Healthcare Business Analyst Resume Sample

A healthcare business analyst is a person who works to keep medical centers running as efficiently as possible. They analyze a range of different factors like employee work hours and supply costs to try and find the most profitable way to run the facility, and to cut expenses where they can.

How to Become a Successful Healthcare Business Analyst?

You will need a high school diploma or a GED, and then a bachelor’s degree is required by most facilities. A degree from a program in business or healthcare will be most beneficial in preparing you for the needs of this field.

Some medical centers offer internships that allow a person to learn about how they are run and see the type of environment they will be working in. These also allow them to get their foot in the door and potentially get a full job there in the future.

Masters programs in business and healthcare, especially regarding management, are available and highly desired by most facilities in seeking out employees. These types of certification are especially helpful at securing higher level management positions in the field.

Upon being hired, it is most important to develop careful attention to detail and good financial skills to help ensure that budgets are kept in good order for the medical center. A successful healthcare business analyst will help their employer cut unnecessary costs without losing any quality of service.

Seeking out further training will also be a benefit due to the changing laws and regulations requiring you to be up to date on what is required from your facility, and will also give you more skills to use in your day to day tasks.

The Best Healthcare Business Analyst Resume Samples

These are some examples of job descriptions we have handpicked from real Healthcare Business Analyst resumes for your reference.

Healthcare Business Analyst

  • Understand and articulate business requirements from user interviews and then convert requirements into technical specifications.
  • Prioritize business requirements and segregate them into high, Medium, Low level.
  • Coordinated between business head, supervisor and the technical team throughout the project.
  • Create, analyze and amend reports in a timely and accurate fashion.

Healthcare Business Analyst

  • Serves as a contract healthcare analyst assigned to the Management Analysis Branch, Resource Management Division.
  • Responsible for planning, coordinating and directing a variety of studies related to healthcare Services delivery.
  • Solves complex clinical problems through cost analysis and business process reengineering.
  • Performs management studies on health care delivery systems and/or programs being Considered for implementation.

Healthcare Business Analyst

  • Responsibilities include analysis of clinical information and data into consumable business specifications, managing multiple projects and preparation of written analysis to clients.
  • Key in recommendations for process improvements and workflow modifications.
  • Use clinical knowledge and hospital experience to assist in supporting clinical applications.
  • Duties include developing specifications for technical team, data validation, testing and end user training.

Healthcare Business Analyst

  • Data analysis for various version changes of EDI messages on different sub-systems.
  • Identifying claims processing problems, their source and providing corresponding solutions.
  • Building and implement a data warehouse around the financial and clinical systems.

Healthcare Business Analyst

  • Work closely with customers and EHR/EMR vendors to understand customer requirements.
  • Configure, test, and deploy our software products in the field or remotely.
  • Implement HL7 interfaces utilizing Jython to format HL7 messages (ORU, MDM, ADT, ORM) based on customer and EHR/EMR Vendor requirements.
  • Deployed interfaces across 21 hospital systems: 16 Cerner Corp., 4 Healthcare Management Systems (HMS), and Legacy Health.
  • Implemented and deployed 90+ Results interfaces, including many Orders interfaces.

Healthcare Business Analyst

  • Manage federally required random drug program, of 100+ companies, to guarantee they are compliant with the federal regulations.
  • Ensure time sensitive documents are completed on time at the clinics.
  • Assist with business development, including opening of new clinics.
  • Analyze reimbursement rates and implement strategies that will help increase revenue.

Healthcare Business Analyst

  • Gathered Business Requirements through brainstorming sessions on global calls.
  • Facilitated JAD sessions for Requirement Validation with HPA to gather requirements for the new MMIS.
  • Involved in the full HIPAA compliance lifecycle from GAP analysis, mapping, implementation, and testing for processing of Medicaid Claims.
  • Analyze, and document business and functional requirements via uses cases for Medicare billing transaction-based middleware/database layers with SOA & XML.
  • Validating the EDI 837 claim billing (professional, institutional and dental claims) & 835 (remittance advice or payment) claims adjudications.

Healthcare Business Analyst

  • Proficient in facilitating and conducting Joint Application Design (JAD) sessions, focus group and brainstorming sessions, reviews and walkthroughs and customer interviews for various Business processes.
  • Strong Business analysis skills through an in depth understanding of Software Development Life Cycle (SDLC) and understanding different methodologies at all stages of Rational Unified Process(RUP), Agile, Waterfall and Business Process Re-engineering.
  • Strong knowledge of modeling the system using Use Case Diagram, UML Diagrams (Activity diagram, Sequence diagram, State diagram and Class diagram) and also knowledge of Impact Analysis, Scope Definition and Change Management through MS Visio.
  • Assisted in conducting manual and automated tests for Functional Testing, Integration Testing, Regression Testing and User Acceptance Testing.

Healthcare Business Analyst

  • Supported Product Owner/Manager with Agile/Scrum sprint activities and ceremonies by developing project plans and development timelines.
  • Lead cross-functional teams (Project Management, System Architect, Software Engineers, Quality Assurance, Research and Account Management) to improve customer experience and drive successful execution via requirement gathering and technical design meetings while owning user story creation process.
  • Applied medical billing/coding and claim processing/adjudicating knowledge during the business requirements gathering process.
  • Responsible for researching and interpreting Center of Medicaid and Medicare (CMS) policies and translating into functional and non-functional business requirements, including but not limited to Inpatient, ESRD, Critical Access/CAH, Hospital Outpatient/APC and Physicians/RBRVS.

Healthcare Business Analyst

  • Analyze current health-related business processes and the automated systems that support them to identify opportunities for improvement.
  • Provide technical, business, management expertise, and support the Department of Health and Human Services and Centers for Medicare and Medicaid Services (CMS) in building and maintaining a comprehensive enterprise architecture program.
  • Capture, analyze, and validate complex Business Process Models (BPMs) for current state, interim, and future state models by applying BPMN 2.0 methodology.

Healthcare Business Analyst

  • Facilitate and lead project meetings with various CMS stakeholders to elicit project information and resolve project issues.
  • Analyze government furnished information to develop business artifacts, models, and interaction diagrams.
  • Create business process detailed description documents for projects under the Affordable Care Act which involve data exchanges, financial transactions, and records management.
  • Prepare and track projects through weekly reports and deliverables.

Healthcare Business Analyst

  • Acted as project team member on [company name] Blue Shield of Michigan’s initiative to combine a local and national claims processing system into one single platform.
  • Conducted user acceptance testing and data validation of web applications used to present benefit information.
  • Loaded and maintained Health Care Certificates and Riders in Document Database.
  • Wrote and entered SQL language in Benefits at a glance (BAAGS) chart templates.

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