PROFESSIONAL EXPERIENCE

Confidential

Business Process Analyst

Responsibilities:

• Thoroughly review, analyze and research complex health care claims to identify discrepancies, verify pricing, confirm prior authorizations to process them for payment
• Utilized Jira Software to plan, track, release, and support automation improvements by creating user stories, adjusting Sprint scope, checking velocity, and re - prioritizing issues from our backlog
• Generate cost-benefit analysis (CBA) documents to measure the financial benefits and metrics for revenue earned and costs saved for End User Tool (EUT) projects
• Implemented an UI Path Task Mining data gathering tool for Provider/Member Validation and Prior Authorization Check to gather requirements, document business process task and workflow descriptions, identify issues, defects, and trends
• Work with internal and external teams to focus on process improvement for the automated claims adjudication system and account for upstream and downstream impacts
• Responsible for end to end business process activities including creating, controlling and improving business processes and data analysis
• Lead process design and project implementation teams in process improvement activities
• Diagnose process improvement opportunities and develop solutions using principles of process excellence and related tools
• Recognize gaps between current situation and desired outcome and utilize appropriate resources to obtain information, consider options and deliver the appropriate solution
• Define and build efficient process opportunities for Automation in process mapping and end user tools

Confidential

Senior Business Analyst, Agile Scrum Lead

Responsibilities:

• Drive and support the end to end requirements and execution of printed Materials Production and lead in the Fulfillment program management
• Effectively engage and partner with multiple internal stakeholders (regulatory affairs, marketing, translations and print management) and external agencies to gather, document, and analyze business requirements
• Diagnose process improvement opportunities through data analysis to develop solutions to business processes that support the design, development, testing, implementation and transition phases
• Utilize the Elixir Tango+ SaaS platform to create, design, manage, publish, and deliver Automated and Custom enrollment materials for CMS regulated Medicare and Medicaid plans
• Utilize the Elixir Tango+ SaaS platform to make changes to content including language, data, and business rules to reduce manual processes, improve speed-to-market, and eliminate costly mistakes
• Utilize the Elixir Tango+ SaaS platform to manage collaborative workflow by updating code, building templates, managing data, generating reports, and complying with regulatory changes
• Utilize CA Agile Central to write accurate and concise requirement specifications for User Stories that collaboratively plan, prioritize and track work on a synchronized cadence
• During User Acceptance Testing (UAT), coordinate with Quality Management Team to develop effective and functional test plans that include configuration, scripts, data, and result analysis, to ensure quality and accuracy goals and print production schedules are met
• Collaborate with project managers to define project scope and vision and identify constraints, dependencies, assumptions, risks and issues to transform and translate concepts into practice
• Analyze root cause issues to problem solve and provide key recommendations for process improvements to resolve defects, identify opportunities and challenges, and enhance business capabilities
• Define scope of work for business analysis activities on medium sized projects independently, provide time and cost estimations for those activities, and effectively manage activities to project time and costs
• Effectively prioritize and monitor individual tasks, priorities, projects, and deadlines while supporting and mentoring team members by acting as a key resource
• Provide data analysis to generate reports that support and compile key information that identify trends, patterns, and opportunities by measuring productivity, predictability, quality and responsiveness with real-time performance metrics
• Communicate changes, enhancements, and modifications of requirements according to the established process to project managers so that issues and solutions are understood

Confidential

Systems Analyst

Responsibilities:

• Perform hands-on component level failure analysis and root cause determination to prevent future occurrence and to improve the performance of the product
• Collect and analyze failed components for subsequent examination of the root cause of failure
• Investigate customer complaints to determine nature and extent of problem, and recommend corrective measures
• Develop and support conclusions and communicate the results to stakeholders through written reports and presentations
• Develop process improvement plans to measure and improve the functioning of the product and procedures through continuous involvement in the research and development process
• Coordinate with Manufacturing, Installation Team, Technical Support, and Quality Assurance to ensure compliance with specifications, codes, or customer requirements
• Knowledge of product failure modes and failure mechanism associated with electronic assemblies and components

Confidential

Senior Technical Analyst

Responsibilities:

• Support medical professionals, clinical staff, and Sales by providing technical and clinical guidance on four business units - transcatheter and replacement heart valve therapy, critical care hemodynamic monitoring, minimally invasive cardiac surgery systems, and Fogarty vascular products
• Advise ICU, OR, and ED patient care personnel by giving expert guidance on product specifications, requirements, information, and directions for use
• Troubleshoot, investigate, and document all product issues, recalls, and customer complaints via Oracle Database and assist the Regulatory and Quality departments in corrective actions
• Conduct ad-hoc analyses and participate in special projects for Marketing to support the growth of Critical Care and guide department business decisions
• Establish OEM technical contacts and create documents and protocols to support monitoring interfaces with the Edwards Cardiac Output-Oximetry Monitor family
• Design sales promotion programs and manage pricing contracts to close over $133,155 in Critical Care sales of capital equipment and extended warranty service contracts
• Serve on-call duties by phone for after hour emergencies to respond to customer issues