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Supervisor Business Analysis Resume

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PA

PROFESSIONAL EXPERIENCE:

Confidential, PA

Supervisor Business Analysis

Responsibilities:

Supervised and coached a staff of exempt - level business analysts located in Pennsylvania and Delaware. Reviewed statistics to determine performance level. Provided coaching to gauge current performance and help analyst take career to next level. Provided support on various projects, from small to complex, as necessary to help ensure success. Provided overview of project implementations to ensure successful implementation with no to minimal outcomes. Completed performance reviews and disciplinary actions. Assisted with implementation of changes when a new company was acquired by the existing corporation. Facilitated meetings and completed presentations when necessary.

Business Technical Analyst

Confidential

Responsibilities:

Analyzed moderately complex processes to support Operational needs by conducting impact analysis and interpreting system documentation. Used Rational Unified Process methodology to document project requirements. Worked with outside sources to determine needs related to migration from one claims processing system to another. Acted as subject matter expert and served as mentor to new analysts. Determined and defined business requirement, functional design, system specifications, process improvement, quality assurance, parallel, positive, negative, business integration, regression and partner testing and problem resolution ensuring that all deliverable documents are completed timely and accurately. Analyzed defects and provided business impacts. Assisted with project resource estimates.

Technical Business Analyst

Confidential

Responsibilities:

Analyzed processes to support Operational needs. Used Rational Unified Process methodology to document project requirements. Acted as a mentor to new analysts. Analyzed data to determine root cause of problems. Utilized project management methodologies, as an individual contributor and/or project lead to produce project deliverables such as assisting with defining detailed requirements and functional design on medium-sized projects.

Technical Business Analyst

Responsibilities:

Provide production support to determine causation of system errors by researching and analyzing Claims Requests. Provide regression and user acceptance testing. Create business requirements that are utilized by System Programmers to code specific changes to the OSCAR claims processing system. Review weekly Audit Quality Report to verify that BAs are not inappropriately affecting production claims. Provide overviews and answer customer questions as necessary.

Technical Assistant

Responsibilities:

Provide assistance to Customer Service Representatives in the daily handling of phone and written inquiries, by providing necessary answers to questions that they may have regarding benefits, claim processing, adjustments, policies and procedures. Coordinate and maintain special projects received from providers involving incorrect claims processing. Monitor and audit inquiries handled by Customer Service Representatives to ensure that they meet corporate policies and procedures. Analyze and research priority projects for the Director of Mid-Atlantic Provider Services to ensure that services are handled appropriately within standard corporate guidelines.

Customer Service Representative

Responsibilities:

Reviewed subscriber and provider inquiries regarding claim rejection to determine processing accuracy. Reviewed benefits to determine eligibility of coverage. Adjusted claims to make any necessary correction to payments. Fielded incoming calls regarding subscriber or provider questions. Responded to subscriber Internet inquiries.

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