SUMMARY:

• An experienced professional with more than fifteen years of increasing responsibilities in the information technology field.
• Technical expertise with mission critical systems for government, healthcare and retail industries and providing cost - effective technology solutions for small businesses.
• Results-oriented, creative and flexible.
• Brings a diverse technology background with knowledge of strategic alignment issues and organizational matters.
• System Development Life Cycle
• Experience with agile and waterfall methodologies
• Query developer, quality assurance testing and script development
• Previous roles included claims analytics manager, project portfolio management subject matter expert, responsibility for creating business solutions from user requirements utilizing all facets of the system development life cycle
• Analyzed and provided to data retention issues of critical department system
• Experience with applying methodology and business rules to develop useful systems
• Knowledge of decision support systems, knowledge management concepts, strategic planning/development, and technology resource planning
• Product support involving analysis and reporting

TECHNICAL SKILLS:

Productivity software: Microsoft Office 360

Database tools: DB2, Adabas, Access, DbVisualizer, Oracle, IBM Cognos

Operating Systems used: AS/400, MVS 390, Windows 95, 98, 2000, NT, XP, 2010, Windows 8, Windows 10, Unix, z/OS

PROFESSIONAL EXPERIENCE:

Claims Analytics Manager

Confidential, Linthicum, MD

Responsibilities:

• Analyzes claim errors preventing FFP match.
• Works with Medicaid analyst and claims processors to resolve technical issues preventing flow through processing.
• Facilitates monthly meeting with Medicaid contract manager and finance representatives to update the status of outstanding claim matches.
• Communicates with all levels of the organization on matters of financial risk.
• Responsible for developing efficient processes for gathering data for analysis.
• SME for end user testing, responsible for development of test scenarios.
• Develops monthly report reflecting status of at-risk dollars including detailed narratives highlighting irregularities.

Technical Project Manager

Confidential, Reston, VA

Responsibilities:

• Configures system based on organizational requirements
• Supports and provides user
• Resolves system/user issues
• Monitors data quality and maintains user profiles
• Develops management reports to support project resource management and budgeting
• Presents data to CTO to aid in organizational decisions related to labor, time allocation and project costs
• Interacts with CIO leadership to determine reporting requirements
• Partners with Project Managers to resolve issues, conduct meetings and seminars
• Supports Vice President and Director in preparation of special reports, presentations and research projects

Corporate Business Systems Analyst

Confidential, Reston, VA

Responsibilities:

• Configures system based on organizational requirements
• Supports and provides user
• Monitors data quality, maintains user profiles and resolves system issues
• Develops management reports to support project resource management and budgeting
• Presents data to CTO to aid in organizational decisions related to labor, time allocation and project costs
• Interacts with CIO leadership to determine reporting requirements
• Partners with Project Managers to resolve issues, conduct meetings and seminars
• Supports Vice President and Director in preparation of special reports, presentations and research projects
• Auxiliary support of vendor management process assisting team with consulting staff and vendor contracts.

Corporate Business Systems Analyst

Confidential, Reston, VA

Responsibilities:

• Coordinate configuration and implementation of new clients and modifications for all automated member and provider correspondence
• Interact and build relationships with various internal business units as well as external clients
• Project management with responsibilities for meeting facilitation and process improvement
• Help ticket management and support for correspondence and CAS Claims application issues
• Coordinate job scheduling tasks for new batch processes

Business Systems Analyst

Confidential, Linthicum, MD

Responsibilities:

• Supported internal and external users on suite of organizational applications through and problem resolution
• Responsible for leading user acceptance testing (UAT) effort for service center and development of formalized process
• Provided data mapping for extract development and reporting
• Provided backup support for LAN administrator and IT Director

Survey Operations Analyst

Confidential, Columbia, MD

Responsibilities:

• Provided analysis of performance of radio markets and return rate planning
• Planned sample for diary and electronic meter system services
• Utilized understanding of methodology and business rules for both services
• Provided guidance for questions related to data integrity, areas of responsibility
• Participated in implementation of departmental quality management system: document and records control.

IT Programmer Analyst

Confidential, Baltimore, MD

Responsibilities:

• Provided detailed data analysis for Confidential Legislature resulting in appropriations to support drug utilization oversight by staff physicians
• Provided timely and accurate ad hoc reports for Maryland Medicaid Pharmacy Program using FOCUS reporting software and Business Objects
• Analyzed data trends and provided feedback to users
• Reviewed state and federal legislation and provided impact analysis to data
• Utilized Medicaid Management Information Systems (MMIS) application
• Provided auxiliary support for state pharmacy call center

Programmer Analyst (Specialist)

Confidential, Sacramento, CA

Responsibilities:

• Maintained and provided troubleshooting of job abends
• Provided support of IDMS to DB2 conversion
• Production Support Team Lead, providing coverage and solutions for complex issues with batch jobs

Software Engineer

Confidential, West Sacramento, CA

Responsibilities:

• Coordinated development standards for COBOL community of practice
• Provided maintenance of online/batch programs for logistics and transportation team on mainframe system
• Designed and developed web-based application enhancement to reduce labor costs while complying with bioterrorism laws
• Participated in on-call rotation
• Participated in task force to improve technical support processes by developing help desk employee best practices guidelines