SUMMARY:

• Highly motivated, innovative Senior Business Systems Analyst with 15+ years of diversified work experiences in the Information Technology field. In - depth knowledge of health care and insurance industry domains; expertise with Requirements analysis and elicitation using iterative and waterfall Systems
• Development Life Cycle (SDLC) methodologies; skillful in producing UML diagrams, use cases, user stories, context-level data flow/workflow diagrams and user interface-flow diagrams (storyboards); adept at requirements documentation, managing business requirements and functional specifications, leading business process re-engineering, process-modeling (BPM), system design and testing initiatives; keen ability to evaluate effectiveness of business operations/organizational change/user interactions with content and systems functionality. Proven aptitude to design, develop, and implement technical solutions, improving company revenues and operational efficiencies.

PROFESSIONAL EXPERIENCE:

Confidential - Baltimore, MD

Responsibilities:

• Draft policy guidance for Accountable Care Organizations (ACOs); Perform analysis of proposed rule changes to the Medicare Shared Savings Program

Confidential - Hunt Valley, MD

Senior IT Business Systems Analyst

Responsibilities:

• Provide analytical, technical, and project management support to the Social Security Administration (SSA), Office of Earnings, Enumeration and Administrative Systems (OEEAS). Directed, performed business analysis & detailed functional requirements elicitation and definition, systems analysis/design, testing and technical documentation in collaboration with SSA’s corporate and regional operations; Primarily assigned to a multi-year, budget 1M+ federal government strategic project initiative to re-design, develop and implement a new intranet-based Earnings Case Management Reconciliation System. The system will be used to reconcile employers’ reporting of employee wages (IRS W2/W3 forms) between SSA and Internal Revenue Service (IRS). The outcomes determined by this system can affect an individuals’ monthly social security retirement benefit amount. Technologies: HP Application Lifecycle Management (ALM), Microsoft SharePoint

Confidential - Baltimore, MD

Business Analyst

Responsibilities:

• Perform research, analysis of Confidential t Protection & Affordable Care Act of 2010; Final Rule Provisions for Accountable Care Organizations (ACOs) under Medicare Shared Savings Program and HIPAA ASC X12 Version 5010

Confidential - Baltimore, MD

Healthcare/Data Analyst

Responsibilities:

• Assigned to Government Healthcare Solutions Group. Provided technical health care data analytics and management services; author/execute SQL queries for ad hoc/operations reporting, perform data analytics and process automation tasks for Medicare Prescription Drug Data Processing System. This system supports the Centers for Medicare and Medicaid Services administration of the Prescription Drug Benefit program under the Medicare Modernization Act (MMA). Technologies: Teradata SQL Assistant v13.11 for Microsoft Windows, Integrated Data Repository (IDR), SQL, MS Access

Confidential - Reston, VA

Business Analyst

Responsibilities:

• Contract assignment to Nation’s largest independent behavioral health care company, providing professional & technical services to more than 23 million individuals through contracts with federal, state, county agencies, health plans and employers. Performed systems analyses, elicit and document technical specifications and test cases; tested EDI (Electronic Data Interchange) programs for health care data (Enrollment, Benefits, Claims) between Providers, Adjudicators/Processors (Employers, Insurance Companies, Insurance Brokers/Third-Party Administrators). Technologies: IBM AS/400

Confidential - Owings Mills, MD

Senior IT Business Systems Analyst

Responsibilities:

• Assigned to corporate Data Governance & Stewardship Business Intelligence (BI) Group; Collaborate with vendor services business area supporting multiple software development projects and reporting initiatives. Notable: design, develop & implement a multi-tiered set of programs to systematically edit, validate and process CareFirst health plan and enrollment data against Healthcare Management Systems (HMS)/Argus Medicaid prescription drug claim files. Realized company savings in excess of 4M+ in the 1st month of implementation Technologies: Oraclev9i, 10g, Oracle's Hyperion BI Webv8.5, SQL Developer, SQL Plus, Facetsv4.51 (TriZetto industry-leading software solution for health plan administration), IBM mainframe, Enterprise Data Warehouse (EDW)

Confidential - Washington D.C

Business Analyst

Responsibilities:

• Contract assignment to District of Columbia government. Participate in a comprehensive organizational & IT infrastructure evaluation & assessment of the Child and Family Services Agency (CFSA). Authored and presented findings

Confidential - Laurel, MD

Business Operations Associate

Responsibilities:

• Family owned/operated Insurance Agency, Est. May 2005. Performed various administrative, marketing, technical & customer service tasks in support of agency business operations

Confidential - Hunt Valley, MD

Business Analyst

Responsibilities:

• Contract assignment to Confidential Investment Technology, Baltimore, MD. Liaison between business units and technology teams; researched, analyzed and evaluated investment, billing & accounting business processes and supporting systems; elicit & defined business & functional specifications, Use Cases, GUI, screen & interface designs; documented test scenarios, executed systems testing in support of LEADS (Market Soft Lead Enrichment and Automated Distribution System) project enhancements. Subsequently, assigned to project initiative (budget 1M+) to re-configure, re-design, test and implement a new investment advisory fee billing system (Interactive Technologies Advantage Fee System) for Confidential 's corporate financial reporting and treasury department (2004 annual advisory fee revenues of 1B+)

Confidential - St. Petersburg, FL

Business Analyst

Responsibilities:

• Marketed, secured customer contracts. Provided project management & operational support, developed programs, train/mentor administrative staff; conduct cost-benefit and business systems analyses, business process re-engineering, application/user interface design, SDLC documentation & testing services Technologies: Web/Intranet, PL/SQL, Oracle RDMSv7.x, Unix/IBM Mainframe, Visual Basic, COBOL, TSO/ISPF, JCL, MS Access, Project, Visio, Word, Excel

Confidential - Tampa, FL

Project Leader/Business Analyst

Responsibilities:

• Contract assignment. Key participant in identifying best practices; re-defined information systems software development methods and practices; implemented cost justifiable Systems Development Life Cycle (SDLC) methodology. Concurrently, completed enhancements to USF’s Student Information System (SCT Banner2000) Technologies: Touch Net, Web/Intranet, Unix/IBM Mainframe, Oracle Formsv.4.x, PL/SQL, PL/SQL Developer2000, HTML

Confidential - Largo, FL

Business Analyst

Responsibilities:

• Contract assignment to AEGON Equity Group. Act as liaison between corporate IT, operations & third-party vendor teams. Participated in project management tasks, coordinated User Acceptance Testing, conducted systems analyses, train/mentor technical support staff & facilitated resolution of technical issues for vendor’s life insurance administration system

Confidential - Tampa, FL

Project Leader/IT Business Analyst

Responsibilities:

• Instrumental contributor in the successful design, development & implementation of a 1M+ systems development project to re-write Walt Disney World’s credit card authorization & telecommunications messaging processing applications. Managed, coordinated project deliverables of five-member IT finance systems project team. Led joint application design (JAD) sessions, completed GAP analysis, elicit & document functional specifications for 19 different Point of Sale (POS) applications; developed test scripts, executed systems testing for credit card authorization, telecommunications messaging & Y2K compliance. Performed Quality Assurance Technologies: PL/SQL, Oracle RDMS v7.x, AS400, Point of Sale IBM 4680/90, NCR 2760, 7450, Protocols: LU6.2, TCP/IP

Confidential - St. Petersburg, FL

Project Leader/IT Business Analyst

Responsibilities:

• Planned, organized & directed teams of technical, management & operations personnel in the successful, time critical, systems conversion of corporate applications mandatory for manufacturing operations to begin in the Guadalajara, Mexico plant. Additionally, responsible for proprietary EDI (Electronic Data Interchange) project initiatives

Confidential - Dover, NH

Business Systems Analyst/Project Leader

Responsibilities:

• Collaboratively re - designed, developed & implemented a client/server application (budget 1M+) to integrate a new company-wide Managed Care Medical Pre- Utilization Management System
• Principal architect responsible for the re-design, systems development & implementation of an enterprise-wide Workers Compensation claim reserving application (ARC - Automated Reserve Calculation)
• Strategically marketed proprietary EDI (Electronic Data Interchange) cost-saving initiatives to state Workers Compensation Bureaus. Completed cost-benefit analyses, led JAD sessions, negotiated user requirements & authored systems specifications.