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analytic advisor resume example with 20+ years of experience

Jessica Claire
Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Summary
Highly motivated Sales Associate with extensive customer service and sales experience. Outgoing sales professional with track record of driving increased sales, improving buying experience and elevating company profile with target market.
Skills
  • Regulatory compliance (National-CMS, and State)
  • Continuous improvement
  • Leadership
  • Program development
  • Risk management
  • EHR Software interfaces
  • HEDIS, ACO, PQRS, CMS, NCQA, CHIPRA, and JCAHO
Experience
03/2016 to Present
Analytic Advisor Francisan Health , ,
  • Increased revenues by improving client relationships during implementation, analyzing their goals, and recommending value-added solutions for their data structures and configuration options.
  • Created continuous improvement for clients post implementation via consultations to evaluate needs and requirements, and design valuable solutions for them.
  • Generated revenues through development of Analytic Service Packages that included client case study data demonstrating the value of analytics.
  • Improved implementations through new methodology and processes pertaining to the Analytic Advisory Services role.
  • Increased value of solutions via proposing and prioritizing product enhancements.
  • Developed new business and added revenues by designing proposals, generating reports, and creating presentations for prospective clients.
  • Strengthened product portfolio through recommended additions to clinical and financial KPIs.
01/2014 to 03/2016
Clinical Quality Specialist , ,
  • Improved clinical efficiencies and compliance through researching, defining, and developing required standards for regulatory agencies; NCQA, CHIPRA, HEDIS, PQRS and JCAHO translating requirements.
  • Effective implementation and utilization of "Vision" product via direct client interaction and monitoring.
  • Educated clients on guidelines, parameters, inclusion/exclusion criteria, clinical definitions, applicable codes, attribution and compliance with HEDIS measures.
  • Upgraded of NCQA measures, and made performance improvement recommendations to improve client scores.
  • Utilize HEDIS to analyze new measure concepts for feasibility and assist with best practice requirements definition, including defining acceptance and criteria test cases.
  • Monitored changes in HEDIS, CHIPRA, and PQRS programs.
  • Developed customized programming specific to client needs.
  • Identified correct data acquisition and mapping across data repository to meet measure requirements.
  • Ensured quality through internal unit and user acceptance testing of measures.
  • Designed individualized quality improvement plan for each client through utilization of HEDIS measures.
11/2010 to 11/2013
Director of Clinical Services, Seasons Hospice , ,
  • Implemented and administered clinical operations, policies and procedures.
  • Provided direction to staff ensuring coordinated plans of treatment and services for comprehensive care of patients.
  • Generated staffing reports for Executive Director to ensure sufficient personnel for delivery of patient/family services, including on-call services.
  • Made recommendations for staffing to the senior leadership.
  • Ensured compliance with federal, state(s) and local regulatory agencies.
  • Conducted quality assurance activities, including QI studies and chart audits.
  • Monitored expenses and maintained budgetary compliance.
  • Evaluated vendors and providers affiliated with the hospice on a contractual basis.
01/1988 to 10/2010
Team Manager Lifedesigns , ,
  • Led Patient Care Team, and supervised, evaluated and coordinated various members of the IDG.
  • Assured continuity of care from admission to discharge or transfer to bereavement.
  • Advocated for patients and coordinated other social services and health care providers.
  • Ensured quality improvement/regulatory compliance daily including NQF and CMS measures.
  • Accountable for productivity, labor and patient care costs with respect to budgetary constraints.
  • Operations and clinical responsibility of 21+ direct reports 45+ staffing coordinators to contracted hospitals and clinics in Illinois and Wisconsin.
  • Managed direct line staff and supervisors: Staffing Coordinators', Billing, Sales Staff, Customer Service Team and Clerical staff.
  • Managed daily operations including hiring, retention and performance evaluations of 750+ medical professionals.
  • Conducted IV infusion, QA/QI/UR, staffing and compliance, client hospital compliance, survey and JCAHO process.
  • Developed policies and procedures.
  • Prepared annual budget and negotiated contracts.
Education and Training
Expected in to to
Bachelor of Science: Nursing
University of Illinois - ,
GPA:
Nursing
Interests
Registered Nurse State of Illinois Yellow Belt Lean Six Sigma Of Note Advisory Board Apex Hospice and Palliative Care, Inc.
Activities and Honors
Experienced, accomplished, and progressive clinical management leader. Well-versed in all aspects of nursing administration. Consistent record of success in assessing clinical operations to identify quality assurance and regulatory deficiencies. Strong leadership skills used in project management, developing budgets, policy writing, implementation and monitoring compliance with agency policies as related to clinical services. Excellent work ethic, open to challenges and able to adapt to new roles and environments.
Skills
Billing, Budgeting, budget, Clerical, CMS, Continuous improvement, contracts, client, Clients, client interaction, Customer Service, data acquisition, Data analysis, delivery, designing, direction, EHR Software, financial, financial analysis, hiring, hospice, Leadership, Regulatory compliance, Director, Organizational Development, Patient Care, personnel, policies, Policy development, presentations, processes, Program development, programming, Project Management, proposals, quality, quality assurance, quality improvement, QA, Relationship-building, requirements definition, researching, Risk management, Sales, social services, Staffing, translating, Vision
Additional Information
  • Additional Licenses and Certifications Registered Nurse State of Illinois Yellow Belt Lean Six Sigma Of Note Advisory Board Apex Hospice and Palliative Care, Inc.

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Resume Overview

School Attended

  • University of Illinois

Job Titles Held:

  • Analytic Advisor
  • Clinical Quality Specialist
  • Director of Clinical Services, Seasons Hospice
  • Team Manager

Degrees

  • Bachelor of Science

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