SUMMARY

• Business Analyst with over 14 years of experience
• Management and Supervisor experience with various leadership training courses completed
• Experience in healthcare and Medicaid
• Experience in Eligibility Programs: SNAP, TANF, Childcare, LIHEAP
• Experience recommending, developing and conducting staff training

TECHNICAL SKILLS

MS Suite: Excel, Word, Outlook

North Dakota computer systems: TECS, Vision, SPACES, OASYS

Methodologies: Agile, Waterfall

Policy Interpretation for: TANF, SNAP, and Medicaid

Subject matter expert in: SNAP, TANF, and Medicaid

PROFESSIONAL EXPERIENCE

Confidential

Eligibility Specialist

Responsibilities:

• Interpreted Federal and State rules and guidelines to determine eligibility for Medicaid and ACA programs
• Subject Matter Expert (SME) for new eligibility systems SPACES
• Assisted in business requirement meetings creating and gathering requirements
• JAD sessions for design of new system giving input for design of GUI for SPACES system

Confidential

Business Analyst

Responsibilities:

• Reviewed current training materials for Confidential Medicaid training materials
• Updated training materials to comply with ACA
• Created requirement documents for Boston Eligibility project for which they were trying to consolidate different systems
• Analyzed old project documentation for requirements and business rules

Confidential

Business Analyst

Responsibilities:

• Developed high level and detail business requirements
• Modeled current State Assessment using Microsoft Visio
• Modeled To - Be work flows and functions using Microsoft Visio
• Designed Graphic User Interface for new Eligibility System to be used for ACA and New Eligibility System
• Created Design Spec for Pre Screening questions for new Eligibility System
• Develop Business Rules based off policy Manuals

Skills Used: JAD, TANF, SNAP, Medicaid, LIHEAP, Child Care

Confidential

Business Analyst/Consultant/Subject Matter Expert

Responsibilities:

• Developed business requirements for Statewide Human Services System
• Conducted site visits to analyze and decompose business processes
• Conducted JAD Sessions
• Analyzed and composed content for deliverable
• Developed and modeled current work as-is work flow

Skills Used: TANF, SNAP, Medicaid, JAD, Touch Point Meetings,, Microsoft Visio

Confidential

Self Reliance Supervisor

Responsibilities:

• Developed and implemented priorities, procedures, and guidelines for day to day operations
• Hire, train, and evaluate staff
• Assigned and adjusted caseloads to meet department deadlines and client needs
• Reviewed case documentation and actions
• Advised and assisted staff on problem cases, work methods, control systems, and interpretation and application of policies and procedures
• Ensured integrity, uniformity and accuracy of benefits and policy application
• Evaluated and ensured program compliance with policies, rules and regulations
• Interpreted and provided input regarding regional and state program policies and procedures
• Assessed staff training needs and prepared, presented or coordinated and evaluated training
• Self-Reliance Specialist
• Self-Reliance Specialist

Skills Used: TANF, SNAP, Medicaid, Idaho Benefit Eligibility System, EPICS, E-Verif-me, eEligibility, Q5i

Confidential

Eligibility Worker II

Responsibilities:

• Interpreted Federal, State, and County policies regarding Cal WORKS, SNAP, and Medi-CAL
• Maintained caseload of case consisting of Cal WORKS, SNAP and Medi-CAL
• Determined eligibility for Cal WORKS, SNAP, and Medi-CAL
• In 2003 helped reduce the County’s error rate from 18% to 8% earning a bonus for no QC errors
• Participated in implementation of C-IV
• Led weekly team meeting for changes in policy for Cal WORKS, SNAP, and Medi-CAL

Skills Used: TANF, SNAP, Medicaid, C-IV