Professional Summary:

• A results driven oriented IT Professional with over eight 8 years experience with Project Management, Project Coordination, Business Analysis and Quality Testing. Extensive background in adhering to SDLC processes with a proven track record of meeting timely project deadlines.
• Proficient in gathering requirements to include user interface requirements, rules documentation and functional specifications in addition to drafting and creating effective uses cases. Skilled in manual and automation testing, test plan and test case creation and defect tracking and reporting. Well-developed oral and written communication skills, ability to work well independently and as part of a team, develop effective client relations and provide superior client service and satisfaction.

PROFESSIONAL EXPERIENCE

Confidenital

Business Analyst

• Responsible for managing the financial reporting projects for the GA State MMIS Medicaid system and ensuring quality projects are delivered in a timely manner.
• Analyze the customer's business objectives by conducting JAD sessions and delivering quality business requirements to the customer and Developer with an average of 1-2 sessions.
• Create test plans and test cases from the Business Requirements and upload data to SpiraTest to include positive, negative and regression testing.
• Manage defects through reporting and successfully recreate steps to ensure the Development team can identify deficiencies.
• Recommend and implement new processes to the IT organization to enhance productivity and reduce costs on the organization's bottom line.

1. Created and implemented a project tracking dashboard to allow management to track projects, allocate resources based on availability, produce financial reporting and provide the project team with visual alerts in regards to the project statuses.

2. Created and implemented a real-time test case status execution status update dashboard to Management. This tool eliminated Management from having to receive daily updates from the staff via email and increased productivity by 8 .

3. Created and implemented an estimation tool for Management to provide more accurate project estimation hours.

4. Created and implemented template emails for business requirements, test case and test results approvals for the organization. Customer approval times were reduced from 5-10 to 2-3 business days.

• Successfully manage 6-8 multiple projects simultaneously and drive closure of each project to timely production elevation dates.
• Technical Environment: MS Project 2010 Office, SpiraTest, SharePoint, Visio, SQL, ITRACE, MMIS

Confidenital

Project Consultant/Business Analyst

• Manage business improvement projects for the financial industry that consist of accounting and insurance services.
• Managed the implementation of a web-based accounting system to allow for the preparation of consumer's income taxes in the cloud.
• Gathered business rules to update the existing functional specifications in the business requirements to ensure timely coding and development.
• Executed test cases and managed defects through positive, negative and regression testing.
• Implemented a metrics and chart driven reporting dashboard in Microsoft Excel to provide executive level reporting data.
• Identify existing deficiencies by executing a SWOT Analysis through documentation and make process improvement enhancements through the findings.

Confidenital

Business Systems Analyst Supervisor/Business Analyst

• Managed the strategic Medicare/Medicaid and business improvement projects for the home healthcare industry through a staff of Business Analysts, Developers, and Project Managers.
• Managed and implemented a web-based online charting system to allow clinicians to perform patient charting via tablets.

• Successfully implement processes to train and enhance functional and business requirements to include business rules for the newly trained Business Analysts on the Medicare/Medicaid projects
• Oversee system and regression testing to include creating effective test scripts to ensure successful testing.
• Recommend improvements and write cost effective proposals to enhance SOX procedures.
• Serve as the SME and Liaison between the business and end user community for corporate initiatives.
• Technical Environment: AS400, MS Project 2010 Office, SharePoint, Visio, Bugzilla, SQL

Confidenital

Project Manager / Manager of Mainframe Applications/Business Analyst

• Managed 60 to 70 business improvement and large scale strategic Accident, Health Life Insurance projects using the SDLC processes through 24 resources such as Business Analysts, Quality Analysts, COBOL Programmers, and Assembler Programmers.
• Led 60 to 70 projects in addition to resource management to include cross functional teams while ensuring the client's deliverables are met in a timely manner.
• Mentor and assist Business Analysts with requirements to include functional specifications, business rules, use cases and process flow diagrams to ensure the proposed custom application solutions aligned with the business unit's requests.
• Managed and assisted with test plan creation and execution in addition to defect management.
• Provide regular executive status reports and attend executive level status meetings with key stakeholders and sponsors to keep everyone apprised on the status of the projects and renegotiate project timelines due to increased scope.
• Recommend cost effective maintenance and business enhancements while ensuring strategic efforts are coordinated and closed in a timely manner.
• Identify and develop internal and external client relationships to utilize their subject matter expert knowledge regarding the projects.
• Technical Environment: AS400 Life 70 Mainframe , MS Project Office, SharePoint, Visio, PVCS Tracker

Confidenital

Business Analyst

• Coordinated and worked collaboratively with external commercial clients and internal partners to ensure various perspectives are represented in the LMS implementation and related projects.
• Define project scope, objectives, outcomes, deliverables, and timeline and ensure alignment with organization's strategic initiative. Conducted JAD sessions to create business requirements with functional specifications and business rules.
• Demonstrate working knowledge of the e-learning products by training the system administrators on all functionality of the LMS systems. Responsible for responding to complex inquiries, solving non-routine problems using independent judgment and discretion, and ensuring client satisfaction with products and services.
• Responsible for responding to complex inquiries, solving non-routine problems using independent judgment and discretion, and ensuring client satisfaction with products and services. Coordinate with Sales Managers to ensure client needs are met and potential problems are averted after integration testing was completed.
• Technical Environment: LMS, AICC, SCORM, Citrix, Avaya, Windows XP

Confidenital

Consultant Temporary Contractor

• A results oriented sales professional that consulted with health, life, accident and disability insurance customers for AEGON Insurance Company.
• Provided sales support for incoming calls that were accessed through AVAYA and CRIS phone systems.
• Managed the incoming call volume by monitoring and servicing call levels through the CITRIX platform to ensure efficiency.
• Access client's data through the VPN to identify existing coverage and recommend product upgrades to existing policies and cross sell additional insurance products to clients.
• Technical Environment: Windows XP, AVAYA, CRIS, Citrix, VPN, Cold Fusion

Confidenital

Senior Business Analyst

• Managed the claims and membership healthcare project defects that occurred as a result of software testing. Successfully coordinated positive, negative, quality and software production testing phases to ensure defects were resolved in a timely manner.
• Coordinated and managed IT claims and membership projects to ensure seven week deadlines of positive, negative, quality, and production software testing were fulfilled.
• Conducted weekly meetings to provide support to customers to resolve difficulties, provide conflict resolution, critical thinking and priority setting steps to resolve objectionable occurrences in the project phases. Successfully communicated with the customers verbally and provided phenomenal written correspondence to ensure accuracy. Coordinated with Developers, Business Analysts and Testers to ensure project deliverables would be provided in a timely manner.
• Tested IT projects during the implementation stages to ensure efforts would function in the software production environment. Successfully created functional specs and documented projects to translate functional requirements into detailed technical requirements.
• Managed and tracked all open problem defects in Quality Center and the Microsoft Access database to ensure they processed and closed in a timely manner for testing phases.
• Instituted, investigated, planned, and defined requirements for the healthcare system applications.
• Technical Environment: Java, XML, UML, LMS, MS SQL Server 2005 Transact SQL, MS Project, HP Quality Center, Business Objects

Confidenital

Project Leader / Business Analyst

• A results oriented Project Leader / SME that managed 24 consultants to provide supplemental life insurance benefits to employer groups in addition to coordinating IT Projects.
• Served as Project Manager to develop an automated customer relations system utilizing Voicent IVR voice response systems to improve customer relations among customers and businesses.
• Reviewed existing business requirements and made the necessary adjustments to business rules and use cases.
• Successfully tested projects that occurred as a result of defects due to coding deficiencies.
• Utilized Microsoft Access to import data to Microsoft MapPoint to create cost effective geographical sales locations for agents.
• Managed consultants and performed performance management measures to enhance skills.
• Provided user end level technical support by utilizing PC Anywhere Remote Support to fix technical difficulties in which agent's could not perform
• Technical Environment: MS SQL Server, SMTP, LAN/WAN Technologies, Wireless Technologies, Telephony, VOIP, TCP/IP, Cisco Routers, Switches, Windows NT Server and Workstation, SharePoint, Windows XP, Visio

Confidenital

TPL Accounting Recovery Supervisor

• An Accounting Recovery Supervisor that lead the SC TPL Medicaid program by providing accounting solutions, developing automated solutions to reduce costs, implementing technical training programs to improve efficiency, and coordinating risk consulting compliance
• Managed, organized, and wrote proposals, policies and procedures to obtain contracts from the state of SC Medicaid that were worth millions of dollars
• Managed 13 staff unit that was responsible for the accounts receivables, billing, identifying third party liability, verifying other insurance policies, contacting providers, and Quality Control workflow that resulted in over 1 million dollars per month for receivables utilizing MMIS.
• Created necessary user ids, passwords, and groups through Windows NT Server and Workstation. Within my department there were three departments in which information had to be separated because of HIPPA Compliance, thus reducing the need for the departments to have access to each other's information. Acted as Y2K Coordinator with accountability for writing the plan and updating all software such as: Electronic Information Management System, Windows NT Server Workstation and many other software applications.
• Developed innovative solutions that cut costs by 20 . Trained employees on Microsoft Access to import data from Microsoft Excel to Microsoft Access to develop queries to perform searches for data. Utilized Kixstart95 to search for data within the Blue Cross Blue Shield system and produce screen-prints without having to use employee staffing.
• Conducted analyses and cost comparisons through Microsoft Excel to increase productivity through automation.
• Technical Environment: MMIS, MS SQL Server, Electronic Imaging System, SMTP, LAN/WAN Technologies, Media Protocols, Telephony, TCP/IP, Cisco Routers, Switches, Windows NT Server and Workstation, Windows 2000 Server and Workstation, Windows XP

Confidenital

Assistant IT Systems Manager Administrator

• Assistant IT Systems Manager Administrator that assisted the Manager with development, automation and network administration for an office that comprised of 65 users for the SC TPL Medicaid program.
• Lead a team of staff to produce electronic forms such as HCFA 1500 and UB92 to automate the processes of the quarterly billings utilizing MMIS to reduce the completion time from one week by staff to 7 hours by automation.
• Installed and utilized Norton's Ghost Imaging on all new machines within the organization. Configured network protocols by utilizing TCP/IP. Managed visual basic files, and performed system backups on tape drives to ensure the organization had backup copies for all scanned work for the day.
• Performed various automation tasks such as creating Macros within Microsoft Word Excel to eliminate the use of performing repetitive tasks.
• Implemented preventive maintenance plans by giving users and group's access to limited content on the web, thus reducing content downloads for viruses. Configured data storage devices such as the HP Optical Jukebox to ensure images were properly stored.
• Executed database strategies within Microsoft Access utilizing queries to produce cost effective procedures to enhance timeliness of production.
• Wired and ran CAT5 cables to set up new lines for voice and data communications
• Technical Environment: MMIS, Electronic Imaging System , MS SQL Server, Citrix, SMTP, LAN/WAN Technologies, Wireless Technologies, Telephony, VOIP, TCP/IP, Cisco Routers, Switches, Windows NT Server and Workstation, Windows XP, HP Optical Data Storage

Confidenital

Subrogation Project Leader

• Managed the TPL High Risk Pool State Health Insurance Plans by successfully coordinating with Attorneys, Providers, Insurance Companies and Plan Participants for the negotiation and recoupment of payments made by state health plans.
• Lead organization to create automated reporting that obtained data from reports that generated accident questionnaires to be distributed to high risk pool insurance recipients.
• Investigated and recommended new IT business solutions such as direct access to state government accident records, coordinating databases through hospitals, and implementing computer generated accident letters.
• Consulted individual state statutes and regulatory provisions regarding policies to determine whether liability medical coverage's were compulsory and whether a medical benefit plan was allowed to subrogate against them.
• Investigated and negotiated potential settlements of assigned claims for review and authorization of routine claims through attorneys.
• Trained staff members to audit, verify, and follow up on insurance and provider leads that were obtained through reports. Procedural manuals were produced within Microsoft Word to include training for CPT/ICD9 coding.
• Analyzed staff's performance and set production standards for quality and efficiency and monitored staff's performance utilizing Microsoft Excel to create formulas necessary for monitoring.
• Technical Environment: MMIS, Electronic Imaging System MS SQL Server, Citrix, SMTP, LAN/WAN Technologies, Wireless Technologies, Telephony, VOIP, TCP/IP, Cisco Routers, Switches, Windows NT Server and Workstation, Windows XP, HP Optical Data Storage