SUMMARY

• IT Business Analyst/QA Manager/IT Team Lead - who has extensive knowledge with Business Analysis and Quality Assurance methodologies that follow the (SDLC) project lifecycle to ensure projects are successfully completed and delivered to a Production environment defect free.
• Expertise in managing multiple projects simultaneously, with leading teams of onshore, and offshore QA testers, and to ensure that the proper test artifacts have been created.
• Well organized individual who can accommodate multiple tasks at the same time and is very customer focused.
• Communicates well with all levels and executes exceptional problem solving and analytical skills.
• I am Proficient in writing Business Requirements Documents, Test Strategy documents, and Test Plan documents.
• In my current role as an IT Business Analyst/Tech Lead I leverage all the skills above in addition to focusing on the attention to detail to ensure all the proper requirements are captured and delivered.

TECHNICAL SKILLS

• Confidential Customer Service & Confidential Mail-Room/Claim Portal - (Administrator for Application), Softheon, and PEGA Rules Process Commander
• Softheon, Kodak, ImageTrust, Confidential
• RightFax Utility Application, and RightFax Manager (Administrator for Application)
• ECM (Enterprise Content Management) Service, Weblogic, MQueue Series, Siteminder, IPlanet, XML
• Documentum, EPDB, DB2, Oracle, SQL
• CSF (Customer Service File) system
• Confidential, Softheon, PEGA Rules Process Commander, WC Medbill UI, Policy Corr UI, Premium Audit UI, COA UI, E-Process (work flow tool) PVCS Tracker, Quality Center, Quality Center Reporting, Aetna Navigator (Web Based Application) Kana (Web Based E-mailing System), CSOH (Client Server), DAF, **Testing Tools - PROTERM
• PLA (Personal Lines Automation), MSW (Member Service Workbench) TSO, MCS, EPDB, DB2 and AAS, US Healthcare systemRepositories - Documentum 5.3, Filenet, SiebFile, Softheon (Administrator for Application), Confidential (Automated Workflow Distribution)
• Microsoft Office, Windows XP, Window 7, Windows 10

PROFESSIONAL EXPERIENCE

IT Business Analyst/Technical Lead

Confidential

Responsibilities:

• Responsible for the BRD Delivery on the Medicare Paper Claims Process
• Responsible for Confidential for Testing and the coordination of Business Acceptance Testing
• Update Process Model Automation Services for Confidential Claims and Confidential Customer Service
• Coordinated the implementation of ImageTrust Scanning Solution to create a Medicare Scanning process to export to offshore vendor- Datamatics
• Tested the scanning and export process within our Test Environment with Both DST and Datamatics
• Coordinated the Business Acceptance testing phase for our Front End Scanning area
• Troubleshoot Workflow issues within the Confidential applications
• Troubleshoot all Confidential error messages received by users
• Set up and create new user access
• Update workflow process models to create new System Routing Processes based on The following:
• Pend Codes, and queue routing rules (Claims process Model)
• Categories, and Sub-Categories for Customer Service Process models
• Retry logic changes for Fax Back Acknowledgements
• Train New users for Confidential Mail Room / Claims Portal and Confidential Customer Service processes
• Reset user Passwords

IT Business Analyst/Technical Lead

Confidential

Responsibilities:

• Responsible for setting up Requirement Sessions with the Business Partners
• Responsible for gathering System Business Requirements for company projects - Claims, Billing, Liability & Recovery, Member File Room, Enrollment and RightFax
• Responsible for coordination of IT sessions with the outside Vendor (Softheon) for requirement Gathering
• Coordinated with Business Partners, Management Teams, and Vendor Partners, to perform a formal walk-thru of the Softheon Claims Business Requirement document
• Created all project templates for status reports, testing, implementation plans, etc.
• Coordinated the code/Rule-set moves to the Development and QA environments
• Responsible for writing the Test Strategy Document
• Coordinated with Business Partners, Management Teams, and Vendor Partners to perform a formal walk-thru of the Softheon Claims Test Strategy document
• Created test cases/scripts for the Softheon Claims Project
• Executed test cases/scripts for the Softheon Claims, Liability & Recovery, Billing and Inspiris Projects
• Submitted daily testing status reports to Project Director and Project Team
• Created the and delivered the User Acceptance test plan/scripts
• Coordinated the User Acceptance Testing phase with the business users
• Coordinated with IT and Vendor (Datamatics) the execution of file transfers
• Tested the return of the transfer file from vendor (Datamatics) back to the Claim Adjudication System
• Assisted with user training for supported Applications (Softheon, RightFax, Confidential ) to Call Center, Claims - Commercial and Medicare, Health Service, Billing Department, Liability & Recovery Department, & Front End Mail Room Department.
• Trained The Front End Team on Bar-Coding, Scanning, and Reports.
• Coordinated the roll out of Softheon and RightFax projects to the Production Environment
• Developed and implemented the Go-live implementation plan
• Developed and created the Post Go-live Report of issues and successes
• Create a “Lessons Learned” document for review of the overall Softheon Claim project
• Provide Production Support upon request from the claim users and the Help Desk
• Maintain ongoing Softheon Day 2/Issues list

IT Business Analyst/Technical Lead

Confidential

Responsibilities:

• Created project plan for RightFax Implementation
• Performed QA testing for the New RightFax Fax process and the RightFax Utility Application
• Created Several RightFax functional Job Aids to assist users with the RightFax processes of the application.
• Monitor the Administrator’s Fax Mailbox and forward misdirected faxes
• Add users as delegates to various Right Fax Mailboxes
• Change users security levels on an as need basis
• Set up multiple new users in RightFax Manager (RFM)
• Performed Research for the Medicare Enrollment Team on missing applications. Searched the RightFax database
• Assist RightFax user s with new processes that the RightFax Utility can provided to help Streamline Faxes/work
• Maintain all Fax functionality to assure a stable Environment