers and other provider types would be beneficial

Health Care Business Integrity Intern Resume Examples & Samples

Maintenance and filing of all HCBI related documentation (training logs, certificates etc.)
Support the update of all relevant LIDs and their translations
Support the preparation of HCBI / SOP “training materials” in Turkish
University student BA/BS– law, management, life sciences
Good knowledge of spoken and written English
Good knowledge of Microsoft Office tools
Basic project management skills
Strong communication, organizational and analytical skills
Results-driven, self-starter and ability to manage complexity
Strong organizational, process and interpersonal skillsHealth Care Compliance and Privacy

Health Care Adminisration Faculty Resume Examples & Samples

Membership in a professional association tied to area of instruction preferred
Excellent verbal and written communication skills including the ability to build successful relationships with student populations
Computer based skills (i.e., software, analytical, and report writing skills)
Ability to develop a professional rapport with diverse school/campus constituents

Health Care Principal Prof Resume Examples & Samples

BS/BA in a biological science
CG(ASCP) certification
Minimum 6 years full time cancer cytogenetic/FISH experience post CG(ASCP) certification
Prior supervisory or leadership role in a cytogenetics laboratory
Solid understanding of which FISH probes are applicable to which diseases, and experience correlating FISH findings with cytogenetics
Proficient in using ISCN for FISH reports, with FISH report writing experience
Ability to perform back-up analysis at microscope or computer to confirm unusual FISH findings
FISH automated wet lab processing and scanning system, and FISH probe validation skills
Experience with FISH on paraffin embedded specimens, limitations and interpretation of results
Cancer FISH teaching/training skills, imparting the scientific basis of laboratory practice
Experience with CAP guidelines related to FISH
Experience performing literature and database searches to interpret FISH results
Demonstrated ability in cytogenetic and/or molecular techniques and analysis
Strong communication skills within the lab and with providers and ability to function as a patient centered team leader
Strong interest in new technologies

Health Care Svcs Executive Resume Examples & Samples

Must be eligible to obtain a license to practice Nursing in the State of Iowa before starting in this role
10+ years in a leadership role
Demonstrated track record of positive influence over nurse engagement
Demonstrated record of effective nurse recruitment and retention strategies
Demonstrated knowledge of accreditation and regulatory standards applicable to hospitals
Demonstrated passion for the delivery of the highest level of service to patients and their families
Job-related experience and/or commitment to diversity in the work/academic environment
Proven track record with hospital finances, financial systems, budgeting, optimizing staffing levels, and capital planning
Strong conceptual nursing base with expertise in professional practice models, systems thinking, and quality improvement processes
Membership in the Association of Nurse Executives and/or other appropriate associations
MBA degree
A doctoral degree in an appropriate discipline
Demonstrated experience in an ANCC Magnet accredited organization
A demonstrated commitment to research and evidenced based practice
Able to create a culture of continuous learning through strategic planning, shared governance, innovative best practices, and the promotion of knowledge development
Able to speak the language of clinical transformation and have experience dealing with issues of deployment
Regarded as a highly visible, driven, and charismatic leader who is passionate about the profession of nursing
Ability to coach and mentor staff to optimal personal and professional development
Experience in a unionized environment
Experience leading in an integrated academic healthcare organization

Health Care Economics Consultant Resume Examples & Samples

Lead projects to completion by contributing to database creation, statistical modeling and financial reports
3+ years of work experience in a corporate setting
2+ years of Coordination of Benefits auditing experience
Build business require documents

Mgr, Health Care Configuration Resume Examples & Samples

Establishes objectives, goals and performance measures for the function being managed
Coordinates activities to ensure key deliverables are met and resolves conflicting demands
Assists in developing short range plans for overall departmental activities
May oversee the implementation of programs and strategies
May act in liaison capacity with other areas and business units
May make recommendations on matters of policy and approve changes in area of expertise
Preferred A Bachelor's Degree in a related field
Required 5+ years of experience in related provider data management
Required 2+ years experience in leading/supervising others
LI-KC2

Health Care Analyst Manager Resume Examples & Samples

Performs research, analysis, development, and evaluation of systems, procedures, and models in assigned functional area
Analyzes and defines problems and researches possible solutions that afford maximum probability for profit or effectiveness in relation to cost or risk
Prepares models of problems using multiple equations that relate constants and variables, restrictions, alternatives, conflicting objectives, and their numerical parameters
Defines data requirements and gathers and validates information, applying judgment and statistical tests
Analyzes and organizes technical data and reports into summaries for management review, defining problem, evaluation, and possible solution(s)
Performs validation and testing of models to ensure adequacy, and determines need for reformulation
Utilizes complex systems and applications in the problem-solving process
May design, conduct, and evaluate experimental operational models where insufficient data exists to formulate model
Prepares technical manuals, reports, and other documentation reflecting knowledge in assigned functional area
May provide guidance and work leadership to less-experienced analysts
Maintains current knowledge of relevant technologies as assigned
5-8 years of related experience in scientific research and analysis

Health Care Data Analyst Resume Examples & Samples

Identify data elements for monitoring of contraceptive use in MassHealth administrative claims data and in provider-generated data sets
Conduct analyses and produce standard reports using healthcare claims data which support the development, implementation, and monitoring of contraceptive use as well as other MassHealth programs
Build data and analytic tools such as dashboards to support analyses
Analyze, interpret, and present information from multiple data sources utilizing a broad array of technology resources (Cognos, SAS, Excel, Access, PowerPoint, SQL, etc.)
Manage and prioritize analytic requests from several departments within MassHealth
Liaise with and manage Data Warehouse staff to build tools that require Data Warehouse development staff, and ensure that development timelines crucial to program operations are met
Serve as a subject matter expert for measuring contraceptive use, providing insight into the capabilities and limitations of MassHealth data to members of program teams
Liaise with external stakeholders on outward-facing data initiatives to provide basic technical assistance and solicit feedback
Manage a multitude of complex tasks simultaneously, including prioritizing various tasks, analyzing and evaluating policy and program issues and ensuring that tasks are brought to final completion
Develop a working, integrated knowledge of program policy through the lens of operations and communicate this to internal and external parties
At least two years of work experience in a healthcare analytic or data management environment
Experience in SAS and/or SQL, ACCESS, and other data manipulation tools
Experience working with Health care administrative data and complex healthcare databases
Experience leading project-based teams on complex, long-term initiatives. Experience working with actuaries, clinicians, health policy experts, and other subject matter experts
Masters’ degree in a public policy, public administration, economics, health care administration, epidemiology, statistics, or a related field
Ability to develop and maintain effective working relationships with a range of stakeholders and partners
Ability to prioritize numerous tasks, and to work under time constraints

Health Care Faclty Inspectr Resume Examples & Samples

During annual surveys or specific complaints inspects as assigned long term care and rest homes, hospitals, transplant centers, home health agencies and hospices, ambulatory surgical centers, end stage renal disease programs, state schools, clinics, nurse aid training programs or other medical or nursing facilities for compliance with the applicable standards of practice, state and federal laws and regulations and related agencies necessary before issuance or renewal of a license to operate or certification for Title 18 and Title 19
Reviews and assesses the quality of care and quality of life of patients in accordance with clinical standards of practice
Writes legal reports based on one’s documented findings relative to the care provided and the facility’s compliance to include recommendations as to the continued licensing, Medicare/Medicaid certification or the correction of any inadequacies encountered
Becomes adept in understanding of the federal and state laws and departmental rules and regulations in order to explain and provide technical assistance
Organizes and assists in Department orientations and in-service training programs and provider trainings and workshops
Appear and represent one’s findings as needed at hearings regarding suspension of license or decertification
Evaluates new facilities, renovations made at existing facilities, assists in the closure and relocation of patients as needed
Assists facilities to coordinate their activities with available local health services as needed
Conducts after hours on-site monitoring of problem facilities/services to assure the health and safety of patients in the event of emergencies (e.g. fires, power failure, labor action or other jeopardizing situations, (e.g. poor facility management and/or poor patient care.)
Conducts other related duties as assigned

Consultant, Health Care Industry Committee Resume Examples & Samples

Strategic and root cause analysis
Inductive and deductive reasoning
Hypothesis generation
Ability to formulate and defend original points of view
Synthesis of complex ideas
Persuasive writing
Quantitative analysis
Creation of long- and short-form deliverables with minimal oversight
5-12 years of relevant experience
Experience conducting long-term research (at least 2-3 months in duration)
Experience conducting primary and secondary research
Experience writing in-depth reports in an academic or professional setting
Demonstrated interest in, and understanding of, the health care value chain
MBA, MPH, or other advanced degree
Ability to quickly determine appropriate analyses and direct analysts to conduct them
Experience working with clients in a consultative role
Health care experience with a supplier or service provider
Familiarity with health system purchasing strategies
Experience working in a team environment, as well as autonomously
Proven ability to communicate effectively with senior executives in person, in writing, and by phone
Experience conducting root-cause analysis
Experience creating and analyzing large data sets to derive original insight
Demonstrated creative problem solving and a high rate of “flow”

Health Care Technology Analyst Resume Examples & Samples

Must possess at least two of the following
Client management experience
Experience working in the health care
Experience presenting to groups
Experience facilitating training sessions
Demonstrable analytical reasoning or quantitative analysis
Willingness to travel 25-50% domestically (varies by product)
Possess analytical reasoning and solution-focused problem solving
Proven ability to prioritize across multiple projects and relationships
Proven ability to manage projects independently
Proven ability to work collaboratively in a team
Experience working with Excel and PowerPoint
Knowledge of software functionality, user navigation and reporting capabilities

Health Care Correspondent Resume Examples & Samples

Experience reporting and writing for a news organization
A solid grounding in health care policy
A track record of meeting deadlines and juggling multiple tasks
A positive, collaborative approach
An interest in learning from and contributing to a team
A commitment to nonpartisan reporting and writing
A strong work ethic and a desire to excel
Force of Intellect - Atlantic Media seeks a discipline and rigor of thought as manifested, often, in exceptional academic performance and, later, success in a professional environment
Spirit of Generosity- Equally, Atlantic Media seeks what we term a spirit of generosity – a natural disposition towards service and selfless conduct

Internal Sales Internship Health Care Professionals Resume Examples & Samples

Completed at least three years of college education before beginning internship
Must be enrolled in school the semester following your internship
Pursuing a Bachelors or Master’s Degree
Authorized to work in the United States without requiring sponsorship
Strong academic performance (GPA = 3.0/4.0)
Member of school or national organizations related to field of study
Exceptionally demonstrated interpersonal skills

Health Care Liaison Resume Examples & Samples

 maximize new business opportunities with pain specialists and other health service providers
 present therapeutic products and creatively teach people about their usage
 engage in meaningful dialogue that addresses the needs of the health provider and patient
 build trust and credibility and become a true collaborator in commercial success
 3+ years' successful pharmaceutical sales experience
 Addiction and/or Pain experience preferred
 Launch experience preferred
 A documented track record of success/ history of sales excellence
 Ability to work independently (not POD selling)

Tier, Health Care Claims Team Lead Resume Examples & Samples

Provide day-to-day direction and guidance for 7 to 15 health Care Claims team members
Coordinate work flow and schedule activities
Check work at frequent intervals to ensure compliance and accuracy
Research and resolve more complex or escalated issues
Mentor and train associates
Working knowledge of CPT, ICD-9, and HCPCS codes
Post-secondary education in a related field is strongly preferred

Health Care Analyst Resume Examples & Samples

Must be analytical, detail oriented, and possess a desire to advance and grow personally and professionally
Excellent PC and database skills
Ability to multi-task and manage multiple projects with varying timelines
BS or BA in Public Health, Epidemiology, Statistics, Economics, Computer Science or a comparable program with a quantitative emphasis; Masters preferred
Ability to effectively communicate with clients and non-technical team members
Desire to expand SAS programming knowledge; experience with SAS and/or SQL a plus

Health Care Analyst Resume Examples & Samples

Prior healthcare knowledge is required
Experience working with Medicaid, Medicare, Commercial, and/or COOP data preferred
4+ years of SAS and/or SQL programming experience preferred
Proficiency in SAS using macros, advanced SAS statements etc

Health Care Reimbursement Manager Resume Examples & Samples

Review and analyze Medicare and Medicaid cost reports for clients in the health care industry, which includes the identification of reimbursement opportunities and compliance risks
Assess financial impacts on rural hospitals converting to Critical Access Hospital status
Conduct reimbursement projects related to health care services
Provide impact analysis assistance for proposal/final regulation changes and related budget impacts
Provide assistance in estimating Medicare contractual allowances and cost report receivables/payables estimates
Manage projects to ensure timely delivery and quality work product
Manage client relationships by monitoring client needs and building value into professional service
Develop and manage reimbursement staff, reviewing their work and providing teaching points
Identify reimbursement and business issues that should be communicated with clients
Market reimbursement services through training, presentations, written articles and other publications
Participate in the area of business development
Create recognizable value in reimbursement services and seek new opportunities for growth

Supervisor Health Care Services RN Resume Examples & Samples

Supervises utilization or quality management staff for assigned function. May supervise clerical staff. Responsibilities include hiring, training, evaluating performance, and developing and executing plans for performance improvement
Oversees daily workflow, assesses workloads, adjusts assignments as necessary, and monitors work production. Works with staff on resolving case review issues and complicated cases
Collaborates with management to maintain best practices; recommends and documents changes; assures the integrity of clinical information; and documents new or revised workflows
Maintains vendor and/or provider relationships assuring that care is appropriate and compliant with regulatory requirements
Communicates with providers, members and community resources in support of programs, and coordinates reviews with medical directors
Participates in reviewing, interpreting and analyzing utilization, Appeals and/or quality management statistics. Compiles, reports and monitors performance metrics and plan activities to comply with regulatory standards and determine effectiveness
Supervises the assessment of members situations and functioning, assuring proper identification of individual needs, and ensuring appropriate care and service
Performs or participates in the execution of utilization, Appeals and/or quality management audits. Identifies staff training needs and develops training plans based on audit outcomes
Participates in training staff in clinically related operational policies and procedures. Revises and develops desktop policies and procedures
Represents the team in inter and intra departmental meetings and serves as a Subject Matter Expert (SME) to project teams
Coordinates activities with other departments or operational teams, as needed
Active, valid and unrestricted RN License required; some positions may require CPHQ certification
Valid Driver License may be required for some positions
Three years clinical experience in hospital/clinic nursing, including minimum two years in a supervisory or lead role required
Minimum one year HMO medical management experience
OR Any combination of academic education, professional training or work experience, which demonstrates the ability to perform the duties of the position
Knowledge of established screening criteria, such as (Milliman & Robertson and InterQual)
Specific understanding of medical management tools
Ability to assume, implement, coordinate, monitor and evaluate members? care management
Knowledge of regulatory requirements and consequences
Knowledge of clinical specialty areas of medical treatment and practices
Computer proficiency required in Microsoft office suite; Competent to assess and operate computer programs and files
Ability to apply established guidelines and regulations to specific situations
Ability to work collaboratively as part of a team
Strong communication and problem solving skills, and ability to work in an environment of continuous process improvement

IT Client Executive Stanford Health Care Resume Examples & Samples

Demonstrated ability to think strategically and deliver results
In-depth knowledge of emerging technologies, trends, methodologies, and resource management principles
Demonstrated ability to lead, motivate, and develop staff
Exceptional customer relationship skills, consensus building skills, and ability to establish effective working relationships in a diverse environment

Health Care Analyst Resume Examples & Samples

Minimum two years experience manipulating and analyzing data from large relational database files
OR, any combination of academic education, professional training or work experience, which demonstrates the ability to perform the duties of the position
Advanced knowledge of Excel, Access and an analytic tool such as Business Objects
Experience using a programming language (preferably SQL); Familiarity with SAS programming language is a plus
Knowledge of statistical measures and their applications
Demonstrated attention to detail
Knowledge of the systems and processes of the organization supported

Health Care Financial Analyst Resume Examples & Samples

Plans and conducts highly complex and sensitive research assignments by working with multiple programs/departments using analytical methods and provide recommendations to the CFO (e.g., department-wide curtailment planning, developing budget targets for the programs)
Prepares various confidential documents and reports affecting the department for the CFO, and prepares the presentation to a wide range of audiences (e.g., Board deputies, CEO, other County departments)
Evaluates the financial standing of various programs by independently comparing program outcomes to goals in order to determine performance. Provides results of the analysis and recommendations to the CFO for consideration
Performs various administrative duties such as creating and maintaining department-wide financial reports for the CFO, formatting documents, and ensuring departmental policies and procedures are being followed and all work done complies with established guidelines and requirements
Performs the lead function in various projects and supervises a team of analysts to provide analysis and recommendations for highly confidential issues
Strong leadership and team building skills
Excellent interpersonal and communication skills with all levels of staff
Strong verbal, written, organizational, analytical and project management skills
Highly proficient in the use of Microsoft Excel, Access, and Word
Strong time management skills which include prioritizing assignments and meeting deadlines

Health Care Financial Analyst Resume Examples & Samples

Oversees, monitors, and reviews the work of three accountants and accounting activities of trust funds, rate development, revenue projection, and billings for Federal and State programs
Reviews, evaluates, reconciles, and reports collections, and fund transfer on a monthly basis
Performs complex analyses and consults with supervisor/manager concerning the accounting and financial implications of existing and projected regulatory changes for existing Federal and State programs
Conducts cost, revenue, and accounting system analyses and procedural studies; writes reports of findings
Analyzes and interprets accounting provisions of laws and regulations and recommends improvements to the internal controls or accounting practices
Participates and assists in responding to internal and external inquiries regarding accounting related issues
Performs special assignments as needed
Assists in Fiscal Year End closing
Approves eCAPS level 1 online Payment Voucher
Strong accounting and collections/accounts reconciliation experience
Strong organizational, planning, and supervisory skills
Strong analytical and logical reasoning skills
Ability to manage multiple priority assignments
Excellent knowledge in Microsoft Office programs
Ability to travel for various meetings and trainings
Excellent communication skills; oral and written, with all levels of staff, including external departments and outside agencies
In-depth knowledge of the electronic Countywide Accounting and Purchasing System

Health Care Liaison Resume Examples & Samples

3+ years successful pharmaceutical sales experience
Addiction and/or Pain experience preferred
Launch experience preferred
A documented track record of success/ history of sales excellence
Ability to work independently (not POD selling)

SSD Lead Health Care Systems S Resume Examples & Samples

Accountable for cross functional task forces to identify and document functional requirements, workflow, information sources and distribution paths, and system specifications
Facilitates meetings and presents to various levels of management including senior levels
Works with vendors to investigate technical solutions and identify and recommend alternatives and coordinate vendor releases
Approves for implementation solutions and/or business cases (e.g. system enhancement requests) of limited operational impact (e.g. low end user impact, low effort service requests)
Develop&approve test plans and works with client to perform risk assessment
Function as a subject matter expert and can offer guidance and lend expertise to management
Perform knowledge transfer to other staff may review their work
Provides feedback to management on team project performance
Provide feedback mentoring, and instruction to staff as it relates to various projects

Health Care Analyst, Senior Resume Examples & Samples

Microsoft Certified Application Developer a plus, but not required
Requires minimum five years related experience with minimum two years financial modeling experience
Experience in designing, developing, integrating, and supporting corporate tools and applications including content management, database architecture and e-commerce
IT experience preferred
Or, any combination of academic education, professional training or work experience, which demonstrates the ability to perform the duties of the position
Proven ability to develop financial models
Knowledge of statistics and other measures used to report and analyze data
Advanced Excel-Based skills with extensive experience/knowledge with Visual Basic and Structured Query Language (SQL) coding, which you already know)
Understanding of PC hardware, software and how networks work
Proficient in Windows operating systems
Ability to develop data process modeling/mapping
Ability to utilize data mapping or extraction tools
Proven analytical and communication skills
Demonstrated ability to manage multiple projects and have ability to work independently with little supervision
Ability to work as part of a cross-functional team
Other relevant technical skills that are beneficial: Languages HTML/CSS, C++, ASIP, Microsoft.Net, JavaScript, Adobe Creative Suite
Other useful operation systems knowledge: IBM, UNIX and Linux Databases: SQL Server, Oracle, and Microsoft Access

Health Care Technician Resume Examples & Samples

Medication Administration Administers Methadone, Suboxone, Naltrexone, Antabuse and Vivitrol to patients
Possess a Licensed Practical Nurse (LPN) license with the Department of Regularity Agencies (DORA) or a similar license within another state
Possess IV certification
Two years of professional nursing experience
Bi-lingual
Experience with medication assisted treatment
Ability to draw blood

Health Care Economics Consultant Resume Examples & Samples

Develop metrics to forecast new algorithm profitability
Facilitate new algorithm kick off calls and training with our matrix partners
Provide management weekly reports outlining work completed and issues encountered
AHIMA or CCSP certification
Previous leadership experience

Health Care RM Resume Examples & Samples

Execute integrated sales and relationship strategies that are in alignment with the area business plan to achieve desired revenue and service hurdles
Responsible for client satisfaction and relationship profitability, while providing business customers with single point of contact within Citi
Provide product specialists with qualified referrals for cross-sell. Assist in closing deals across all products
Use sound judgment in qualifying potential customers/deals as well as recommending the right financial solutions/products for the customer. Ensure customers meet credit/compliance criteria before submitting to centralized credit for approval
Partner with other Citi businesses (i.e. Retail Banking, Treasury, etc.) to ensure ongoing and appropriate communication to support overall client and franchise objectives
Maintain frequent interaction with centers of influence, diverse industry segments, community leaders, regulators, and senior business contacts
Through extensive involvement, create local community awareness that the bank is critically focused on partnering in the community and providing broad, multi-product banking solutions to the middle market companies housed in the marketplace
Strictly adhere to internal control policies such as the account opening protocols of accurate collection, completion and updating of all required documentation
Ensure that the organization's activities are carried out in accordance with all regulatory, legal, and governmental regulations
Partner with Citi Business Banking Relationship managers to onboard quality Healthcare Relationships thru joint and several business development efforts
Demonstrate ability to be subject matter expert and act as a consultant to Internal / External referral sources
Actively identify and participate in Trade Shows, Speaking Engagement, Networking Events, Study groups, Associations etc. to further your own as well as the Healthcare Solutions Group reputation in the community
Demonstrate superior credit skills in structuring transactions that would be mutually beneficial to the clients as well as CitiBank
Proactively maintain an above average knowledge and significant expertise in the healthcare market at a macro and local level and demonstrate the ability to apply this knowledge
Undergraduate business degree
Should have a minimum of 5 years banking experience, preferably in Healthcare or business banking
Must have a sharp, proven business development focus, preferably within a large financial institution in the Healthcare Specialty Role or similar
Must be team oriented
Must have superior organizational skills
Demonstrated ability to motivate and influence others
Must be able to express a sound opinion, able to agreeably present another viewpoint
Knowledge of credit process/credit training a plus

Health Care Actuarial Senior Consultant Resume Examples & Samples

Individual medical and small group health care reform modeling
Assist clients and teams to define underwriting policies and perform risk score analysis to reduce selection
Prepare and review reserves in support of Deloitte & Touche audits of health care liabilities
Align provider contracting strategy with rating trends
Model and calculate ROI for medical management and other health plan initiatives
4+ years of consulting and/or health plan/insurance company experience and/or Federal/State government agency experience
Willingness to travel at least 20%
4 +years of health actuarial experience
4 +actuarial exams completed
Experience working in a team environment
All candidates must be eligible to obtain a United States security clearance

Assc Health Care Economics Director Resume Examples & Samples

Manage your elite team to interpret and analyze clinical, claims and eligibility data in support of Medicaid risk adjustment optimization and analytical initiatives
Guide your team to identify potential areas for improvement and alternative strategies as it relates to member level risk score education and optimization on behalf of UHC Medicaid MCO’s
Lead projects and product development from conceptualization to implementation and manage the version and feature enhancement and improvement process
Root - cause analysis of risk score trends to understand the impact to plan risk adjusted revenue
Oversee quality assurance on data from multiple sources and tables
Minimum of an advanced level of proficiency with SAS, Python, SQL and / or other statistical / analytical programming languages
5+ years of experience in health care informatics and performing analysis on health data metrics
Demonstrated ability of delivering client facing presentations and communicating ideas clearly and concisely with all levels of the organization
Able to take initiative and work independently in a fast paced environment
5+ years of experience in project management with a proven ability to build relationships at all levels in the organization
2+ years of consulting directly with health plan executive leadership
2+ years of Tableau software experience

Health Care Practice Leader Resume Examples & Samples

Working with our Sales/Production leaders develop and manage an active pipeline through calling on potential clients, conducting in-depth analysis/risk assessments, presenting information on the organization's capabilities, strategically cross-selling products aligned with clients' needs and introducing other technical specialists (as needed) to win and retain each client's business
Coordinate team meetings at least 150 days before the client renewal date to determine the renewal strategy prior to meeting with the client
Attend all client renewal meetings 120 days prior to the renewal date and develop a Client Renewal Action Plan
Track renewal timeframes to ensure the team is aware of pending dates and regularly update the Client Renewal Action Plan
Track all open items with clients and ensure the service team meets all deadlines and deliverables
Act as first point of contact to resolve client billing issues and to follow-up on overdue client receivables
Coordinate and maintain account schedules of insurance, policy registers, policy synopsis reviews, network briefs and team service charts
Coordinate with Finance personnel on completion and delivery of premium finance quotations and final agreements
Manage the account aged receivable process timely and accurately
Coordinate and monitor creation of required compliance documents (i.e., the Client Engagement Guide)
Drive the MBR Process for team
Monitor and research the internet, print media and industry magazines for market trends and information that will increase their knowledge of the insurance industry, our clients and the industries in which our clients operate. Bring all pertinent information to the attention of the service team as appropriate
Understand the Willis Value Experience - Value Gap, Client Bill of Rights, GLOCAL, Willis Excellence Model, Client Advocacy and Client Service models, etc
Develop client service agreement including fee development and service deliverables
Prepare and present annual stewardship report
Coordinate with SOP (Claims Management, Loss Control, etc.) the required services available to the insured
Supervise workflow of assigned client service teams which will include client managers, assistant client managers etc
Coach, coordinate and develop client service associates
Keep abreast of industry information, new product information, coverage and technology in an effort to continuously improve knowledge
College Degree Preferred
Licensed Broker required
Minimum of 8 years’ experience
Technically proficient in at least one of the core disciplines (Property, Casualty etc.)
Strong leadership and interpersonal skills
Strong Analytical abilities
Systems proficiency
Proficient in Microsoft Office (Word, Excel and PowerPoint)

Rn-health Care Program Manager Resume Examples & Samples

Substitution: An RN Certification with two (2) years of experience working as an RN, may substitute for the Bachelor's degree on a year-for-year basis
Two (2) years of professional experience working in Case Management, Patient Centered Medical Homes, Population Health, Health Care Navigator, and/or Medical Management. RN-BSN (Licensed Registered Nurse in State of Colorado)
Five (5) plus years relevant experience in domains such as Case Management, Patient Centered Medical Home, Population Health, Health Care Navigator, and/or Medical Management
Organizational development experience
Experience with data reporting and analytics necessary for evaluating program effectiveness and improvement opportunity
Understanding of compliance mandates related to utilization management determinations
Ability to inform and support executive leadership

Health Care Outsourced Controller Resume Examples & Samples

Lead and manage assigned client service engagements
Establish valuable client relationships through continuous touch points and delivery of ongoing proactive advisory services
Complete ongoing review of client financial statements
Provide advice on improved financial reporting
Provide assistance to client staff relating to client’s back office services
Assist client with compliance areas associated with back office services
Implement client best practices to overcome challenges, minimize risk and improve overall operations
Demonstrate ability to estimate and manage work assignments to budget
Provide team leadership, direction, mentoring and engagement supervision
Contribute to overall FAO client and team success through sharing ideas, enthusiasm and strong work ethics
Pursue advancement in technical back office service capabilities as well as advancement in “soft skill” competencies
Assist with client onboarding projects as needed to ensure a smooth client transition onto Wipfli’s back office accounting services
Performed as a Controller or Technical Consultant or related experience ideally in a Health Care setting
A minimum of 3 years experience in the Health Care field preferred
Bachelor’s Degree in Accounting or related field
CPA or CPA candidate preferred
Management and/or mentoring experience of other staff members preferred
Experience presenting and/or making recommendations to business executives preferred
Project management experience a plus

Health Care Technician Resume Examples & Samples

A High School Diploma or GED
Experience scheduling patients for appointments using electronic software
Experience taking blood pressure and pulse and performing blood draws
Fluency in Spanish would be an asset

Health Care Technician Resume Examples & Samples

High school diploma or GED
Excellent interpersonal skills
Detail oriented
Good customer service skills
Knowledge of electronic medical record
Medical terminology knowledge
Work experience in a medical setting preferred
Experience working with medical professionals
Medical Assistant experience

Health Care Solutions Analyst Resume Examples & Samples

Technical analysis experience, problem solving experience, ability to work in a team environment, maintain a high level of customer service, and possess strong attention to detail, as typically acquired in 0 to 2 years
Strong analytical and critical thinking skills for trouble shooting and problem solving/resolution
Knowledge and understanding of information technology concepts and technologies
Ability to specify user requirements and translating concepts into solutions
Exceptional written, verbal and presentation skills with the ability to communicate technical issues in terms clearly understood by technical and non-technical audiences, including high-level management
Excellent time management and organization skills and commitment to detail and accuracy
Ability to meet deliverables in a rapidly changing and fast-paced dynamic working environment, while delivering quality service
Prioritize and manage multiple activities and objectives with moderate supervision
Effectively work independently and on team
Strong skills in word processing, spreadsheet and presentation computer programs, preferably Microsoft Office
Maintain a positive attitude, high level of energy and creativity
Demonstrated ability to continuously learn and improve skills and concepts
Thorough understanding of current trends and strategies in healthcare and their application to information technologies is desired
Ability to write and analyze queries against data sources preferred
Develop methodologies for analysis, development, implementation, and testing is preferred

Health Care Claims Reviewer / Auditor Resume Examples & Samples

Managed Care experience and/or experience with Medicare and Medicaid claims
Strong knowledge of the healthcare industry including claims, claim type, Revenue Codes, CPT/HCPCS codes, ICD10 codes, etc
Ability to create and deliver insightful analyses
Proficient in MS Excel is a plus

Health Care Analyst Resume Examples & Samples

Work closely with Project Leader, Deputy Project Leader, and Task Leaders to coordinate operations for payment reform Work Groups
Provide support for planning Work Group meetings,
Solid health domain experience (at least 2 years in the health domain for this position), including experience with CMS
High-level understanding of CMS structure and operating environment
Self-starter with demonstrated ability to work independently
Able to apply a pragmatic, practical, and analytical approach to problem solving
Exceptional written and verbal communications skills
Knowledge of CMS payment models and reimbursement policies (e.g, Accountable Care Organizations, full-risk population based payments, and other health plan innovation models)
Demonstrated experience interacting successfully with customers
Masters in Public Health or Health Services Administration is highly desirable

Health Care Economics Consultant Resume Examples & Samples

1+ years of health care experience
Experience with Medicare and/or Star Rating
Risk adjustment experience
Experience working within R or Python

Executive Director / Senior VP, Health Care Resume Examples & Samples

Oversight of cross-functional initiatives, including cohesive goal setting and prioritization of objectives across all focus area-aligned function
Establish, communicate, and lead focus area objectives with an overarching emphasis on successfully increasing member satisfaction, achieving profitability targets, and ensuring positive correlation of those measures
Leadership of the focus area-specific new product development (NPD) function
Bachelor’s Degree from an accredited college or university
Must possess a minimum of 10+ years of progressive product development, product management, product marketing, strategy, general management, or business unit / functional leadership experience
Willingness to travel 25% of the time. Travel will be heavier (up to 50%) for remote employees given required travel, plus travel to the DC office
Deep understanding of the health care industry and specific subject matter expertise within key Advisory Board focus areas (e.g., health system growth, revenue cycle, care variation
Significant leadership experience, including both formal and informal management; experience successfully leading, managing, and influencing in a highly matrixed environment
Demonstrated ability to inspire and drive cross-functional and/or multi-business-unit change to achieve enterprise-wide improvement
Proven track record of success meeting or exceeding revenue and/or (preferably) margin goals
Strong executive gravitas and presentation skills, with the ability to develop credibility with C-level leaders and manage executive meetings to desired outcomes
Experience scoping and developing or commercializing transformational solutions that draw from a diverse array of products or capabilities, including consulting and technology, and encompassing disparate product or service lines
Ability to approach problems in new and flexible ways in order to distill complex business issues into actionable recommendations and plans
Senior commercial or sales leadership role
General management / functional leadership over a technology business / delivery organization
Senior new product development leadership role

Associate Health Care Manager Inflammation & Immunology Resume Examples & Samples

Caring about opportunities for contracts in the field of delivery of pharmaceuticals and pharmaceutical guidance with sick funds and health care models. Proposal and execution of co-operations with integrated pharmaceutical care participants, pharmacists’ and physicians’ networks and pharmacies in order to grow up the business by utilizing new and actual legal conditions in the pharmaceutical field. Aiming to establish Celgene’s pharmaceutical products on existing positive lists where possible by pharmaceutical argumentation and interaction
Maintain / establish a “Reimbursement, Dispense and Taxation Network” within Inflammation and Immunology opinion leaders, insurance companies and policy makers
Planning, organization and execution of projects and events on a regional level
Develop concepts and contracts for pharmaceutical negotiations with sickness funds and other potential contract partners, e.g. in MVZs, Integrative Care, Competence Centres, etc
Has a University degree or post graduate diploma in Health Economics, Business Administration, Biology or other related areas. A PhD would be an asset in this position
Relevant experience in Local Market Access and German Health Care System
An additional asset would be an Inflammation and Immunology background and experience in a health political department of pharmaceutical industry and experience in working with statutory health insurances, pharmaceutical stakeholders etc…
Tact, diplomacy and discretion - excellence in ´anticipation, innovation, execution‘
Ability to influence and persuade external parties, proven success in negotiations with external stakeholders
Excellent written, verbal and interpersonal communication skills, acts as good internal and external communicator, a representative appearance is essential
Good technical knowledge of all Microsoft programs
LI-MD2

Health Care Reimbursement Senior Associate Resume Examples & Samples

Work closely with assigned clients in the health care field, including hospitals and nursing homes
Prepare Medicare and/or Medicaid cost reports utilizing specialized software to meet federal and state regulations by required deadlines
Communicate with clients and Medicare contractors via telephone and email
Work on highly detailed Medicare and/or Medicaid cost reports
Review trial balance, financial statements and client information for cost report preparation
Assist with training/mentoring employees in the health care reimbursement department
Interact with internal and external clients, delivering consistent results

Elagolix Managed Health Care Marketing Program Manager Resume Examples & Samples

Collaborate with Sr. Marketing Manager, MHC IBT and Brand IBT to build, manage and execute tactics to achieve brand objectives and goals
Partner with MHC in-field teams in working with different customer groups
Drive and participate in customer engagement and MHC tactical brand plans process
Influence MHC/Brand teams and effectively collaborate cross-functionally to deliver business results
Manage MHC projects including execution of MHC marketing plans, initiatives and tasks
Proven marketing experience with increased proficiency in all marketing skills
Previous cross franchise/cross channel marketing/pricing experience preferred

Health Care Business Integrity Intern Resume Examples & Samples

Education and Experience: BA/BS, advanced degree or equivalent preferred – law, management, life sciences
Good knowledge of Office tools and computer skills
No previous experience in Pharma industry is required
Requires strong communication, organizational and analytical skills
Results-driven, self-starter and ability to manage complexity a must
Demonstrate strong organizational, process and interpersonal skillsAdministration

Mgr, Health Care QM / Hedis Resume Examples & Samples

4+ years of Leadership, Management experience with coaching, mentoring on performance metrics. Able to manage through change
4+ years of Quality Management experience related to Medicare / HEDIS
Provide comprehensive analysis of HEDIS results, barriers, and identify opportunities for quality improvement across multiple markets Manage a diverse HEDIS team, including clinical and non-clinical project managers, consultants, analysts and outreach coordinators, encourage staff development, provide oversight of performance metrics and ensure compliance with all HR policies and procedures
Proficient knowledge of HEDIS Rate Analysis process
Experience with Medicare STAR Measures
Experience with Providers within the Texas and Utah regions
Excellent business acumen
Able to work in a deadline driven environment
Communications/Management: - Project Management/Time Management/1-3 Years
General Management/Process & quality improvement/4-6 Years
Desktop Tools/Microsoft SharePoint/1-3 Years/End User
Desktop Tools/Microsoft Outlook/1-3 Years/End User
Desktop Tools/Microsoft PowerPoint/1-3 Years/End User
Desktop Tools/ Microsoft Excel/ 1-3 Years/ End User

Dir, Health Care Qm-hedis Operations Resume Examples & Samples

5 to 7 years clinical and/or managed care experience in the healthcare industry and quality management
Previous experience managing staff
Demonstrated verbal/written communication and computer skills

Health Care Analyst Resume Examples & Samples

Conducts sophisticated business analyses to support Medicaid ACO program development and ongoing operations, grounded in deep expertise and functionality with both internal and publicly available Medicaid-related health care data sources
Draft memos and bulletins that summarize key conclusions and findings of impact analyses to inform Steward's leadership teams
Analyze and recommend opportunities and financial impacts of strategic partnerships, new Medicaid programs, and key Medicaid ACO related initiatives
Deliver accurate and on-time deliverables, including reports, cost estimates, models and ad-hoc analyses
Develop and program comprehensive, timely, and accurate analyses, reports, and presentations on utilization, leakage, risk performance, care management, and quality metrics to support the operation of SHCN's Medicaid ACO
Work with business and operational leaders to identify TME opportunities and quantify ROI for related programs
Coordinate with Steward's internal data, analytics, and information technology teams to manage data and reporting related to Medicaid programs
Identify opportunities to improve and enhance the analysis and information provided to SHCN leadership, participating network providers, and community partner organizations
Work with analysts and analytic tool vendors to improve standard report design
Support ad hoc analytic requests, providing accurate and timely data, analysis and insightful interpretations
Possess strong skills in Excel, Access (and other query/analytic tools) and PowerPoint. Understanding of SQL preferred
Organizational and project management skills to manage projects effectively
Demonstrated knowledge of relationships between health plans and providers, including detailed understanding of health plan data and familiarity with Medicaid and other public programs
Possess an in-depth understanding of Medicaid payment methodology and claims data elements, including ICD-9 & CPT codes, DRGs, health status and risk adjustment
Excellent verbal and written communication skills, including the ability to graphically present complex data; outstanding interpersonal skills; and ability to relate positively with individuals at all levels of the organization

Health Care Analyst Resume Examples & Samples

Health Care Analyst Manager will be stationed at the Early Intervention Section of the Psychological Health Promotion Division. The duties include the following
Monitoring and reporting on progress on access to MHS and quality of care in the MHS
Data analytics capability and understanding of systems that comprise the MHS electronic health record
Identify overall gaps in the MHS’ delivery of care and develop recommendations
Experience with assessing systems-level processes and their impacts that can be applied to implementing and evaluating initiatives supporting helping seeking and reducing barriers to care
Bachelor's degree in health care administration, public health or related fields
At least 2 years of experience working with data management systems
Demonstrates strong analytical/critical thinking, teamwork, and verbal/written communication skills
Masters Degree in Public Health
Strong organization and interpersonal skills with the ability to work as part of a diverse team of mental health professionals

Head of Product, Health & Care Resume Examples & Samples

The production and maintenance of clear and well defined Market Requirement Documents and Product Roadmap documents for specified products and their positioning within the overall business offerings, always working to medium-long term vision, minimum of 2 years ahead
Work closely with R&D to determine the best method of delivering against the product roadmap and its deliveries, including the specification of the content of deliveries through the production of Product/Service Requirements documents, to ensure commercial deadlines are met
The management of risk through formal management techniques
Collaboration with peers to ensure shared best practice across the department, e.g. external market analysis, pricing models, positioning and strategy methodologies
Collaboration across the whole of the business, to influence product direction and to help the company as a whole achieve its goals, e.g. recommendation to the business team on the feasibility of future strategy, and the direction that future strategic development should take
Be the ‘product champion’ for specialist products/services, relating the detail of product and its positioning with the Health & Care solution offering
Have responsibility for defining and managing processes which are best practice, engaging Head of Product Management and peers within other divisions
Work closely with other product managers and colleagues within the wider business and industry community to create and maintain solution strategies, roadmaps and pricing models that meet medium to long-term requirements both in terms of product direction, marketing and revenue
Ensure that the products evolve to meet current and future business needs
Develop a thorough understanding of customer needs within the target market segment and key market dynamics, in terms of market size and segmentation, the competitive and legislative environments, technology trends and other influences for specified products
Undertake competitor reviews and analysis to determine commercial positioning and potential targets for acquisition
Support the business case preparation through the identification of key project tasks, deliverables, manpower, costing and forecasts for expenditure and revenue opportunity
Provide support to the Health & Care Division when working with customers or Business Partners – this could include presenting the product roadmap, running customer focus groups and demonstrating the product
Engage with Business Partners and customers to determine short and long-term deliverables within the products and its associated modules
Manage the product wish list and feed this into the product development process and plans
Create product/service Briefing documents for specified products that meet the requirements of the Health & Care Division, marketing, sales and support groups
Work closely with the Head of Product Management in balancing product, service and solution requirements across the business
Hold regular meetings with internal/external departments and suppliers to review product/service development, manage progress against strategic objectives, day to day issue resolution and risk management
Represent Health & Care Product Management at business meetings, providing advice and updates on product/service progress
Work with business teams from around the business to commit to product launch and that there is satisfactory sign off throughout the commercial life cycle by all parties
Liaise with all other Product Managers to ensure that work is neither overlooked nor duplicated

President, Health Care Resume Examples & Samples

15 or more years of senior leadership experience in health care, technology, and/or services experience
Deep understanding of the transforming health care space and existing industry structure
Broad health care experience – extremely facile with current and emerging health care issues and trends based on direct experience developing, selling, and delivering solutions into the sector (i.e., hospitals, health systems, and physician practices)
Current or recent experience as a CEO, President, COO, or GM of a leading health care technology and/or professional services organization, with a successful track record of leading a $500M+ business and managing a large, diverse employee base
Technology-enabled services experience – ideally with experience across multiple distinct services (pure consulting, technology, professional services) and in enterprise solution sales environments to a level where the candidate has a credible depth of understanding around the value proposition and economics associated with these businesses
Experience leading innovation and product development; track record of increasing the rate of innovation and accelerating product and services development cycles

M HIS Health Care IT Consulting Internship Resume Examples & Samples

Currently possesses or is in the final year of pursuing a Bachelor’s degree in Public Health, Business, Math, Economics, or another Health or Data-related discipline from an accredited university
Currently possess a cumulative GPA of 3.0 or higher on a 4.0 scale
Master's degree in management or health policy from an accredited university
3M Global Terms of Use and Privacy Statement

Health Care Economics Analyst Resume Examples & Samples

Forecast costs, utilization trends and create financial models using claims and other healthcare data
Independently interpret data, facts and/or trends
Develop innovative approaches to achieve deliverables
Ad hoc analysis
1+ years of professional experience in a data analysis, finance, or accounting role
At least a basic proficiency using SQL
Advanced level of proficiency with MS Excel
Intermediate level of proficiency in MS Access
Proficient query-writing skills
Ability to interact effectively with different business departments, team members, and external clients at all levels
Ability to deal with ambiguity and drive results

Dir, Health Care QM Program Resume Examples & Samples

5 - 7 years clinical and/or managed care experience in the healthcare industry and quality management
Previous NCQA experience that reflects a proven track record or proficiency in the competencies noted
Demonstrated ability to plan, organize, and execute multiple functional business objectives
Demonstrated verbal/written communication & computer skills

Health Care Claims Team Lead Resume Examples & Samples

They coordinate workflow and schedule daily activities and check work at frequent intervals to ensure contractual service levels, quality standards, and/or deadlines are being met
They assist the team in obtaining and maximizing accuracy and productivity
Health Care Claims Team Leads are a resource for questions and/or issues
They research and resolve the more complex or escalated issues
They mentor and train associates
Health Care Claims Team Leads may perform special projects and other duties as assigned
They research and resolve Dovetail cases
They assist in emails from client or other departments with questions/ or issues

Health Care QM Manager Resume Examples & Samples

6+ years progressive experience in operational Quality Management roles in the healthcare industry, regulatory environment and quality management
Demonstrated leadership ability. Provide leadership to small team of direct reports
Able to mentor and coach on department's deliverables and metrics
Familiar with NCQA standards
Excellent time management, organizational and problem solving skills
Quality Management/Quality Management/1-3 Years
Management/Management - Multifunctional management: �- Project Management/Cross-functional project management/4-6 Years
Leadership/Lead a business in different geographies or multiple markets/1-3 Years
Project Management/Issue identification and analysis/4-6 Years
Desktop Tools/Microsoft Word/4-6 Years/End User
Desktop Tools/TE Microsoft Excel/4-6 Years/End User
Desktop Tools/Microsoft PowerPoint/4-6 Years/End User

Health Care Finder Resume Examples & Samples

Answer incoming telephone calls from customers and provide information on benefits and eligibility in a clear and professional manner
Provide customers with names of providers in their geographical area and verify network status of providers in accordance with contract standards
Gather specific information from the caller in order to determine which department and/or personnel can best respond to the customer’s concerns
Create complete call record for each contact made with a customer in the INFOrm system. The HCF may need to create more than one call record per customer call
Checks and verifies TRICARE eligibility of beneficiaries through appropriate systems. Collects and transfers non-clinical data such as beneficiary demographic information and eligibility determination, and requested assistance, to the appropriate department based on incoming telephone calls
Build cases in MSR system and authorize the TRICARE initial visits each fiscal year or the second provider outpatient visits for claims payment purposes. No medical necessity determination required
Will adhere to pre-approved procedures and standards of practice (SOPs) for non-clinical functions. Will not conduct any activities that require interpretation of clinical information. Will seek the direction and receive guidance and oversight from clinical staff, Clinical Supervisors or Director of Clinical Services as appropriate
Transfer calls ensuring accurate information is relayed to the other party so appropriate service can be provided
Monitor the volume of calls in the queue line to ensure contract compliance is met
Achieve and maintain high-level productivity and quality performance expectations
Ensure the appropriate use of the chain of command
Effectively navigate through multiple complex systems/screens
Verify demographic information with beneficiaries/providers and ensure Health Insurance Portability and Accountability Act (HIPAA) guidelines are followed to protect privacy
Provide basic claims research, within TRICARE navigation (TNAV), in order to assist a customer with the status of their claim
Provide follow-up with other internal departments to expedite resolution of difficult/aging inquiries
Perform job functions in accordance with the latest Customer Service Department’s Standard Operating Procedures (SOP) and the latest TRICARE Policies and Procedures (P&P)
Complete employee responsibilities, as required. This includes reading and responding to business email communication, completing required trainings in the timeframe specified and completing kitchen duty, when assigned
Comply with all HIPAA regulations
Maintain punctuality and regular attendance. Giving proper notification when unable to meet this requirement
Maintain a professional relationship with co-workers

Health Care Marketing Assistant Industrial Placement Student Resume Examples & Samples

3M is seeking a Marketing Assistant Industrial Placement Studentfor the Drug Delivery Systems divisionlocated in Morley Street, Loughborough.Ready to be part of what's next?
Work with the global marketing team to meet DDS business objectives to grow in key portfolios including inhalation and transdermal drug delivery
Input to new product introductions, campaign management, exhibition management
Create and manage internal communications including newsletters, announcements, business updates and celebrations
Support projects including market data analysis and primary or secondary research
Implement digital marketing tactics to support marketing communications to both customers and employees
Ability to work and communicate with a cross functional team including scientists, technical, sales, business management and administrators via email, phone and face to face
Attend marketing excellence workshops which will provide CPD hours
Knowledge of Marketing Planning, market/competitor insights, Digital communications, new product launches, pricing strategies (all desirable)
Ability to prioritise effectively

Health Care Audit Manager Resume Examples & Samples

Perform document consulting activities and recordkeeping services according to firm standards
Travel to client locations as requested to provide consulting services
Posess knowledge of Medicare, Medicaid and other health care industry trends and issues
Develop enhanced technical competency and industry specific expertise through CPE, firm/industry group events, webinars, etc
Attend certification training courses to maintain professional certification
Interface with multi-disciplined client service teams for account planning
Assist with staff performance evaluations
Research and communicate with client and firm personnel regarding complex matters
Actively participate in community activities and organizations to develop and maintain positive business relationships with community leaders and members
Actively participate in firm sponsored events for clients and prospects
5-7 years of previous audit experience preferably in a professional services environment
Bachelors Degree in Accounting
CPA certification required in the respective state in which they are practicing
Requires prior supervisory experience
Ability to travel up to 35%

Health Care Services Auditor Resume Examples & Samples

Performs monthly Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM) audits and monitoring of key staff for compliance with NCQA, CMS, State and Federal requirements
Adheres to departmental standards, policies, protocols
5 - 15% local travel may be required

Director, Immunology Managed Health Care Resume Examples & Samples

Provide overarching leadership and direction for Marketing vision, strategies, plans and resource investment for HUMIRA and portfolio products in one of the immunology therapeutic areas. Encompass a “One AbbVie” mindset and perspective in all strategies
Set tone and priorities for scale and scope of accountability. Influence and persuade across multiple external and internal stakeholders and partners. Infuse AbbVie Ways of Working and Talent Philosophy in day-to-day leadership and management of the business. Uses coaching effectively and efficiently to influence team and cross functional partners
Determine appropriate action, execution, tracking and monitoring of projects by employing segmentation, positioning, innovation, creative development, investment optimization as needed. Able to build a value proposition by articulating the business strategy and economic choices for each stakeholder

Health Care Accounts Receivable Leader Resume Examples & Samples

Advanced knowledge of healthcare A/R, collections, insurance, and appeals
Advanced understanding of Compliance Guidelines
Advanced knowledge of healthcare reimbursement methodologies
Intermediate Microsoft Office (Word and Excel)
Ability to provide advanced customer service
4 year college degree in Business Administration, Finance, or Health Administration or equivalent experience
5-7 years experience managing in multi-facility business office

Technical Health Care Analyst Resume Examples & Samples

Work with the clinical program leaders and business intelligence to gather reporting and analytic requirements
Standardize reporting processes and documentation
Assesses, interprets, and analyzes customer needs and requirements
Evaluate, interpret and analyze data and / or business process
Evaluate and present information in a manner that will facilitate management's understanding of the results and impact
Develop, analyze and monitor new, routine and ad hoc reports
Proactively discovers potential areas for affordability and management / healthcare initiative strategies
Leverages existing and ad-hoc reporting capabilities to identify trends in health plan performance and opportunities for improvement
Performs data extraction, aggregation, and quality checking from multiple sources and tables in support of trend identification, root cause analysis, affordability initiative development, and validation/measurement of clinical operations and clinical program performance
Collaborates within and outside the Community and State to lead the development and continuous improvement of methods, processes, and technologies to enhance healthcare quality, affordability, outcomes, and member / provider experience
Measure and Report Impact of Clinical Programs
Identifies and implements appropriate analytic approaches / methodologies
Extracts, aggregates and QAs applicable data for measurement purposes
Works with clinical teams to identify areas of opportunity to drive financial and quality performance of programs
Communicates results to relevant audiences
Perform Healthcare Affordability and Clinical Compliance Analytics
Leverages existing and ad-hoc reporting capabilities to identify trends in health plan performance and opportunities for medical expense reduction and clinical adherence to internal and
Contractual standards
Extract, aggregate and perform quality assurance on applicable data from multiple sources and tables for purposes of root cause analysis, affordability initiative development, and clinical
Adherence initiatives
Performs data analytics in support of trend identification, initiative / program development and validation / measurement
Uses data analytics to identify and gain consensus on approaches to address medical cost and clinical adherence trends (e.g., contract remediation, benefit design, clinical intervention
Perform Standard and Ad Hoc Reporting and Develop / Facilitate Development of Technical Solutions
Produces or supports development of monthly scorecards/dashboards (e.g., clinical operations performance reports, clinical adherence reports), develop and implement automation strategies for work efficiencies and reduction or elimination of manual work
Works with IT or BI to build ongoing reporting needs into the production environment
Minimum intermediate level of proficiency working with MS Excel including formulas, calculations, charts, graphs, etc

Associate Health Care Economics Analyst Resume Examples & Samples

Review claims, premium, capitation and membership data in support of underwriting, Actuarial and utilization analyses
Beginner level of proficiency working with MS Excel (create, edit and save)
Ability to meet and manage monthly deliverable deadlines
Effective verbal and written skills
Beginner to moderate level of SQL proficiency
Some knowledge of healthcare industry

Health Care Economics Consultant Resume Examples & Samples

Gather and prepare analysis based on information from internal and external sources to evaluate and demonstrate program effectiveness and efficiency
Research complex functional issues using a variety of resources
Develop and prepare highly complex reports and provide and / or interpret information and data across divisions and departments
Demonstrable analytic experience working with fraudulent claims, fraud identification
Experience with healthcare performance measurements

Health Care Prfssionl Case Mgr Resume Examples & Samples

Identifies cases involving high frequency and high-risk injuries/illnesses. Performs ongoing evaluation and treatment plans for all identified cases
Reports to OHS Lead Clinician
Responsible to be on call 24 hours a day/seven days a week

Health Care Economics Consultant Resume Examples & Samples

Understand Contracts
Running target models
At least a beginner level proficiency with SQL

Physician Gastroenterologist Greenville Health Care Center Resume Examples & Samples

Board certified in Gastroenterology
Successful completion of an accredited fellowship in Gastroenterology
VA Form 10-2850. Application for Physicians, Dentist, Podiatrist, Optmetrists and Chiropractor. (Available at http://www.va.gov/vaforms/medical/pdf/vha-10-2850-fill.pdf ). This is a required form and must be submitted with your application

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Health Care Sales Associate Resume Examples & Samples

Develop and implement effective sales plan to attract new customers and inspire existing customers to increase their purchasing of VTA services
Develop and implement an effective territory management plan that is accountable to the organizations sales goals
Maintain appropriate statistics and generate report(s) as required by the VTA’s management team and requested by existing customers
Communicate with health care administrators and personnel managers of education systems effectively
Conduct sale's calls on existing and potential customers to maintain a constant flow of staffing requests and perform problem solving as necessary
Follow - up on customer service issues to ensure rapid solutions
Serves as a senior member of the VTA Management team in developing and implementing the annual strategic and business plan, participate in annual budgeting process
Exhibit diplomacy and team building skills in accomplishing responsibilities
Actively participate in the customer service culture of the organization
Effectively, ethically, and professionally promote VTA/NPORT at conventions, seminars, professional meetings
Participate in trade activities that promote VTA/NPORT service(s)
Develop Sales materials, assist with Web site content and all public facing materials

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Rn-copper Ridge Health Care Resume Examples & Samples

Reads, writes, speaks and understands the English language
Ability to make independent decisions when circumstances warrant such action
Deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public
Knowledge of nursing and medical practices and procedures, as well as laws, regulations and guidelines that pertain to long-term care
Able to relate information concerning a resident's health
Must not pose a direct threat to the health or safety of other individuals in the workplace
Able to move intermittently throughout the work day
Able to cope with the mental and emotional stress of the position

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Health Care Integrator Resume Examples & Samples

1+ year of experience providing service coordination and information, linkages, and referrals for community-based services to children with special needs, individuals with disabilities, or seniors
Computer Literacy (specifically Microsoft Word, Excel)
Ability to work directly with a diverse population consisting of Severely Emotionally Disturbed (SED), Medically Fragile (Med F), Developmentally Disabled (DD), Division of Juvenile Justice & Opportunities for Youth (DJJOY), and Close to Home (C2H) youth
Licensed Master's Social Worker

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Health Care Data Analyst Resume Examples & Samples

Works with the clinical program leaders and business intelligence to gather reporting and analytic requirements
Standardizes reporting processes and documentation
Evaluates, interprets and analyzes data and/or business process
Evaluates and presents information in a manner that will facilitate management's understanding of the results and impact
Works with unstructured data, and recognizes data patterns and potential issues and makes recommendations
Proactively discovers potential areas for affordability and management/healthcare initiative strategies
Performs data cleaning, preparation, reporting, and analysis
Collaborates within and outside the Community and State to lead the development and continuous improvement of methods, processes, and technologies to enhance healthcare quality, affordability, outcomes, and member/provider experience
Measures and reports impact of clinical programs
Develops full understanding of clinical programs being measured
Develops project scope
Identifies and implements appropriate analytic approaches/methodologies
Performs statistical analyses to determine effectiveness of clinical programs (e.g., pre-post analysis)
Develops conclusions and recommendations
Leverages existing and ad-hoc reporting capabilities to identify trends in health plan performance and opportunities for medical expense reduction and clinical adherence to internal and contractual standards
Extracts, aggregates and performs quality assurance on applicable data from multiple sources and tables for purposes of root cause analysis, affordability initiative development, and clinical adherence initiatives
Performs data analytics in support of trend identification, initiative/program development and validation/measurement
Performs standard and ad hoc reporting and develops/facilitates development of technical solutions
Designs and implements reports and databases to meet specific customer requirements (e.g., Product, local markets, external customers)
2+ years of work experience in a corporate setting
Microsoft Office Suite (i.e. Power Point, Visio, Project, Excel, Access)
Microsoft Excel (i.e. Advanced formulas and filtering, Graphs, Charts, Scorecards, Dashboards, Pivot Tables, Power Pivot Tables, VBA)
Share Point 2010 (i.e. Site Administration: create and maintain Lists, Libraries, user structure. Create Nintex Workflows and InfoPath.)
Programming: jQuery, REST API, SP Services
Microsoft SQL Server (i.e. SSRS, T-SQL programming: create Tables, Normalization, Views, and Stored Procedures)
Oracle (i.e. PL-SQL, PL-SQL Developer)

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Health Care Economics Analyst Resume Examples & Samples

Provide on-demand analysis and reporting on key business issues in support of company Clinical, Financial, Operational, and Quality performance measurement and operations, as well state regulatory reporting requirements
Engage in reporting and analysis projects by contributing to report requirement gathering, development, and documentation
Basic level of proficiency in performing data analytics with Business Intelligence tools such as MicroStrategy or Tableau
1+ years of corporate financial or operational reporting
1+ years of health care industry reporting experience

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Director of Health Care Economics Resume Examples & Samples

Manage and develop a team by leading projects from conceptualization to completion
Build strong relationships within the organization including finance, Actuarial, network pricing, product pricing, underwriting and clinical operations areas
Mentor and develop your elite team
Excellent communication skills are essential
5+ years of experience managing a team
At least an advanced level proficiency with SQL, SAS and/or other statistical programs
Demonstrated self-motivation and initiative

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Certified Health Care Interpreter Resume Examples & Samples

Performs on-site and over-the-phone interpretation for patients, families, Kaiser Permanente and non-Kaiser Permanente health care providers who prefer to speak in their primary languages, other than English
Provides simple sight translation
Completes interpretation work requests as per protocol, provides accurate and timely documentation of work done, and compiles reports as required
Participates as a member of the health care delivery team, exercising sensitivity and maintaining confidentiality of employee and patient information at all times
Provides expert knowledge regarding the interaction of medical treatment and key aspects of culture
Conducts and/or facilitates for medical center staff, members and prospective members
Supervisory Responsibilities: N/A
Corporate Compliance Accountability: Consistently supports the precepts of Corporate compliance and Principles of Responsibility by maintaining confidentiality, protecting the assets of the organization, acting with integrity, reporting observed fraud and abuse and complying with applicable state, federal and local laws and program policies and procedures
Competencies: Able to pass skill assessment every three (3) years
Previous experience as an Interpreter in a multi-specialty health care environment preferred
Previous experience as an Interpreter preferred
Two (2) years of college preferred
Health Care Interpreter Certification required
Excellent oral command of English and a second language of service
Ability to demonstrate professionalism in a demanding, high stress and fast-paced environment
Demonstrated understanding of cultural issues related to health care
Must be sensitive and knowledgeable of the distinction between neutral interpreting and patient advocacy
Must pass an oral and written competency assessment in both target and source language
Basic computer skills required, i.e., Email, Word processing, spreadsheet and data entry
Must be flexible and able to prioritize multiple tasks
Must be able to work in a Labor/Management Partnership environment
Experience in Excel, Word and other Microsoft software is preferred

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Women s Health Care Senior Sales Consultant Resume Examples & Samples

Be responsible for the growth and profitability of the WHC portfolio consisting of Essure, Skyla and Mirena. This is accomplished by promotion around the total office call which includes providers and decision makers within a given account
Penetrate established accounts to gain additional market-share for product portfolio
Effectively discover and address account needs with compelling messages and solutions
Train physicians with confidence and expertise in an office procedural environment and hospital surgical setting as it pertains to Essure, Mirena & Skyla should be trained in the office setting
Provide dynamic development and execution of a comprehensive strategic and tactical territory sales business plan via Verix & Veeva iRep, including quarterly plan, gap analysis, marketing and professional education plan to achieve overall sales goals for all promoted products
Effective partner with all responsible parties identified in the business plan to adhere to time lines for completion of all initiatives
Help refine and execute pull-through strategies for KHM/IHN/RD accounts
Provide feedback on product performance, competition, marketing practices and customer satisfaction
Operate strictly within the corporate code of conduct and compliance guidelines set forth by Bayer HealthCare Pharmaceuticals, Inc
Effectively contribute to the success of the organization and Service to its internal and external customers by contributing to a positive work environment for all

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Managed Health Care Project Program Mgr Resume Examples & Samples

5+ years of Managed Health Care experience related to Commercial and Medicare programs
Solid understanding of health care plans related to project management and plan design
Previous medical claims processing experience
Proven track record in meeting project milestones and negotiating for resources., proven negotiation skills
Experience includes development and management of multiple budgets related to various projects and or program
Proven Project Management skills. Able to lead projects and create Accountability
Change management experience. Able to work in a fluid, dynamic environment
Clinical / Medical/Clinical claim review & coding/1-3 Years
Claims/Claim processing - Medical - Medicare/4-6 Years
Project Management/Project Management Consulting/4-6 Years
Products-Medical/All Aetna Standard Plans/4-6 Years

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Senior VP, Health & Care Engagement Resume Examples & Samples

Leads efforts within our health plan to engage our employer groups and their members with cutting-edge health and care engagement services that demonstrate cost trend management and improved population health
Works closely with our medical group to ensure provision of innovative and effective case and disease management services that reduce costs and improve quality of life for patients
Works in partnership with our contracted national provider network to ensure consistency of approach and results with our own medical group
Develops, markets and delivers preventive health and well-being programming and services resulting in health improvement and demonstrable ROI for a wide range of clients
Collaborates closely with a wide range of leaders across many functions within the organization
Provide leadership that continues HealthPartners position as a local and national leader in health and quality outcomes, management of total cost of care, health & wellness solutions, and disease & care management for all conditions
Provide overall vision, direction and goals for the division; oversee performance on business goals and objectives for the departments in the division; and manage an operating budget of $55 million
Lead a team of approximately 430 people and mentor/guide a seasoned leadership team in a way that promotes strategic alignment, operational flexibility and high levels of engagement
Ensure successful development, implementation, management and evaluation of strategic business and service goals for Work Site Health. Provies collaboration between Work Site Health and the greater HealthPartners' organization in the delivery of quality integrated services. Key to the role is the profit and loss responsibility for the products within the department
Lead program development strategy to ensure that HealthPartners health plan capabilities to serve members across the continuum of health, chronic disease and acute care are translated into products and services appealing to group purchasers and members
Lead program development strategy to ensure that HealthPartners health & wellness capabilities are continually enhanced and translated into products and services appealing to group purchasers and individual program participants
Participate in sales and account management process as executive lead for Health & Care Coordination which includes active role in sales & RFP strategy, finalist presentations, and ongoing account management interactions. Effectively manage escalated client situations to a positive result, anticipating problems, working with key internal constituents and developing contingency plans
Lead care coordination integration efforts and support system-wide development of an efficient and seamless model of health & care coordination for patients of the Park Nicollet- HealthPartners Medical Group and its related hospitals. Work in collaboration with Care Group Chief Operating Officer to execute integrated system vision and capabilities
Support care system network partners in developing effective health & care coordination models, and participate in network management process to assist care systems in designing interventions and supports for HealthPartners members in partnership with our Health & Care Engagement functions
Serve as dyad to Health Plan Medical Director and partner to ensure health plan quality activities are performed
Serve as staff member of the Quality Committee of the Board of Directors
Responsible for regulatory compliance and accreditation activities
Continue development and evolution of services to improve affordability and lead the Affordability Council
Serve as a member of the health plan leadership team to support development and execution of health plan vision, as well as product & service developments, health care reform implementation, plan & product pricing, and other key initiatives
Lead and participate in internal leadership forums including but not limited to Health Council, Experience Council, and Care Coordination Steering Committee
Represent HealthPartners in external forums and speak in local and national forums to build visibility, develop relationships and stay abreast of market developments
Work collaboratively across the HealthPartners enterprise to develop and achieve HealthPartners vision, goals and strategic objectives
Bachelor’s Degree (Master degree in business or health care administration preferred.)
10 years in senior leadership with a minimum of 5 years health plan or health and well-being management leadership experience directly related to developing and/or leading programs focusing on health and well-being, disease or care management
5 years experience with direct patient care strongly preferred
Skilled at establishing and maintaining effective interpersonal relationships with all level of leaders, physicians and other providers, employees and members/customers
Experience in working in a matrix organization with shared service models
Demonstrated success in developing business strategy, critical decision making and leading business operations
Proven success in building and mentoring effective leadership teams, and demonstrated ability to lead people and get results through others
Leadership qualities, motivational skills and excellent communication skills, oral and written
Able to excel in a high powered, fast paced, high growth environment
Strong quantitative skills and the ability to understand and communicate complex financial and medical care utilization data
Demonstrated ability to work collaboratively with a diverse workforce
Demonstrated ability to lead strategy development and execution
Successful track record of health plan leadership, execution and delivery

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Senior Analyst Health Care Customer Logistics Resume Examples & Samples

Drives transactional excellence by partnering with external customers and internal cross-functional customers (e.g. Supply Chain, Contracting, Finance, Governance, e-Commerce, Transportation and Franchises) across the MD&D US Region
Serves as the supply chain point of contact and advocate for focused customers and support the flow of data and information amongst team members
Participates and attends business review meetings to proactively identify problems, conduct root cause/trending analysis, and develop/implement short and long-term solutions using knowledge of products, processes, and contacts in order to meet business plan objectives
Mines, validates, and maintains data to develop reports/scorecards aligned to business requirements/needs
Responsible for leading regular cross-functional team meetings
Lead advanced projects to drive departmental supply chain efficiency
Utilizes tools such as ABC Analysis and Full Case Analysis in support of inventory management recommendations
Keep abreast of industry trends and benchmarks in relevant areas to gather broad business knowledge
Must have 4 years’ minimum of experience in Analytics, supply chain, or another related field
Position requires a Bachelor’s Degree or Equivalent
Ability to prioritize work across accounts based on need and expectations is required
High level of proficiency with MS Excel and Word is required
Ability to demonstrated understanding of the end to end supply chain is preferred
Supply Chain knowledge, including Order Management, Forward and Reverse Distribution/Logistics, LEAN/Process Excellence knowledge is preferred
Project Management experience is required
Must demonstrated strong collaboration skills with experience working on cross functional teams is required
Working knowledge of SAP is preferred
Must demonstrate problem-solving and analytical skills is required
Proficient in English (written and oral)
Must be able to demonstrated strong interpersonal and communication skills
Approximately 10% US travel is required
This position will sit in Supply Chain Customer Solutions within CLS in Piscataway.6901170331

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Lpn-womens Health Care Clinic Resume Examples & Samples

Measure, report, and document vitals signs (i.e. body temperature, pulse, respiration, blood pressure, pulse oximeter), weight, height, blood glucose, and/or intake/output
Participate as part of the multi-disciplinary teams during care and treatment planning
Actively make suggestions for change
Assist nursing staff and providers with maintaining clinic flow, completing assessments, setting up for and participating in treatments/examinations that require special skill, etc
Assist the RN with patient admission, transfers and discharge processes as appropriate to the outpatient setting
Respect the patient as a person, accepts the patient and their illness and keeps personal information confidential

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Health Care Economics Consultant Resume Examples & Samples

Minimum of 3-5 years of experience with data analysis, interpretation, synthesis and presentation for conveying results and recommendations to internal/external customers
Knowledgeable of healthcare cost and quality topics
Knowledgeable and able to speak to emerging healthcare industry trends

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Health Care Economics Consultant Resume Examples & Samples

Gather and prepare analysis based on information from internal and external sources to develop scalable reporting processes and querying data sources to conduct ad hoc analyses
Evaluate and demonstrate program effectiveness and efficiency
Develop and prepare highly complex reports and provide and/or interpret information and data across divisions and departments
Demonstrable analytic experience working with Coordination of Benefits (COB)

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Health Care Technology System Integrator Resume Examples & Samples

Lead the development of Workflow with consultant and end-user
Participate in customer presentation and solution development
Develop project scope and pricing
Participate in the selection of technology to best deploy workflow requirement
Responsible for designing system functionality, boundary and capacity to meet workflow requirement
Responsible for implementation of technology at the technology system integration level
Responsible for the development and execution of system performance testing
Lead the definition of system integration requirement and technology connector to enable ease of workflow implementation
Map and communicate effectively the requirement between workflow, human-machine interface and the application of technology
Develop training requirement with the emphasis on implementation of technology through change management
Accountable for project financial, forecast and resource planning
Manage subcontractor effectively to deliver the project on time and on budget
3 years experience in Network Architecture in a healthcare environment
3+ years design experience with Information Communication Technology design in the health care environment
5+ years of experience in system integration, network topology and Virtual Environment
B.Sc. Degree in Computer Science, Software Engineering, Information Technology or equivalent job related knowledge
2+ years of experience in healthcare clinical work flow
Familiarity with HL7 standards
Experience with implementing clinical traceability and mobility
3+ years of experience in delivering RTLS solution
Proven leadership, communication, time management and technical troubleshooting skills
Proven knowledge to work in an agile solution development environment
Change Management experience an asset
Technical writing skills to support documentation of problem resolution / solution improvements
Leading edge knowledge of technology deployed in the Health Care environment

115

Sg-manager S&o-health Care Resume Examples & Samples

Strategising and visioning of new business model development, positioning, benchmarking and value realisation studies
Operational improvements in business process design and realignment in at least one of the following areas
Supply Chain Management

116

RN Health Care Manager Resume Examples & Samples

Works with the PCP and clinic staff to identify patients with high risk diagnoses such as CHF, IHD, COPD/Asthma and Diabetes and ensures clinical guidelines are being followed
Enters timely and accurate data into the Disease Management Database, PsiMed, SmartClinic and other applications necessary to communicate patient needs and to ensure complete documentation of patient visits and phone calls
Solves problems by gathering and/or reviewing facts and selecting the best solution from identified alternatives. Decision making is usually based on prior practice or policy, with some interpretation. Applies individual reasoning to the solution of a problem devising or modifying processes and writing procedures
Proficient knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF and IHD
Experience related to patient education and/or motivational interviewing skills and self-management goal setting

117

Health Care Consulting Manager Resume Examples & Samples

Develops opportunities and manages Internal Audit projects to our Health Care clients
Work with client’s senior leadership to develop internal audit program
Identifies areas of highest risk to achievement of client goals, reviews documentation, and conducts interviews as necessary to evaluate processes and controls designed to manage high-risk areas
Works with the practice offices and their health care clients to provide internal audit support
Ability to multitask and manage multiple projects and clients requests
Performs practice administration activities such as client acceptance and billing procedures
Implements internal human resource planning processes to ensure that qualified staff are available to accomplish business goals including recruiting, hiring, and developing professional staff
Bachelor's degree in health care, business administration or related field required
Minimum of 5 years of experience in analyzing business risks, evaluating business processes, assessing internal controls, documenting work performed, and writing concise and persuasive project reports required
CPA and CIA, CISA or similar certification preferred
Experience in serving organizations with revenues that exceed $500 million
Excellent leadership and management abilities with supervisory experience over multiple projects and professional staff
Demonstrated skills in project planning, reviewing, and ensuring work is organized and documented
Good business judgment and creative problem-solving attributes, in addition to working experience and knowledge in a wide-range of client industries and environments

118

Primary Health Care Doctor Resume Examples & Samples

Works as part of a multidisciplinary team of international and national staff to provide high quality patient care to an extremely vulnerable population
Provides accurate diagnosis, treatment and management of patients in a primary health care setting
Assesses patients and refers them for specialized health care (as required)
Participates in the delivery of quality health care to patients in a primary health care setting
Adheres to the relevant Code of conduct and ethics
Participates in outreach and community health programs (as required)
Provides health education to patients
Maintain adequate and correct records of patient care including consumables & instruments utilized (if any)
Works with technical support and M&E teams to collect appropriate baseline data over the life of the project
Compiles and submits periodic reports
Ensure adequate infection prevention and control standards are maintained at all times
Participates in Continuing Professional Development (i.e. training, mentoring)
Performs any other duties as may be assigned
1 to 3 years work experience as a medical officer
Must be fluent in English and Hausa
Must be a licensed Medical Doctor
Previous experience working with a humanitarian organization is desirable

119

Health Care Information Analyst Resume Examples & Samples

Baccalaureate degree from an accredited college or university with a concentration Health Services Research or other health related field
Three (3) to five (5) years of progressively responsible professional work experience in a health care setting is preferred
Strong written and oral communication skills required with an emphasis on presentation skills
Demonstrated expertise in relational databases such as Paradox, Fox-Pro, and D-Base
Analytical experience with Maryland’s HSCRC data base is preferred
Demonstrated knowledge of advanced statistics and application of software such as SPSS
Knowledge of medical classification coding, i.e., CPT, DRG, ICD-9 terminology
Understanding of CPT, DRG, and ICD-9 methodology
Takes action to correct observed risks to patient safety
Reports adverse events and near misses to appropriate management authority
Implements policies, procedure, and standards consistently in the performance of assigned duties
Develops effective working relationships and maintains good communication with other team members
Identifies possible risks in processes, procedures, devices and communicates the same to those in charge

120

Health Care Information Analyst Resume Examples & Samples

Seeks customer requirements in the development of reports that support clinical resource management, clinical practice improvement, and outcomes management
Meets the design requirement and produces standardized and ad-hoc reports
Performs appropriate analyses to produce user-friendly reports to help physicians and clinical operations leadership understand practice patterns, trends in utilization, and ongoing evaluation of organizational improvements
Assists physician and clinical operations leadership with design, methodological, analytical, and reporting (e.g., questionnaire design, measurement of concepts, sample size, statistical and clinical significance) issues relevant to clinical practice improvement initiatives
Works collaboratively with the offices such as Strategic Planning and Finance to provide support for the ongoing requirement performance measurement in the Department of Clinical Effectiveness
A Baccalaureate degree from an accredited college or university
Demonstrated expertise in relational databases such as Oracle or Access
Demonstrated expertise in Microsoft Office products (Word, Excel, Access, PowerPoint)
Knowledge of statistics and application such for problem solving
Analytical experience and ad-hoc query writing from database applications preferable

121

Manager of Health Care Economics Resume Examples & Samples

Excellent strategic thinking and problem solving capabilities
Develop and Improve data analytics and set performance targets
Lead complex projects to provide updates and to draw results and conclusions
Develop medical expense forecasts
Possess excellent time management and prioritization skills in order to meet multiple deadlines; comfortable working in a high-paced / high production area and reporting out to senior leadership
Experience leading the daily activities of a team with 8-10 multi-skilled professionals
1+ year of previous manager experience
3+ years working experience in Visual Basic, C# or other object oriented programs
Strong financial analysis skills and prioritization of pipeline driven demand
Ability to identify technical solutions and provide guidance to staff members on the implementation of recommended solutions
Project Management experience (Six Sigma experience preferred)
Strong reporting skills in developing requirements and interpretation of reporting data
High degree of proficiency in Access, Excel, Visio, PowerPoint – experience with Excel macro programming a plus
Previous experience running an automation department a plus
3+ years with Autohotkey, AutoItX, or other macro automation software
1+ years with SharePoint maintenance and design experience
Experience working with Big Data Platforms (Hadoop, Oracle, Teradata)

122

Manager of Health Care Economics Resume Examples & Samples

7+ years of experience in health care informatics and performing analysis on health data metrics
Prior experience as a team lead or a manager
Minimum of an advanced level proficiency with SAS or SQL

123

Health Care Technician Certified Resume Examples & Samples

Degrees must be from an appropriately accredited institution
Pre-employment drug testing and criminal background checks are required for all positions at Cherry Hospital
As a condition for continued employment: Must successfully pass all required parts of CPI's Non-Violent Crisis Intervention
Applicants seeking Veteran's Preference for employment with State Government must attach either Form DD-214 or discharge orders

124

Health Care Technician Resume Examples & Samples

60049025 - CWE/S. Cedar - 2nd shift (3:00p - 11:30p), M-F and every other weekend
60049162 - CWE/S. Cedar - 1st shift (7:00a - 3:30p), M-F and every other weekend
60049302 - Lakeside/Mulberry - 1st shift (7:00a - 3:30p), M-F and every other weekend
60049113 - Summit/Hemlock - 1st shift (7:00a - 3:30p), M-F and every other weekend
60049323 - Lakeside/Poplar - 1st shift (6:30a - 5:30p), 10 hrs every Wed-Sat
60049015 - CWE/S. Cedar - 2nd shift (12:30 - 11:30p), 10 hrs every Sun- Wed
60048964 - CWE/N. Willow - 2nd shift (11:00a - 10:00p), 10 hours every Wed-Sat
60049277 - Lakeside/Ash - 1st shift (7:00a - 3:30p), M-F and every other weekend
60049285 - Lakeside/Mimosa - 1st shift (7:00a - 3:30p), M-F and every other weekend
60049250 - Lakeside/Mulberry - 1st shift (7:00a - 3:30p), M-F and every other weekend
60049256 - Lakeside/Mulberry - 1st shift (7:00a - 3:30p), M-F and every other weekend
60048974 - CWE/S. Cedar - 1st shift (6:00a - 5:00p), 10 hrs every Sun- Wed
60048952 - CWE/S. Willow - 1st shift (7:00a - 3:30p), M-F and every other weekend
60048379 - CWE/Floater - 1st shift (7:00a - 3:30p), M-F and every other weekend
Ability to learn techniques for carrying out program goals
Ability to communicate orally and in writing and to follow instructions
Ability to work with individuals who have multiple disabilities
Employee will be required to successfully complete training through our Staff Development department which includes, but is not limited to NCI (North Carolina Intervention), CPR, Body Mechanics and lifting
Frequent lifting and bending required
To be considered for employment the applicant must be in good standing with the NC Health Care Personnel Registry
The applicant must pass the physical requirements test

125

Health Care Technician Resume Examples & Samples

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A desire to learn behavior support and coaching techniques that work for the people at Murdoch
To work independently and as a member of a team with good demeanor and professionalism
A desire to learn and use correct behavior management techniques
To communicate effectively and respectfully with the population served, staff and others
To maintain professional work relationships and boundaries
Anticipate hazards and perform all duties safely
To be able to communicate and document observations and recommendations effectively
Be willing to learn and apply computer applications for personal benefits, performance plans and required training
Use basic learned application of nurse aide skills

126

Health Care Technician Resume Examples & Samples

Proven knowledge and skills in basic resident care procedures, sanitation, personal hygiene and common health and safety precautions
Ability to work with and maintain a therapeutic attitude toward mentally and physically ill residents
Ability to document care rendered completely and accurately
Ability to deal with potentially combative patients
Ability to read, write and follow oral and written instructions
Physical ability transferring, turning and repositioning non-ambulatory residents from bed to chair, etc
Ability to perform routine bending, lifting, stooping is required and occurs on a daily basis

127

Health Care Technician, / CNA Class Resume Examples & Samples

Must have certification as a Nurse Aide I and be listed on the Division of Health Service Regulation Registry after completion of the CNA course at this facility within 4 months
Ability to follow oral and written instructions
Ability to perform physical tasks including CPI (Crisis Prevention Institute), CPR (Cardiopulmonary Resuscitation) and repetitive bending and lifting
Must be alert and able to observe and report conditions of patients
Must demonstrate knowledge of the principles of growth and development as well as the physical, emotions and psychosocial needs of the patient population served
Must demonstrate knowledge and skills to provide patient care appropriate tot the age of the patients served on the assigned unit
Ability to work rotating shifts, weekends, and holidays
Ability to utilize proper ergonomics during patient care
As a condition for continued employment, must pass all required parts of CPI (Crisis Prevention Institute)
As an essential function of this position, the shift/unit assigned is primary but you may be required to work all shifts, weekends, holidays, during inclement weather and overtime and be assigned to another shift/unit building based on the hospital needs
Must have high school diploma or GED
Additional preference for individuals who are able to communicate both in English and Spanish fluently
*Must pass the state exam and receive certification as a Nurse Aide I and be listed on the Division of Health Service Regulation Registry after the completion of the CNA course at this facility within 4 months
The work experience section on the application must be completed ~~ resume in lieu of work experience will not be accepted

128

Health Care Technician Resume Examples & Samples

Knowledge of approved behavioral intervention programs
Working knowledge of the needs of the population served
Knowledge of appropriate protocols for medication administration when required
Ability to document clear and concise notes of client progress and behaviors
Ability to communicate information clearly to family members and team members
Ability to relate positively to individuals, families, and professional staff
Ability to follow-up on services being provided to the individuals to assure needs are being met
Ability to maintain professional and even tempered demeanor in work relationships

129

Health Care Information Analyst Resume Examples & Samples

Provide high quality information and analysis that is clear, concise and actionable to our providers and customers across the organization
Develop and maintain a strong working relationship with customers, senior management and business leads across the company as well as outside providers to ensure their business needs are met. Proactively work with other departments to become a business advisor on all assigned projects, analyses, etc in order to optimize cost of care and improve efficiency
Upon request, develop applications, databases, worksheets that allow the department and customers and providers to achieve success in a project/deliverable and occasionally include features so our customers become self-sufficient
Maintain ongoing reporting and database updates on a periodic basis ensuring the data included is accurate, complete and timely
As assigned, provide analytical support to all ad-hoc requests from internal customers look to provide “added value” by making suggestions to customers on how the information can be analyzed/presented differently and accurately
Document all developed applications, processes, etc so co-workers can easily understand and utilize
Performs other related projects and duties as assigned
Bachelor’s Degree in Mathematics, Statistics, Financial Management or Data Analytics
Demonstrates strong verbal and written communication skills
2 to 4 years of financial reporting and analysis experience
Preferred 2 years of previous experience in health care data analysis or reimbursement methods required, preferably within a managed care environment
Develop clear and concise solutions/conclusions and provide recommendations and “value added” support to customers
Previous experience utilizing relational databases
Strong working knowledge of relational database principles required, software packages including Microsoft Office Products particularly Access and Excel, SQL/SAS, Visual Basic, Geo-Access, etc
Excellent quantitative and analytical skills

130

Ahca Medical Health Care Program Analyst Orlando Open Competitive Resume Examples & Samples

Knowledge of Medicaid policies and procedures
Knowledge of basic management principles and practices
Ability to provide training to providers, coworkers and community agencies
Ability to understand and apply applicable regulations, policies, procedures and rates pertaining to health care programs
Knowledge of the methods of data collection and analysis
Knowledge of social, economic, rehabilitation or health care service objectives
Skills to utilize Microsoft Office Suite and ability to learn and use Business Objects to better measure work issues
Ability to manage databases
Ability to collect, evaluate and analyze data to develop alternative recommendations, solve problems, document work flow and other activities relating to the improvement of operational and management practices
Ability to organize data into logical format for presentation in reports, documents and other written material
Ability to conduct fact-finding research
Ability to develop manuals, policies, procedures, standards and rules
Ability to review and evaluate plans and programs
Ability to identify improvements and adjustments needed to ensure program effectiveness and efficiency
Ability to establish and maintain liaison with other agencies
A bachelor’s degree from an accredited college or university in the field of health, social services or human services is preferred, and three years of professional work experience within those same fields
Documented professional work experience within the above fields can substitute on a year-for-year basis for the preferred college education
Two years of documented experience working with Microsoft Office Programs: Word and Excel
One year of documented experience in reviewing, researching and processing documentation
Two years of documented experience in customer service responding to inquiries and problem resolution

131

Health Care Economics Consultant / Senior Resume Examples & Samples

5 years related analytical experience or any combination of education and experience, which would provide an equivalent background
Experience with relational databases and knowledge of query tools and statistical software is required
Ability to manipulate large sets of data
Strong analytical, organizational, presentation, and problem solving skills
This job is focused on higher level technical expertise, mentoring staff in lower job levels, customer facing, higher level of collaboration, higher volume and/or higher risk, and modeling
BS/BA degree in Statistics, Economics, or Business Administration
8+ years of relevant analytical experience or any combination of education and experience, which would provide an equivalent background
Experience providing leadership in evaluating financial performance of complex organizations required
Excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills
This job is focused on identifying solutions to business problems and needs, very knowledgeable across products, more customer facing in recommending solutions, expert in data analysis, extremely independent, more interpretation of what is required by the business
Master’s Degree, FSA/ASA, or other pertinent key professional designations preferred
5+ years of experience required in the Managed Health Care Industry, specific to analytics
Considerable experience in statistical analysis and healthcare modeling
Proficiency with Microsoft Excel
Working knowledge of SAS, SQL, Visual Basic and Oracle

132

Health Care Consulting Manager Resume Examples & Samples

Works with the practice offices and their health care clients to provide third-party reimbursement support
Researches and articulates knowledge and information on Federal and State regulation relating to reimbursement issues encountered in day-to-day work
High School Diploma/GED required; Bachelor's degree preferred
Minimum of 5 years of related experience
Excellent written and verbal communications and interpersonal skills
Able to work as part of a team

133

Director of Health Care Services Resume Examples & Samples

A strong leader with a record of service to a diverse community. By demonstrating integrity, high personal standards and values the new leader will be a role model for everyone. The candidate will create a climate of inclusion of diverse backgrounds, talents, and perspectives in staff, consultants, and advisors
An accomplished strategic thinker who understands the big picture of health care delivery and is a visionary, but is pragmatic enough to implement the changes required by the vision. The candidate will need to be politically astute; able to understand political realities and consider their probable effect on proposed ideas or actions
As a transparent, thoughtful, respectful and resilient leader, the candidate will enjoy reporting to an elected body and thrive on working with a highly diverse community. The candidate will be culturally competent and work through an equity lens to recognize and respond when people are being disadvantaged by health care decisions
An effective planner who is highly organized with a strong ability to stay focused on the Department’s mission and to execute the vision. The candidate will need to demonstrate strong financial and budget management acumen to maximize resources for the organization and will understand and use financial data to make good informed decisions
A skilled problem-solver, the new Director will consider many points of view before making decisions in a transparent, data driven manner. An effective communicator, the candidate will be an active listener, seek to build consensus whenever possible, and will sustain positive, respectful and productive working relationships both internally and outside the County; and
A leader in a cutting edge, progressive health care delivery system, the candidate will be innovative and progressive in pushing the boundaries of a rapidly changing health care system. In navigating these changes, the Director will seize opportunities, generate creative solutions, and skillfully manage change processes
Principles and practices of health care policy and administration including modern trends in health care services, planning, and program evaluation
Principles and techniques of modern public administration, governmental organization, management, public relations, and personnel administration
Pertinent local, state and federal laws, rules and regulations governing the health field
County, state and federal legislative processes and developments applicable to contemporary health issues
Community resources and current trends in the health field
Principles of financial administration including public sector budgeting concepts, alternative financing methods, and other diverse community funding sources
Plan, organize, and direct the execution of short and long-range administrative programs, operations, and activities for a large and diverse health organization
Advise governing bodies and oversee complex administrative and executive activities
Properly interpret and make sound decisions in accordance with applicable laws, regulations, and policies
Develop, control and administer the Agency’s budget and expenditures
Stimulate and foster community interest in and support of the objectives of the Health Care Services Agency
Establish and maintain good internal and public relations
Write and speak effectively
Work effectively with a wide variety of people
Demonstrate a commitment to the County’s Mission, Credo and Goals
Lead in a manner that is visionary, strategic and innovative when working towards change
Collaborate with other Agencies and Departments to meet overall county-wide needs while leveraging financial and other resources
Use business acumen to build a strong organization which delivers results
Provide the highest level of service delivery to diverse customers
Use interpersonal skills to communicate effectively
Promote personal and professional growth for self and others
Work effectively as a member and leader of diverse teams

134

Director, Lead Analyst, Health Care Team Resume Examples & Samples

Rate complex deals, and proficiently write complex analytical reports
Serve to establish policy, lead criteria, policy, and analytical deliberations, identify and develop needed changes/innovations in rating methodology/criteria standards and the ratings process, and ensure that analytical guidelines, quality standards, procedures and policies established are adhered to for all credits
Act as a senior member of rating committees and be responsible for convening and conducting of rating committee deliberations in area of expertise, including acting as the rating committee chair and assuring the integrity of the rating process. Act as an active, vocal voting member of the committee
Function as a sector expert on credits. Publish timely industry commentaries, and proficiently write sector reviews and thought leadership pieces. Develop and lead ideas on papers across a broad range of issues for publication in S&P Global journals and other publications
Speak publically and representing the company to external stakeholders
Manage, support and guide junior analysts and develop their analytical and personal skills. Review, critique, and provide analytic feedback on analysis and publishing performed
Bachelor’s degree is required, Master’s degree a plus
7+ years of experience related to credit analysis, public finance and/or the healthcare sector sector is highly preferred
Be equipped to ensure that analytical guidelines, quality standards, procedures and policies established are adhered to for all credits
Strong analytical, problem-solving and critical thinking skills
The candidate should have the aptitude to be a team player, but also be able to work independently
Demonstrated ability to coach and mentor analytical team members
Strong communication, interpersonal and organizational management skills

135

Health Care Economics Consultant Resume Examples & Samples

Bachelor's degree (preferably in Economics, Business, Statistical, or Health-related field) or equivalent work experience
Minimum 3 years data analytics
MS in a health care related field, economics, or social science
Supervisory or team leadership experience
Healthcare industry experience
SAS programming on a UNIX platform
Flexible in a fast paced environment

136

Health Care Economics Consultant Resume Examples & Samples

Responsible for design, development and deployment of self-service reporting solutions, scorecards and dashboards on healthcare data using analytical and visualization tools
Work with business users on transforming business requirements into reporting / BI solutions
This role is in a group positioned for growth within the company and the work is at the forefront of the healthcare industry
2 years of reports, scorecard, dashboard development and experience with data visualization software such as Microstrategy, Tableau, Wave Analytics or similar
2+ years of experience working in a Data Warehouse environment
1+ years of SQL experience
Architect / Project Designing experience
Data modeling experience
Excellent verbal, written communication and presentation skills
Critical thinking, problem solving, decision making and analytical skills

137

Health Care Data Analyst Resume Examples & Samples

Master’s degree in finance, statistics, economics, healthcare management or other similar
Experience with large, complex data sets
Experience in health care or health insurance
Actuarial or Healthcare Finance experience
Ability to prepare comprehensive reports and data in clean, concise ways
Ability to effectively collaborate with others as well as work independently

138

Health Care Economist Resume Examples & Samples

Generate economic analysis needed to make cost-effective decisions regarding the AlaskaCare and political subdivision health plans
Assist with developing reserve and rate setting policies, factoring in how new rates will impact overall stability and sustainability of the health trusts and with developing fiscal analysis of proposed legislation
Evaluate the work of benefit consultants and actuaries
Contribute to health care policy strategy formulation
Conduct research and analysis to determine the economic impact due to the Department's initiatives and policy decisions
Communicate with the health planning team, directors and commissioners, legislators and other stakeholders
A master's degree in economics, health economics, health policy including public health or related branch of study
Two or more years of work experience in an applicable field
Knowledge of the health-care industry and US health system
Thorough understanding of the Alaska economy
Thorough understanding of biostatistics
Excellent research skills and ability to analyze findings
Knowledgeable about national economic policies and potential impacts on Alaska's health-care sector
Ability to understand and apply mathematical concepts
Ability to work on multiple projects and meet deadlines
Strong orientation to team work
Experience in successful implementation of plans and achievement of objectives
Ability to handle pressure, complex situations and problem solving capacity
Ability to think analytically and strategically

139

Health Care Assstant Resume Examples & Samples

Using principles of Patient & Family Centered Care develops and maintains a positive working relationship with patient and family, team members, department and medical center personnel
Assists patients with activities of daily living, including hygiene, grooming, and bathing
Responds to patient call light in a timely manner, identifies patient needs and provides patient with appropriate response or communicates need to appropriate team member
Takes and records patient’s vital signs as prescribed by nursing protocol or physician order
Measures, and records patient intake and output according to established protocol and order
Keeps patient room neat, clean and orderly. Changes bed linen as scheduled and as needed
Supports unit and medical center compliance with JCAHO standards, customer service and other initiatives
One year of experience as a nursing assistant, or continued enrollment in a school of professional nursing AND completion of a minimum of one clinical experience or approved training in another health care field may be substituted for the nursing assistant certificate
An approved equivalent combination of education and experience
One year Nursing Assistant experience in a similar (hospital) setting
Ability to work cohesively and respectfully with a diverse work force and patient population
Ability to prioritize, organize, and communicate with multidisciplinary staff
Ability to adapt to sometimes rapidly changing and unpredictable situations

140

Health Care Case Manager Resume Examples & Samples

Current licensure as a Registered Nurse in the State of New Jersey required. A Bachelor’s Degree in Nursing or a BA / BS degree in a health related field required. Candidates may substitute years of pediatric nursing experience for degree
A minimum of 1-2 years of experience in pediatric nursing required
Current licensure as a Registered Nurse in the State of New Jersey required
Current certification in American Heart Association Basic Life Support for Health Care Providers required
Vehicle and valid New Jersey license required for off-site visits
Requires computer literacy/computer skills
Two (2) years of experience in nursing case management, community health nursing, or nursing care of vulnerable families preferred

141

Health Care Information Analyst Resume Examples & Samples

Performs research and development functions for the UMMS resource and outcomes management strategic plan
Maintains core databases that relate to health care services and outcomes information (e.g., QA Line, Case Management, etc.)
Produces standardized and ad hoc reports
Works collaboratively with departments to provide support for the ongoing quality and performance requirements tracked and analyzed by the Quality and Safety department for databases related to Core Measures, Midas, Hand Hygiene, Patient Safety, and Patient Satisfaction
Bachelor’s Degree from an accredited college or university with a concentration Health Services Research or other health related field
Five years analytical and ad-hoc query writing experience with database applications required
Three years of progressively responsible professional work experience in a health care setting is preferred
Understanding of CPT, APR DRG, and ICD-9 methodology

142

Health Care Asstistant Resume Examples & Samples

Escorts patients on foot or transports patients on carts, beds or in wheelchairs
Procures and stocks equipment and supplies, and insures that equipment is operable and clean
Greets and relays information to appropriate staff, physicians, or family members
Ensures patient and supply rooms are properly stocked; linen is covered
Uses resources appropriately
Performs clerical duties in EHR; answers phones and triages calls appropriately
Performs all responsibilities/ duties required by Patient Care Services as defined in the scope of service, to assure that the unique nature of the clients is addressed
Possession of a nursing assistant certificate AND 1 year of experience as a nursing assistant (six months of which must have been in one facility)
Training/ equivalent experience as a nursing assistant, CNA, EMT, Medical Assistant
Current student (enrolled) in a 4 year RN program
Experience with EPIC and/or similar electronic health record system
Ability to perform job duties that meet departmental performance expectations as well as HCMC standards related to quality, accuracy, productivity, patient & family centered care, customer service, etc

143

Health Care Sales & Marketing Associate Resume Examples & Samples

Responds to customer phone calls and greets walk-in traffic, to include
Answering questions about the community, priority list, reservation process and admissions process
Engaging the customer in a dialogue about their needs and interests, and determining the appropriate follow-up activities based on the information obtained and customer profile
Assessing customer needs by making decisions on type and quantity of information to provide, and whether an appointment with the Health Care Counselor is appropriate
Handling Continuing Care sales appointments and tours when the Health Care Counselor is not available offering information on the various services available (i.e. respite care, custodial care, assisted living, sub-acute, etc)
Participates in special events and functions to promote the Community and Erickson lifestyle
Provides administrative support, including scheduling appointments, making reservations, coordinating mass mailings, sending brochures, maintaining office supply inventory and administrative files with appropriate information, and database input and maintenance
Address follow up calls in a timely manner to the external population based on telephone inquiries and brochure requests
Meets with external and internal residents to sign all necessary papers pertaining to the Continuing Care admissions
Coordinates the insurance verification process for all external and internal admissions into Continuing Care
Executes apartment releases and move-in advice forms for all external and internal residents moving throughout the continuum of care
Prepares and provides weekly and monthly, reports to the Health Care Counselor, Administrator and Assistant Administrator as requested. Includes admissions updates, discharge updates, and weekly reports to the Executive Director
Serves as a representative for Continuing Care Sales when interfacing with hospital discharge planners, acute care staff, physicians (internal and those external to the community) and other professionals in the community
Greets all external and internal residents and their families in a positive, professional, and customer-oriented manner. Independently resolves issues and attends to special needs that may arise
Attends all required employee in-services
Responsible for a complete understanding of the Move-in Coordinator and Health Care Counselor position and job responsibilities. Able to perform those responsibilities in the absence of the staff or if the position is vacant
Possess excellent organizational and time management skills
Must be detail-oriented and able to handle multiple tasks simultaneously
Must be able to think and exercise independent judgment when responding to customer requests in a timely manner
Must be a self-starter, exercise discretion and independent judgment
Must be an enthusiastic person with sincere care and compassion for our senior population. Must be willing to go above and beyond to assist the Health Care Counselor and Admissions Team in any capacity necessary
Must have a professional appearance and professional phone manners without fail, and pleasant phone voice
Must be dependable in all types of adverse weather, flexibility with work hours including weekends
Must possess strong communication skills (oral and written) and excellent interpersonal skills in promoting and maintaining positive and professional working relationships with all individuals internal and external to the Community

144

Health Care Consulting Director Resume Examples & Samples

7-10 years of consulting experience with at least 3 of those years spent in a manager or subject matter expert role
Ability to work collaboratively and effectively while handling multiple projects on various timelines in an extremely fast-paced environment
Strong understanding of the health care industry, analytical thinking skills and a strong and dedicated work ethic are
Strong customer drive and dedication to quality and success
Ability to visualize, identify and pursue opportunities to partner with external institutions
Excellent oral and written communication skills with an ability to share and synthesize knowledge

145

Cost of Health Care Financial Analyst Resume Examples & Samples

Manipulate and develop SQL and SAS programs in support of provider contracting
Conducts analysis pricing and risk assessment to estimate financial outcomes
Produces timely various standard analytic reports for internal and/or external use
Assists in the analysis of changes in provider reimbursement terms
Practices basic modeling, querying and analysis
Applies basic mathematical and programming techniques in course of doing financial analyses

146

Health Care Economics Consultant Resume Examples & Samples

Design innovative solutions to complex data issues surrounding CMS Risk Adjustment Methodology
Validate complex financial restatement process used in forecasting risk adjustment factors and revenue projection
Create SQL data base tools to highlight anomalies in large datasets, efficiently marginalizing financial projection liability
Support data automation projects by testing business logic and verifying results
At least intermediate with SQL

147

Health Care Provider Resume Examples & Samples

Conduct detailed analyses to draw conclusions, and develop pertinent and insightful recommendations
Leverage Deloitte's methods, tools, and assets to design solutions for complex organizational challenges
Develop work plans for specific components of an engagement
Manage large, confidential and complex data sets
Conduct client interviews and facilitate client meetings
Develop process flows depicting pain points in the business process
Design deliverable content to reflect the engagement contract
Present findings and recommendations to client leadership
Work alongside clients to implement recommendations and achieve business objectives
Coordinate activities between work streams on a larger engagement
Support proposal development, such as client interview, issues identification and summarization, outline project approach, draft proposal content
Bachelor’s degree from accredited university with strong undergraduate academic record
4 years of professional experience in a health care provider, or consulting setting (or 2 years with MBA/MHA/equivalent master degree), including 2 years in provider operations
Demonstrates consistent career progression with increasing levels of responsibility
Competent in Microsoft Excel and PowerPoint
Willingness and ability to travel 90%
Clinical Informatics experience

148

Associate Principal, Health Care Technology Resume Examples & Samples

Serve as thought partner to Technology leadership on front line and strategic matters
Drive development of performance targets for Technology and Commercial teams
Implement systems and processes to optimize operations within Technology team and between Technology and other teams (especially Commercial)
Lead analysis and financial modeling for investment decisions, including budget exercises for ongoing operations and select partnership and M&A activities
Define new markets and channels for existing Technology products and drive business development with new in kind members and select industry partners
Own special projects for Technology leadership team
Ability to iterate strategic and tactical thinking with senior leadership
Ability to work independently, managing junior staff and anticipating needs of senior leaders
Ability to synthesize large amounts of information into high value insight
Ability to project manage multiple diverse work streams and work with cross-functional leadership
Demonstrated analytical and financial modeling skills
MBA or other advanced degree
Experience managing and coaching more junior team members
Experience with solution focused problem solving and thinking through problems creatively
Willingness to take risks and act decisively with regard to new opportunities
Experience in developing growth strategies for organization(s), particularly around new business lines

149

Health Care Case Manager Resume Examples & Samples

Bachelor’s Degree in Nursing or a BA/BS in a health-related field required; may substitute years of pediatric experience for degree
A minimum of 1-2 years of pediatric nursing experience required
Two (2) years of experience in nursing case management, community health nursing, or nursing care of vulnerable families, preferred

150

ITO Service Rep-united Health Care Resume Examples & Samples

High School Diploma or equivalent; may hold 2 year post-high school Degree (technical field); may hold Bachelor's degree
Typically, 1-2 years of working experience in related fields
Able to demonstrate knowledge of organization and policies
Able to demonstrate basic administration or technical skills/knowledge in relevant areas
Working from standard protocols/documents, able to gather relevant information systematically to troubleshoot and resolve most routine problems
Manage time effectively
Proficient in professional oral, written and telephone communication skills
Ability to effectively maintain ongoing relationships with customers, peers, and support partners
Ability to work in a team environment, which may be local, global, or virtual

151

Health Care Analyst Resume Examples & Samples

Produce standard reporting and analytics
Generate hypotheses for provider medical cost trends and quality performance
Initiate analyses designed to test trends, understand performance variability (at a group and physician level), and suggest opportunities for performance improvement
1-3 years related experience in a managed health care environment, with experience in data modeling and analysis
Strong analytic skills and problem-solving ability
Excellent computer skills, including Microsoft Excel and Powerpoint, with experience in SAS and/or SPSS required
Strong written and oral communication skills. Knowledge of Access a plus
Ability to prioritize and work on multiple projects simultaneously
Ability to develop productive working relationships with colleagues in other departments

152

Health Care Analyst Resume Examples & Samples

Reporting: Responsible for querying data, writing reports, and validation of results to support cost and utilization trend management, strategic initiatives, and regulatory reporting
Analysis: Serve as a resource for the Allied Health Contracting Dept. as needed. Provide ongoing and ad-hoc analytic support related to identifying trends, drivers and process improvement opportunities
Syntax Conversion: assist in the migration of existing queries to more advanced reporting tools such as SAS
Provide analytic and programming support to Unit Cost Budgeting and Relative Price data submissions
Provider/Contract maintenance: maintain contracted provider lists to track Variable Fee Schedules and ensure proper set-up to support accurate reporting
Attend and contribute to cross-functional team meetings
Minimum 3-5 years' experience in an analytics role. Healthcare experience is desirable
Understanding of relational databases and large data structures as well as knowledge of one or more of the following: SAS, SQL, SPSS, Excel
Intermediate to Advanced MS Excel modeling and reporting skills
Ability to translate data into clear and actionable results
Must be able to work independently, be highly organized and able to manage multiple activities simultaneously
Must be able to write and speak clearly and effectively to all levels of staff
Must be able to maintain a high degree of professionalism

153

Behaviorial Health Care Manager Resume Examples & Samples

Work collaboratively with Members and/or their authorized representatives/guardians, providers, and internal colleagues to promote Members' safety, health, wellness, and recovery. Work with Members to develop and make progress towards individualized care management goals. Facilitate appropriate interventions and services appropriate for each Member's cognitive status, motivational stage, and access to resources, while maintaining professional boundaries as a care manager at a managed care organization
Communicate openly and regularly with Members and their authorized representatives/guardians, outpatient providers and collateral agencies for the purposes of care coordination and monitoring, service linkage, treatment planning, crisis prevention, and recovery planning, as well as appropriate utilization of services (agencies include but are not limited to: behavioral health and medical providers, Department of Mental Health (DMH), Department of Children and Families (DCF), school systems, and legal systems)
In addition to telephonic outreaches, conduct frequent in-person outreach visits to Members in the community (whether in inpatient or outpatient facilities, shelters, public establishments such as coffee shops, or Members' homes) to provide opportunities for increased engagement in BH-ICM services and improved adherence to treatment as recommended or prescribed by Members' inpatient and outpatient providers. Visits may comprise a minimum of 20% one's given week and may occur on a moment's notice as directed by Department leadership
Assist with discharge planning for behavioral health admissions and services accessed by Members case managed in BH-ICM such as acute inpatient, sub-acute residential, diversionary, inpatient detoxification, or outpatient levels of care
Communicate regularly with internal physicians, directors, managers, and peers for the purpose of case consultation in order to ensure thorough provision and continued effectiveness of case management services
Conduct in-person Member outreach visits in addition to telephonic outreaches, at times on short notice with direction by Manager and/or Director. As such, staff members must have access to personal vehicles in good working condition during all work hours
Comply with and participate in trainings, meetings, projects, record-keeping, and other administrative tasks aside from those directly related to Member case management that are implemented at the Manager's and/or Director's discretion
Minimum of two years of experience in clinical settings providing direct client care, 3-5 years preferred
Field work experience preferred
Experience in the provision of Substance Use Disorder (SUD) treatment and recovery services, including proficient knowledge of community organizations serving persons with SUDs and their family members/personal supports
Solid understanding of the continuum of behavioral health levels of care
Excellent interpersonal and communication skills. Able to build relationships with and respond to internal and external stakeholders at a variety of levels. Able communicate effectively verbally and electronically
Ability to multitask (including typing while simultaneously having a telephone conversation) and work in a dynamic, team-oriented environment
Proficiency with Microsoft applications, especially Excel and Word
Ability and willingness to work autonomously yet collaboratively on small to large teams
High adaptability to an ever-changing managed care environment
Valid driver's license AND access to a vehicle in good working condition during all scheduled work hours
Bilingual preferred, but not required
Experience with the following is a "plus:"

154

Health Care Quality Project Coor Resume Examples & Samples

Coordinates project activities including analyzing project needs, developing work plans and timelines, and writing progress and evaluation reports
Leads informal work group sessions in areas of clinical guidelines, quality measures for health plans, disease management, and specific quality improvement initiatives
Develops protocols, standards of practice, and policies to ensure that project goals are met
Provides technical assistance and consultation to health plans or state agencies that support and promote the program
Develops and facilitates training workshops and educational interventions for assigned project(s)
Hires, supervises, and coordinates the work of project staff; arranges for the contracting of consultants
Develops and distributes technical assistance, resource and educational materials, planning and process guidelines, policy and research updates and other information to support site activities
Organizes, coordinates, and facilitates steering committees, panels and other group meetings
Manages project budget(s), assists in obtaining funding and developing requests for proposals, and monitors contracts
Develops and disseminates media campaign and other promotional materials, including developing and implementing information networks to increase knowledge and improve information about the project
Acts as a liaison in written, oral and electronic communications between project sites, public and private agencies and the IMC
Collects, analyzes, interprets and reports on project data
Establishes and promotes participation in the project though field visits, in services, and consultations
Makes formal presentations of information or materials before audiences of varying size and professional composition
Disseminates, through peer-reviewed publications, professional conferences, teaching and public policy forums, the findings and implications of program studies and scientific advances
Maintains a positive, strong, credible, professional and interpersonal relationship with all parties relevant to IMC projects, and represents the best interest of IMC at all times

155

Health Care Quality Project Coor Resume Examples & Samples

Coordinates with senior administrators to plan, prioritize, and implement projects
Seeks and contracts with consultants/vendors to successfully complete Quality Improvement projects
Develops annual Quality Improvement Program work plan in partnership with the Michigan Department of Community Health (MDCH)
Hires, supervises, evaluates, and disciplines IHCS staff
Develops and administers project budget(s), assists in obtaining funding and developing requests for proposals, and monitors contracts
Researches grant funding for quality improvement demonstration and/or research projects
Works with health plan accreditation agencies and other health care experts to develop educational seminars
Acts as the senior liaison between project sites, public and private agencies and the IHCS
Makes formal presentations before audiences of varying size and professional composition
Attends conferences, seminars, and maintains membership in professional organizations in order to keep current in field and industry trends

156

Associate Director of Health Care Economics Resume Examples & Samples

Draft original written content in an effective and timely manner, including both internal work product and deliverables for publication
Maintain expertise on key health policy and market issues
2+ years’ experience performing data analysis, and interpreting and summarizing results
Intermediate proficiency Word, Excel, and PowerPoint
Master’s Degree in a relevant field, including economics, finance, statistics, mathematics, public policy, public administration, or public health

157

Health Care QM Projct Mgr Resume Examples & Samples

Please note that this is not a clinical position
Evaluate complex data and information sets (e.g. accreditation/regulatory standards, CAHPS)
Conduct and author quantitative and qualitative data analysis
Convert the results of data analysis into meaningful business information and conclusions
Complete QM documents based on interpretation and application of business requirements
Document QM activities to demonstrate compliance with business, regulatory, and NCQA accreditation requirements
Develop and implement QM projects and QM Work Plan Activities (e.g. QM committees, audits, clinical reviews)
Prepare and report business information to internal and external constituents and consult with them to develop solutions
Facilitate work groups to evaluate, perform a barrier analysis, and make recommendations for corrective actions
Demonstrate continuous quality improvement in the ongoing maintenance and implementation of quality improvement projects and initiatives
Exhibits behaviors outlined in Health Care QM Project Manager Competencies
5+ years managed care experience in the healthcare industry and quality management
3+ years of Project management and leadership experience
Products-Medical//1-3 Years
Quality Management//1-3 Years

158

Health Care QM Projct Mgr Resume Examples & Samples

Please note this is not a Clinical position
Evaluate complex data and information sets (e.g. accreditation/regulatory standards)
5 + years of managed care experience in the healthcare industry and quality management
Information Management/Statistical analysis/1-3 Years
Desktop Tools/Adobe Acrobat Suite v5/1-3 Years/End User

159

Branch Supervisor Home Health Care-southfield Resume Examples & Samples

 Interviews applicants and participates in the selection of staff
 Evaluates the performance of staff and initiates disciplinary actions or termination of staff members as necessary
 Supervises assigned staff to ensure compliance with regulatory and financial outcomes and monitors the quality of care provided
 Assists education coordinators with the development and implementation of continuing education for Home Health Care staff
 Participates in research studies and other projects related to home health care
 In the team leader’s absence plans and coordinates case load management with team members according to client needs, the nurse’s caseload and physicians orders
 Plans and conducts team meetings and provides input related to in-services needed by team members
 Assists in orienting new staff and students by assigning cases according to skill level and case load
 Reviews records and participates on Clinical Record Audit Committee on a quarterly basis. Responsible fro improvement in clinical outcomes and documentation based on audit results
 Provides input in team planning and daily operations
 Participates in the quality improvement process in attainment of system and Home Health Care goals
 Serves as a resource for team members, clients, medical staff and other professionals regarding home health care services
 Responsible for operations of the branch office in the branch manager’s absence
 Serves on divisional, corporate, and/or professional committees as re

160

Health Care Svcs Mgr-field Reimbursement Resume Examples & Samples

Bachelor’s Degree or equivalent work experience within related position is required (degree is strongly preferred)
Minimum two years’ experience in practice management or pharmaceutical industry in reimbursement, clinical support, or sales
Regional subject matter expertise in the area of the liver disease, specifically Primary Biliary Cholangitis
Data analysis skills
General payer policy knowledge including managed care and Medicare/Medicaid
Foundational knowledge of benefit verifications and prior authorization requirements
Knowledge of access processes within the physician office
Ability to review clinical information in patient charts, apply reimbursement knowledge to provide guidance to Health Care Professional offices on how they may proceed in filling out prior authorization/formulary exception/appeals documentation
Experience with specialty products (preferably oral products) acquired through Specialty Pharmacy
Specialty pharmacy experience required (ability to teach an office the entire process from script to dispense)
Establishing relationships within a practice by working closely with them to help remove access barriers to specialty products for their patients
Ability to operate as a “team player” in collaborating with multiple sales representatives, sales leadership, and internal colleagues to reach common goals
Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Part D (Pharmacy Benefit design and coverage policy) a plus
Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems a plus
Previous experience in launching new specialty pharmaceutical/biologics products or indications a plus
Ability to travel (approx. 50%) and cover large geographical territories
Advanced knowledge of medical insurance terminology
Strong teamwork abilities
Above average computer skills: PowerPoint, Excel and Word
Ability to manage expenses within allocated budgets
Ability to schedule individual work related travel (air, hotel, rental car as needed)

161

Health Care Authority Director Resume Examples & Samples

Proven large-scale leadership and management experience in a health care organization
Significant fiscal responsibility in a complex organization managing budgets, which include multiple sources of funds and ensuring budget and policy alignment
Extensive knowledge of federal and state medical assistance programs, managed care operations and principles, the health care provider marketplace and health care purchasing, federal health care reform law and policy as well as employee benefit programs
Knowledgeable of payment models, delivery systems, coordinated care, and health plan designs that incentivize quality of outcomes over quantity of care. Capability and willingness to bring together stakeholders in these matters to drive policies that reduce the rate of medical inflation over time
Successful planning and implementation of human services change management strategies
Demonstrated ability to build a customer-centered organization, acting as a strategic business partner while still performing a regulatory function with an emphasis on adding value through improved customer service
Commitment to cultural competency that enables effective outcomes and working relationships in cross-cultural situations
Commitment to working with Tribes and Tribal-related Governments and organizations for American Indian/Alaska Native (AI/AN) health care
High level of integrity, ethics and transparency
Ability to implement executive and legislative policies and make internal policy decisions with large-scale implications
Successful experience working with the legislature, business, labor, Tribes, community leaders, and other stakeholders and partners
Experience implementing continuous improvement methods aimed at better outcomes, simplifying processes and reducing costs

162

Health Care Financial Manager Resume Examples & Samples

Supervises the work of staff engaged in finance-based analytical activities and projects including but not limited to budget preparation and monitoring, revenue and expense forecasting, cost and feasibility studies, grant and/or cost reimbursement claiming for government, other payors and agencies, general accounting, contract payment reconciliations, and other financial activities and projects for departments or functions
Provides financial direction to insure conformance with departmental and other policies and procedures
Defines financial reporting and information needs and directs staff in preparation of periodic reports addressing those needs, utilizing a variety of information technology applications and databases
Analyzes and interprets existing, new or proposed legislation for cost and program implications
Reviews, analyzes, recommends and implements procedural changes in departmental financial management activities
Manages personnel related areas of labor relations, recruitment, hiring, goal setting, evaluation, orientation, team building and mentoring
Prepares and presents a variety of budgetary, informational and statistical reports and makes recommendations in writing, graphic and oral presentations
Principles and practices of financial management in the health care field, including both expense and reimbursement requirements and management
Strategic planning concepts in the health care field
Principles and practices of supervision, staff development, organization, administration, fiscal and program management
Laws and regulations governing the health care industry and the financial operation of the County
Work effectively as a member of a management team in a large health and hospital system
Administer, coordinate, supervise and analyze the work of assigned staff engaged in complex financial, informational and statistical analysis
Analyze and evaluate complex health services and financial issues, programs and activities and reach sound cost effective conclusions
Interpret and apply rules and regulations governing health care financial operations
Make recommendations for program and procedural modifications based on financial performance, regulatory and/or legislative changes
Select, train, supervise, develop, evaluate and motivate staff
Communicate effectively in both oral and written form
Establish and maintain effective working relationships with those contacted in the course of work

163

Health Care Program Manager Resume Examples & Samples

Manages one or more assigned health care program activities including planning, coordinating, prioritizing, monitoring and participating in the agency-wide program meetings regarding program activities
Oversees and /or participates in the development, implementation and maintenance of the program goals, objectives, policies and procedures to ensure program goals are achieved
Plans, coordinates and reviews the work plan for services and responsibilities which may include program design, contract development and monitoring, and program site maintenance and repair
Provides administrative and technical direction to assigned program services staff to ensure compliance with various reporting requirements
Coordinates the selection and training of personnel; assumes responsibility for motivating and evaluating assigned personnel; provides necessary training; initiates discipline procedures as is appropriate; recruits, hires and manages program volunteers; assigns work to staff and personnel; monitors work activities to ensure safe work practices, work quality and accuracy; ensures compliance to applicable rules, policies and procedures
Analyzes program services and evaluates changes and development of assigned health care program needs; seeks out and applies for grants and donations for program funding; administers grants to ensure compliance with regulations
May prepare and administer annual budget for one or more assigned programs; monitors expenditures
Supervises and participates in the design, preparation and distribution of program publicity including press releases, brochures, pamphlets, flyers and printed schedules; may represent the Health and Hospital System through the news media
Coordinates program activities with agencies, service provides and non-profit services
Provides staff assistance and technical support for assigned program activities to other County departments and special interest commissions and committees; conducts organizational and operational service delivery studies; makes recommendations to address and resolve identified service delivery issues
Attends and participates in organizational and community meetings as necessary; stays current on issues relative to assigned programs and services; responds to and resolves community and organizational inquiries and complaints
Establishes positive working relationships with representatives of community organizations, state/local agencies, management and staff, clients and the public
Use a variety of information applications and databases to develop schedules and special reports
Principles and practices of health care system management
Current legislation and trends affecting health care providers for assigned program areas
Standard program evaluation methods and report writing procedures
Principles and practices of program administration including budgeting, marketing, purchasing, management and program needs forecasting
Principles of grant writing and administration
Principles and practices of supervision, staff development, organization, administration and management
Supervise and direct the work of others performing service delivery in assigned health care specialty areas
Formulate, gather, analyze and present financial, informational and statistical data
Assign, develop and implement programs suited to the needs of the clients in specialized program areas
Coordinate assigned health care programs with other health care agencies
Develop program enhancement recommendations based on surveys and cost analysis
Communicate clearly and effectively with members of the public, agency staff and health care professionals at all levels
Prepare and administer program budgets and grants
Analyze, interpret and explain program policies and procedures
Elicit community and organizational support for programs
Supervise, train and evaluate subordinates
Communicate clearly and concisely, orally and in writing
Identify and administer grants for a particular program area
Represent SCVHHS on assigned committees and with service providers
Establish and maintain effective working relationships with agency staff and health care professionals at all levels, other health agencies/providers, and the general public

164

Health Care Program Manager Resume Examples & Samples

Coordinates program activities with agencies, service providers and non-profit services
Principles and practices of health care system management relating to one or more specialized service delivery program
Manage the activities of a large program activity or multiple program components

165

Lpn-home Health Care-southfield Resume Examples & Samples

Successful completion of a licensed practical nursing program accredited by the National League of Nursing
A minimum of one (1) year hands on clinical LPN experience required; prior home health care experience preferred
The ability to effectively communicate with patients, families and health care personnel
Strong interpersonal and customer service skills required in order to interact effectively with individuals from various cultural and socio-economic backgrounds
Must have reliable transportation; possess a current State of Michigan driver's license; and have a satisfactory driving record. Must be able to lift, carry, transport and move clients, if needed. CERTIFICATIONS/LICENSURES REQUIRED
Current licensure by the State of Michigan as a licensed practical nurse (LPN). NAPNES certification or successful completion of pharmacology exam

166

Health Care CNA / PRN Resume Examples & Samples

Assisting a designated group of residents in direct support of the Sunrise Mission, To Champion Quality of Life for All Seniors
Partner with the licensed nursing staff to plan, develop, organize, provide and execute individualized restorative therapy programs
Maintain Restorative Records for each guests/resident
Maintains a valid license certificate as a Certified Nursing Assistant in accordance with federal, state and local regulations
Previous experience and desire to serve and care for seniors

167

Directorof Health Care Qaulity Management Resume Examples & Samples

Previous experience in management
Needs to have an RN, Nursing Practitioner License or CPHQ (certified in health quality)
Master's Degree Preferred, Bachelor's required
Proficiency with MS Office Suite, applications
Exceptional communications skills including ability to interact with a variety of external and internal audiences including senior management
Familiar with state reporting requirements
Six Sigma is a huge plus! (or Lean experience)
HEDIS and NCQA knowledge is a must!
Experience in demonstrating an increase of quality over a period of time
Certified in Health Quality (CPHQ)
Nurse Practitioner License

168

Health Care Analyst Resume Examples & Samples

Minimum 2+ years experience
A combination of strong technical, problem solving and interpersonal skills
An understanding of the health insurance industry is preferred
Well-developed verbal and written skills
Able to facilitate planning and review sessions
Able to present methodology and results within department and to project teams
Able to operate in a matrix environment
Able to implement Actuarial department standards and processes
Must be able to work cooperatively as a team member. Regular interface with various levels of staff and management is required as well

169

Medical / Health Care Prog Analyst Resume Examples & Samples

Ability to direct and coordinate the planning and implementation of operational and program reviews and program monitoring activities
Ability to utilize problem-solving techniques
Ability to understand and apply applicable rules, regulations, policies and procedures pertaining to a health services program
Ability to prioritize work load
Ability to develop various reports
Ability to design, develop and implement research models
Ability to manage a health services program
Ability to assess budgetary needs
Ability to collect and analyze financial data
Ability to formulate policies and procedures
A bachelor's degree from an accredited college or university and four years of professional experience in a health or rehabilitation program involving program or policy planning and development, program research or evaluation, finance, statistical analysis, accounting, auditing or budget analysis; or
A master's degree from an accredited college or university in business, statistics, mathematics, economics, public administration, health or social services administration and three years of professional experience as described above; or
A doctorate from an accredited college or university in any of the areas of major study described above and two years of professional experience as described above
Professional experience as described above may substitute on a year-for-year basis for the preferred college education
Have at least two years of experience responding to policy clarifications/responses to recipients, stakeholders, providers, etc
Have at least two years of experience maintaining, researching and or developing policy
Have at least two years of experience maintaining, researching, or developing fee schedules with Medicaid or any other Agency
Have at least two years of experience serving as a coordinator with specific subject matter experts to accomplish a goal or project
Have at least two years of experience in coordinating assignments, projects and deadlines

170

Plant Health Care Technician Resume Examples & Samples

Two or Four year degree in Forestry, Urban Forestry, Horticulture or related discipline a plus, but not required
Ability to identify local tree species and knowledge of growth rates
ISA Certified Arborist a plus as is related past experience
Specific task training provided
Leadership experience and a desire for career growth will be given a priority
Valid driver’s license
Certified applicators license a plus where applicable
Class B CDL-Air a plus

171

Health Care Administration Manager Resume Examples & Samples

Knowledge of medical office procedures and practices, including state and federal regulations affecting clinical practice
Knowledge of data collection methods
Ability to compile and analyze data for decision making
Ability to organize and maintain records management systems
Ability to deal with the public in a tactful and courteous manner
Ability to work independently following established protocols, policies and procedures
Demonstrate customer service skills, including phone etiquette

172

Health Care Services Trainee Resume Examples & Samples

Personal hygiene and mobility to meals and sessions
Assist in placing clients in seclusion or restraint
Observe and report client behavior and reactions to medications
Inspect assigned areas and clients for contraband, and
Monitor general client activities on an on-going basis
Knowledge of basic Nursing Skills to assist individuals with personal care
Knowledge of basic personal care for individuals in need of care
Oral Communication Skills
Written Communication Skills
Listening Skills
Teaching Skills
Ability to communicate effectively orally with information and ideas so others will understand
Ability to communicate effectively in written format so others will understand
Ability to instruct individuals for guidance with personal care needs
Must have obtained a High School Diploma or GED (must list on application)

173

LPN / Health Care Technician Resume Examples & Samples

Report any health issues/changes to the supervising nurse
Update MARS, medical charts to document assessment information, changes in the patient's health, instructions from doctor's,
Help patients with activities of daily living, toileting, feeding, walking, etc
Keeping the resident's home environment clean and safe
Bringing the resident to therapy areas, dining room, etc
Turning bed ridden residents to prevent bed sores
Knowledge of specialized client care applicable to the work situation
Skill in administering prescribed medications and performing treatments according to established policies/procedures
Ability to effectively work with an elderly patient population of varying physical, mental and emotional abilities and staff from multiple work units in the facility to achieve quality care planning and delivery
Superior verbal, listening and written communication skills with all health care providers, residents, families and general public
Demonstrated ability to maintain confidentiality at all times
Nursing experience as a Licensed Practical Nurse in health setting
A strong work ethic based on a foundation of self-motivation, loyalty, honesty, and integrity
Judgment, Decision Making, and Problem Sensitivity - the ability to tell when something is wrong or is likely to go wrong; to include not only solving the problem, but recognizing there is a problem
Organizational Skills

174

Senior Analyst, Health Care Economics Resume Examples & Samples

Perform analysis to quantify / estimate the effectiveness of medical intervention initiatives
Provide claims, premium, capitation and membership data in support of utilization analyses
2+ years of data analysis experience either from professional work history or educational study
Intermediate level of proficiency in SQL or SAS

175

Agency for Health Care Administrator Ses Resume Examples & Samples

Ability to conduct extensive research
Knowledge of Web development and data analysis
Knowledge of analyzing information
Knowledge of risk adjustment, various health outcome and performance methodologies
Knowledge of medical coding
Ability to evaluate and analyze data. Knowledge of research techniques, internet research, and ability to write technical reports
Knowledge of HR policies and procedures
Ability to effectively manage and communicate with staff of various positions
Experience with and ability to understand public policy and rule development

176

Health Care-principal Resume Examples & Samples

At least 10 years of management consulting, advisory, professional services and/or Big 4 consulting experience with at least two years as a Senior Manager or Principal
At least 7 years in the healthcare space, establishing and continues to maintain active relationships with leaders in the top Eastern US Healthcare organizations
Experience working on projects related, but not limited to
Must be a strong leader who thrives on collaboration and has maximized the effectiveness of a distributed workforce
Invested leader; relates well to all kinds of people, up, down, sideways, and inside and outside the organization; builds appropriate rapport; low ego needs; builds constructive and effective relationships and communicate highly technical information in a simplistic and easily understandable way
Highest level of integrity to ensure credibility within the function, the company, or the agency

177

Health Care QM Consultant Resume Examples & Samples

3+ years work related experience in the healthcare industry (preferably managed care) is required
1+ years of quality management experience is required
2+ clinical experience in the healthcare industry is preferred

178

Health Care Home Program Coord Resume Examples & Samples

Responsible for daily and long-term operational and logistical support for the Health Care Home (HCH) team (e.g. fielding questions, communications, ordering supplies, department billing, etc.)
Assist in the planning and implementation of Health Care Home/Behavioral Health Home in designated HHS clinics including coordination of meetings and activities, creating project timelines, developing policies and procedures, and quality monitoring
Assist in the staffing and coordination of work groups, meetings, huddles and communications with internal and external stakeholders
Assist in the coordination of certification requirements of all Health Care Home/Behavioral Health Home clinics and insure timely submission of such requirements
Participate in care model redesign for Health Care Home/Behavioral Health Home clinics and transition care areas
In conjunction with the Health Care Home Program Manager coordinate projects, programs and grants (e.g. grant proposals, work plans and timelines, budget, reporting, program implementation and monitoring, staffing, supplies and materials)
Assist in the development and ongoing training and staff development programs for community health workers, care coordinators and other Health Care Home staff, as appropriate
Assist Manager to
Associates Degree or certificate program completion in a healthcare field related to the position
Two to four years’ experience in Ambulatory Care
Two to four years’ experience in grant program planning, grant administration or project management
OR- An approved equivalent combination of education and experience
Bachelor’s degree in a health care field
Strong background in program development and coordination
Competent with electronic medical record (EHR-EPIC) software
Excellent organization, communication, customer service and clerical skills
Ability to analyze clinical and financial aspects of patient care
Ability to establish effective interpersonal relationships
Strong team and meeting facilitation skills
Planning and project management skills
Ability to develop and implement grants and programs
Strong computer skills in Microsoft applications such as Word, Excel and Power Point
Cultural competence in working with diverse groups of customers and staff
Working knowledge of health systems, care models and process improvement methodologies
Ability to educate and train, develop and implement tools, training, resources and education for staff

179

Health Care Technician Resume Examples & Samples

Collects and records medical information in the electronic medical record
Takes vital signs, weights, and measurements
Assists with obtaining and/or processing lab specimens
Assist clinicians as needed with patient care in the office
Administer medications and vaccinations
Maintains supplies in the exam rooms and storage rooms
Assists with clerical needs as needed
Adheres to HIPAA guidelines/regulations
Participates in education activities and in-services
Acts as an engaged member of the Patient Centered Medical Home Team. Participates in team meetings, care huddles, and quality improvement initiatives

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