Business Rules Analyst Resume
Charleston, SC
CAREER SUMMARY:
Product Owner with 20 years of experience delivering IT solutions addressing data quality, data exchange and standards, CRM migrations, post - acquisition integrations, business process optimization and automation, and federal regulation compliance. I have worked in various environments, from start-up to multinational corporations, and consistently established a reputation with clients and peers for quality solutions and service.
TECHNOLOGY SKILLS:
BPMN notation and Business Process Modeling: Tibco, BizAgi, Visio
Data Management: EDI, Data Quality, Governance, ETL, data base management/tuning, Standards Oracle 11g/XE, MS SQL Server Management Studio, and Postgres SQL, SQL Developer Agile/Scrum, TDD/ATDD, JIRA, Confluence, Rally, SmartSheet, Sourcetree, JIRA, Confluence, BitBucket
Business/Financial Analysis: Voice of Customer (VOC), Ethnographic methods, Scope, business case, ROI, and project financial analysis
Languages: JavaScript, XML, SQL
Data Exchange Standards: LIMRA, ACORD Personal and Commercial Lines, HIPAA and 4010
MS Windows Office 2010, Visio, Access:
Corticon business rule engine:
Process improvement methodologies: DAMAIC, Six Sigma, Kanban
PROFESSIONAL EXPERIENCE:
Confidential, Charleston, SC
Business Rules AnalystResponsibilities:
- Define and prioritize product feature backlog for the Confidential Data Integration (EDI) capabilities that include API and batch file formats (HIPAA, HCM systems, ACA reporting, ACORD)
- Design and implement data integration adaptors for configurable ETL and business rule implementation that will replace 80 hours of engineering per interface with 10 hours of configuration
- LIMRA WBDEX Data Exchange standards committee member contributing design and development of a Life & Ancillary insurance industry standard file and API for integrating Employers, Benefits Admin Platforms, and Insurer applications
- Provide product direction and design for data integration with strategic partners including Mercer, Equifax (ACA 1094/1095 reporting, and P&C carriers who offer products on the Confidential platform.
- Assemble and manage a team of 20 solution engineers and developers to deliver Data Quality processes and tools for Confidential ’ World Class Data initiative
- Developed application to scan and clean batch files prior to transmissions.
- Implemented an automated file delivery system that reduced FTE, shortened processing time, and improved security and encryption of file integrations.
- Identified and auto-generated Salesforce cases (via SF API) for account management teams to clean data ahead of annual open enrollment cycles.
- Corrected over 1 million members’ records.
- Implemented a governance process to ensure accurate, timely Open Enrollment data delivered to insurance carriers, shortening the close out processes by one month.
- My team’s contributions to the World Class Data initiative are counted among key competitive advantages of the Confidential platform as we deliver 99% data integration accuracy vs Carrier reported standards of 92%
- Develop product feature roadmaps and scope statements for presentation to C-level stakeholders, partners, and enterprise clients
- Implemented custom auditing of payroll integrations for enterprise clients and reported results to C-level
- Collaborate with multiple onshore and remote development teams using Agile/Sprint, ATDD, TDD methods
- Implement real-time enrollment API with select insurance carriers (industry leading efforts as insurance carriers are primarily batch file data integrations)
- Design and implement plan rating services with insurances carriers to support ACA age-based rating methods
- Develop and implement features in the Confidential suite of products to support Center for Medicare & Medicaid Services (CMS) regulatory guidance for the Affordable Care Act (ACA)
Confidential, Greenville, SC
BPM/Business Rules Analyst
Responsibilities:
- Provided guidance in best practice implementation and use of BPM and rules engine technologies
- Identified organizational transformations and process improvements within DHHS to support the migration to the COTS BPM application and satisfy CMS and ACA policy requirements for the Medicaid expansion program
- Designed agile processes and supporting workflows in JIRA and Confluence to transform the IT department from waterfall to agile
- Authored technical requirements and business rules
- Managed prioritization of feature back log for the SCRUM teams implementing the IBM Curam rules engine and workflows
Confidential, Charleston, SC
Senior ETL Engineer
Responsibilities:
- Product Owner for Confidential ’s ETL engine, designing features to support the ETL engine, data translation manager, and run-time reporting capabilities
- Analyzed, developed, and executed data migration solution to consolidate 7 on-premise CRM systems (based on ACORD standards) across multiple data centers to a single cloud application for Wells Fargo Insurance Services
- Managed team of 7 data integration specialists, primarily global associates in Hyderabad, India
- Deployed, configured, maintained multiple SQL servers and datasets
- Performed database maintenance, backup, indexing, query optimization in Postgres, MS SQL, and Oracle 11g
- Managed full project life-cycle from setting scope, documentation, execution, QA/UAT, reporting, and go-live
Confidential, Dayton, OH
BPM Business Systems Analyst
Responsibilities:
- Implemented workflow automation using BPM software, directly contributing to efficiency increases that resulted in 50% reduction in required staff and shortening the monthly billing cycle by two weeks.
- Developed automated processes that integrated multiple CRM applications across product lines to support order fulfillment of bundled software offerings
- Collaborated with technical teams from sales, marketing, and finance to ensure governance of data elements collected and shared between applications and processes (SOX compliance)
- Supported merger and acquisition due diligence through BPMN process modeling, operational and policy analysis, and application documentation
- Supported account management and invoicing for top legal market clients (annual billing from $5-20 million)