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Business Process Analyst 3 Resume Profile

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MD

SUMMARY OF QUALIFICATIONS

  • I have over 35 years in the IT arena, mostly based on the Health Care and at the Centers for Medicare and Medicaid Services CMS government branch, analyzing complex data/systems problems and issues, developing solutions to those challenges. Data analytics, report development, mainframe testing.
  • I am now looking for a position that would utilize my strengths research, analysis, organization and attention to detail. Bilingual: Spanish-English. I have also a varied experience in other areas as well, with emphasis in effective organization, management and interpersonal skills as a liaison between technical and non-technical customers.
  • Ability to analyze business process issues, identify problems, and develop/present systems focused information management recommendations or solutions.

EXPERIENCE

Business Process Analyst 3

Confidential

  • Performed various roles/assignments as a contractor for the Centers of Medicare and Medicaid CMS
  • Analyzed patient data from the National Level Repository database. Produce management reports based on the government Health Care Initiative of providers and hospitals measures
  • Drove global reporting solutions to provide management with metrics and graphics to measure quantity and quality of the CMS BI Portal database
  • Analyzed and developed new reports for inside and outside the Agency. As a sample of manual data used for POSD, created a series of reports eliminating numerous hours of tedious work each week
  • Analyzed data from several databases Enrollment, NLR, BI reporting to create many reports for Registration, Attestation, Payment, for Hospitals and Eligible Professionals
  • Tested and debugged SQL scripts for reports run on the mainframe environment.

Data Analyst / Systems Analyst

Confidential

  • Performed various roles/assignments as a contractor for the Centers of Medicare and Medicaid CMS
  • Researched and produced a customer/training document, according to 508 compliance guidelines, of all tasks that the current government analysts maintains for the department of End Stage Renal Disease ESRD
  • Analyzed patient data in several government databases, verified data integrity, wrote problem specifications, and worked on cost verification of Medicare patient Entitlements related to ESRD, saving millions on government payments
  • Conducted analysis of the Physician Quality Reporting Initiative PQRI , defining reporting elements, performed program requirements and preparation of Data Analytical Requirements DAR
  • Collaborated with CMS program and technical staff to review proposed program definition/ruling and provided recommendations to program design and high-level risks and/or impacts

Operations Manager / Office Development

Confidential

  • Developed, implemented and maintained computerized inventory system controlled stock and material cost
  • Researched new products and suppliers through magazines and the Internet
  • Prepared customer orders by analyzing user requirements and translating them into written specifications
  • Conducted sales and provided technical resolutions on company products and resolved customer problems
  • Reengineered the Materials Management Division, increasing operations and production efficiency
  • Performed managerial duties including the hiring, training and supervising of warehouse personnel

Computer Specialist

Confidential

  • Managed and reconciled the division budget of 7 million prepared annual and long-term plan and budgets
  • Reviewed and recommended Requests for Contract services and technical proposals related to contract award
  • Initiated Request for Contract RFC to solicit vendors, based on government component's requirements
  • Researched and analyzed the conversion of Medicare Data Manager data dictionary to Platinum data dictionary
  • Participated in a data warehouse development prepared conceptual design of data marts and meta data
  • Coordinated, installed and trained users in COGNOS tools, enabling to produce health care analysis reports

Business Analyst Advisor

Confidential

  • Coordinated the business Analysis, Inventory and Date Impact phases of the Y2K Assessment Project
  • Worked with team to develop strategy, time line, and work plan for continuing phases of Y2K project
  • Conducted interviews, recommended cost saving measures and identified potentially hazardous areas in the UMMS facilities and Medical Instrumentation areas
  • Maintained Access database for tracking all information related to each project area, ensuring timeliness and accuracy of Y2K data
  • Program Manager Supervisory Systems Analyst Senior Systems Analyst

Confidential

  • Provided overall program management of the Health Care Financing Administration HCFA/CMS contracts prepared contract budgeting and terms analyzed Agency project requests and prepared written reports
  • Directed project administration, assigned programmers' duties and verified quality control and test plans
  • Oversaw technical direction, interpretation of customer specifications, and programming languages
  • Researched, designed, and implemented ICD-9-CM electronic data system of code inconsistencies, from inception to completion. This nationally distributed system eliminated the need for personnel, thereby saving the Government time and money
  • Participated extensively in the ICD-9 research at HCFA, the National Center for Health Statistics NCHS and medical groups in the development of ICD-10 schemes
  • Performed managerial duties, hired, trained, supervised, and evaluated 23 programmer/analysts and contractors

Systems Project Leader Senior Programmer Analyst Programmer Analyst

Confidential

  • Directed entire Hopkins Hospital Outpatient Billing System as Project Leader
  • Analyzed all Third Party/State regulations to be incorporated on Hospital systems as Outpatient, Case-Mix, HSCRC, Grouper, Professional Staff
  • Incorporated new CICS on-line capabilities, and maintained quality production, reduced run time
  • Participated on Hospital project team to prepare specifications for a new Patient Accounting System and Request for Proposal evaluated vendor responses
  • Conducted feasibility studies and cost/benefit analyses developed and tested programming specifications
  • Collaborated extensively in project administration, long term planning, and the annual budget process
  • Performed managerial duties, hired, trained, supervised, and evaluated staff of 9 analysts and 3 contractors
  • PC and Macintosh computers, Windows 7, MS Office, ITIL, MicroStrategy, MS Project Management, System Development Life Cycle, Internet, Word Perfect, COGNOS, FOCUS, VISIO, IBM Mainframe OS/MVS OS/JCL, COBOL, COBOL II, Assembler, Fortran IV, PCS/ADS, CICS, DB2, MARK-IV, TSO/ISPF, Librarian, Panvalet, VSAM files, ROSCOE, File-Aid, SyncSort, IDCAMS, SQL

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