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Healthcare- Business Analyst

Location:
Florida
Posted:
May 20, 2016

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Resume:

MURTI KAPADIA

Mobile: 713-***-**** Address: ***03 Ramp Creek Lane,

Email: acuvkl@r.postjobfree.com Sugar Land, Texas-77498 SKILLS

Computer skills: Lucid Chart, MS-Visio, MS-Word, MS-Excel, MS-Power Point, MS-Project, MS-Outlook, MS- Office, MS-Publisher, Lotus Notes, Foxit, Cartodb (Mapping Software), Google Maps, Teamwork, SQL, Sales force, Windows Platforms, E-Clinicalworks10, Epic, Share Point, Survey Monkey, SAP -reimbursement module, PeopleSoft. Professional skills: Managed Care, network analysis, Medicare/ Medicaid, medical terminology, medical records, FQHC, health seminars, Star Plus, CMS, credentialing, contracting, network adequacy, SWOT, healthcare financial analysis, ICD-9, ACO, Scrum, Agile, waterfall model, iterative model, SDLC, Star Plus, MMP, MA, Scrum, Agile dfsfsfsfsfdsfd dvs Personal Skills: Strong written and oral communication skills, strong analytical and interpersonal skills, telephone etiquette, customer service, ensuring compliance with regulations, developing strong physician relationship, leadership, ensuring quality control, organizational, planning. Management skills: Record management, project management, executive support, scheduling, compose letters, meeting minutes, spreadsheets/reports/presentations, office management, database administration, travel coordination, calendaring, budgeting/cost control, coordinating programs/events, policies and procedures. Languages known: English, Hindi, Gujarati, Marathi PROFESSIONAL DEVELOPMENT

Professional Affiliation

Medical Group Management Association September 2014- Present Healthcare Financial Management Association September 2014- Present Indian Dental Association September 2008- October 2012 EDUCATION

Master of Health Care Administration (MHA)

University of Houston-Clear Lake, Houston, TX

Bachelor of Dental Science (BDS)

Graduate Date: May 2016

GPA-3.81/4.00

Graduate Date: April 2012

Pravara Rural Dental College, Loni, Maharashtra, India PROFESSIONAL EXPERIENCE

Altus ACE- Accountable Care Entity, Houston, TX September 2015- May 2016 Intern- Network Development Department

Work on Salesforce, Share Point, Cartodb- mapping software, Lucid Chart, MS-Visio, MS- Excel; MS- Word, MS- Project; and MS- Access for project tracking, gap analysis; and reporting purpose.

Run reports on Salesforce and MS-Access to prepare spreadsheets, power points and mapping documents for MCOs’ and senior executive meetings on weekly basis.

through Identify, v-track lookup, and pivot report tables, on network SQL and gaps related in primary formulas. care, specialty physicians, facility and ancillary network

Lead and facilitate meetings as well as develops meeting objectives, agendas and action items.

Conduct calls to providers, resolve issues, collect credentialing information, verify contract terms; and record, track and monitor contract deliverables in Salesforce and conduct contract compliance administrative audits.

Assist provider network for Credentialing application and Medicaid application process.

Assist projects on designing policies and procedures; Virtual Health and E-Clinicalworks10; Care Coordination and Case Management model; Shared Savings; Utilization Management; and quality standards.

Plan, coordinate and attend internal and external provider Altus ACE network communication events as well as assist in distributing Altus ACE e-communication newsletter to investors.

For administrative tasks, work closely with finance, operations, legal; and sales and identify areas for improvements based on operations of service to improve capacity, efficiency and overall effectiveness as well as implement and monitor identified changes to assure success. June 2015-August 2015

Baylor College of Medicine, Houston, TX

Project Intern- Office of President

Worked on SACS-COC Accreditation project & Performance review form by Department Chairs.

Assisted Chief Business Officer in his IT related vendor contract decision; his activities and responsibilities, tracking projects, developing agenda, scheduling meetings; and developed job description.

Created surveys through Survey Monkey software as well as updated employee benefits website.

Received training for SAP reimbursement module and EPIC. University of Houston-Clear Lake

Instruction Assistant January 2015-August 2015

Worked on “Population Health and Population Health Management”, “Patient Safety and its management”,

“Demand Analysis”; and “Hospitalists” research projects.

Assisted in planning and implementing a program of study designed to meet individual needs of students and that adheres to the school’s philosophy, goals and objectives as outlined in the adopted charter as well as in creating the Resume Book, 2015 for UHCL graduating fellows. Tutor for Healthcare Administration Courses September 2014- August 2015

Supported around 70 students through an ongoing, one-to-one tutoring and participated in activities together for their academic success in developing efficient skills and competencies regarding management courses. St. John Methodist Hospital June 2014-May 2015

Volunteer at Human Resource Department

Maintained historical human resource records of around 600 employees and patients by designing a filing and retrieval system; keeping past and current records as well as ensured legal compliance by monitoring and implementing applicable HR federal and state requirements in maintaining records.

Created training manual for all departments under supervision.

Assisted in new-hire, recruiting and employee orientation processes. Siddhartha Jariwala Dental Clinic October2012- July 2013 Dentist

Supported administration in admitting patients, getting consent for medical treatment from patients and giving hand-badge as well as utilized co-marketing techniques to gain and maintain referral sources

Worked on Eclinicalworks10 system for documentation, insurance verification, billing, collection; as well as process and establish treatment plans and schedules.

Communicated with laboratories and hospitals based on case management and disease management if required.

Managed day to day finances and maintained the cash register along with managing inventories for the office. Pravara Rural dental college April 2012 - October 2012 Dental Intern

Coordinated awareness and motivation camps at schools and rural settings on effect of poor oral hygiene and tobacco consumption.

Examined, diagnosed & planned as well as performed dental treatment on around 2500 patients.



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