Junior Business Analyst Resume Profile
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FL
Talented Business Analyst with over 10 years of experience in child welfare, health care, and government industries
- Rounded in business process engineering and software development lifecycle, including analysis, design, development, testing and implementation of software applications.
- Excellent communication, analytical, interpersonal, and presentation skills expert at managing multiple assignments simultaneously.
- Experience as a Business Analyst in deployment of web-based, Client-Server applications, developing business processes and system solutions for the child welfare industry from conceptualization to implementation.
- Experience in Requirement Analysis, JAD sessions, Business and Systems reviews and working sessions to understand the requirements and system design.
- Excellent business writing skills to create Functional Specifications Document FSD and System Documentation, and designing prototypes/mockups of user interfaces.
- Fluent in a broad range of technologies, including business process tools such as MS Project, Excel, Access, Visio and defect tracking tool, ClearQuest
Professional Experience:
Junior Business Analyst
- Actively participated and completed meeting minutes for all Requirement and JAD sessions.
- Interacted with the stakeholders, business users and division supervisors daily to develop new and enhanced functionality for ongoing work by performing Requirement and Functional gathering.
- Gathered, Analyzed, and documented requirements.
- Performed technical writing by generating Functional Specification Documents and other System Documentations i.e. Topic Papers, How Do I Guides, User Guides, Online Help files .
- Create mockup designs of application user interfaces using business drawing software Axure Pro .
- Support UAT Testing and System Testing, monitor and track defects using ClearQuest.
- Work with Development and QA teams to transition business requirements into QA test cases and assist in UAT.
- Develop Level of Effort and Rough Order of Magnitude estimates.
- Support design and LOE sessions for Change Requests
Senior Healthcare Program Analyst / Contract Management:
- Administrative position in the Provider Enrollment Unit Medicaid Contract Management.
- Effectively monitor, coordinate, as well as support coordination in system functions for several provider types for the state of Florida.
- Responsible for oversight of the Hewlett Packard systems contract with relation to provider enrollment activities and specific provider types.
- Develop and coordinate systematic Medicaid institutional and non-institutional provider types in the FMMIS system.
- Provided training on AHCA's Medicaid Management Information System to the FL Department of Health, and AHCA staff.
Healthcare Program Analyst:
- Review and approve provider qualifications and approve them for Florida Medicaid beneficiary services in an administrative capacity.
- Navigate/Modify Florida Medicaid Management Information System FLMMIS , Medicaid's management information system.
- Effectively correspond with state, federal, providers, and consumer groups, for the purpose of implementing and maintaining program policies.
- Productively collaborate with other bureaus within the Agency, other state agencies, and provider/consumer groups to encourage coordination, and communication.
- Enrollment Coordinator for Long-Term and Behavioral Health Care unit specifically Project AIDS Care, Community Mental Health, Familial Dysautonomia, and Home Health Agencies.
- Team projects: AIDS Supplemental Payments, Personal Care Assistance transition, Edits and Audits Task Force, which identified potential fraud or abuse and over-payment recoupment.
Administrative Secretary/Paralegal
- Create legal documents for dependency court. Prepared files and attorneys for court.
- Maintained appellate database and processed all related documentation. Prepared special motions and filings.
- Opened, maintained, closed, and archived all dependency cases.
Fraud Examiner
- Adjuster, Auditor, examiner. Evaluate payments of unemployment benefits, compensation claims.
- Created reports using investigated information on fraud and overpayments. Monitored unemployment overpayment cases by performing case work and documenting all actions in a created database.
- Maintained up-to-date knowledge of Florida statute regarding unemployment compensation and related rules.
- Fully investigated overpaid claims and adjustments, as well as fraud and abuse. Generated Legal documents necessary to open overpayment cases, and represented the Agency in Small Claims Court to retrieve the overpayment funds.
