Senior Business Systems Analyst Resume Linthicum, MD - Hire IT People

SUMMARY:

Customer - focused, accomplished and adaptable Confidential Professional with 15+ years’ work experience in application software development
Proven expertise managing projects, planning, and organization of business processes; collaborate with cross-functional teams, delivering IT projects on time and within budget
Expert in requirements elicitation & facilitation, analysis and definition; use of iterative, agile scrum and waterfall Systems Development Life Cycle (SDLC) methodologies
Highly-skilled in re-engineering business processes, workflows and implementing technology solutions for healthcare systems, applications and programs
Proven ability to design, develop and deliver technical solutions improving company revenues, margins and workplace productivity

PROFESSIONAL EXPERIENCE:

Confidential, Linthicum, MD

Senior Business Systems Analyst

Responsibilities:

Report to Director of IT Application Services.
Provide project management and technical support of Health Solutions Plus ( Confidential ) system conversion/implementation initiatives;
Lead company Administrative Services Organization ( Confidential ) billing & health plan services reporting projects

Confidential, Tampa, FL

Senior Business Systems Analyst

Responsibilities:

Advocated Managed Care Organization (MCO) government-sponsored Medicaid & Confidential healthcare program initiatives for Iowa Department of Human Services;
Orchestrated project management tasks; interacted with different disciplines (pharmacy, enrollment, care coordination, EDI); perform functional requirements elicitation, and documentation using agile scrum methodology

Confidential, Washington, DC

Policy Analyst

Responsibilities:

Draft policy guidance for Accountable Care Organizations ( Confidential );
Perform analysis of proposed rule changes to the Confidential Shared Savings Program

Confidential, Hunt Valley, MD

Senior IT Business Systems Analyst

Responsibilities:

Provide analytical, technical, and project management support to the Social Security Administration ( Confidential ), Office of Earnings, Enumeration and Administrative Systems ( Confidential ).
Directed, performed business analysis, requirements elicitation systems analysis/design, testing and technical documentation in collaboration with Confidential ’s corporate and regional operations; primarily assigned to a multi-year, budget 1M+ strategic federal government project initiative to re-design, develop and implement a new intranet-based Earnings Case Management Reconciliation System.
The system will be used to reconcile employers’ reporting of employee wages (IRS W2/W3 forms) between Confidential and Internal Revenue Service (IRS). The outcomes determined by this system can affect an individuals’ monthly social security retirement benefits amount.

Technologies: HP Application Lifecycle Management (ALM), Microsoft SharePoint

Confidential, Baltimore, MD

Business Analyst

Responsibilities:

Conducted research, analysis of Patient Protection & Affordable Care Act, Final Rule Provisions for Accountable Care Organizations ( Confidential ) under Confidential Shared Savings Program

Confidential, Baltimore, MD

Healthcare/Data Analyst

Responsibilities:

Assigned to Government Healthcare Solutions Group.
Provided technical health care data analytics, reporting and management services; author/execute SQL queries for ad hoc reporting/operations purposes, perform process automation tasks for Confidential Prescription Drug Data Processing System

Confidential, Reston, VA

Business Analyst

Responsibilities:

Executed systems analysis, elicit and document technical specifications and test cases;
Tested EDI programs for health care data (Enrollment, Benefits, Claims) between Providers, Adjudicators/Processors (Employers, Insurance Companies, Insurance Brokers/Third-Party Administrators).

Technologies: IBM AS/400

Confidential, Owings Mills, MD

Senior IT Business Systems Analyst

Responsibilities:

Partnership with vendor services in support of software development projects and reporting initiatives; transformed CareFirst prescription drug claim file(s) payment processing to systematically edit, validate and reconcile health plan membership and enrollment data against Healthcare Management Systems (HMS)/Argus Medicaid prescription drug claim files.
Realized company savings of 4M+ in 1st month of implementation

Confidential, Washington, DC

Business Analyst

Responsibilities:

Contract assignment to District of Columbia government. Participate in a comprehensive evaluation & assessment of the Child and Family Services Agency ( Confidential ) IT organization.
Authored and presented findings

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Senior Business Systems Analyst Resume

Linthicum, MD

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