Senior Analyst Clinical System Resume

Title
Senior Analyst Clinical System

Primary Skills
Microsoft Office 2K Applications (Word, Excel, Access, PowerPoint),

Location
US-CA-Long Beach (will consider relocating)

Posted
May-28-09


Senior Analyst, Clinical System

Professional Profile

Creative problem solver with ability to resolve conflict embraces cultural differences, improve morale and consistently exceed profit goals, and computer literate. More than 9 years of experience as on Senior Analyst, Clinical System.

Education

Master of Business Administration
Morrison University
Reno, NV

Skills:

· Microsoft Office 2K Applications (Word, Excel, Access, PowerPoint), Networking, 10-keys by touch, Type 50-60 wpm.
· Knowledge of Medical Terminology, KPDS, CARG, OPAS, Learning Well, and Foundation systems

Professional Experiences

Hillcrest Care Center Sep 2006-Present
Long Beach, CA
Senior Analyst, Clinical System (Learning WELL System Administrator)

Responsibilities:

· Collects data and provides analyses for a broad array of issues across disciplines and functional areas.
· Has sole responsibility for some small to medium size analytical projects.
· Works under limited supervision.
· Acts as a trainer, liaison, problem-solver, and facilitator.
· Reinforces appropriate group values, norms and behaviors.
· Provides Learning WELL Data base training to all medical center personnel as well as staff at the Regional office.
· The role as Learning WELL Administrator, and overseeing the Learning WELL course creation; classes scheduling; and provide technical support to SSD
· Training team as well as staff at the each Medical Centers.
· Actively participates in analyzing data and developing recommendations and action plans, and develops new approaches to obtain needed information.
· Assists in the development of project proposals, recommendations, implementation plans, communication packages, performance measurement tools, and training materials related to the assigned projects.
· Evaluates and distills analyses conducted by other departments and/or outside consultants.
· Prepares preliminary interpretations of analyses for project teams, clients, and/or department management.
· Recommends suggested action steps based on the analytic results.
· Prepares reports synthesizing analytical results, highlighting implications of findings.
· Follows through any further actions based on the results using sound business judgment.
· Develops project plans which identify key issues, problems, approaches, performance metrics and resources required.
· Designs research plans for data gathering and analysis.

MountainView Hospital Jul 2004 -- Aug 2006
Las Vegas, NV
Configuration Analyst

Responsibilities:

· Assist BSM in the analysis of LOB development. Also, assist in Data clean up for SBU/DPA on monthly basis.
· Maintain new changes to GUI/FS Reformat and reinforce a Foundation Systems Data Clean Up schedule.
· Validates system functionality after benefits are coded into applications, but before release into production environment.
· Analyzes data to determine how to configure the health plan and regulatory rules and logic for the detailed benefit services and benefit plans into EPIC and Foundation systems.
· Assesses the impact of new rules and new service designs on all systems prior to benefit implementation.
· Reformat and reinforce QA Announcement (New and/or Retired BO's or Plans) Schedule.
· Process all incoming Movaris requests either approve or reject the requested benefit changes.
· Assist HOTLINE issues. Received concerns and issues via voice mails, and once analysis is completed, clients will be contacted.
· Ensures configuration meets current business policies and practices.
· Supports the efforts of compliance review and audit of employer group benefits.
· Creates documentation outlining the detailed benefit service design, maintains plans, product and purchaser relationship in EPIC.
· Responsible for ad-hoc queries and research on the recurring benefit offerings or changes.
· Provide comprehensive analysis of proposed benefits, with recommendations if necessary.
· Reformat and reinforce QA Announcement (New and/or Retired BO's or Plans) Schedule.

St Mark's Hospital Oct 2002 -- Jun 2004
Salt Lake City, UT
Administrative Specialist

Responsibilities:

· Request medical records to support audits, inventory records received, follow-up on outstanding records, copy records for auditors.
· On-going support staff with special projects, invoices processing; monthly process travel expense reports; process check requests; order office supplies, computers and accessories.
· Arrange travel itinerary for department managers; arrange meetings & workshops, and set up Conference Bridge.
· Provide supreme customer service skills, and handle all complains in diligent manner.
· On-going review and update of hospital guidelines; Schedule appointments.
· Medical billing, handled worker's compensation claims of varying complexity and risk management inquiries.
· Knowledge of Medical Terminology, Medi-Cal / Medicare claims and excessive cash handling.
· Knowledge of general office work, handled large amount of hospital calls.
· Attentive and punctual to all team meetings and provided on-going feedback to enhance patient care development.
· Collected and analyzed data.

Pioneer Memorial Hospital Feb 2000 -- Sep 2002
Heppner, OR
Receptionist II

Responsibilities:

· Patient registration, and appointment scheduling at an Out Patient Medical Offices.
· Daily cash handling as well as medical claims processing.
· Acts as a liaison for non-English speaking members.
· Assist in the filing of Worker Compensation claims and all other medical related documents.
· Uses computer based programs, copy machine, calculator and other related standard office equipment to type letters, reports, correspondence and forms.
· May compose correspondence for supervisory review.
· Answers telephone inquires takes and relays messages, and greets visitors.


Education
MS in Computer Science
De Anza College, Cupertino, CA

Reference: Available upon request

Certifications
See above


You must be logged in and have a current resume access subscription. Login or Register »

Resumes in Long Beach, CA | Resumes in California

View other Senior Analyst Clinical System resumes, Business Analyst resumes