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Health Analyst

Location:
Columbia, MD
Posted:
September 28, 2014

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Resume:

Nicholas ELIKE, DHSc, MS.

**** ********* ******* *******, ** 20855 571-***-****; 240-***-****

********.*****@*****.***

Healthcare Professional

Offering a well-integrated scientific perspective in health systems analysis,

evaluation, monitoring, administration, and research.

Professional Profile Areas of experience & Strength

Over 5 year experience working in the field of Health policy and Health research

business analysis, healthcare administration including knowledge of the Affordable

and management, including case Care Act.

management, patient advocacy and insurance Ability to discern and identify

reimbursement. implications of a health policy and

Knowledge and experience with research project outcomes and sector impacts.

methodologies and analysis. Very experience working with Medicaid

Excellent analytic and communications skills, populations particularly around long-

including writing and public speaking. term services and supports.

Proficiency in creating PowerPoint In-depth knowledge and experience

presentations, formatting charges, graphic regarding IRB process, research

displays and tables. methods, analysis, and design.

Proficiency conducting quantitative analyses Experience conducting human

in a statistical software program such as research subjects. Experience

STATA and SPSS. recruiting participants for research

studies, Conducting interviews and

Knowledge of Medicaid, Medicare, CHIP, and

presenting results of analyses.

the new PPACA coverage provisions from

both a consumer perspective and provider

payment methodologies.

Education & Credentials

Education Research/Dissertation

At Still University The association between socio-

Doctorate in Health Science economic status and fast food

Concentration: Global Health consumption.

Triple Therapy Treatment of

Hepatitis C in patients with

genotype one.

Marymount University

MS, Health Care Management Canadian and U. S. Healthcare

systems

Emergence of electronic health

records and effect on patient

privacy

University of the District of Columbia

BS, Business Administration

Relevant courses: Writing for Health Professional; Population Health and Patient-Centered Care;

Evidence-Based practice; Research Design, Analysis, and Methods; Data Analysis for Applied

Research Project; Literature Review for Applied Research Project; Health Care Outcomes; Health

Policy, Dissemination-Publishable Paper for Applied Research Paper; Risk management and

Decision Analysis, Health Care Information Systems, Global health issues, and Globalization and

World Politics.

Professional Experience

Pharmacy Services. Veterans Affairs Health System, Washington, DC 05/2013-

Present

Responsible for maintaining and evaluating the quality of medication management

deliveries (IV Fluids).

Develop and implement strategies that ensure the timely consignment of the IV fluids.

Analyze inventory data and recommend improved business process and trends.

Adhere to the requirements of the HIPAA Privacy Policies and Procedures and maintain

confidentiality of patients, families, and staff.

Program Representative, Amerisourcebergen, Rockville, MD. 04/2011 – 02/2013

Managed the charity care and financial assistance program, and researched appropriate

program needs.

Analyzed financial report and recommendation for improved business process

Managed the benefit enrollment process for new members.

Responsible for resolving patients’ benefits issues and the appeals process.

Researched and managed the pharmacy benefits, eligibility and test claims.

Educated patients and clients on different types of program assistance provided.

Identified appropriate ICD-9 coding for billing processing.

Reviewed and approved Patient Assistance Program Application.

Medical Financial Assistance Specialist, Medix Staffing at Kaiser Permanente, Rockville, MD.

08/2010 – 03/2011

Responsible for managing the Medicaid Charity Program and the Medical

Financial Assistance programs.

Managed the financial assistance for the pharmacy benefits approval process.

Analyzed financial assistance data and recommendation for improved business process

Responsible for managing the electronic medical records for Medicaid members.

Responsible for approving and enrolling Medicaid patients for copay assistance

program.

Worked closely with the program manager to ensure implementation and

compliance with the company’s policies.

Responsible for preparing and analyzing monthly reports.

Contributed to successful implementation of Kaisen project

Case Manager, Diamond Healthcare (Washington Hospital Center), Washington, DC

04/2009 – 08/2010

Responsible for the case management of homeless consumers, HIV/AIDS patients,

behavioral and mental health consumers.

Coordinated medical financial assistance operations and all related processes

Coordinated the integration of social services and case management functions into the

patient care

Advocated for social services benefits; Medicare and Medicaid; Social security benefits,

housing, educational and other social benefits to HIV and behavioral consumers,

counseling and employment placement

Responsible for developing the treatment plan for more than 50 consumers.

Engaged in health promotion through healthier lifestyle and behavior change.

Responsible for conducting psycho educational therapy groups

Responsible for providing job development, job placement and job coaching to

consumers.

Responsible for training consumers on resources and benefits utilization.

Responsible for ICD-9 and CPT coding for claims processing.

Associate Director Auxiliary Services, Marymount University, Washington, DC 09/2002 – 07/2008

Supervised daily operations, management, and logistics of the campus auxiliary

services.

Directed and supervised employees engaged in auxiliary services operations.

Planed and prepared work schedules and assigned employees to specific duties.

Hired, trained, and evaluated employees in consultation with Human Resources.

Assisted in developing and maintaining new policies, procedures and training

programs for the university.

Prepared and reviewed operational reports and schedules to ensure accuracy and

efficiency.

Formulated annual budgets and reviewed financials with student accounts monthly.

Recommended cost saving methods to improve efficiency of the department.

Analyzed departmental budget expense and recommended improved business

process

Office Manager, International Personnel Management Association, Alexandria, VA

1995– 2002

Managed an extensive membership database to facilitate member outreach, professional development,

routine mailings, and fund raising initiatives

Maintained office efficiency through planning and implementing office systems, layouts, and

equipment procurement

Responsible for managing a staff of three employees

Responsible for the building site and office management, IT and related equipment.

Responsible for processing Payroll and account receivable and payable

Collaborated with senior managers on program reporting, analysis, and evaluation

Of Note

Skills and Trainings: SPSS, SAS, Datatel, Word, Excel, Power Point, Publisher, Outlook, Epic,

Visio, Colleague, Enterprise.

Languages: English, Igbo, understanding of Yoruba and French.

Certification: Protecting Human Research Participants from NIH, Bethesda, MD

Affiliations:

Public Health Association



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