Summary

PROJECT DETAILS

Confidential

Position: Senior Business Solutions Analyst

Responsibilities:

• Partnered successfully with development, business and the client to produce a positive working relationship across all areas
• Spearheaded cross-functional initiative to achieve meeting deadlines of deliverables
• Trained, coached and mentored staff to ensure smooth transition into department.
• Developed and rolled out new policies.
• Responsible for measuring and reporting on progress of the Business Analyst department, including managing, documentation of current process and future state process
• Document management
• Determined operational objectives by studying business functions gathering information evaluating output requirements and formats.
• Assisted with creating design documents for new computer programs by analyzing requirements constructing workflow charts and diagrams studying system capabilities then writing specification documents and USE Cases.
• Assisted in improving systems by studying current practices and suggesting design modifications with POC.
• Recommended controls by identifying problems writing improved procedures and creating process flows to show gaps in current processing.
• Assisted and implemented software testing methods and strategies.
• Created the test case and script design, along with the test execution plans, defect management process and tracking
• Test case and script design, along with the test execution plans, defect management process and tracking.
• Scrum Meetings
• Agile SDLC Methodologies
• Agile Dashboards

Confidential

Position: Senior Program Analyst October 2013 to December 2013

Responsibilities:

• As the TennCare Sr. Program Analyst 1, the PA reported to the TennCare Performance Manager and was lead for a team of three 3 Program Analyst 1s.
• As a Program Analyst 1, you had to have knowledge in using PMBOK and BABOK practices, you will also have to have knowledge of Quality Assurance and combine that knowledge of Quality Assurance and performance monitoring tools to support the Performance Manager.
• Once through the implementation phase of program start up, the Sr. Performance Analysts transitioned to a support role from a performance management perspective for the leadership team residing on the operations side of the eligibility business area.
• The post implementation tasks for the Sr. Program Analyst Team included analyzing and interpreting operational data along with the Performance Manager and lead from the Eligibility Organization, identifying deficiencies promptly and developing appropriate program improvement plans in conjunction and coordination with the leadership of the eligibility organization.
• This team will also collectively developed improvement strategies regarding business process improvements which ultimately lead to program improvement.
• The Sr. Program Analyst assisted with monitoring operations related to function-specific performance standards, reporting requirements, and estimated activity levels for the program.
• Specifically, assisting in reviewing and analyzing operational data captured by the Tennessee Eligibility Determination System TEDS and the Medicaid Management Information System MMIS .
• The data allowed the Performance Management Staff to track all factors of actual program operations against baseline performance metrics identify performance issues and initiate corrective action in a timely manner and assist the organization in maintaining compliance with all Federal regulation and applicable consent decrees. ACA
• Document management
• Scrum Meetings
• Agile SDLC Methodologies
• Agile Dashboards

Confidential

Position: Test Analyst Lead

Responsibilities:

• Determined operational objectives by studying business functions gathering information evaluating output requirements and formats.
• Created USE Cases for new computer programs by analyzing requirements constructing workflow charts and diagrams studying system capabilities then writing specification documents.
• Recommended controls by identifying problems writing improved procedures and creating process flows to show gaps in current processing.

• Persistent process improvement analyst, applying Lean , PMBOK and BABOK practices
• Capacity/scalability planning

• Healthcare experience with providers and payers for eligibility and claims processing
• Assisted and implemented software testing methods and strategies.
• Created the test case and script design, along with the test execution plans, defect management process and tracking
• Used dashboard to show project data, support investigation, and help team perform common tasks more quickly.
• Experienced with healthcare EDI formats X12 270/271, 276/277, and 278 and HL7
• Experienced with Third Party Liability and or eligibility verification and related data
• Worked directly with major payers on TPL, COB projects
• Scrum Meetings
• Agile SDLC Methodologies
• Agile Dashboards
• Used dashboard to show project data, support investigation, and help team perform common tasks more quickly.
• Healthcare experience with providers and payers for eligibility and claims processing
• Experienced with Hospital billing, contract management, and/or provider AR systems
• Experienced with integration and application of EDI insurance benefits Medicaid, Medicare, Commercial, Casualty Liability to patient accounts
• Document management

Confidential

Position: Senior Business Architect November 2012 to March 2013

Responsibilities:

• Managed team of 10 professionals.
• Partnered successfully with development, business and the client to produce a positive working relationship across all areas
• Spearheaded cross-functional initiative to achieve meeting deadlines of deliverables
• Trained, coached and mentored staff to ensure smooth transition into department.
• Developed and rolled out new policies.
• Responsible for measuring and reporting on progress of the Business Analyst department, including managing, documentation of current process and future state process to develop front end application of Microsoft Application, Dynamic CRM HHS.
• Used dashboard to show project data, support investigation, and help team perform common tasks more quickly.
• Accountable for maintaining process' across multiple projects to ensure that all identified issues and risks are clearly documented, assigned, communicated, resolved, and worked to acquire end user sign-off.
• In charge the creation of reusable test conditions in the selected automated testing software to establish ongoing, repeatable testing approaches for the UAT testing team.
• Experienced in managing all Business Architecture phases up to and during UAT while being in charge for all levels of testing and the management of the testing activities within a development and implementation project that include unit testing, integration testing, system testing, user acceptance testing, implementation testing, and also Automated SMOKE and Regression testing.
• SOA
• Experience with Third Party Liability and or eligibility verification and related data
• Work directly with major payers on TPL, COB projects
• Scrum Meetings
• Agile SDLC Methodologies
• Agile Dashboards
• Document management

Confidential

Position: QA Testing Manager

Responsibilities:

• Managed team of 20 professionals including BA's. Testers and Developers
• Partnered successfully with development, business and the client to produce a positive working relationship across all areas
• Spearheaded cross-functional initiative to achieve meeting deadlines of deliverables
• Trained, coached and mentored staff to ensure smooth transition into department.
• Developed and rolled out new policies.
• Responsible for measuring and reporting on progress of the testing department, including managing, test cases, test data and test results.

• Persistent process improvement analyst, applying Lean , PMBOK and BABOK practices
• Capacity/scalability planning

• Healthcare experience with providers and payers for eligibility and claims processing
• Accountable for maintaining process' across multiple projects to ensure that all identified issues and risks are clearly documented, assigned, communicated, resolved, and worked to acquire end user sign-off.
• In charge the creation of reusable test conditions in the selected automated testing software to establish ongoing, repeatable testing approaches.
• Used dashboard to show project data, support investigation, and help team perform common tasks more quickly
• Experienced in managing all test phases while being in charge for all levels of testing and the management of the testing activities within a development and implementation project that include unit testing, integration testing, system testing, user acceptance testing, implementation testing, and also Automated SMOKE and Regression testing
• Scrum Meetings for Testing and Development
• Agile SDLC Methodologies
• Agile Dashboards
• Document management

Confidential

Position: Project Analyst, Testing Lead

Responsibilities:

• Established and evolved a formal QA processes, ensuring that the team was using industry-accepted best practices.
• Supervised all aspects of quality assurance including establishing metrics
• Acted as key point of contact for all QA aspects of releases,
• Provided QA services and coordinating QA resources internally and externally.
• Led and mentored QA team members
• Used dashboard to show project data, support investigation, and help team perform common tasks more quickly.
• Coordinated and prepared internal and external reports through gathering, analyzing and summarizing data and information from various departments.

• Prepared presentation materials for management reports.
• Persistent process improvement analyst, applying Lean , PMBOK and BABOK practices
• Capacity/scalability planning

• Healthcare experience with providers and payers for eligibility and claims processing
• Planned and monitored minor projects from concepts through implementation
• Experience with healthcare EDI formats X12 270/271, 276/277, and 278 and HL7
• Experience with Third Party Liability and or eligibility verification and related data
• Work directly with major payers on TPL, COB projects
• Agile SDLC Methodologies
• Agile Dashboards
• Document management

Confidential

Position: Business Systems Analyst

Responsibilities:

• Determined operational objectives by studying business functions gathering information evaluating output requirements and formats.
• Assisted with creating design documents for new computer programs by analyzing requirements constructing workflow charts and diagrams studying system capabilities then writing specification documents and USE Cases.
• Assisted in improving systems by studying current practices and suggesting design modifications with POC.
• Recommended controls by identifying problems writing improved procedures and creating process flows to show gaps in current processing.
• Assisted and implemented software testing methods and strategies.
• Created the test case and script design, along with the test execution plans, defect management process and tracking
• Test case and script design, along with the test execution plans, defect management process and tracking.
• Document management

Confidential

Position: Office Manager, BA

Responsibilities:

• Managed facilities for 15 offices along the east coast including Chicago
• Maintained Operational Reports for Executive Board Members
• Assisted with the Implementation of the Company's Proprietary software to all offices to 15 offices along with over 2500 hand held Nextel/Sprint Radios for Couriers.
• Assisted in improving systems by studying current practices and suggesting design modifications with POC.
• Recommended controls by identifying problems writing improved procedures and creating process flows to show gaps in current processing.
• Assisted and implemented software testing methods and strategies.
• Created the test case and script design, along with the test execution plans, defect management process and tracking
• Test case and script design, along with the test execution plans, defect management process and tracking.
• Document management

SKILL SETS