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health care service analyst resume example with 12+ 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 - -
Experience
04/2014 to Present
Health Care Service Analyst Valmet Corporation Jacksonville, FL,
  • Use PMPM calculation method to ensure company wasn't paying excess in health insurance Creating SQL queries and scripts to extract and aggregate data to validate the accuracy data.
  • Collect and process the information needed to fulfill medical insurance claims and resolve billing issues that has to do with the account payable.
  • Assist in resolving Medicare CMS complaint file to the organization Defining problems, developing business models and highlighting an area for improvement, such as operating costs and budget.
  • Review, Interpret, & analysis collected data using different tools such as, MS Excel and data management systems to provide accurate & reliable reports to the company.
  • Support, manage, and maintain organizations Medicare clinical data Use EPIC system to analyze and assess Medical claims, Medical Billing & payments information Use of VLOOKUP, pivot table and Cloud based systems in presenting company achievement Develop business models based on the results of the data collected and analyzed.
  • Work closely with compliance and training department to ensure company keeps its Medicare 5-star rating.
  • Investigate pending claims and resolve discrepancies for physician's offices, and hospital billing departments.
05/2012 to 04/2014
Business Analyst Aon Corporation Franklin, TN,
  • Responsible for analyzing data as a part of the corrective action program.
  • Prepare annual financial information binder to be provided to the external auditors Review completed Corrective actions and Ace Investigations and make determination as to whether they were closed properly or not Ad-hoc reporting and querying for the staff data requests through SQL Server.
  • Clean and analyze the data received from condition reports and other sources and identify trends in the data.
  • Gathering, analyzing and interpreting business and financial information Determines the best metrics to use to provide the most accurate representation of the forecast Create visually appealing dashboards in Power BI from various data sources Make high level presentation to management on way of achieving business goals based on results of data analyzed Proficient with Power BI, MS Office and MS Excel skill.
12/2010 to 05/2012
Financial Analyst KC TAX & FINANCIAL CONSULTANT City, STATE,
  • Direct all operational aspects including distribution operations, customer service, human resources, administration and financial report Prepare financial reports with reliable conclusions that management can use to implement more effective operational strategies Evaluate profit and cost efficiencies in various areas of the organization as needed Analyze trends in the market by mapping trends and determine how they will influence the business that consult with me.
  • Consolidating and analyzing financial data, considering company's goals and financial standing analyze organization by documenting the processes of assessing the business model with technology.
  • Manage forecast models, analyze trends, manage forecast tools, and maintain accurate data Routinely examine methodologies to find ways of improving predictive accuracy.
  • Develop and measure key performance indicators to track and evaluate forecasts made, to assist in assessing the effectiveness of the demand planning & forecasting function.
  • Ad-hoc data extraction through queries in SQL Server 2008, Excel, SAS,.
03/2008 to 09/2010
Financial Consultant & Analyst ZENITH BANK , STATE,
  • Monitor financial procedures and ensure compliance with the law Develop, maintain and distribute as-hoc reports and financial models as needed Track expenses and revenues vs.
  • budget and reforecast and analyze fluctuations Creates breakdowns and reports regarding client financial status Prepare monthly consolidation and executive financial package Develop, coordinate and implement marketing plans designed to maintain and increase existing business and capture new opportunities.
  • Performed capacity planning, Transforming & Loading data using SQL*Loader & External Tables Confer with management on demand planning and forecasting assumptions, analysis, and decisions.
  • Consult with management to guide and influence long term and strategic decision making within the broadest scope Track and determine financial status by analyzing actual results in comparison with forecasts.
Education
Expected in Dec
M.Sc: Business &Technology Management
Stevenson University - ,
GPA:
Business &Technology Management
Expected in Dec 2017
BSC: Business Administration & Management
Morgan state University - ,
GPA:
Business Administration & Management
Expected in
Associates: Economics
University of Abuja, NG - ,
GPA:
Economics
Summary
A dynamic and resulted oriented professional, as a health care analyst, Forecasting, Management software, financial and business analyst with over six years of experience working in different domains. I also have extensive research experience, and have completed focus groups and business intelligence research that helped boost an organization's farebox recovery ratio by 15%. Additionally, I have strong analytical skills, and have used these skills to forecast possible future trends and address potential problem areas. Further, I have superior data visualization skills, and have translated data results into written reports, tables, graphs, and charts to convey information to management in past roles. I have also made presentations on ways to achieve company business goals based on results of data collected and analyzed.
Highlights
  • Microsoft Office Tools
  • Power BI
  • SQL
  • Excel
  • Microsoft Visio
  • Cloud Based System
  • Office 365
  • Linux Systems
  • Training and Professional Certifications
  • Linux Systems Administrator Intensive Training
  • VMware Install, Configure and Manage (In Progress)
  • Security+ in view
  • ITIL Certification in view
  • Project Management Professional(PMP) in view
  • Real Estate License in view
  • Certified Tax Professional 01-7135
  • Medical Terminology
  • STRENGTHS
  • Project Management
  • Budget planning & Allocation
  • Financial Reporting & System Development.
  • Business Case Development
  • Workforce Documentation & Optimization
  • Communication & forecasting
Skills
Ad, billing, binder, Budget planning, budget, Business Case, Develop business, developing business, BI, capacity planning, CMS, client, customer service, data management, decision making, Documentation, financial, analyzing financial data, financial report, Financial Reporting, Prepare financial reports, forecasting, human resources, insurance, ITIL, law, Linux, marketing plans, market, Medical Billing, Medical Terminology, MS Excel, Excel, Microsoft Office, MS Office, Office, Microsoft Visio, Optimization, pivot table, presenting, processes, profit, Progress, Project Management, Real Estate, reporting, SAS, scripts, SQL, SQL Server, SQL*Loader, strategic, Tables, Tax, view

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Resume Overview

School Attended

  • Stevenson University
  • Morgan state University
  • University of Abuja, NG

Job Titles Held:

  • Health Care Service Analyst
  • Business Analyst
  • Financial Analyst
  • Financial Consultant & Analyst

Degrees

  • M.Sc
  • BSC
  • Associates

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