SUMMARY:

Hard working, self - sufficient, quick learning analyst with ten years of experience in healthcare business analysis and ten years experience in governmental public policy programs. Progressive work experience in areas of business analysis, help desk functionality, defect resolution, and change request. Ability to assess and problem solve business needs in all phases of SDLC.

• Good organizational and task planning skills.
• Good written and oral communication skills.
• Familiar with requirements determination.
• Facilitated meetings.
• Interacted with customers and understand their business processes and procedures.
• Good analytical skills.
• Collaborated within a team to achieve project goals.
• Governmental Eligibility Subject Matter Expert in Medi-Cal, CalFRESH/Food Stamp, CCS (California Children Services), IHSS, General Assistance
• Organize, develop programs.
• SQL query and update.
• Working experience with Business Rules Engine.
• HRMS Oracle for Peoplesoft
• Analyzed processes and programs and problem solve.
• Team player who can work effectively in a team environment as a member of an application development group.
• HIPPA, PPI, and HAM (Health Administrative Manual)
• Performed analysis and testing of new systems.
• Provided maintenance and support for existing systems.
• Working knowledge of SDLC - Software Development Life Cycle.
• Documented software changes and create technical documentation.
• Troubleshoot and follow escalation procedures to resolution.
• Interact with onsite customer support teams for both development and production problem resolution.
• Over 10 years’ experience working with Government programs including Medical.
• Over 10 years’ experience working with Health Care programs.

TECHNICAL SKILLS:

• Windows
• MAC
• DOS
• Oracle TOAD
• Putty
• Citrix
• MEDS
• Innate
• IVR
• CalWIN
• BCW (Benefits CalWIN)
• C-IV
• CalHEERS
• Confidential
• PEDI (Provider Electronic Data Interchange)
• Service Desk Manager
• Remedy
• Business Objects
• Active Directory
• Application Life Management (ALM)
• Project & Portfolio Management (PPM)
• ClearQuest
• SQL
• Microsoft SharePoint
• Excel
• Microsoft Suite
• Microsoft Chrome
• Safari
• Netscape
• Internet Explore/Edge
• FireFox
• FTP (File Transfer Protocol). Hummingbird
• Filezilla
• Power Builder
• Toad

PROFESSIONAL EXPERIENCE:

Intermediate Business Analyst

Confidential

• Excellent written and oral communication skills.
• Research and document business issues.
• Cross functional team experience for Health package builds for Groups.
• Form solid customer relationships.
• Building Product Build Requests from Shield Link and Facets.
• Entering Service Request and Jira tickets for Product Builds.
• Analyzing requirements and documentation for Health Care Products.
• Contribute in developing organizational functional knowledge
• Solves complex problems and develops innovative solutions
• Intermediate level of proficiency with (Excel, Access, PowerPoint)
• Ensure timely and effective execution of all deliverables
• Health benefit processing knowledge .
• Perform other duties as assigned by management
• Analyze, review, forecast, and trend complex data
• Solves problems including multiple priorities and researches conflicting and/or inaccurate data

Confidential, Roseville, CA

Business Analyst III

• Excellent written and oral communication skills.
• Analyzing requirements and documentation for County Projects.
• Lead process improvement efforts.
• Ability to interact with customers to analyze, defines, test and implement business processes and procedures.
• Writing and/or updating business processes to meet current SLA’s.
• Acting as Team lead, working within a team to determine project scope, planning needs and requirements for large and small projects.
• Research and document business issues.
• Troubleshoot and follow escalation procedures to resolution.
• Interacting with applications development and onsite customer teams for both development and production problem resolution.
• Form solid customer relationships.
• Balance multiple concurrent assignments with minimal direct supervision.
• Resetting P/W on Active Directory, Trouble shoot VPN issues and give workarounds.
• Provide afterhours application and administrative support, and technical support to internal/external users.
• Entering new ticket in Service Desk for issues and resolution tracking.
• Led coordination of system outage conference calls. Prepared notifications for 18 CalWIN counties for resolution ETA. Led teams to conduct root cause and analysis to determine resolution/remedy. Plan emergency fixes and testing.
• Participated in testing on group conference calls afterhours for upgrades and server changes.
• PL/SQL Server Client correspondence reports monthly.
• Daily and weekly KPI report for Management Review
• UAT testing.
• Hummingbird SQL for Client correspondence monthly totals.
• SharePoint, Power Builder, Putty and FileZilla, Excel with Pivot Tables, Citrix, Toad, ClearQuest.

Confidential, Sacramento, CA

Business Analyst

• Write and exercise system test scenarios in conjunction with Change Requests made by customers in the Confidential consortium concerning functionality and regulatory modifications
• Analyze test results and evaluate accuracy and appropriateness of Confidential code and Reference Table changes.
• Document defects in order for programmers to correct code, perform retests, as necessary.
• JAD sessions as needed for Change Requests.
• Create regression test scripts to test the integration of the system before a new version of Confidential is moved into the production environment.
• Analyze Programming changes, MCR requirements.
• Creating new cases in Confidential, Analyze database lines and errors for information in Confidential .
• Determine correct aid codes and budgets for Cal works, Food stamps and Medical, CMSP, LTC, etc.
• Excellent written and oral communication skills.
• Interact with onsite customer support teams for both development and production problem resolution.
• Troubleshoot and follow escalation procedures to resolution.

Confidential, Placerville, CA

Eligibility Worker II

• Determine eligibility for cash assistance, food stamps, medical, CMSP, general assistance, Long term care, etc.
• Speak to clients on phone and interview them in person.
• Instructing clients in the completion of various forms and reviewing applications for completeness and consistency.
• Explaining program benefits, requirements and procedures, including eligibility factors, to public assistance clients.
• Reporting cases where fraud is suspected.
• Advising clients of deadlines, timeframes, and necessary actions to be taken.
• Planning and organizing a large caseload, ensuring that accuracy levels are maintained and that cases are processed within the specified timeframes set by federal and state regulations.
• Reviewing and explaining to clients public assistance amounts and authorizing payment of monthly benefits.
• Enter information in to the computer, various programs.
• Faxing, copying, using 10 key daily.
• Interpreting rules and federal/state regulations.
• Meeting monthly deadlines.
• Excellent written and oral communication skills.
• Team player who can work effectively in a team environment as a member.
• Balance multiple concurrent assignments with minimal direct supervision.