PROFESSIONAL PROFILE MBA graduate with record of success in process improvement, business analysis and system implementation. Efficient and self-motivated leader with ability to effectively manage projects, systems and staff as well as adapt to new concepts, processes, systems, and procedures.

EXPERIENCE Confidential Technical Business Analyst Business Analyst responsible for supporting development of web service as well as XML integration for specific FJA healthcare clients. As a result, in one month, quickly assumed responsibility supporting one of the web service processes for a major healthcare client. Support integration of the 271 EDI process as it relates to software application Product Machine marketed by company to healthcare clients. Create use cases and update design documents for web service and XML integrated processes. Analyze test XML's in order to identify data and development issues that are not in sync with business requirements and rules. Participate in daily scrums with team members to review assignments for upcoming sprints in an Agile software development environment. Develop reports for clients using BIRT, an Eclipse-based open source reporting system for web applications. Perform role of QA lead in order to coordinate testing efforts, triage issues to internal development team submitted by client and oversee all activities of defect management process for specific projects. Confidential Business Analyst III Product Development Business Analysis Lead Business Analyst heavily involved in redesigning areas of primary web-based application utilized by internal clinical staff i.e., nurses, team managers and medical directors as well as Alere's healthcare clients for case and disease management. As a result, completed several highly visible projects one to two months ahead of schedule over 18 month period. Developed functional and technical specification documents i.e., user and system requirements as well as use cases and process flows for healthcare company who is a leader in specialized disease management services that focus on select, high-cost diseases including heart failure, coronary artery disease CAD , diabetes, chronic obstructive pulmonary disease COPD , and asthma. Coordinated and facilitated requirement gathering sessions with remote users via live web conferences. Created data dictionaries for various parts of applications based on line of business. Participated in JAD sessions with Vice President, Director as well as other members of Product Development Business Analysis PDBA department to improve applications utilized by clinical team and clients. Confidential Senior Business Analyst Systems Integration Department Highly skilled Business Analyst chosen as primary lead to oversee and support new billing reconciliation process at major managed care organization. As a result, new reconciliation process enabled organization to receive over 600 million dollars in revenue annually from New York State. Designed and implemented new system that bills/refunds New York State Department of Health NYSDOH for company's Medicaid, Family Health Plus and Child Health Plus members as well as reconciles remittance paid, pend and denial information received from NYSDOH. Worked with HIPAA EDI file layouts: 997, 837I, 820, 820S, 270, 271, 276 and 277 Involved in full SDLC of billing reconciliation system, general ledger interface as well as other interfaces and systems created to satisfy organizational goals and objectives. Coordinated and facilitated requirement-gathering sessions and weekly team meetings. Developed functional requirement documentation for several departments, including Claims, Finance, Provider Relations and Enrollment. Also, developed lag reports for Chief Financial Officer upon request. Created use cases and test scenarios as well as participated in user acceptance and regression testing for projects related to core system Facets . Assumed role of programmer analyst in order to update and test SQL stored procedures that were deployed to production. Reviewed SQL code created by programmer analysts before deployed to production. Confidential Senior Systems Analyst MIS Department Primary lead of credentialing system MedicalStaffLine for Windows and liaison for MIS, Provider Information and Credentialing Departments. Analyzed and recommended structural changes to system and underlying Fox Pro database 6,900 provider records for major re-engineering project. As a result, revenue increased from 3.8 to 7.1 million for one of Montefiore's client in one year. Developed Provider Directory and Insurance Plan databases using Microsoft Access and VBA that supplied provider information via an electronic file to Montefiore's internet website and medical billing system IDX . Created test plans and professional end-user documentation for technical applications. Trained staff and management 30 end-users on current features and new modifications of system. Executed claim batch in-loads into claim system Pathway Managed Care . Confidential Business Systems Analyst Consultant Created workflow methods and documentation that streamlined processes within Credentialing and Provider Information departments. As a result, overall efficiency of credentialing process was improved by more than 25 in seven months. Interviewed subject matter experts staff and management to assess business and functional requirements of department. Also, re-established rapport with vendor Healthline Systems . Imported data electronically into FoxPro database. Created custom reports and letter templates for Credentialing and Provider Relations staff. Researched and recommended technical equipment scanners, printers and competitive vendor software . Confidential Manager of Database Administration Implemented web-based online provider application and credentialing system Intellicred for start-up credentialing verification office CVO . As a result, productivity by users increased over a four month period by 80 , raising output from 150 to 275 completed provider files per month. Wrote proposals for system enhancements as well as created end-user and technical documentation. Trained 20 end-users on Intellicred 40,000 health professional records within Sybase environment. Optimized Transact SQL queries written by Database Analysts, leading to creation of 50 high priority reports utilizing Crystal Reports. Assisted Chief Technology Officer with client/server issues within Windows NT/2000 environment. SKILLS Databases: Oracle Microsoft SQL Server 2005 Sybase Software: Toad Microsoft Office Suite Word, Access, PowerPoint and Excel Business Intelligence and Reporting Tools B.I.R.T. Crystal Reports Brio SAS Visio Adobe Acrobat Microsoft Project Snag-It Greenshot Sonexis Conference Center, Microsoft Live Meeting UltraEdit Beyond Compare Notepad SOAP UI Liquid XML Studio SharePoint JIRA Confluence.