OBJECTIVE:

• A challenging position as Senior Business Analyst, requiring outstanding interpersonal, communicative and motivational skills that are results oriented. Ability to develop, translate and execute business goals. Document, development and process financial analytics, reporting needs and lead implementation successfully. Develop and lead teams. Foster and maintain segment relationships.

PROFESSIONAL EXPERIENCE

Confidential

Senior Business Analyst

Responsibilities:

• Responsible for gathering business requirements across all functional domains
• Elicits and elaborates operational requirements to minimal features, user stories and user acceptance criteria based on approved business cases
• Collaborates with Software Development, Operational Managers and SME’s to prioritize feature enhancements, new features, and defect handling for assigned products or platforms
• Responsible for providing supervision to project personnel, leading cross functional teams. Motivate and inspire other team members and when needed review and provide recommendations on deliverables.
• Ability to communicate internally and externally with all levels of staff operational and delivery leads, solution architects, or financial analysts, including senior and executive level management. Facilitate and managed JAD sessions.
• Knowledge of multiple domains (accounting, claims, member & provider networks), served as a SME.
• Responsible for analyzing, tracing, prioritizing and agreeing on requirements and then controlling change and communicating to relevant stakeholders.
• Currently, telecommuting with travel.
• Facilitate and influence the design, construction, deployment, and ongoing maintenance of specific complex technical solutions through design documents, gap analysis, business rule and data mapping management, risk assessment, traceability mapping and financial and timeline constraints.
• Responsible for providing supervision to project personnel, leading cross functional teams. Motivate and inspire other team members and when needed review and provide recommendations on deliverables.

Confidential

Associate Director/Lead Business Analyst

Responsibilities:

• Responsible for gathering business requirements across all functional domains that support the sales, quoting, rating, setup, and administration of health care product/plan designs UHC sold. Worked closely with both business and IT to ensure all aspects of the project are identified and fully understood prior to beginning development work. Provide leadership to key stakeholders through multiple layers of management and senior levels of professional staff. Documented and manage projects from beginning to end.
• Managed multiple BAs and business owners from start to finish during creation and execution of all project requirements for the product so; functional requirements, non - functional requirements; user requirements; user stories; user test scripts and business requirements for completeness.
• Responsible for analyzing, tracing, prioritizing and agreeing on requirements and then controlling change and communicating to relevant stakeholders.
• Created analytics ’from data pulled via Access/SQL/Excel queries.
• Managed UAT and created triage teams to review defects in determining business configuration or IT programming issues.
• Responsible for building extracts to map claims expense, eligibility and revenue related to UHC business (Commercial, Private, Medicaid & Medicare)
• Responsible for review and translating contracts related to UHC business (Commercial, Private, Medicaid & Medicare). Ensuring compliance to HIPPA, PHI and PII.
• Responsible for organizational planning and execution for multiple projects including strategic planning, change impact assessment, operating model considerations, business process engineering, integrated program plans and benefit realization plans.
• Knowledge of multiple domains (accounting, claims, member & provider networks), served as a SME.
• Certified in RSA process. Document E2E processes and created necessary P&Ps.
• Document/created BVD, PRD, BRTM, IRAAD and BRQI.
• Telecommute as director last 5 years and travel.
• Participated on HCR committee (reviewing of new laws implemented).
• Ability to communicate internally and externally with all levels of staff operational and delivery leads (Cognizant), solution architects, or financial analysts, including senior and executive level management. Managed JAD sessions.
• Facilitate and influence the design, construction, deployment, and ongoing maintenance of specific complex technical solutions through design documents, gap analysis, business rule and data mapping management, risk assessment, traceability mapping and financial and timeline.
• Responsible for execution of scheduling, managing and fielding of multi-million-dollar projects.
• Responsible for providing supervision to project personnel, leading cross functional teams. Motivate and inspire other team members and when needed review and provide recommendations on deliverables.
• Responsible for creation of process flows (current and future) and system models.
• Responsible for leading project implementation teams in process improvement activities. Diagnose process improvement opportunities and develop solutions. Develop skills of business owner’s staff pertaining to new process put in place.