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Business Analyst/quality Assurance Analyst Resume

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Franklin, TN


  • Business Systems Analyst with ability to successfully bridge business and IT Data Warehouse teams through requirements gathering, research, resolution identification and execution.
  • In depth knowledge of Healthcare and Pharmacy Insurance programs Experienced contributor on systems conversion as well as data warehousing and integration in an Agile environment.


Microsoft Office: (Excel, Word, Outlook and Powerpoint, Visio), Proficiency in Basic SQL Commands, SQL Server, TOAD, Sharepoint, Teradata, Mattermost, HPE - Service Manager Change Requests, Confluence, TFS Visual Studio Team Foundation, Azure DevOps, Mailinator, Salesforce, Concise, Possible Now, QSHR, EMR, Atana Databasei, AS400, Carelogic, Prolaw, Issue Trak. Daptiv, Macess Database, Multi-Tasker, Analyzing Information, Call Center Manager, Organization attention to detail, Implementation of system enhancements. Data Abstraction Supply Management.


Confidential, Franklin, TN

Business Analyst/Quality Assurance Analyst


  • Working in an Agile environment participating in sprint planning, daily scrum meeting, QA testing, retrospectives, and sprint reviews, giving daily updates on projects deliverables working internally and remote.
  • Developed functional and non - functional requirements into Features and user stories using Azure DevOps for HR Payroll Systems and Centralized W2 projects.
  • Elicit and gathered Business requirements and translate to technical team for system development and deployments.
  • Participated in entire SDLC and facilitated JAD sessions interviewing Product and Business owners, documenting workflow analysis related to daily functions and upgrades to teh PayFocus, PayFocusPro and Centralized W2 payroll systems
  • Work closely with Project Managers to write up Scope document and Project plan to identify development solutions.
  • Plan, update, develop and execute manual and/or automated functional, technical, and performace testing using automated test software, as well as other tools using various techniques (Mailinator, Test Harness, Salesforce, Microsoft Azure, Kanban).
  • Created test plans, Uset cases, Use case diagrams in Visio and delivered test result deliverables and worked with developers and End User team to accomplish end to end testing.
  • Conducted functional and load testing of web-based applications in a windows environment.
  • Work with Agile Teams (SME, Product Owners) to plan sprints and releases, conducted and participated in Backlog grooming.
  • Work with Agile Team to create Features, assign points for user stories, acceptance criteria, and prioritize work for product backlog.
  • Working in an Agile/Kanban environment completing both business analyst and quality assurance activities.
  • Worked with other teams such as third-party integration teams (Concise, Salesforce, Possible Now) to assure integration was fulfilled between source systems within project timelines.
  • Work with internal systems and Microsoft software as well as directly with business owners based on database usage.

Confidential - Nashville, TN

Business Systems Analyst, Sr


  • Participate and conduct JAD sessions with business units gathering business requirements and gap-fit analysis for resolution and execution of teh project.
  • Co-ordinate with teh development and QA team during teh development, clarify any queries they have regarding teh requirement.
  • Participate in entire SDLC process to maintain project schedules that consider teh priorities, time estimates, task sequencing and identification of tasks that may be performed concurrently to achieve objectives.
  • Developed functional and non-functional requirements using businees requirements by working with stakeholders by gathering business requiements.
  • Implementation of project deployment through Change Management systems.
  • Work closely with business unit and IT management and staff to identify development solutions
  • Serving as an expert resource on matters of data and writing functional requirements to business and IT partners in all phases of data warehouse and datamart development, implementation and support. Ensuring artifacts are maintained across multiple implementations.
  • Ability to function in a multi-system environment while adapting to organizational and operiational needs, as well as working remote.
  • Work directly with users to gather requirements and identify critical decision steps.
  • Creating source-to-target mapping including transformation logic rules. Working with IT Data Modeling to ensure data design is consistent and accurate and for implementation.
  • Research and evaluate alternative solutions and recommend teh most efficient and cost-TEMPeffective programming solution.
  • Training of System Analyst with onboarding process and subject matter as assigned.
  • Document, test, implement and provide on-going support for teh data warehouse developments.
  • Design, develop, and support complex integration processes (including interfaces) using SQL Server technology, stored procedures, and Teradata tables
  • Developed and executed QA case, Use case and User Stories for deliverables prior to implementation to production database.
  • Working in an Agile and Waterfall environments with daily scrum meetings and updates on projects deliverables for data warehouse and integration project.

Confidential, Nashville, TN

HEDIS Abstractor Assistant


  • Performed provider/practitioner medical record review, abstraction, and data entry for HEDIS measures.
  • Reviews assigned medidal records in order to abstract clinical data elements for HEDIS reporting.
  • Ensure appropriate quantitative data is gathered for analyses
  • Extract data from appropriate source for analysis and interpretation
  • Communicates identification of pursuit leads for additional medical records to other members of teh team.
  • Integrates data collected from electronic and paper sources and identified findings supported by documentation.
  • Documents abstraction findings in HEDIS database according to compliance standards
  • Maintained HIPPAA standards and confidentiality of protected health information, while reporting critical incidents as required.
  • Responsible for meeting daily abstraction production goals. Performs other duties as assigned

Confidential, Nashville, TN

Senior Certified Pharmacy Technician


  • Greet and assist healthcare providers and customeers in person, and by answering phone-in questions.
  • Process, input, fill and prepare patient prescriptions in preparation for distributing to patient.
  • Train and develop new staff and student interns.
  • Maintains pharmacy inventory, check pharmaceutical stock to determine inventory level to anticipate medication needs and supplies.
  • Place orders verify receipt and move outdated drugs.
  • Maintain a safe and clean pharmacy while performing tasks that are consistent with corporate policies as well as state and federal laws
  • Prepare patient medications for home delivery.
  • Coordinate responses and resolutions with prescriptions and patron inquries with appropriate internal and external parties.
  • Organize medications for pharmacist to dispense by reading medication orders and prescriptions, preparing labels, calculating quantities; prepare simple compounds and other pharmaceutical therapies.

Confidential, Nashville, TN

Healthcare Program Director/Benefits Manager


  • Managed, trained and developed two Assistant Directors and four Insurance Benefits Analyst.
  • Analyze and manage existing operations and business processes for improvement by creating and documenting
  • Resolve member and applicant issues, concerns and enrollment problems.
  • Work with Finance Director to assure programs meet budgetary guidelines, managed and overseen all contractual obligations.
  • Recommend and implement process improvements and business processes and technology use. Interacted with Senate and House Representatives to resolve constituent issues and program concerns related to district.
  • Managed a small healthcare call center audit policy creation and documentation follow up for members.
  • Performed quality audits of applications, and programmatic business processes. Participate in transition plan of current membership.
  • Overseen and ensured board and committee documentation were developed and presented.

Confidential, Nashville, TN

Quality Improvement Supervisor


  • Managed, developed, and trained and advised a team of three Quality Improvement Analysts.
  • Assisted in creating audit programs to evaluate teh performance of Medicaid TennCare client, assess data input requirements; develop Quality monitoring/audit reporting specifications and program.
  • Consulted with four MedicaidTennCare Units conducting daily business analysis of each unit’s daily work function making recommendations on improvments related to process, people and technology usage.
  • Creating project plans and timelines to assure deliverables are met.
  • Facilitated weekly meetings with client to discuss system and staff concerns.
  • Conducted training sessions and materials for Medicaid TennCare clients.
  • Made recommendations and/or supported ongoing review of processes assess teh units on processes proposed and implementing by SAT via Continuous Quality Improvement (CQI) as well as monitoring to possibly develop corrective action plans.
  • Assisted with creation of client Visio workflows, policy and procedures and desktops.
  • Assisted with identifying and proposing enhancements for teh appeals central registry database. Monitored unit’s performance of appeal documentation.
  • Developed departmental policies and procedures and revised as needed.
  • Monitored, measured and reported monthly auditing results and process improvements.
  • Identified CQI methods that were used to support quality monitoring and process improvement programs for potential clients.


Sr. Business Analyst


  • Worked locally and remote site personnel and outside vendors to and coordinate research development and implementation of requirement definitions.
  • Worked with end users daily and weekly project meetings to assess client’s existing operations and business processes.
  • Participated in and led projects related to teh Prolaw central registry application systems.
  • Participated in and led technical strategy sessions with other IS team members, led in facilitating and coordinating research for client workflow changes.
  • Led JAD sessions, conducted gap analysis; provided assistance in analysis of a change request and development and implementation of Requirement Definitions.
  • Assisted users to identify and solve complex data and software problems.
  • Coordinated and evaluated teh requests of users for new or modified application program.
  • Worked with users to define requirements documentation, desired delivery dates, and compatibility of requests. Provided timely project/assignment statuses to management and users.
  • Evaluated teh TEMPeffectiveness of current systems and identified teh need for improvements along with recommending solutions.
  • Responsible for maintenance of requirements specifications, assuring software life cycle (SDLC) was completed. Established and updated data dictionary and client sign off.
  • Assisted and conducted training sessions, User Acceptance Training, and created manual testing plans. Designed monthly enhancements into Prolaw system test, train and production environments, revisions, conversions to Prolaw.
  • Served as lead project representative on all system developments and provides weekly status to management.
  • Served as liaison between IS and Quality departments to coordinate special database and application projects

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