Business Analyst Resume Profile, MN - Hire IT People

Summary

A goal-oriented team player that has excellent communication skills, training skills and has a keen ability to manage responsibilities and priorities. A detailed-oriented, enthusiastic, problem solver that has a good sense of humor, the ability to work well under pressure and meet deadlines. Is self-motivated, and has excellent conflict resolution skills. A good planner with specialized skills in analysis, customer service and health care. A positive, energetic, assertive, flexible, results-oriented and a quick learner with transferable skills.

Experience:

Confidential

Sr. Implementations Consultant

Conducted meetings with business users to determine current system functionality and translated into business requirements
Reviewed business requirements to determine if the new system meet current business needs
Produced Business Requirement Documents for functionalities that the new system currently handle with exception to specific business needs
Produced Gap Requirement Documents for items that were not currently in the new system
Presented documents to the system software vendor as requirements for enhancements to the existing system
Reviewed documents with software vendors
Created System Requirements Documents

Confidential

Configuration Analyst

Configured Plan Benefits per Product Plan Management system and compared to Summary of Benefits
Completed defects associated to plans created
Answered questions or concerns presented by client and or co-workers
Configuration completed on excel spreadsheets and uploaded by IT
Reviewed prior configuration and made adjustments per plan updates
Assured excel configuration migrated successfully

Confidential

BUSINESS ANALYST

Conducted meetings with business users to determine current system functionality and translated into business requirements
Reviewed business requirements to determine if the new system meet current business needs
Produced Business Requirement Documents for functionalities that the new system currently handle with exception to specific business needs
Produced Gap Requirement Documents for items that were not currently in the new system
Presented documents to the system software vendor as requirements for enhancements to the existing system
Reviewed documents with software vendors
Created System Requirements Documents

Confidential

BUSINESS ANALYST

Conducted meetings with business users to determine current system functionality and translated into business requirements
Reviewed business requirements to determine if the new system meet current business needs
Produced Business Requirement Documents for functionalities that the new system currently handle with exception to specific business needs
Produced Gap Requirement Documents for items that were not currently in the new system
Presented documents to the system software vendor as requirements for enhancements to the existing system
Reviewed documents with software vendors
Created System Requirements Documents for reporting team
Review and test reports created by the development staff that was generated in new system to assure the new reports met business needs.
Document test results
Update requirement documents with more detailed explanations of requirement
Areas of concentration

Confidential

BUSINESS ANALYST

Created SNP electronic application that filtered to the enrollment department once the SNP Sales team entered into SharePoint
Review CMS contract language to determine how to process Seamless Enrollment
Once process was determined I designed and implemented the process into production
Conducted meetings with all necessary departments to get the Seamless Enrollment Process implemented
Investigate Medicare/Medicaid changes to contracts and inform internal departments of necessary changes.
Reviews claims data to ensure correct payments per Medicaid/Medicare increases/decreases
Investigate internal and external questions and respond appropriately
Review the state's system to assure accurate eligibility
Reconcile PMPM capitation payments
Prepare reports for over and under paid claims
Run reports using Eureka reporting system
Update Daily eligibility files including COB information
Review member history to investigate why capitation payment was not
Received
Reviewing configuration of subsystem to assure accuracy for our new Community Living Product
Reviewed HMS files to compare COB information to information on file
Reviewed HMS claims to assure payments were not Medicare co-insurance and deductibles
Reviewed DPW's system for COB information