BUSINESS ANALYST Resume

SUMMARY:

Articulate, self driven, and determined for success. Envisions solutions and goals rather than obstaclesthrives on change and challenges. Possesses a multi level skill set and well versed in team and personnel development. Reduces cost, launches initiatives, manages cross - functional teams, and improves quality.

PROFESSIONAL EXPERIENCE:

Confidential

BUSINESS ANALYST

Responsibilities:

Manages relationships with numerous business and technical clients during strategy and planning phases for Confidential .
Analyzes Medicaid business processes to develop customized solutions, and reduce costs, improve performance within a given budget.
Lead planning meetings, analysis development, test verification, and other project meetings throughout system life cycle.
Utilize project management methodologies to ensure that projects are delivered with a high quality of standards.
Conducts interviews and develops business cases to implement process changes, develop training materials, and instructs clients on new processes and procedures.
Performance measurement, data analysis, transaction flow analysis, and productivity monitoring.
Consistently delivers projects on time and within budget.
Develop resolution processes and provide feedback on edits and audits to control Medicaid expenditures.

PROVIDER SERVICES SUPERVISOR

Confidential

Responsibilities:

Administered performance management by diagnosing improvement opportunities, providing effective feedback, coaching, training, professional development, and corrective action plans.
Responsibilities included payroll, accounts payable, accounts receivable, preparation of monthly financial statements, and adhering to operating budget.
Actively participated in the acquisition of new team members through the hiring process, adherence to policies and procedures, and creation of motivational strategies to drive quality performance.
Reviewed call center statistics to measure staff performance and the need for improvement.
Coordinated the interviewing, hiring and training of over 40 customer service representatives.
Monitored interaction between staff and callers to ensure quality assurance standards. Performed quality checks, develop and review performance reports, identify areas to improve, and implemented measures to improve performance levels and meet objectives.
Played key role in call center turn around project such as implementing new phone system ( Confidential ) resulting in reducing caller wait time, improving call response times and increasing first call resolution.
Recruited, developed, and mentored the Call Center team in career development; promoted and encouraged education and learning; and identified future leaders in the highly competitive business environment.

ADVANCE RESEARCH ANALYST TEAM LEAD

Confidential

Responsibilities:

Determined investigate techniques, verification methods and design modifications to further refine the problem and formulate resolutions to foresee potential difficulties.
Completed cross verification of information for compliance within documentations, manuals, training materials, and systems.
Demonstrated ability to perform research independently, using appropriate methods of approach and source materials, and following office procedures and norms.
Performed quality assurance activities including review of test cases. Major accomplishments:
Developing processes and procedures four functional areas (Call Center, Knowledge Management Team, Mail Operations, and Provider Enrollment) identifying gaps between the existing applications and the new business requirements, and managing the business process issues.

TRAVEL REPRESENTATIVE

Confidential

Responsibilities:

Liaison between provider community and the Division of Medical Assistance on Medicaid billing.
Performed original market analysis, presentation of business plan, and presentation of formal recommendation for the Division of Medical Assistance.
Developed, managed, and instructed for Medicaid provider’s seminars.
Delivered formal presentation to Medicaid provider community and state agency.
Traveled to provider locations and assisted with billing questions and denial resolution.
Provided subject matter expertise for the North Carolina HIPAA implementation.

HELP DESK SUPPORT ANALYST

Confidential

Responsibilities:

Troubleshot, researched, diagnosed, documented, and resolved technical issues surrounding hardware/peripherals.
Successfully resolved hundreds of issues monthly without requiring escalation to a higher tier.

TRAINER-QUALITY ASSURANCE ANALYST

Confidential

Responsibilities:

Administered, maintained, and audited the quality of the registration and insurance processes.
Report quality information to senior management through monthly statistical analysis of nonconformance, internal quality audits, customer feedback, and employee feedback.
Prepared and delivered written and oral presentations.

We provide IT Staff Augmentation Services!

We'd love your feedback!

Resume Categories

Client Services

Job Seekers

Visa Sponsorship