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Clinical Quality Analyst/Iameter Data Administrator Resume Example

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CLINICAL QUALITY ANALYST/IAMETER DATA ADMINISTRATOR
Professional Summary
Senior Financial/Decision-Support Analyst with 10 years operational and financial analysis experience, specializing in Healthcare/Hospital Information Management, implementing and utilizing Decision Support to support the strategic vision of Healthcare organizations. Proven track record for implementation, management, and analytical support to hospital senior management in continuous improvement in efficiency, cost controls, and continuous clinical quality improvement in Healthcare organizations. Demonstrated capacity for leadership in project management, including technical expertise, operational data needs, collaboration, and completion of analytical projects in timely-manner. Technical proficiency in devising reporting mechanisms & delivering timely & accurate analytical data to support management in efficient decision making to meet strategic organizational and departmental objectives.
Skills
  • Financial analysis, cost-accounting experience in implementation, maintenance and utilization of Healthcare Decision Support in cost, profitability, case-mix analysis that support the Strategic goals across the organization.
  • Developed and maintained standard costs, RVUs, and indirect cost allocation for all major hospital departments.
  • Incorporated Severity Adjusted Data using 3M\'s APR-DRG System, while launching Continuous Clinical Quality efforts that included Physician to Peer Best Practice Reporting & Development of Clinical Pathways for Continuous Improvement of patient outcomes.
  • Collaborated with direct & indirect staff across hospital areas, to serve as primary interface with vendor to align product with business unit goals.
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  • Independently lead and collaborate with all team members to accomplish department and hospital objectives.
  • Excellent communication skills & ability to work across all levels of organization: entry level to Senior Management, building effective working relationships that enhance work-flow
  • Ability to prioritize, delegate, and multitask on short notice.
  • Develop and deliver training & educational materials for end-user
  • Develop & deliver presentations to committees on cost control, quality improvement, and strategic planning, achieving enhanced buy-in across organization
  • Excellent attention to detail and Audit skills to maintain data integrity, increasing end-user confidence and ultimately buy-in
Work History
Clinical Quality Analyst/Iameter Data Administrator, Memorial Medical Center – Savannah, Georgia
  • Managed severity adjusted clinical information to support Clinical Quality Improvement goals of the organization which included development of Clinical Pathways, Physician Profile Reporting, and Best Practices, to support organization\'s goals to control escalating costs, while improving quality of care.
  • Collaborated with department managers to identify & correct data problems, improving analysis, which enhanced clinical quality outcomes & supported the hospital\'s critical strategic, financial, and strategic planning initiatives.
  • Primary external liaison between Hospital and software vendor; and internal liaison between Senior Management, Finance, and Clinical Quality team managers, resolving client requests, internal operational issues & system problems.
  • Implemented and led projects & reporting to expand data utility in organization\'s first Clinical Quality Improvement initiative, developing clinical pathway reporting, Best Practices, and physician to peer reporting to improve patient outcomes, while controlling escalating healthcare costs.
  • Collaborated with physicians & department managers, and organizational stakeholders to define product-line goals, determine system design/data requirements, and reporting needs to support their business units.
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Financial Analyst/Decision Support, Memorial Medical Center – Savannah, Georgia
  • Maintained Clinical Cost Accounting software with annual review and updates of cost accounting methodology, departmental fixed/variable cost relationships, development of RVUs, and indirect cost allocations.
  • Performed financial analysis and feasibility studies for HMO/PPO contract proposals, Certificate of Need applications, and ad-hoc Hospital business cost-benefit analysis of new and existing services.
  • Primary liaison between Information Services, Clinical Departments, Finance, and Physician stakeholders in provision of analytical cost data, case-mix, and statistical data compiled in the organization\'s Mckesson\'s (HBO\'s) Trendstar Clinical-Cost Accounting System.
  • Designed and performed financial, case-mix reporting for analysis of resource utilization, outlier analysis, treatment protocols, and physician to peer comparative analysis which supported Senior Management in decision making.
  • Diagnosed, troubleshot and resolved system problems, maintaining data integrity of DSS.
  • Performed system analysis, documentation, testing, implementation and end- user support across all levels of the organization.







Product Line Analyst/Decision Support , Berkshire Medical Center – Pittsfield, Massachusetts
  • Worked jointly with Director of Cost Accounting to launch Product Line Management and Reporting at BMC by implementing and maintaining HBO\'s Trendstar DS System, utilized to assist the Medical Center in controlling costs, enhancing productivity, ultimately improving patient care and outcomes.
  • Developed, maintained and administered DSS network software and applications necessary to launch the DSS system and product-line reporting, including cost-accounting methodologies for the development of actual standard costs of services for all major hospital departments.
  • Designed and prepared management reports identifying trends in costs, activity & revenues and ad-hoc requests for product line management profitability.
  • Performed strategic, operational, and financial cost analyses on Hospital Departments & Product Lines, and presented recommendations to Department Directors and Senior Management.
  • Develop documentation and educational materials for training purposes.
  • Trained end-users of Product Line Management Information System.







Senior Management Analyst, National Clinical Management Control Project, VA Medical Center – West Roxbury, MA
  • Improved the clinical case-mix management of the VAMC by introducing Cost Management principles with the implementation of Decision Support Software, Transition Systems to promote the use of cost-control in National Clinical Management Control project at VA Medical Centers nationwide.
  • Developed standard RVUs/costs for all major Hospital Departments for utilization in the DSS utilizng cost/management accounting principles in collaboration with department managers and physicians.
  • Developed & performed regular education and training across the VAMC end-users and Senior Management team.








Education
Bachelor of Science: Health Care Administration, 1988
 University of New Hampshire - Durham, New Hampshire
  • Magna Cum Laude
  • Coursework in Cost Accounting, Finance, & Healthcare
  • Phi Kappa Phi Honor Society
  • HFMA
  • ACHCA
Management Intern: Health Administration & Planning, Spring, 1987
 Exeter Healthcare of Exeter Health Resources - Exeter, New Hampshire
Accomplishments
  • Dedicated Mother to 5 children, committed to providing quality care to 5 school aged children, bringing extensive knowledge from life experience in childhood development, multitasking & conflict resolution.
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Resume Overview

Companies Worked For:

  • Memorial Medical Center
  • Berkshire Medical Center
  • VA Medical Center

School Attended

  • University of New Hampshire
  • Exeter Healthcare of Exeter Health Resources

Job Titles Held:

  • Clinical Quality Analyst/Iameter Data Administrator
  • Financial Analyst/Decision Support
  • Product Line Analyst/Decision Support
  • Senior Management Analyst, National Clinical Management Control Project

Degrees

  • Bachelor of Science : Health Care Administration , 1988
    Management Intern : Health Administration & Planning , Spring, 1987

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