PROFESSIONAL EXPERIENCE

Confidential

HCM Functional Analyst for Payroll, HR

Responsibilities:

• Implementations for HR/Payroll/Finance
• Implementation of PUM upgrades
• Quality Testing and Audit Process Implementation and Documentation
• Tax Updates, Bug Fixes and Patch Implementations for Payroll
• Requirements gathering, writing, and testing prior to move to production
• Coordinating with stakeholders throughout teh organization and outside teh organization regarding changes, enhancements, communication.
• Resolve Oracle issues in Payroll and HR
• Create SQL Queries in Oracle and Peoplesoft HCM Query Manager
• Change or Fix Queries already created in Oracle/Peoplesoft HCM
• Oracle SQL Developer for creating solutions, identifying issues, and process improvements
• Data Dictionary Architectural Document Creation and Maintenance
• Payroll Process Documentation and Creation of All SOP/DTP’s for regulatory audits
• Benefit Payments for Vendors Management
• Payroll End to End Process Management and System Accountability
• Coordinating with HR on Tax Changes, Benefit Updates, System Requirements from Oracle, State and Federal Regulations.
• Application Engine Report configurations for external electronic files and internal report files.
• Weekly meetings with Oracle Support to review open SR’s
• Work with IT in Jira System for any defects or bugs that we need to resolve.
• Support Payroll Tech’s in ensuring all data in Oracle is correct regarding investments distribution funds, retirement, garnishments, and other deductions. Includes identifying any issues and correcting those in Oracle once teh source is identified.
• Training Support to teh Organization Employees on Virtual Meetings and Leadership
• Integration of Payroll Data to teh General Ledger
• Year End Processing for Payroll and Finance
• Automation of Reports and Continuous Development of Process Improvements
• SharePoint Steward
• Fusion Implementation and Upgrade
• Co - Chair for Data Integrity and Data Architectural Documentation Workgroup
• Member on Workgroup for testing our new technology and reviewing new technology outside of Oracle that may enhance teh business.

Confidential

Sr. Business Analyst and Systems Implementations

Responsibilities:

• Business Requirements System Requirements
• Integration of Relay Transportation System with Legacy Systems
• Analysis of Encounter Data for Services for identifying trends, reporting and improvements
• API Integration Mapping and Implementation for Medicaid of NY and Florida
• Set up Mapping and file formats for EDI 270/271, as well as teh claim transaction 837 export
• Ensured all data elements required on teh mapping and looping were incorporated into teh EDI 837 files for Medicaid.
• Created a secure site for all errors from teh exported 837 that need correction.
• Testing Case Creations and Managing User Acceptance Groups
• Researching, Documenting and Ensuring Implementation of all Regulatory Requirements
• Analysis of Data for Enhancements and Data Driven Improvements
• Software Integration and Upgrades between Multiple Systems
• Managing Implementations for Customers - On-Site
• Implemented CRM System for Tier 1 and 2 External Customer Resolution - Salesforce
• Oracle, ODS, EBS, and other integrations for data marts.
• Data Architectural Design Wireframes Documentation for all new systems and upgrades
• Communication Documents for teh internal business and external business for changes to teh UI Interface
• Mentored new analysts and developed training program onboarding
• EDI transactions and configurations for Medicare and State Regulatory requirements
• Data Integrity Analysis
• Bi-Publisher Dashboard with Oracle Integration

Confidential

IT Analyst for Clinical Care III and Database Admin

Responsibilities:

• JIVA Appeals Database Permissions
• Eligibility and Claims/Appeals Encounter Data Analysis for Senior Executive Reporting
• Review EDI HL7, and other electronic errors for improvement and reduction
• SharePoint, Oracle, Toad Data Point, EDI Integration, Siebel Analytics
• Analysis and Reconciliations of all systems to identify gaps in encounter data
• Identify Gaps and Resolved Issues
• Created and Changed SQL Scripts in Oracle
• Toad Data Point for automation of scripts and reports
• System Upgrades, Changes, and Issue Management
• Senior Leader Reporting
• Coordinated and Collaborated with all departments across teh organization with end to end testing, upgrades, and other issues.
• Managed and Monitored Work and Customer Centric KPI’s
• Developed and Managed Performance of Staff
• Analysis and Development of Reports from healthcare data including a diverse type of encounter data across teh variety of systems.
• Lead Projects for process improvements and cost reductions
• Helped Develop new application to automate teh FEP OPL work for an increase in production of 55% and a decrease in manual work by 40%
• Identified Enrollment Eligibility Gaps between Washington System, Florida Blue and CMS which led to improved data integrity.
• Participated in Lean Six Sigma Process Mapping and Implementation coz of dis mapping for improvement.
• Mentored new leaders
• Worked closely with other leaders in teh area and other departments to ensure we were all able to meet teh Service Level Agreements for teh Federal Government and Medicare
• Oracle and Siebel Analytics used to identify data that will help drive process improvements to reduce cost and improve customer service.