Objective

To obtain a position that allows me to utilize my education, experience and skills and follow my career path towards Information Systems, Communication, Strategic Business Analysis and Project Management.

Work History

Senior Business Analyst

Confidential

• IT Project for Truck Manufacturer's EPA Green House Gas Regulation Compliance
• Research and document companywide as-is business processes
• Elicitation and documentation of business requirements
• Analysis and recommendations for design of large IT project
• This was only a temporary position while my family was briefly relocated to Seattle WA

Senior Business Systems Analyst

Confidential

• Healthcare Provider Practice Management and Electronic Data Interchange EDI Software
• Work with CTO to design two system enhancements for Broadcast Messages and Claim Tracking Functionality
• Analyze and document business processes and recommend improvements
• Built complete Access DB for Insurance Carrier contract cross reference and call tracking with queries, forms and reports
• Research and document competition system functionalities to develop product benchmarks
• Left this position for a temporary family move to Seattle.

Senior Business Analyst, Senior Product Designer

Confidential

• Healthcare Software, GUI webs solutions products Constituent Web Solutions Design
• Formulate business solutions and define UI design and system rules for Software Development and Quality Assurance teams
• Analyze requirements and design systems through documentation of Functional Specification Documents
• Work with small to large development teams to bring software solutions from inception to customer implementation
• Work closely with Product Management and Client Executives to design appropriate systems
• Excelling in all areas of the Agile Development SDLC process
• Develop streamlined processes that extend to multiple functional teams

Business Systems Analyst, Project Manager

Confidential

• Network Infrastructure Services, Business Management Team, leading major process and system
• enhancements responsible for:
• Strategic planning activities surrounding all areas within the Business Management team as well as specific Finance teams
• Develop, construct and publish multiple departmental guidelines / standards NIS, BM and PMO , including Process flow charts, various matrices, contractual interpretations and applications, as well as best practices with minimal supervision
• Materialize compliance control plans and lead implementation activities including corrective action planning and training
• Facilitate communication and create presentations for cross region planning Global teams as well as external vendor client sessions
• Interview entire staff to a actualize their business processes in both Visio and Text and b establish standards for how they interact/provide services to Global Amex teams
• Utilize previous system implementation and process improvement experiences to organize and lead internal teams toward efficiency improvements
• Analysis and research to build and document new and/or enhanced processes to enable increased financial control and forecasting including formal documentation, financial reporting templates, automated formulas and calculations, and more
• Document business and system requirements for multiple internal and external tool development initiatives
• Leading teams through implementations processes SDLC to drive quality results and user commitment as well conquer a wide variety of challenges
• Develop and manage multiple project plans using Method/1 concepts with detailed tasks to implement the new process models throughout all of the Global NIS Business Management locations
• Manage priorities in a constantly changing corporate environment
• Research and become a SME for volumes of Corporate and Division Policies and Procedures to create user guidelines and other reference tools
• Contract Management: Vendor 3rd Party , Cross-Company such as SLAs and Standards Management , and Subsidiary Agreements
• Document and publish various content to company intranet web site AmexWeb
• Create Library Reference document/tool with formatting and linkage structured based on ITIL concepts

Business Solutions Analyst Team Lead, Project Manager

Confidential

Acxiom is a Technology organization with Clients across multiple industries, work efforts detailed as follows:

Wolters Kluwer Data Factory Transformation project, responsible for:

• Lead fast-paced BSA team ranging from 2 9 staff for large Data Warehouse Transformation Project Transition from legacy Mainframe environment to updated Warehouse Technology, with concurrent work streams
• Function in quad capacity role as required for the project: Technical Analyst specifications, security, compliance, etc , Analyst for efficiency improvements and automation enabled by new system, Leader / trainer for less experienced Analysts and Developers, and Manage Project tasks and resource allocation
• Collection, analysis, documentation and validation for both business and system requirements for the following business segments: Client Services, Product Management, and User Interface. System and Business Req. included rules / logic and linkages for data transformation, application and retention
• Research, plan and document security and policy compliance requirements
• Translating requirements into Technical Specification Documents and provide consistent Development support
• Creation and Release of Test Plans including Use Cases and Test Scripts as well as Training Materials
• Lead Client and Project team sessions to brainstorm and develop a graphical user interface for the transformed environment.
• Change Management Activities
• Create PowerPoint Presentations for the Client Leadership Team as well as Client SMEs and project team members

Retail Credit Card Client Confidential

• Business and system requirement documentation and Client approval
• Technical specification documentation
• Build action plans for compliance management for security threats, internal and external vendor relations and negotiations and manage the implementation efforts
• MS Project plan and task management
• Unit, System and End User testing

Confidential

• Bring the client out of their legacy Mainframe based system into the new Acxiom Data Factory
• Work closely with many client stakeholders remotely to make sure that the Acxiom technical specifications accurately depicted the Client's requirements documentation
• Build test plans and cases to roll the solution out to production.
• Acxiom went through a number of downsizing efforts and my position was displaced as a result. Business Analyst, Consultant

Confidential

• FourThought Group specialized in working with governmental agencies to implement upgrades to their
• Medicaid Management Information Systems and other Healthcare solutions.
• State of WA MMIS Implementation: Business Analyst for the Healthcare Claims and Customer Service side of the state's Healthcare program.
• State of NM Medicaid: Smaller project for the State for their electronic filing of medical/professional and hospital claims.
• State of AR MMIS and SmartPA : Responsible for leading months of facilitated requirements gathering sessions for revisions to their MMIS and implementing a SmartPA system for the state to electronically preauthorize prescriptions.
• State of AZ CHIPS and AHCCCS: Worked with State employees to document the requirements for their new enrollment system. I was also part of the team that worked with AHCCCS to elicit requirements and write RFP for their data warehouse initiative.
• State of CT Medicaid: New implementation of a data warehouse. Responsibilities included researching testing errors and documenting the plans for correction. Working with the business users and developers to make sure what was being stored in the DW was correct.
• This position grew and required me to travel 75 100 of the time so I had to resign.

Health Information Analyst

Confidential

• Underwriting production support as well as implementation of a large data warehouse. This position was kept
• for a short time while I was temporarily relocated in Seattle.

Business Analyst, Project Manager

Confidential

• Business Integration Management, Information Systems
• Research, analysis and design for operational business functions. Liaison between multiple business segments, as well as implementation process development and management.
• Lead functional work groups to budget, recommend solutions and monitor progress. Developed the DB, forms and reports, implemented and trained staff on an MS Access based Call Center tracking solution.
• The HSD Diamond claims system: gather and document requirements, liaise with software developers to build the tool efficiently and as required, lead system and end user tests, followed by training
• The Macess solution Image system for hospital and medical claims : Three part role Project Manager, Business Analyst and System Administrator implemented successfully and on time.
• Note I left this position to move to WA and provided a 2-month notice so that I could completely train my replacement.

Appeals and Grievance Manager

Confidential

• Manage Appeals team of 10 employees
• Chairperson for the Medical Review Board
• Train and develop departmental process guidelines

Appeals Compliance Coordinator

Confidential

• Developed and maintained database with forms and reports to track Healthcare Claim appeals and grievances
• Correspond to compliance review requests and research benefit disputes

Senior Claims Examiner, Customer Service Rep

Confidential

• Claims processing UB-92 HCFA 1500
• Audit, customer service and specialized program service
• Trained new customer service representatives
• Senior role with irate customer calls and documented departmental policies and procedures

Benefit Specialist, Claims Examiner

Confidential

• Healthcare Claims processing and research. Customer Service and claim processing UB-92 HCFA 1500 . Responsible for
• implementing new authorization service program for Mental health and substance abuse plans. Trained staff on new
• procedures and audited per customer service guidelines.
• Management

Experience