Health Financial Analyst

Jason Ganci, MHA

**** ******* ***., *******, ** 11793, 516-***-**** ********@*****.***

WORK EXPERIENCE:

Northwell Health, Lake Success, New York 4/2015 - present

Sr. Analyst, Supply Chain - 4/2015 – present

Responsible for validating over $1.5 million of Contract Administration Fee (CAF) payments for 30+ vendors

oPulling and manipulating data to validate proper payments from vendors

oCommunicating with vendor representatives for questions on payments, contract terms, or missed/short payments

oShortened validating process by 75% by building validating tool with Microsoft Access

Analyze financial data to support the vendor and product selection process

oBenchmark current or proposed prices using available tools; Primrose, Premier, ECRI (Emergency Care Research Institute)

oCalculate potential savings/loss in switching vendors for a product

oSavings for Northern Westchester Hospital and Phelps Memorial Hospital once they switch over to our pricing

oGetting data down to the same unit of measure to calculate correct savings/loss

Hip/Knee Replacement implant cost by surgeon for North Shore University Hospital and Long Island Jewish Medical Center

oUsing Business Intelligence to create a report showing cost by surgeon

oComparing implant costs between surgeons and calculating savings if implant vendors were changed

Running weekly Match Exception Report

oReport shows price discrepancies by vendor as compared to contracted pricing

Pulling relevant data from varying sources

oBusiness Intelligence, SIS (Surgical Information Systems), Benchmarking tools (Primrose, Premier, ECRI), CardinalHealth.com, Contract Management Tool (CMU), Altosoft Reporting Platform

Northwell Health, Westbury, New York 1/2010 – 4/2015

Sr. Financial Analyst, Business Intelligence Analytics - 12/2011 – 4/2015

Financial Analyst, Business Intelligence Analytics – 1/2010 – 12/2011

Participated in major health system initiatives:

oInternational Classifications of Diseases, Version 10 (ICD-10) Planning

Used Centers for Medicare & Medicaid Services (CMS) data to build a crosswalk that converts ICD-9 codes to ICD-10 codes (GEMS)

Remapped YTD 2012’s cases from ICD-9 to ICD-10 codes using Microsoft Access

Problem solved any coding errors due to complications in ICD-9 to ICD-10 remapping

Prepared remapped data so it can be run through a program to obtain new assigned Diagnosis Related Group (DRG)

Compared remapped DRG to original DRG and researched any major changes

Helped identify areas of high financial risk based on DRG changes

oCreated and Maintained Physician Crosswalk

Assigned a service line to physicians based on their specialties and the types of cases they are involved in

Maintained crosswalk by adding in new physicians and updating any changes to current physicians listed

Crosswalk helps track volume trends throughout the health system

Identified major volume shifts by physician and why

oClinical Documentation Improvement (CDI) Initiative

Worked with CDI Team to develop Business Intelligence reports tracking different potential areas for CDI based on secondary diagnoses and Complicating or Comorbid Condition/Major Complicating or Comorbid Condition(CC/MCC) capture rates

Maintained and updated reports based on leadership’s recommendations

Example reports developed: Body Mass Index >=40 without Morbid Obesity, Unspecified vs Specified Heart Failure, CC/MCC Capture rate within select DRG Groups

Lead analyst in preparing monthly Performance Improvement presentations for site meetings (Southside, Glen Cove, Plainview/Syosset)

Prepared monthly reports and analytics based on requests from site personnel (Orthopedic/Colorectal Surgery cases and average length of stay, Chest Pain Inpatient and Outpatient cases, SMART Tool reimbursement change report, Chronic Obstructive Pulmonary Disease (COPD) patient details)

Business Intelligence (BI) training – teach a BI training course for members of the health system. Develop lesson plans for beginner/intermediate/advanced classes.

Trained/Supervised new employees – technically (Excel, Access), educating them on health care terminology, other programs: Business Intelligence, Invision, PwC SMART Tool, Cyberquery, supervise on their current projects

Jzanus Consulting Inc., West Hempstead, New York 3/2009 – 1/2010

Health Care Consultant

Prepared reports for clients (e.g. North Shore Long Island Jewish Health System, Columbia Presbyterian, St. Barnabas)

Prepared documents for outlier cases to be submitted for CMS review for the potential of additional reimbursement

Rite Aid, Plainview, New York 5/2001- 3/2009

Assistant Manager

Supervised, scheduled and disciplined staff

Hired employees

EDUCATION:

Hofstra University, Hempstead, New York

Masters of Health Administration, 2008

Bachelors of Computer Science, 2004

COMPUTER SKILLS:

Proficient in Microsoft Office Suite, Business Intelligence, PwC SMART Tool, HospitalDx, SIS (Surgery Information Systems), Invision, Cyberquery, Keane, ECHO (Visual Studio), SQL, Benchmarking Tools (Primrose, Premier, ECRI), Contract Management Tool (CMU), Altosoft Reporting Platform

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