Manager Analyst

Education

Bachelor of Science - Business Administration – Chadwick University, Birmingham Alabama – May, 2000

Skills - Professional and Software

• Practical, proactive and willingness to jump in on diverse efforts, and embrace change, collaboration, and innovation.

• Problem solving skills, resourceful, determined and self-motivated.

• Comfort with new technologies to enhance efficiencies and effectiveness.

• Create professional instructional documents.

• Build effective working relationships to efficiently gather content information.

• Microsoft Office products (such as Outlook, Word, PowerPoint, Excel, Access); Avega, Product Management, Bipass, Business Objects, Cognos BI, Impromptu, PowerPlay. Crystal, DocView, EDPulsecheck, EPSi and Enterprise Analyst, FRS, HOST, IBEX, IDX- GE Centricity, PCX, PeopleSoft, Softmed, SQL, Visual FoxPro, RPG and MRP, Material Requirements Planning.

Professional Experience

Greenville Hospital System - Greenville, SC - May, 2008 to Present

Business Intelligence - Sr. Business Intelligence Analyst

• Prepared reports for service line leaders, clinical department heads, and facility leaders. Assisted with report interpretation.

• Developed Downstream Revenue reports

• Developed standard reports to provide visibility to key business metrics

• Focused on user needs when defining business requirements and retrieved accurate information from data to address business questions

• Resourcefulness and perseverance to find data from any available source

Greenville Hospital System - Greenville, SC - May, 2005 – May, 2008

Decision Support - Decision Support Analyst

• Assisted in implementation, auditing, maintaining and supporting the Decision Support System (DSS).

• Ensured the integrity of clinical and financial data in the DSS

• Prepared various financial reports; cost data preparation and analysis

• Assisted departments in the use of Decision Support reporting tool, EPSI

• Monitored contractual percentages in conjunction with several monthly reconciliation process

HCA, Hospital Corporation of America - Macon, GA - March, 2004 – April, 2005

Decision Support - Decision Support Analyst, II - 5 hospitals in the Southeast Division.

• Coordinate resources to provide Decision Support services to approximately

• Assisted department managers in RVU development and annually reviewed RVUs for five hospitals

• Developed and created a fee schedule database that enabled the Manager of Physician Practices to quickly access and create reports via CPT or HCPCS codes per contract

• Developed and created a project-tracking database that enabled the manager to accurately record and track the progress of on-going reports, projects, etc.

• Prepared Business Plans.

• Assisted manager with the development of strategic plans.

University of Missouri HealthCare - Columbia, MO - July, 2001 – March, 2004

Performance Assessment - Sr. Management Analyst

• Worked with all areas of Enterprise Metrics to increase efficient use of resources, reduce Days in A/R, reduce controllable adjustments and increase collections.

• Identified performance problems that impact patient care both directly and indirectly, including scheduling, coding, charge entry, claims processing, denials and patient satisfaction.

• Provided resolutions, including reversal and elimination of denial whenever possible.

• Managed an effective database for successful collection of claim rejects. Created queries, designed reports, etc., that allowed better communication for both physician clinics and hospital departments.

University of Missouri HealthCare - Columbia, MO Care - January, 1998 – July, 2001

Managed Care - Sr. Management Analyst

• Supervised Enrollment and Capitation managing the routine operational functions.

• Prepared Monthly Managed Care utilization and trend analysis reports focusing on membership trends, financial ratios and comparisons to national and regional benchmarks.

• Coordinated and implemented the automation of Managed Care database reporting system.

• Collaborated with Managed Care Manager, Hospital Finance, Medical School and IT in the process.

• Provided guidance, advice, and support for enrolling patients into IDX, GE Centricity. Health insurance verification, split contracts. Interact with providers and insurers.

• Maintained complete and accurate files; acted as department liaison for audits.

• Collaborate as appropriate with other departments to ensure efficient processes and facilitate problem solving.

Managed Care – February, 1996 – Promoted to Senior Management Analyst

• Supervised Managed Care capitation and managed routine operational functions.

• Assisted manager with the design and implementation of the Managed Care database systems

• Ensured the accuracy of the data reported to Hospital Accounting and Finance

• Acted as department liaison for audits

Managed Care – February, 1995 – Fiscal Analyst - Promoted to Management Analyst

• Directly participated in the development and implementation of the automation of Managed Care electronic medical records and updates.

• Prepared and presented data regarding Department, Division, and Provider Performance.

• Participated in the initial system setup of IDX systems: Managed Care Applications, Billing Accounts Receivable and Registration

• Worked in partnership with insurance providers for electronic medical record transfers

• Analyzed and distributed capitation membership and income information

• Analyzed financial data for current and projected financial status

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