clinical content and quality manager resume example with 10+ years of experience
- Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
- (555) 432-1000
- resumesample@example.com
- :
A dedicated and highly motivated professional with diverse experience in healthcare IT, inpatient nursing and accounting/finance roles in various industries. Experience leading cross-functional teams of up to 12 members in the development of enterprise healthcare software and analytic solutions. Keen understanding of population health, healthcare data, terminology and billing code systems, and healthcare quality measurement programs. Exceptional organizational, project management and leadership skills. Highly analytical, logical and detail orientated to understand business requirements and then translate and communicate those to the technical teams. Eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Demonstrated ability to learn and employ new skills. Motivated to learn, grow and excel in a new situation and preferably in a healthcare related delivery or service organization.
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Novant Health – Waxhaw, NC,
- Move to Syntellis Performance Solutions / Kaufman Hall the result of acquisition of Change Healthcare's Connected Analytics business unit.
- Continuing same role and responsibilities as the Change Healthcare position.
Change Healthcare – City, STATE,
- Move to Change Healthcare the result of merger/acquisition of McKesson's technology businesses.
- Devised content roadmap to support product vision and value to business.
- Analyzed requirements and designed, developed and implemented supporting documents / tools to facilitate root-cause analysis for trouble-shooting coding defects.
- Managed team of 4 to develop clinical quality measure from NCQA HEDIS and various CMS programs including MIPS and MSSP ACO.
- Worked directly with Senior Product Manager, Data Analyst and Senior Project Manager Implementations to brainstorm, discuss strategy and mitigate customer specific data issues to improve quality measure results.
- Provided requirements and expertise to cross-functional data platform teams.
- Reduced workflow and coding inconsistencies by enforcing best practices and identifying opportunities to develop reusable libraries and functions.
McKesson – City, STATE,
- Move to McKesson the result of acquisition of MedVentive Inc.
- Focused on defining and building critical features of a new analytics engine and communicating business needs and requirements to Engineering.
- Provide requirements to cross-functional data platform teams to support the clinical quality measure solution and provider attribution logic.
- Manage team of analysts and software developers to build quality measures for submission to CMS incentive programs.
- Collaborate with customers to design and create custom measures within population health solution to address internal clinical quality initiatives.
- Resolved build-deployment problems and improved operations through a formal process improvement campaign by increasing automation and validation.
- Maintain and manage value sets for population health solution.
MedVentive Inc. – City, STATE,
- Collaborate with customers to understand specific quality initiatives and data challenges.
- Translate CMS program specifications into requirements for Engineering including creation of Visio to diagram process and logic flows.
- Design and create test decks for clinical quality measures to validate logic algorithms.
Other Work Experience:
Accountant/Treasurer, Trinitarian Congregational Church, Wayland MA, 2007-2011 - Maintained general ledger and chart of accounts. Performed complex accounting functions such as journal entries, account analysis, reconciliations, preparation of monthly financial statements and annual report. Prepared annual budget.
Accountant, Maple Hill Architects, Wayland MA, 2006-2010 - Set up systems including project costing for new business.
Staff Nurse, Brigham and Women's Hospital, Boston MA, 2002-2006
Assistant to Controller, Atmospheric and Environmental Research, 1989-2004 - Developed and implemented project cost tracking using Excel that improved allocation of direct expenses to 50+ government contracts and grants. Executed month-end close including preparation of financial statements.
Accounting Manager, Numerix Corporation, 1985-1989
Cost Accountant, Analog Devices, 1982-1985
Volunteer / Community Service:
Controller for Wayland-Weston Rowing Association, 2007-2011
Co-Treasurer of Friends of Graham and Parks School, Cambridge MA, 2002-2004
Co-Treasure of Parents' Nursery School, Cambridge MA, 1997-2001
Personal Interests and Hobbies:
Gardening, kayaking, nature walks, refinishing furniture, puzzles and games
Registered Nurse, State of Massachusetts
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Resume Overview
School Attended
- Babson College
- Massachusetts Bay Community College
Job Titles Held:
- Clinical Content and Quality Manager
- Clinical Content and Quality Manager
- Product Owner/Clinical Content and Quality Manager
- Clinical Analyst
Degrees
- Bachelor of Science
- Associate of Science
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