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Business Analyst Consultant Resume

Austin, TX

SUMMARY:

  • SME and key contributor on major projects involving the creation of new and expanded Medicaid programs and services, portal applications and HIPAA compliance
  • Entrusted to create and present quality software application product deliverables to stakeholder on large and small projects
  • Worked extensively as a Medicaid business analyst and key contributor on projects involving updating, automating and enhancing claims edits and audits within the Texas MMIS system
  • Consulted as a MMIS SME to assist employees with projects that involve enhancements to claims edits and audits, HIPAA compliance, Medicaid Managed Care, Texas MMIS system
  • Additional areas of expertise include MMIS areas such as EDI Pharmacy Confidential transaction forms, Claim processing, billing and benefits management.

TECHNICAL SKILLS:

  • Microsoft Suite IDX KINTANA/PPM EDI
  • Visio Meditech, AMISYS HL7
  • Inteledata Orchard/Harvest LIS MMIS SQL
  • Quality Center/Test Director Business Objects Compass 21 Edifecs
  • UltraEdit Rational Clearquest OutsideView OnBase
  • PL/SQL Developer TOAD SOAPUI
  • Software Development Life Cycle (SDLC) Facilitate JAD/ JAR sessions
  • Software Quality Assurance Testing Project Management

PROFESSIONAL WORK HISTORY:

Business Analyst Consultant

Confidential, Austin, TX

Responsibilities:

  • Assist in facilitating RFP JAR sessions with Texas Confidential Program SMEs to develop and track requirements.
  • Document meeting notes and action items and perform follow - up on completion of action items.
  • Developed RFP Procurement Library artifacts to aid respondents in submitting informed RFP bid responses.
  • Facilitated Best Value Criteria and Financial Approach meetings.
  • Perform administrative record keeping for non-disclosure agreement ( Confidential ) form signatures, Action Items and meeting minutes.

Business Analyst Consultant

Confidential, Austin, TX

Responsibilities:

  • Perform Initial project analysis and estimate project hours to completion.
  • Work closely with developers and business analyst to develop quality software and software enhancements.
  • Interact with Confidential stakeholder to gather business and system requirements for Confidential development and enhancements.
  • Communicate business requirements to stakeholders verbally and written. Perform software quality assurance testing.
  • Create use cases, test approach, test plan and test scripts.
  • Follow projects through to implementation and warranty period.
  • Performed process improvement analysis and process design for new and existing MMIS systems.

Business Analyst Consultant

Confidential, Austin, TX

Responsibilities:

  • Perform a needs assessment for Confidential conversion.
  • Correspond with Confidential agency staff to analyze current ICD-9 usage and future ICD-10 needs.
  • Perform stakeholder interviews, researched policy and procedure documentation and technical systems specifications to determine where and how ICD-9 codes are currently used within the Confidential Enterprise, the MMIS and other applications.
  • Elicited information from key staff to determine where and how ICD-9 conversion will need to be performed for written documentation, processes, procedures and IT systems.
  • I wrote an assessment of each department’s needs as part of the project deliverables.
  • Created high level MS Visio process flow diagrams to clearly display where ICD-9 conversion would take place.

Business Analyst

Confidential, Austin, TX

Responsibilities:

  • Perform Initial project analysis and estimate project hours to completion.
  • Work closely with developers and business analyst to develop quality software and software enhancements.
  • Interact with Confidential stakeholder to gather business and system requirements for Confidential development and enhancements.
  • Communicate business requirements to stakeholders verbally and written. Perform software quality assurance testing.
  • Create use cases, test approach, test plan and test scripts
  • . Follow projects through to implementation and warranty period.

Office Automation Assistant

Confidential, Austin, TX

Responsibilities:

  • Correspond with external customers through telephone, email and written correspondence to ensure accuracy of information provided.
  • Input and retrieve information in databases and spreadsheets.
  • Create correspondence and facilitate internal audit inquiry.
  • Maintain manual records of BSE surveillance submissions.
  • Perform SQL queries in the database to maintain accurate information and counts of entries.
  • Ensure the validity of samples entered into the BSE database in compliance with Confidential.

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