SUMMARY:

• Dynamic, results - driven, hands-on Information Systems professional with comprehensive experience in all aspects of information systems including designing, building, implementing and supporting software applications. Proven ability to direct projects from concept through implementation.
• Exceptional customer relationship management skills with the ability to inspire confidence in customers and gain trust through attentive service and efficient problem solving.
• Interacts easily with all levels of an organization. Areas of strength include…
• Healthcare / Managed Care
• Reporting & Analytics
• Data Warehouse & ETL
• Business Intelligence
• Systems Analysis & Integration
• Process Improvement
• Project Management
• Customer Support & Training
• Technical Support

TECHNICAL SKILLS:

Operating Systems: Windows, OS X, UNIX, DOS, VM/CMS

Languages/Tools: Visual Studio, Visual Basic, C#, ASP.NET, SQL Server, SSIS, SQL, Crystal Reports, Magic, COBOL, RAMIS II, Lotus Notes, Microsoft Office

Databases: SQL Server, MySQL, Oracle, Sybase

Hardware: PC, Macintosh, Servers, IBM Mainframe, Printers, Barcode Printers, Wireless RF Terminals

Industries: Healthcare, Managed Care, Retail, Warehouse Management, Inventory Control, Order Entry, Order Processing, Distribution, Market Research

PROFESSIONAL EXPERIENCE:

Business Systems Developer/Manager

Confidential, Palm Springs, CA

Responsibilities:

• Designed and developed the enterprise data warehouse. It was built in MS SQL Server using SSIS to load and integrate data from multiple sources. The data warehouse was designed to be updated every 5 minutes from production systems and third-party data sources.
• Designed and developed a web-based Business Solutions intranet site to automate business processes and reporting needs. Features included a Utilization Registry, a simplified method of creating health plan specific referral denial letters, on-demand reporting for users, an electronic document approval system and simplified processes to streamline department needs.
• Worked with end users to resolve issues with software applications.
• Developed tools to automate and streamline processes for various departments.
• Responsible for population health analytics for the Medicare Five Star program.
• Developed automated programs for healthcare and financial analytics.
• Responsible for the support and administration of vendor-supplied applications, including managing system releases and the impact on users.
• Responsible for the development and accuracy of enterprise analytics reporting.
• Responsible for quarterly and annual provider incentive reporting using various metrics.
• Responsible for maintenance and analysis of claims, authorizations, case management and membership/eligibility data.
• Responsible for the inbound and outbound EDI claims process ( 837 501 0) and the management of claim rejects by the health plans. After taking over this responsibility, the number of claim rejects at the clearing house were reduced from 30,000 to zero in two months. Processes were implemented to ensure minimal errors going forward.
• Developed a Physician Report Card identifying key performance metrics.
• Worked closely with other departments to understand, automate and streamline their processes.
• Self starter and adept at learning new technologies quickly.

Tools: used: VB, C#, ASP.NET, JavaScript, Crystal Reports, MS SQL Server, SSIS, Windows, SVN

Professional Services Consultant

Confidential, Boise, ID

Responsibilities:

• Professional Services Consultant for custom software development for customers.
• Led meetings with key stakeholders to gather requirements, define project scope and provide project status.

Tools: used: Adobe Flex, PHP, Perl, MySQL, Windows, OS X, Linux

Principal/Project Manager/Developer

Confidential, San Diego, CA

Responsibilities:

• Designed, developed and supported applications for clients.
• Provided application installation and support for small businesses and home users.

Tools: used: VB.NET, ASP.NET, MS Access, Windows

Manager, I.S. Applications

Confidential, San Diego, CA

Responsibilities:

• Managed a staff of business analysts and programmers that supported a claims processing application.
• Reduced labor costs, improved claims processing, and eliminated claims backlog within 1 month by designing and implementing an automated health care claims tracking system.
• Managed ongoing support and system enhancements in support of key business units.
• Managed multiple projects simultaneously and delivered results on time and on budget.

Tools: used: UNIX, shell scripting

Senior Systems Analyst

Confidential, San Diego, CA

Responsibilities:

• Lead developer for large-scale warehouse management and inventory control systems for numerous clients including Rockwell Collins, The Gillette Company, Ushio America, Crown Bolt, Novell, Pacific Bell and Olympus.
• Developed applications to run on both desktops and RF Handheld devices for efficient warehouse operations.
• Maintained knowledge of multiple systems to effectively support multiple customers simultaneously.
• Provided training and technical support on the phone and at customer sites.
• Worked with customers to resolve production problems.

Tools: used: Dataflex, Magic, MS SQL Server, Oracle, Crystal Reports, Windows, UNIX

Senior Programmer/Analyst

Confidential, La Jolla, CA

Responsibilities:

• Lead developer for an IBM mainframe online system that allowed customers to retrieve and view data.
• Lead developer for a client server application that replaced a legacy mainframe system and manual processes to process orders. The system provided modules to support order processing, billing, shipping and tracking.
• Provided expert data analysis and reporting.
• Provided training and support for system users.

Tools: used: Visual Basic, Sybase, MS SQL Server, Crystal Reports, Windows, IBM Mainframe