Category: HEALTHCARE

         SENIOR ANALYST DATA QUALITY & GOVERNANCE       Professional Background     Analyst versed in data analysis and reporting, user acceptance testing, as well as solving complex problems in high-pressure environments.  Excels at cultivating, managing, and leveraging relationships       Skill Highlights          Microsoft Access, Microsoft Excel, SAS, SQL Server Manager, Cognos, Crystal Reports      Business Objects, SQL, Tableau Server and Desktop, Project Management, Data Analysis            Professional Experience       Senior Analyst Data Quality & Governance   04/2018   to   Current     Company Name   City  ,   State       Create policies and procedures for actuarial and analytics group  Monitor adherence to policies with scheduled reviews  Conduct training on quality and governance policies  Lead analyst for HIPAA compliance  Create and analyze validation reports for health plan data  Lead discussions regarding data issues identified          Healthcare Data Analyst   04/2012   to   Current     Company Name   City  ,   State       Experience with process analysis and other analytic functions  Ability to interact effectively with different business units, team members, and external client at all levels  Creates ad hoc data analyses and reports as needed Prepares monthly, quarterly, and annual reports of established clinical, utilization, and financial metrics for all Health Ministries and SmartHealth  Proficient in computer and analytic tools such as SAS, SQL, and MS Office (excel and access)  Performs medical and prescription drug claims analysis necessary to understand relative unit pricing across provider networks, and to inform decisions about provider fee schedules.  Generates eligibility, medical, and pharmacy claims data needed for each Health Ministry to support budgeting, rate development, and manage the reinsurance program.          Business Analyst   03/2008   to   05/2012     Company Name   City  ,   State       Responsible for identifying processes to streamline and assist with various projects  Created and maintained access databases for departmental use   Identified system issues and coordinated with vendor for resolution   Involved in project planning and testing system enhancements   Defined business requirements for various projects   Created adhoc reports as needed   Created audit process for all securities applications   Created reports for SEC and FINRA audits.          Finance Analyst   06/2005   to   05/2008     Company Name   City  ,   State       Backup to department manager   Created and maintained managerial reporting daily, monthly, quarterly and yearly   Created work schedule for department on weekly basis   Created and distributed department stats and analysis to upper management monthly   Primary contact for electronic invoicing candidates   Created multiple databases for interdepartmental need.          Trust Analyst   02/2003   to   03/2005     Company Name   City  ,   State       Responsible for daily operations of 401(k) accounts for retirement services clients.  Balanced 401(k) accounts on a weekly, monthly, quarterly, and yearly basis.  Researched
and resolved out of balance situations quickly.            Conversion Analyst   02/2002   to   02/2003     Company Name   City  ,   State       Responsible for managing incoming and outgoing account conversions, daily DTCC reconciliation troubleshooting, and problem-solving.  Revised an existing Microsoft Access program for incoming assets for accuracy  Created a new reporting process in Access to identify asset balance discrepancies  Resolved daily out of balance situations with various depository institutions          Registration Analyst   02/2000   to   02/2002     Company Name   City  ,   State       Responsible for re-registration of physical assets for trust customers   Streamlined processes by automating applications for quicker processing and problem resolution   Solved re-registration issues through brainstorming and troubleshooting   Created a Microsoft Access program to track pending registration issues and generate reports   Collaborated with company legal counsel for asset restriction removal   Authored and updated procedures for registration process.          Education and Training      Masters of Business Information Technology  :   Project Management   2007       Walsh College   City  ,   State       Project Management        Bachelor  :   Business Administration   1996       Rochester College   City  ,   State       Business Administration        Certifications     Certificate in Health Care Informatics       Affiliations     Volunteer weekly in local elementary school in reading development   Lead business meetings on a weekly basis  Volunteer in children's church on a weekly basis  Taught Sunday school classes       Skills    Streamline Processes, Business Objects, Cognos, Crystal Reports, Customer Service, Data Analysis, Databases, Financial Invoicing, Managing, Microsoft Access, Microsoft Excel, Microsoft Office, Problem-Solving, Problem Resolution, Process Analysis, Project Management, Project Planning, User Acceptance Testing, Reporting, SAS, Securities Reporting, SQL, Troubleshooting, Annual reports, Tableau Server, Tableau Desktop