SUMMARY:

Accomplished senior - level Business Systems Analyst offering more than 17 years of Quality Assurance and Testing experience, especially Medicaid Management Information Systems (MMIS). Hands-on leader who delivers innovative results that optimize operations while reducing costs. Broad experience in system development life cycle (SDLC), initial and technical requirements analysis, modeling verification, and methodology development and design. Excellent writer and Subject Matter Expert (SME) who presents complex topics in formats readily understood by stakeholders of varying technical expertise. Impressive track record of success as IT consultant for prominent companies.

AREAS OF SKILL AND EXPERTISE:

• Healthcare - Audit Recovery
• Documentation
• User Training
• Quality Assurance (QA) Testing
• Process Improvement
• Requirements Gathering
• Business Analysis
• New Business Implementation
• Joint Application Development (JAD)
• Data Mapping
• Account Management
• Change Leadership

TECHNICAL SKILLS:

Methodologies: Agile, Scrum, Waterfall, Incremental

Enterprise Resource Planning (ERP) Software: Oracle 8, Sterling Confidential Solution, Yantra (OMS)

Database Management Systems: DB2, DbVisualizer, SQL

Other: SharePoint, FrontPage, HP Quality Center, SOAP UI 3.6, BI Cognos, Golden6, RDMS, IMS, MVS, TOS, .Net, Source Point, Plainview, TMM, SPUFI, Clarify, CasPro CRM e/Front Office, IBM Curam

PROFESSIONAL EXPERIENCE:

Sr. Business Analyst

Confidential

Responsibilities:

• Review and analyze existing legacy system for gaps in new system.
• Work with the project sponsor to document the product’s vision and scope.
• Develop and document new features, functional requirements, and strategies using use cases and Visio mockups.
• Work with business owners to prioritize development, based on business value.
• Develop and manage product roadmap.
• Participate in daily meetings with developers and quality assurance testing team.
• Facilitate and manage weekly development planning meetings as needed.
• Perform gap analysis and requirement gathering
• Create weekly status reports for management.
• Continuously seek opportunities to increase user satisfaction and deepen stakeholder / partner relationships.

Business Analyst

Confidential

Responsibilities:

• Created Excel Pivot Tables and used Power Pivot for high-level reporting.
• Combined history data from several payroll systems to generate end of year reports.
• Collaborated with functional and technical teams in design, development, and testing.
• Facilitated working partnerships by acting as liaison between corporate IS staff and customer groups.

MMIS/SME Writer

Confidential

Responsibilities:

• Successfully implemented MMIS system configurations, meeting all client and internal requirements, ensuring project-specific enhancements aligned with platform design and contractual requirements.
• Consistently completed project deliverables including requirements documentation, change control artifacts, traceability matrices, etc.

Senior Business Analyst/Owner/Operator

Confidential

Responsibilities:

• Built consultancy, achieving $120K annual revenues, while also serving as MMIS/SME Writer at Confidential (above).
• Key projects include successful Revenue Cycle Management -- Audit Recovery project.

Senior Data Analyst

Confidential

Responsibilities:

• Empowered stakeholders, teaching them how to visualize data and optimize workflow.

IT Business Analyst (Consultant)

Confidential

Responsibilities:

• Facilitated working partnerships by acting as liaison between corporate IS staff and customer groups.
• Instrumental in improving the tracking financial benefits of various IT projects, working with accounting team.

Tools: Oracle 8 / DB2 / SDLC / SharePoint / Sterling Confidential Solution/ Yantra (OMS) / DbVisualizer SQL tool / FrontPage / SDLC (Agile (Scrum), Waterfall and Incremental Methodologies) / Process Re-engineering / HP Quality Center / SOAP UI 3.6 / Business Objects - Reporting.

Sr. Business Systems Analyst / Sr. QA Consultant

Confidential

Responsibilities:

• Developed detailed application requirements, created processing logic and translating high-level business requirements into detailed functional design documents and Detail System Design (DSD). Tested software application (Enterprise Fraud and Abuse Detection System ( Confidential )) and wrote Surveillance and Utilization Review (SUR) reports.
• Created and maintained user documentation for data marts (data warehousing).
• Ensured system upgrades performed as designed by performing Unit Testing, Integration Testing, System Integration Testing (SIT), User Acceptance Testing (UAT) and Regression testing.
• Tools: BI Cognos 8.4 / Oracle 8 / Golden6 / SharePoint / RDMS.

Business Systems Analyst

Confidential

Responsibilities:

• Familiar with payment processing, plastic card design and credit card processing.
• Tools: IMS / MVS / TSO / Mainframe / DB2 / SDLC/ .Net/ SharePoint / Source Point / Plainview / TMM.

Bus. Sys. Analyst/QA Analyst (Consultant)

Confidential

Responsibilities:

• Tested all healthcare pharmacy, physician, and hospital claims data on backend through query scripts before migration to production environment. Verified accuracy of Electronic Data Interface (EDI) healthcare claim transactions.
• Created test plans/cases and test scenarios in a manual testing environment
• Demonstrated knowledge of database design and structure; experienced with SQL queries.
• Tools: Mainframe / DB2 / SPUFI / SharePoint / Source Point / PlanView.