PROFILE:

IT and business professional with over 8 years of experience in leading and supporting multiple changes through company - wide operations including infrastructure changes, inventory cycle, data center migration, and changes in business operations. Proven record of success in healthcare industry leading all phases of cross-functional and regulatory projects. Currently seeking an opportunity to leverage my skills and expertise in both fields towards organizational development and business improvement.

TECHNICAL SKILLS:

• jira
• Informatica 10 edi x12 format 837 edi 510 service now google docs tidal enterprise scheduler diplomat data VALIDATION bluezone ms office suite ms powerpoint
• MS visio ms project ms sql server STUDIO
• MS EXCHANGE SERVER cisco webex ssis
• LINUX winscp macafee pl/sql18 macess convergence hipaa edifects specbuilder

EXPERIENCE:

Business Process Analyst

Confidential

Responsibilities:

• Specialize in Healthcare Insurance working with Medicare, Medicaid and Marketplace outbound submissions.
• Strong experience in claims processing and data scrubbing in Medicare and Medicaid. Adapt CMS XLC analysis and requirement phases for departmental practices.
• Elicit requirements to support Product Owners (PO) in planning and prioritization of features for the next release.
• Facilitated BA and contractors meetings to follow up on action items and risk analysis.
• Coordinate data validation through data warehouse migration comprised of System Analysts, System Developers, Technical Architects, and Business Analysts.
• Effectively demonstrate working knowledge of business operations and decision making.
• Excellent analytical skills accompanied with the ability to integrate information from multiple sources to execute effectively and efficiently in a dynamic environment.
• Lead the effort of managing the Linux server accounts for several project teams.
• Worked with business requirements, defined business process flow, system analysis, business process modeling and analysis. Reduce Medicare error correction process from 14 to 5 people and increased accuracy and volume by re-organizing the process and resources.
• Mitigate risk factors through applying HIPAA regulatory principles across enterprise.
• Manage Change process for business operations controlling all pre- documentations and post- validations in Prod environment. Validate the scope of the project, monitoring major milestones to ensure they are met and delivered according to schedule.
• Present dashboards in JIRA for efficient project tracking.
• Guide PO in major decisions for business operations including definitions of “done”, and provide tools to the teams with reliable and timely information to make better decisions.
• Worked with a group of developers to develop a comprehensive SPLUNK dashboard and Glass Tables with documentation to define customers’ and business needs.
• Experienced in working with ticketing system (JIRA, Service Now Confluence, Remedy and SharePoint).

Lead Project Systems Analyst

Confidential

Responsibilities:

• Led a team of 8 people to cover activities including daily Scrum meetings, identifying user stores, tracking features from start to closure, managing follow-up on project backlog and conducting Scrum retrospective sessions.
• Followed the Department of Health and Human Services and Medicare’s requirements, rules, regulations and security compliance aligned with CMS XLC project development.
• Led effort of entering CMS and vendor files into the Oracle database for RAPS and MEDICAL.
• Setup submission process, Encounter Dara System (EDS) utilizing X12 format to process CMS and vendor files. RAPS Medicare outbound file exchange, Duplicate 502 error research and correction.
• Validated adaptation of ICD-9 to ICD-10 conversion within the ETL process and data mart.
• Worked with the change management team to ensure successful deployment of all releases and updated relevant teams and leadership of any changes or failures.
• Established and maintained effective professional relationships with internal teams and external stakeholders.
• Fostered and maintained a collaborative professional working relationship with the Oracle, Informatica, Unix and Windows management teams.
• Extensively interacted with data analysts during ETL operations to identify source files/databases from data warehouse and implement transformation logic.
• Managed a group of Business Analysts who managed requirements and artifacts with management tools to set up an error correction process.
• Facilitated meetings to consolidated business requirements with Product Owner and Project Managers.
• Elicit and converted business requirements into system functional, non-functional requirements.
• Reviewed monthly change requests (CR) reports outside of normal changes.
• Ensured security compliance for business analytics and development teams.
• Managing FTP file processing and vendor file exchange
• Managing Linux sever accounts for several teams
• Utilized SQL to retrieve data for analysis and validation
• Worked well as a team member and as a lead at all levels of an organization to obtain knowledge that assisted with problem resolution.

Lead Project Systems Analyst

Confidential

Responsibilities:

• Facilitated post-migration system integration testing (SIT) and performance reviews.
• Managed inventory throughout migration cycle and user account through Altiris Client Management.
• Worked in close collaboration with Operations Analysts, Site Reliability Engineers, Business Analyst and Technical Architects in creating project metrics.
• Served as a point of contact with Configuration Management and Change Management teams.
• Applied Unified Modeling Language (UML) to prepare use cases, process flow and sequence diagrams from gathering requirements utilizing MS Visio.
• Analyzed existing business process and procedures for gaps and improvement.
• Led a team to develop business context diagrams, user manuals and test cases in an effort to identify and analyze process flows in the system.
• Worked with the CCB (Control Change Board) to obtain necessary approvals to implement change requests (CR).
• Ensured new project team members were trained in the use of the organizational Process Asset Library.

Lead IT Operations and Service

Confidential

Responsibilities:

• Investigated customer complaints and resolved problems by providing timely solutions with excellent customer service.
• Proactively identified issues and risks that impacted the project scope, cost and timeline.
• Elicit requirements from business stakeholders to support IT projects
• Managed a team of 6 people covering incident identification, notifications, ticket generation, recording, classification, investigation of the system through ITSM, ITIL based, SLA clarification for service desk.
• Created resources for new hires and documentation of multiple user account setups.
• Hosted and facilitated weekly progress meetings with clients and vendors to provide status updates from business analysis, development team progress, architect and gained client feedback and input to provide the best user experience.
• Performed escalation and led service restoration activities ensuring all were completed in a timely manner.
• Managed KEDB (Known Error DB) database.
• Supervised equipment provisioning and maintained inventory reporting.

Team Lead

Confidential

Responsibilities:

• Managed Win7 deployment project for client companies across a large geographic area with full oversight of deployment effectiveness.
• Supervised and trained over 200 technicians. Resolved problems, identified issues and determined proper resolutions.
• Prepared and documented operational procedures and technical guidelines.
• Worked with the Project Manager (PM) on Work Breakdown Structure (WBS), managed schedules, deadlines, resources and project tasks.
• Worked with business and project stakeholders to identify project scopes and the scheduling of vendor and consultant management.
• Developed project schedules for key deliverables by developing project plans, monitoring milestone completion and coordinating project progress.
• Structured project plans, scheduled activities, mobilized and deployed needed resources to generate overall operational efficiency to accomplish assigned work within define time/cost parameters.
• Set up technical “hot line” resolution for remediation questions.
• Delegated tasks and responsibilities to appropriate personnel.
• Provided status reports on a regular basis.