Systems Analyst Resume Profile

SUMMARY

Professional Objective: Seeking a career in a major corporation that offers both a challenge and an opportunity for growth and development. My ultimate goal is to work in a company where I can expand my strengths in Healthcare, Systems Analyst, and Project Management.

Career

Highlights

Member of the HIPAA team that put in place current federal HIPAA guidelines for the Wellpoint Blue Cross and Blue Shield Plan.
Provided business requirements for the HIPAA Privacy Project and configured into Anthem/Wellpoint systems.
Accounts Delinquency Project - entailed the system maintenance of delinquent accounts.
HIPAA Security Project - This project consisted of codes used to protect customer's sensitive information and configuring these codes into the system.
Worked on various EDI Transactions 837, 834, 835, 276, 270 and 271 During Anthems/Wellpoint HIPAA guideline configurations
Account Implementations Project This project consisted of implementing new accounts ensuring that their business needs is configured into Anthem/Wellpoint systems and consolidated as one.
Benefit Verification Project This project consisted of loading and testing codes and configurations to ensure benefits are processed on claims correctly.
Obtained certification in maximizing team effectiveness.
Received awards for perfect attendance 2 years in a row 2001 and 2002.
Member of the MetaVance migration, conversion and testing team for NASCO and Carefirst Blue Cross and Blue Shield.
Lead the Medicare data cleanup team that put together ideas on loading Medicare information onto the NASCO system before conversion and configuration.
ITS Inventory reduction project this was a project I lead, where we had to reduce the ITS correspondence mail that came in from out of state providers.
Team member and Lead in the Operation Excellence Program Project for Horizon Blue Cross and Blue Shield.
Team Lead in ICM Crisis Management when all Oncology applications are down.
Provided Server and Network Support for the Oncology department, and provided analytical support for the application Engineers.
Studied HL7 Health Level 7 Specifications for EDI and messaging exchange between health Applications for healthcare information companies.
Performed Medical Billing and Analysis with NASCO Claims systems.
Leading the SharePoint Migration for the MetaVance team I was responsible for performing conversions of MetaVance documents and NASCO Documents to the new MetaVance webpage. I'm also responsible for maintenance of all documents on the Metavance SharePoint site for all our MetaVance team members.

Confidential

Sr Business Systems Analyst

Prepare detailed system requirements and specifications and participate in the development of system solution design for existing and new capabilities and design activities.
Work closely with Product Managers, Development and QA teams to development requirements in preparation for enhancements or system updates.
Facilitating JAR/JAD sessions.
Working with other analysts to detail use cases and analysis models, Functional or conceptual designs.
Working with technical design team to complete the detail technical design and testing of the application prior to full system integration testing.
Performs requirements gathering and analysis, use cases, SDLC process analysis, MS Applications.
Analyze Client Requests for Project/Work Initiation.
Identify and document high level business requirements.
Provide leadership/ direction/consultation to technical staff for system solutions support acquisition of project resources.
Performs testing for new or upgraded pharmaceutical system solutions.
Manage Project Implementations and leading multiple projects for product management.
Act as a mentor, providing coaching and guidance to Stage I and Stage II SBAs on work related issues.
Creating project plans and timelines for requirement gathering sessions.
Proactively consult with client and other business and technical staff to resolve business/technical issues and needs.
Perform system analysis on pharmaceutical products for preparation for JAD sessions, and requirement gathering.
Performs requirement gathering planning sessions using metrics such as MLOE's to develop timelines.
Performs peer reviews with other analyst on the team to review completed requirements before final approval with stakeholders.

Works with technical staff and others to determine and document the root cause, propose a design solution, test and implement the solution, with minimal guidance and no negative impacts to adjacent functionality.

Confidential

Sr Systems Analyst

Prepare detailed system requirements and specifications and participate in the development of system solution design for existing and new capabilities. Primary accountabilities includes analysis and design activities, facilitating JAR/JAD sessions,
Working with other analysts to detail use cases and analysis models, Functional or conceptual designs, working with technical design team to complete the detail technical design and testing of the application prior to full system integration testing.
Requirements gathering and analysis, Use Case, UML, RUP, SDLC process, MS Applications.
Analyze Client Requests for Project/Work Initiation
Identify and Document High Level Business Requirements
Provide Leadership/ Direction/Consultation to Technical Staff for System Solutions
Support Acquisition of Project Resources
Performs Testing New or Upgraded System Solutions
Manage Project Implementation
Act as a mentor, providing coaching and guidance to Stage I and Stage II SAs on work related issues
Creating project plans
Proactively consult with client and other business and technical staff to resolve business/technical issues and needs
Act as a SME regarding key business functions within BCBSFL product family
Understanding interface points of core business/systems and processes
Verify all/most testing at the systems level
Review test results for any system modification
Provide direction on key requirements for test plans
Providing research analysis and gap analysis on potential issues for existing systems, work with technical staff to determine root cause, propose, document, implement a solution, conduct testing, with minimal support
Performs research analysis and gap analysis on ICD 9 and ICD 10 migration.

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