Business Analyst Resume

SUMMARY:

Senior Business Analyst with 28 years in the computer industry. Strong business background developed through multiple positions held including Senior Business Analyst, Systems Analyst, Test Lead, Developer and Subject Matter Expert. Business environments include health insurance, hospital payroll and banking systems.
Extensive experience in business analysis, systems analysis and design, mainframe programming, production maintenance, systems and user acceptance testing, quality and control, implementation, trouble - shooting, documentation, balancing procedures and time and work estimates.
Proficient in the Software/Project Development Life Cycle.
Initiate Confidential project by meeting with the business owners to develop the business requirements and create the Business Case. Present the Business Case for input from the Subject Matter Experts.
Collate the application areas’ estimates into the Cost Benefit Analysis (CBA). Present the CBA at the Finance review meeting.
Conduct Project Initiation Workshops (PIW) with the business owners to gather systems requirements.
Produce the Project Initiation Document (PID) based on the PIW findings.
Create the Business Requirements Document (BRD), the Business Requirement Specification (BRS) and/or the Systems Requirement Specification (SRS) based on the size and scope of the project.
Collaborate with the developers to create the development and testing time estimates and the estimated project schedule.
Maintain Confidential Traceability Matrix throughout the project life cycle.
Experienced querying data using SQL.
Review User Acceptance Test results with the business owner(s) to obtain project approvals.
Host meetings with business owners and the project team.
Provide weekly written status reports to the business owners.
Excellent verbal and written communication skills while working in an Onsite/Offshore model.

TECHNICAL EXPERTISE:

SharePoint, Microsoft products, HP Quality Center, Blueprint, SQL, COBOL, COBOL for MVS, IMS DB/DC, DB2, Data Stage, BOXI, UCANDU, SYNCSORT, EZTRIEVE, FILEAID, TSO/ISPF, LIBRARIAN, OS/JCL, VSAM, QMF

PROFESSIONAL EXPERIENCE:

Confidential

Business Analyst

Responsibilities:

Daily terminations, applications, eligibility and notice validation and quality control.
Post Eligibility Validation (PEV) data review in the test and production environments.
Medicaid Verification Batch (MVB) data validation.
Age Out pre-termination notices and eligibility.
Return mail and Out-of-State address validation.
Validation of discrepancies between the Bridges and MMIS systems.

Confidential, Providence, RI

Senior Business Analyst

Responsibilities:

Compliance with this mandate resulted in retaining the use of the Confidential and Blue Shield trademarks.
Payment Innovations: Value-Based Delivery Platform was Confidential Confidential Association mandate which required systems modifications to enhance and improve the Value-Based Program Delivery Platform. Implementing these changes would prevent the assessment of penalties of $20,000 per month for non-compliance.

Confidential

Business Analyst, Providence, RI

Responsibilities:

Dependent 1 Day Coverage project identified all dependents with 1 day of active coverage. Finding these dependents prior to the billing cycle allowed the dependent data to be updated and prevented incorrect billing.
User Entitlement Review was an in-house system created to identify all users who have access to the folders on the network drives by manager and the type of access the users have. Managers must approve, change or delete each user’s access to meet Auditing mandates.
Assignments included projects of varying size and scope from 100 hours to 2000 hours.

Confidential

Quality Certified Senior Specialist, Providence, RI

Responsibilities:

Blue TransIT Conversion Project was Confidential 2 year multiple release project to convert all data from the mainframe LRSP system to FACETS. Tasks included:
Creation of monthly production conversion files for group, membership and billing details
Execution of monthly balancing routines for each conversion and documenting the results
Clean-up of the Financial and Actuarial Unpaid file and the dependent eligibility files
Set up, executed and supported the Test Major, Test Minor and Test2 nightly testing cycles used to perform end-to-end testing for all projects prior to implementation.
Financial and Actuarial ( Confidential & Confidential ) Orbit clean up included testing the Confidential & Confidential transactions, creating Confidential training manual for the Finance Department providing field definitions, instructions for entering the Confidential & Confidential transactions and steps for researching orbits, led training sessions for 2 Finance employees and researched and documented solutions for posting over 1,000 financial orbits.
Designed, tested and implemented the Late Enrollment Penalty (LEP) Alternative billing project in less than 500 hours which was an estimated 200 hours under budget.

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