EDI Business Analyst Resume

SUMMARY

introducing key technology solutions to meet the changing needs of dynamic business environments. Broad - based background spans oversight for network, desktop, software/Web applications, voice/data, EDI and reporting initiatives. Solid experience supporting the property casualty and health insurance industry and health benefits administration (TPA) insurance industries.
Recognized for ability to partner with business leaders and technical teams to plan, integrate, document and execute complex project plans on time and on budget.
Exceptional team leader and mentor with a talent for building solid, lasting relationships with clients, vendors, management, staff and end-users.
Solutions-driven strategist who consistently improves efficiency, productivity and the bottom line. Recently completed a successful SAS 70 audit.
Experienced in Property Casualty, Healthcare, and Benefits administration industries.

TECHNICAL SKILLS

TECHNICAL Platforms: UNIX Sun Solaris, Windows 2003, XP, Windows7, SKILLS AS/400, RS6000, ES9000, Novell

Databases: SQL Server, Oracle

Languages: Powershell, C++, Ajon 8/7, Visual Basic, SQL, MicroFocus COBOL, RPG

Networking/Tools: Ethernet, TCP/IP, VPN, Secure Socket Layer, S onicWall Firewalls, McAfee Anti-virus, SSH, SFTP, VOIP

Software: MS Office Suite, MS Project, Actuate, Eldorado Claims payment system. Epic Resolute, Epic Tapestry

PROFESSIONAL EXPERIENCE

EDI Business Analyst

Confidential

Responsibilities:

Ensures Edi healthcare transactions are processed correctly and in a timely manner while providing customer service to the trading partner community and internal customers..
Analyzes and documents client's business requirements and processes and communicates these requirements by modifying Epic Tapestry codes, rules and other job workflows.
Creates test scenarios and develops test plans to be used in testing the business applications in order to verify that client requirements are incorporated in to the system design. Assists in analyzing testing results throughout the project.
Provides monitoring of electronic health claim and other healthcare EDI transactions and ensure the successful execution of the production jobs related to EDI and claims entry processes.
Facilitates meetings with clients to gather and document requirements and explore potential solutions.
Assists in coordinating business analyst tasks on information technology projects and provide support to other team members.
Assists in analyzing testing results in all phases and supports the daily production workflow processes.

Environment: MS Office, SFTP, Powershell, Epic Tapestry. Tibco data mapping and Hipaa transaction file validation.

Confidential

Business Analylst

Responsibilities:

Plans, designs and recommends business processes to improve and support business activities in the healthcare revenue cycle..
Analyzes and documents client's business requirements and processes and communicates these requirements by modifying Epic Resolute codes, rules and other job workflows.
Creates test scenarios and develops test plans to be used in testing the business applications in order to verify that client requirements are incorporated in to the system design. Assists in analyzing testing results throughout the project.
Provides monitoring of electronic remittance files and ensure the entry into the Epic Resolute system.
Facilitates meetings with clients to gather and document requirements and explore potential solutions.
Assists in coordinating business analyst tasks on information technology projects and provide support to other team members.
Assists in analyzing testing results in all phases.
Participates in technical reviews and inspections to verify 'intent of change' is carried out through the entire project.

Environment: MS Office, FTP, Adobe Reader, SSH, EDI l