Qualifications Summary:

• Business systems professional with business analyst, data reporting analyst, project coordinator, programmer/analyst, end-user support, management, and technical trainer experience. Possesses considerable experience in a wide range of functions that includes software system implementation, test system integration, business process improvement, technical training, user support and communications.
• Experience with large- and small-scale projects. Participated in cross-functional and multi-national teams. Knowledgeable in project management methodologies and software.
• Complete Systems Design Life Cycle SDLC and knowledge and experience - Gathered requirements using interviews, document analysis, requirements workshops, surveys, site visits, business process descriptions, use cases, scenarios, business analysis, and task and workflow analysis.
• AGILE training from Hewlett-Packard Enterprise Services.
• Skilled with consulting and directing customer relations with domestic and international clients, including several Fortune 500 companies.
• Identified and documented requirements and analyzed these requirements from a business perspective. Defined current and future needs, draft project proposals, and co-relational scenarios processes, models, use cases, plans and solutions and work with the client to ensure proper translation of business requirements to I/T solution requirements.
• Critically evaluated information gathered from multiple sources, reconciled conflicts, decomposed high-level information into details, abstracted up from low-level information to a general understanding, and distinguished user requests from the underlying true needs.
• Proactively communicated and collaborated with external and internal customers to analyze information needs and functional requirements and delivered the following artifacts as needed: Functional Requirements, Business Requirements, Use Cases, GUIs, Screen and Interface designs as well as Requests for Proposals and Vendor Contracts.
• Collaborated with developers and subject matter experts to establish the technical vision and analyzed tradeoffs between usability and performance needs.
• Liaison between the business units, technology teams and support teams.
• Develop test plans, test cases, test scripts and test reports on multiple projects of varying size.
• Perform testing on various software, telecom and reporting systems.
• Validate that user expectations are achieved during the testing process.
• Review user requirements documents to ensure that requirements are testable.
• Familiar with Disaster Recovery and Business Continuity principles and planning.
• HealthCare experience including Medicare CMS claims analysis, Medicaid TennCare claims processing, Pharmacy, Eligibility, Enrollment, Adjudication and many other areas.
• Experience in a .Net environment.

Work History:

Business Analyst Confidential

• to Current Project Coordinator Consultant with Apex Consulting working at Community Health Systems, one of the nation's leading operators of general acute care hospitals. The organization's affiliates own, operate or lease 208 hospitals in 29 states with approximately 31,500 licensed beds.
• Surveyed corporate product specialists and developed a knowledge base on the major systems and applications affected by International Classification of Diseases Version 10 ICD-10 implementation.
• Supported Hospital Information Systems personnel as they managed an ICD-10 Facility Inventory of all systems, applications, and tools that accept, store, or transmit ICD codes.
• Acted as a Liaison with Core Vendors, analyzed and resolved any gaps or conflicts in Vendor records versus Facility Inventories.
• Assisted in tracking vendor performance, assessing risks and working to resolve issues as they occur.
• Analyzed Operational requirements, focused on the areas of training, testing, and accounts receivable.
• Assessed risks and made recommendations for IS alignment with Operational requirements.
• Represented the project in a highly professional, supportive manner, facilitated open communication and rapid response to stakeholder needs and concerns.
• Elicited, documented, and managed complex requirements.
• Established productive working relationships with technical personnel, vendors, upper management and business leaders, physicians and clinical staff.
• Prioritized and managed multiple job duties.
• Deployed business analysis tools including Surveys, Gap Analysis, Problem Analysis, and Business Analysis Planning.
• Exhibited confidence and an extensive knowledge of emerging industry practices when solving business problems.

Business Analyst Confidential

• Business Analyst Consultant with HP Enterprise Services working at the State of Tennessee's Department of Medicaid program that provides health care for 1.2 million Tennesseans.
• Challenged to create and implement technology solutions and deliverables for Bureau of TennCare through changes of the software application and/or business process development.
• Successfully implement new software applications, on time and within budget, working collaboratively with System Engineers and Business user under time-critical and demanding schedules to complete outputs.
• Coordinate with the Bureau of TennCare, its' vendors and other support groups to identify new business processes, systems software and products.
• Interprets business process and procedures for TennCare's technical systems.
• Define document and create Requirements and Business Design for software development implementation.
• Define, document and execute manual and automated Test Planning, Test Procedures, and Test Cases.
• Create data and process flow diagrams to display and interpret data graphically.
• Documents specifications and interacts with other support groups to apply understanding of customer's business need.
• Plans and leads customer projects. Develop training activities for peers and customers. Initiate measures to eliminate non-value added activities through process improvement.
• Write Change Orders/Work Request as needed.
• Write, execute and document test cases in order to test using Quality Center application.
• Interact with Customer and corporate personnel to identify and resolve problems.
• Present recommendations to management on project related actions.

Business Analyst Confidential

• Identified and documented the functional requirements of the Incident Management Office for tracking the location and activity of their Freeway Service Patrols. Incorporated these requirements into a fully justified sole source contract for an Incident Management and Vehicle Tracking Commercial Vendor Package. Created user manual.
• Analyzed customer needs and delivered the following: business requirements, functional requirements, screen and interface designs, and test requirements for the Incident Management Office to create an internal .Net application to be used to enter, track and report the returned Comment Cards that the Freeway Service Patrol drivers distribute when they help a motorist. Created user manual.
• Analyzed customer needs and delivered the following: business requirements, functional requirements, Screen and Interface designs for the Community Relations Division to create web pages for that will accessible to the public via web browser capable mobile devices. The information was retrieved from the TDOT SmartWay Information System.
• Identified and documented the functional requirements of the Outdoor Advertising Office for tracking the location, permitting and inspection of outdoor advertising billboards. Incorporated these requirements into a Request for a Proposal, which included the contract, for an Outdoor Advertising Device Commercial Vendor Package.

Business Analyst Confidential

• working at the State of Tennessee's Division of Mental Retardation IT department.
• Identified and documented the functional requirements of their TennCare Medicaid claims processing.
• Identified and documented functional requirements and created the contract for an Electronic Medical Records Commercial off the Shelf Vendor Package.

Business Data Analyst - Confidential

• Report design, pattern analysis, and healthcare evaluation in a team-based setting utilizing MS-Access and MS-Excel to turn data into information in a MEDICARE CMS environment.
• Write, test, debug, and use data extraction and data analytic applications to analyze large MEDICARE CMS healthcare datasets to produce information on a range of claims-based health subjects including such topics as prevalence of clinical conditions, provider and treatment frequency, eligibility and cost.
• Communicate with providers, recipients and administrators to facilitate understanding of health data from CMS and that data extracted from CMS databases.

Business Analyst - Confidential

Business Analyst on an Confidential Project Team at State Farm Insurance. Responsible for identifying/documenting requirements and analyzing these requirements from a business perspective. Define current and future operational scenarios processes, models, use cases, plans and solutions and work with the client and the I/T Architect to ensure proper translation of business requirements to I/T solution requirements in an insurance environment. Worked with multinational development teams.

Business Analyst Confidential

IBM outsourced account at Continental/General Tire. I adhered to the IBM required QA and testing standards when doing software remediation. Worked with multinational development teams.

Senior Programmer/Analyst - Confidential

Summit Racing Equipment, a mail order fulfillment and retail performance automobile parts sales firm. Worked with international sales.

Programmer/Analyst Confidential

A medical insurance benefits management firm. Computer Programmer - INSURx, Independence, OH - May 1989 to July 1994 Staff Programmer for INSURx, a pharmaceutical benefits management firm that processed pharmacy claims.

Petty Officer 2nd Class Confidential

Petty Officer in charge of the inpatient pharmacy at the National Naval Medical Center, Bethesda, Md., a 500 bed military hospital.

Software Skills:

• Microsoft - Windows XP Windows 7 8, MS-Office Suite Access, Excel, Outlook, PowerPoint, Word , MS Visio, MS Project, SharePoint. SQL.
• HP - HPQC