OBJECTIVE:

Seeking for a challenging position where I can utilize my skills (both Technical and Business) and to be productive for the company.

SUMMARY:

• Excellent communication, analytical problem - solving, research data mapping and data analysis skills in health care industry ( inpatient, outpatient, long term care acute care settings) Pharmaceutical industry, and financial industry.
• Good interpersonal, planning, organizational and customer service skills.
• Self-motivated, a quick learner, team -oriented and able to work both independently with minimum supervision.
• Ability to interact with varying levels within business /product, operations, technology team, stakeholders and clients to ensure accuracy and data integrity
• SDLC and government regulatory and compliance knowledge
• Knowledge of Government Contracts (PHS/340B), GPO contracts with wholesalers (McKesson, AmerisourceBergen(ABC) and Cardinal), Medicare and Medicaid programs
• Query of data from database (Oracle, SQL). Loading of data. Knowledge of data modeling and database design
• Experiencing gathering, analyzing, documenting business requirements and data. Meet and understand all compliance related requirements such as completion of mandatory training, adherence to audit controls, and adherence to all policies, SOPs, job aids and Sarbanes-Oxley (SOX) and compliance requirements for data set protection for audit purpose
• Understanding HIPAA privacy rule security rules
• Understanding of Electronic Health Records (EHR), Electronic Medical Records (EMR), Medical devices, SNOMED, LIMS,HL7, ICD 9 and 10, Interoperability, Data/ systems Standards.

TECHNICAL SKILLS:

Databases: MS SQL Server, Oracle, MS Access

Platforms: Windows, UNIX (Usage)

Reporting Tool: IBM Cognos Viewer, MS Visio, SAS

Applications: I-Many CARS revenue management, CCAS, Model N (RME) revenue Management, Business Process Management (BPM), Customer Interface Management System (CIMS), SHAPE (SAP),EDI

Languages: SQL,HTML, VB, C/C++

Applications: Power Point, MS Word, MS Outlook, MS Excel (Advanced) - VLOOKUPS, PIVOT TABLES/PIVOT CHARTS

Industry Standard: HIPAA, Financial Industry, HealthCare Industry, HRSA, SOX, ICD Codes, Meaningful Use

Others: Database, ETL, UAT,SAP, Data warehouse, Business Intelligence tools, IMS Data Source, Public and Government Sector Industry, SDLC, E HR, EMR, LIM

PROFESSIONAL EXPERIENCE:

Confidential

Analyst

Responsibilities:

• Providing support for the receipt, analysis, resolution, and reporting of customer requests and resulting reconciliation documentation.
• Reviews, evaluates, and classifies potentially reportable complaints (adverse events, product malfunctions or rule-outs)
• Evaluated/researched business problems and their relationship to technology
• Timely Chargeback processing ( PHS /340B and GPO contracts)
• Ensuring accurate and timely processing of data within the contracting systems, consistent with agreement terms, corporate controls and SOX regulations. Transforming Data into a meaningful information to make a good clinical decision
• Analyzing large data using Excel and performing query using SQL
• Data Extraction using IBM Cognos for reporting and analysis
• Work with other Analysts to resolve issues .Act as a liaison between IT and business areas
• Knowledge of healthcare industry

Confidential

Analyst

Responsibilities:

• Assisted in development of documentation that aligns with Software Development Lifecycle (SDLC) • Using appropriate tools to design, build and enhance data reporting and analysis
• Working experience with Master Data Management (MDM)
• Responsible for managing Specialty Pharmacy, GPO and PHS (340B ) membership and contract.
• Performed Membership validation for GPOs and ensure compliance with internal policies and procedures
• Ensuring SOX compliance and maintain data integrity, providing security controls and improvement on financial reporting
• Understand and interpret contract language and regulations as it relate to contract set up and maintenance to ensure accuracy
• Response to inquiries through mailbox or request from SharePoint
• Analyzed large data using Excel and query database using SQL
• Worked with Analysts to resolve issues

Confidential

Analyst

Responsibilities:

• Responsible for membership validation and account setup for Retail pharmacies, 340B, GPO, Wholesalers customers
• Reviewed of complex contracts for clients
• Analyzed and report contract performance and effectively negotiating and communicating the terms of contract to customers
• Support IT audits ( both internal and External)
• Timely response to inquiries from mailbox and Tracked inquires in the department mailbox, and ensure proper request assignments to respective analysts
• Experience analyzing large volume of data and data manipulation. Using Vlookup in Excel
• Familiarity with Healthcare Professionals (HCPs) and Healthcare Organizations (HCOs) attributes such as State License Number, DEA, and HIN.

Confidential

Membership / Data Analyst

Responsibilities:

• Responsible for membership validation and ensuring eligible members are on the correct contracts and getting the right price for various markets including 340B (Public Health Service in Government Sector), Group Purchasing Organization (GPO).
• Responsible for research and accurate COT (Class of Trade) on a specific contract.
• Responsible for HIN, DEA and 340B ID validation on HIBCC, DEA and HRSA/OPA websites.
• Adhoch reports and analyzing data to monitor contract performance
• As a key point of contact for report. Data Extraction using IBM Cognos to prepare weekly operational metric Report. Data presentation in form of Chart /line to senior management
• Collecting and carrying out complex data analysis in support of management and customers.
• Analyzed potential data quality issues, validate issues and determines the root cause and potential.
• Execute SOX compliance requirements strategy for audit purposes
• Writing Working instructions and document all aspect s of projects including workflows and processes and change management procedures.
• Track inquires in the department mailbox, and ensure proper request assignments to respective analysts
• A general understanding of healthcare and Pharmaceutical services.

Confidential

Business/Data Analyst

Responsibilities:

• Served as a liaison between HMS Sales, customers and technical resources.
• Analyzed and interpret data to ensure project aligns with stated business goals.
• Researching, evaluating, analyzing and testing data in all phases
• Managed delivery schedules; built data deliverables using HMS internal tools, and ensured the quality of HMS Provider Masterfile/Data Enrichment and MarketView products.
• Knowledge of healthcare industry.

Confidential

Application Support/Business Analyst

Responsibilities:

• Formulated and defined systems scope and objectives based on clients need and a good understanding of information technology, business processes and industry requirements.
• Analyzed business and user needs, documents requirements, and translated into proper system requirements specifications.
• Provided risk assessments for internal audits and assisted with SOX controls.
• Assisted in development of documentation that aligns with Software Development Lifecycle (SDLC)
• Provided service to internal and external customers for data analysis and updates.
• Write SQL statement to extract data from the database server
• Researched missing or conflicting coding information with other teams (Business Analyst, marketing, developers) and testing data in all phases.
• Provided technical assistance in identifying, evaluating and developing procedure that meets business requirements.
• Knowledge of HIPAA.