Technical Skills

• Business Analyst, 14 years
• Project Manager, 14 years
• MS-Project/MS Visio, 10 years
• MS SQL 2005, 2008, 2010, 5 years
• MS Office Professional edition, 15 years
• Healthcare HIPAA EDI Claims, 10 years
• Rally Software, Enterprise Edition 3 years

Summary of Qualifications

Hands-on Information Technology professional with more than twenty years in Healthcare, Insurance, and Financial vertical markets. Proficient with Agile and waterfall project management best practices to deliver sustained business value, align people to business goals and objectives. Proven track record of leading software development teams and engaging stakeholders.

Professional Experience

Confidential

Title: Oracle Business Analyst. Roles: Sr. Business Analyst,

• Confidential to peer business analysts for Agile Scrum and Kanban best practices and Rally Software instruction.
• Senior BA assigned to Consumer Insights Platform product capturing high level business requirements and decomposing into user stories for development teams. Collaborate with developers and QA analyst to capture Big Data work flow requirements and write technical acceptance criteria for Big Data back-end requirements for QA analyst guidance.
• Senior BA and Scrum Master duties for the Data Compliance KPI Dashboard corporate wide initiate facilitating requirements gathering, articulating and writing EPIC user stories. Facilitate backlog-grooming sessions with Architects, Technical leads, UI/UX designers, developers and product owners to decompose user stories for the release backlog. Define and created Rally project, product backlog, iterations and Kanban boards and provide artifact visualization. Facilitate release and iteration planning sessions with Team and planned a 20 - week release plan. Facilitate daily scrum meeting and responsible for removing impediment. Coach new co-located Scrum team in Agile Scrum practices.
• Scrum Master for Fleet Management application development project. Work with Data Scientists and Solution Architects to productize POC, proof of concept, algorithms for Fleet Management Analytics. Work with PM/PO team to articulate Product Vision/Product Road Map, Portfolio and Architectural Epics and feature/benefit/WSJF matrix. Socialize and decompose EPICs with development team into appropriate size US for product back-log. Set up 'Getting to Ready' and 'Getting to Done kanban boards in Rally Software with working agreement.
• Sr Agile Business Analyst for Construct and Engineering Insights team. Work with Sr Technical Solution Architect and Data Scientists to develop insights for construction project unit cost variances. Facilitated requirement gathering meetings with team and business stakeholders and articulate US to support Kanban board.

Confidential

Title: Analyst. Roles: Lead Business Analyst, Lead Quality Assurance Analyst,

Provide leadership for off-shore / on-shore Agile software development team using Agile kanban framework, lean practices and techniques. Develop EPIC level and story maps. Decompose EPIC stories to small size user stories and generate Test Approach strategy. Facilitate sprint planning and work effort estimation with Dev team. Review Dev team's work product and accept sprint stories by proxy. Conduct end of sprint demo to business stakeholder. Team lead for Crew Scheduling quarterly software release.

Confidential

Sr. Agile Business Analyst

Responsibilities:

• Assist the Product Owner in maintaining product backlog, plan release back-log and participate in iteration planning session with development team. Work across multiple agile team to support enterprise level epic
• Work with Product Owner to define product features and write epic user stories on monitor and track business value delivery. Meet with business and IT stakeholders to solicit requirements and create user stories using the INVEST criteria.
• Work with other BA to create an environment to foster knowledge transfer related to agile practice and product features and functionality.
• Accomplishments:
• Worked with Architect and technical leads to identify root-cause of flight crew passport legalities and define a scalable solution for contiguous domestic, noncontiguous domestic and international airport stations.
• Worked with business stakeholder to gather requirements to streamline the process of adjusting flight duty work credit and over time adjustments. Improve reduce audit work load by a factor of 3 and reduce over time adjustments by 60 percent.
• Worked with software Architect and technical leads to identify a new a CDM based enterprise messaging service feature. Wrote epic and user stories with acceptance criteria to validate a prototype EMS model.
• Indentified data anomalies impacting enterprise-messaging services. Utilized SQL and Altova's 'Dif Dog' utility tool to analyze and validate data tables.
• Environment: Oracle, Java, MS-Office, MS-Project, Rally Software, Share Point, SkySolver, Dif Dog
• Sr. Agile eCommerce Product Analyst/Project Lead
• Work closely with product owner to understand the product vision and road map, define features and functionality within the roadmap and ensure product being delivered meets the needs of the customer.
• Share the product vision and roadmap with the delivery team, leads team through detailed system and business process analysis ensures enhancements and solutions positively contribute to, expand upon and do not conflict with overarching web business strategy.
• Groom backlog of features to ensure ready for iteration planning sessions including documenting acceptance criteria, business rules and other models needed by teams defines As-Is and To-Be process flows to identify gaps and new requirements.
• Research current system and document business functionality and articulate epic level user stories and disaggregate into appropriate size for iteration planning.
• Assists in authoring/co-authoring business cases identifies opportunities for future enhancements and modifications. Authors UAT scenarios, reviews test plans with team to ensure product will meet all acceptance criteria and may perform testing as necessary for team to meet iteration goals.
• Utilize SQL to analysis inventory tables to identify test scenarios and validate UAT.
• Lead team in release, iteration planning activities and daily stand up meetings. Monitor team user story task activities and update Rally software. Review and accept completed user stories. Track team's velocity and performance metrics.

Environment: Oracle,Java, MS-Office, MS-Project, Rally software, Share Point

Confidential

Contractor, Sr. Business Analyst

• The liaison for elicitation analysis of requirements deliverable for Healthcare public exchange.
• Work with business partners within multiple business functions to align technology solutions with business strategies participate in formulating and defining system solutions and objectives, based on user needs and a thorough understanding of business processes.
• Elicit business, user, functional, and system requirements using appropriate documentation techniques to describe statements of the goals, objectives, or needs of a particular stakeholder or group of stakeholders on projects of high complexity.

Environment: MS, SQL, Oracle, Siebel, MS- SQL 2008, Lotus Notes, MS-Office, MS-Project

Confidential

Contractor, Systems Analyst

• Used Agile best practices to engage stakeholders to define requirements and develop project plans to migrate financial A/R data Portal billing platform to a Siebel CRM platform, including credit card and EFT work streams.
• Business analyst role using traditional waterfall best practices to stakeholder team for Toyota-Lexus 2013 connected vehicle function specification, including mobile device and ecommerce partner work-stream system integration.
• Created and maintained project artifacts using Top-Team and Jira.
• Supported Project Management in the analysis, documentation, communication and the bridging of business requirements and IT solutions.
• Worked with the Business Groups, analyzed and prioritized requests for IT resources, and managed the relationship with the Business Groups from an IT perspective.
• Managed multiple efforts toward established Release Schedule.
• Environment: Oracle, Siebel, Portal Software, MS- SQL 2010, MS-Office MS-Project, Share Point, Top-Team

Confidential

Contractor, Business Analyst

• Responsible for gathering product requirements, conducting JAD Sessions, usability testing, maintaining sprint, release back-log. Documented requirements using Use Cases and User Stories for a web-based software application development project -- Reporting and Analytic Framework. The application was designed to host multiple reporting engines including MS SSRS, Jasper Soft, and MicroStrategy with a common client-facing Web UI front-end and allowed seamless integration to other business software applications and WebService Servers utilizing Agile Methodology.
• Assisted Scrum Master in planning and organizing iterations and updated Rally during iteration planning sessions.
• Documented requirements using the Agile User Story format and created User Stories and Acceptance Criteria in Rally. Responsible for UI mock-ups and documentation attachments for Rally User Stories.
• Created Use Cases and Test Scenarios to help support Test Approach Plans and Test Cases. Involved with QA Analyst to review, negotiate and accept Test Acceptance Plans assuring alignment with User Story requirements. Reviewed and accepted completed User Stories and updated User Story status in Rally.
• Gathered product requirement from Stakeholders using one-on-one interviewing techniques and conducting JAD Sessions with Stakeholder panels.
• Responsible for weekly release back-log in Rally to assure the User Story requirements were aligned with the latest requirement information and recommended priority rankings to Product Owner.
• Discussed User Story priorities, requirements and negotiated Acceptance Criteria with the developemnt team.
• Organized and conducted Usability Testing Sessions to review UI designs and workflow. Gathered and discussed Stakeholders feedback and improvement ideas with team.
• Organized and led after-iteration retrospective sprinit reviews to discover and implement continuous improvement ideas or engage in problem solving exercises.

Environment: Ralley software, C .Net, MS- SQL 2010, MS-Office, MS-Project, SOA, Share Point, Rally software

Confidential

Scrum Master

• Responsible for leading development team 4 members in designing and developing ecommerce solutions for integrating EDI business partners, including hospital provider A/R and Medicaid state agencies. Developed EDI 270/271 Audit Software Desktop Application to support Medicaid EDI Test Cases utilizing Altova Mapforce 2011 ETL software, MS Access Database, and Agile Methodology.
• Partnered with IT director and software application development manager to introduced Agile/Scrum software management methodology. Gathered requirements and wrote Use Cases for new Medicaid Eligibility Software Application.
• Completed 10 State MEVS trading partner connectivity set-up and end to end testing.
• Researched and documented ETL requirements for Medicaid Eligibility inquiry/responses, Medicaid Claim Status inquiry/responses and Medicaid Claim Payments Remittances for EDI trading partners.
• Worked with Product and Software Development Teams to integrate EDI technology and exchange capabilities across all existing and new product and service lines.
• Wrote Project Plans to manage and implement Medicaid eligibility projects for various state Medicaid programs.
• Processed EDI transactions utilizing current internal software and database solutions to ensure data is useable to meet project deadlines.

Environment: MS- SQL 2010, MS-Office, MS-ACCES 2007, MS-Project, Altova MapForce 2011, Agile, EDI NotePad Pro

Confidential

• IBM IT Consultant, Contractor
• Evaluated, redesigned and coded End-User delivery portion of Pharmacy Benefit Management Solution Offering. Resulted in process improvement opportunities, workflow waste elimination, and new client implementation effectiveness.

Environment: MS-Office, MS-Excel 2007, MS-Project, AS/400

Confidential

Owner

• Texas Healthcare IT Summit, 2010, 2011, 2012
• Guest Speaker:
• Contract sales position with JMS and Associates. Brokered an EDI service agreement between Third-party vendor, PPO network and TPA to create competitive service offering.
• Healthcare Payor EDI and Cost Containment Consultant.
• Claim payment and payment dispute settlement solution product development and market evaluation.
• Guest speaker at Texas Health IT Summit -- Austin, Texas February 2010, Dallas, Texas April 2010
• Medicare claim over and under payment analytics Score Cards product development and market evaluation.
• Agile Project Manager -- EMR and Claim Payment Consultant.
• Implemented Lean Six Sigma process improvement for warehouse logistics and inventory control.
• DMAIC/Agile Project Manager, Executives in Action.Org
• PMP topics: requirement gathering

Confidential

CIO/Agile Project Manager/EDI Manager

• Implemented transition plan for departing CIO and supported daily IT operations
• Re-build internal software development team and IT support team by assessing skill set and recruiting necessary talent to gain sustainability.
• Introduced and implemented Agile/Feature Drive Development FDD software development management methodologies in support on healthcare claim cost containment software application.
• Implemented Help Desk application to monitor and track service request and software bugs.
• Developed water-fall type project Implementation template plan to streamline ecommerce/EDI Claim client implementations.
• Identified and resolved Healthcare fraud and abuse provider database issues to enable firm to launch new advanced cost containment product responsible for a million dollar annual revenue projection.
• Introduced and implemented HIPAA 837 EDI Standards with trading partners to stream line EDI solution implementations. Reduced client EDI implementation cycle time by 100 .
• Led designed and developed Management Reporting Solution using MS SQL 2005's SSRS. Source data included over 10,000,000 claim history database and 20,000 Healthcare providers.
• Negotiated third-party vendor contracts and management procurements and implementations.
• Performed NCPDP file ETL mapping to claim data warehouse to support Healthcare Benefits BI reporting and analytics.
• Maintained PPO network relationships and provider datasets current to improve network discount value for clients.
• Mapped claim database elements into HIPAA 837 data segments for integration projects.

Environment: MS-Office, MS- SQL 2005, MS-ACCES 2007, MS-Project, MS Visual FoxPro, Agile, HIPAA EDI, Medicare, LAN/WAN Infrastructure. MS SQL 2008, MS SSRS, MS SSIS.

Confidential

• IT Manager/ Agile Project Manager/ EDI Manager/ Sr Business Analyst
• Introduced and implemented Agile/Feature Drive Development FDD software development management methodologies. Led software application team in designing and developing an e-commerce web application software solution for healthcare payors and trading partners, including client portals. Solution encompassed healthcare claim adjudication, including national clearing-houses, claim paper conversion, EDI transaction routing and analytics. Projects organized and executed using an Agile management framework. Organized, trained/coached, and managed software development team members. Software application generated and tracked over 1,000,000 transactions and over 10,000,000 of annual revenue.
• Improved claim workflow by 300 by integrating HIPAA EDI front-end system for clients and trading partners including enhancements to claim tracking Web portal.
• Improved quality and turn around time by 200 by outsourcing paper to EDI conversion division to third-party vendor.
• Provided pre and post IT Sales Support to close and implement over 20 new clients.
• Implemented General Ledger Accounts Receivable Financial Application for claim payments.
• Designed and developed Web portal solution for claim payment dispute inquiries.
• Responded to technical and non-technical portions of client's RFP, prepared presentations and delivered recommendations to client.
• Identify duplicate and standardized a million provider name data warehouse improve data accuracy and business process results.
• Implemented Trizetto's EDI Claim Routing Solution, Claims Exchange, for several Quicklink platform users.
• Environment: MS-Office, MS-Project, Agile, MS Visual FoxPro, Computer Platform and client migrations. HIPAA EDI, Privacy, and Security. Provider data QA tool design, development and implementation

Confidential

Data Management/Project Manager

• Consolidation multiple site PPO provider data management functions into am on-shore and off-shore support team.
• Reduced department annual operating cost by 500,000 annually by consolidating multiple data entry sites in a single on-shore operations unit.
• Managed 5 Provider Data Management staff members including off-shore Data Entry Teams and Application Solution Provider.
• Managed PPO Platform Conversion projects including the integration of over 1,000,000 provider records.
• Defined and designed QA Reporting Statistics for internal production, vendor performance and data quality.
• Developed month-end financial reports using Cognos report tools.

Environment: MS-Office, MS-Project, Cognos, SDLC, QA , Address and Phone number correction design tools and implementation. HIPAA EDI

Confidential

IT Manager/ Agile Project Manager

Confidential

• Introduced and implement Agile/Feature Drive Development FDD software development management methodologies to design and develop ecommerce custom enterprise software application. Personally coached software team on software development Agile best practices.
• Managed successful claim re-pricing Platform Conversion projects to an AS/400 for top five EDI clients with annual revenue in access of 6 million dollars.
• Improved claim turn around processing service level goals by converting manual data entry into EDI claim data entry operation.
• Designed and implemented Healthcare EDI solutions saving 100,000 in annual transaction cost for clients and company increased effective claim per day production to 5,000.
• Developed EDI claim interface for ASI Luminx and proprietary claim adjudication platforms.
• Reduced accounting month-end closing cycle to 2 hours by designing and implementing general ledger interface.
• Managed OCR vendor relationships and implemented performance standards for claim data entry quality.
• Re-engineered PARIS, a claim re-pricing platform to handle multiple provider contracts and obtained increase of 50 provider success hit rate and thus generating 5,000,000 in additional annual revenue. Provided due diligence during three corporate acquisitions and systems integration subsequent to those acquisitions.

Environment: MS-Office, MS-Project, Agile, MS Visual FoxPro, AS/400, HIPAA EDI, Privacy, and Security.

Confidential

Senior Business Analyst

• Designed and authored Managed Care Encounter Reporting Data Warehouse to track over 10 million in managed care services.
• Redesigned and converted payroll interface for new Lawson Finance system.
• Implemented RADMAN LAN, Radiology Clinical System for Texas Oncology unit at Baylor Hospital.
• Designed and developed Ad-hoc reporting solution using Cognos report tools.
• Reported analyst role for PSI MED Clinical Billing Application System.
• Defined and wrote business requirements to resolve patients' co-payment collections totaling 1,000,000 annually.

Environment: HP Unix, MS Server, MS SQL, PSI-MED, RADMAN, COGNOS, MS VISUAL FOXPRO, MS- ACCESS, MS-Project

Confidential

PC Application Manager Agile Project Manager

• Managed PC application development and support team for the Texas bank region. Led enterprise wide application development initiatives. Introduced and implemented using Agile/Feature Drive Development FDD software development management methodologies. Developed 'from scratch' a financial journal voucher system JVS to streamline daily accounting operations related to writing and posting general ledger transactions entries. The JVS software application scaled to from a 5 user to over 500 users supporting mortgage, retail, commercial banking and treasuring accounting.
• Led application support team to inventory and documentation PC based banking application t to comply with FDIC data processing regulations.

Environment: Novell, Banyan file servers. Ethernet and token ring network protocols. Xbase and AREV RBMS application software applications.