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It Rep Iii Clinical Services Resume

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Richardson, TX

TECHNICAL SKILLS:

ERP: SAP, Oracle

SAP Tools: Transport Management System Workbench, PFCG

Languages: SQL, FoxPro, COBOL, ABAP Knowledge

RDBMS: ERD s - Data Modeling, DB2

Tools: MS-Office/Access/Project Management, Erwin

Platforms: AS/400, UNIX, Windows, DOS

Other: Computer Accounting, VBQuery, Filemaker Pro

PROFESSIONAL EXPERIENCE:

Confidential, Richardson, TX

IT Rep III Clinical Services

Responsibilities:

  • Responsible for configuring utilization management (UM) requirements into the prior authorization MedHOK system.
  • Responsible for the integrity of the prior authorization system use for Medicare Part D Coverage Determinations and Appeals.
  • PA Admin - Create Diagnosis Clusters \ Create Approval Logic
  • Audit \ Testing
  • SalesForce (SFDC)
  • Letters - Mapping Letters \ CDRD Letters \ AOR Form \ RFI Letters \ RD form - Appeals \ RC Form - Maximus \ IRE Letters \ CTM Letters - Ack, Resolution Letters \ Grievance Letters

Confidential

Certified Pharmacy Technician

Responsibilities:

  • Well organized with the ability to effectively and independently prioritize work Ownership and results driven Customer focused Strong Attention to detail
  • Provided excellent organizational skills with a proven ability to follow-up on Internal /external tasks and issues.
  • Exhibit a strong understanding of escalation processes and timing.
  • Ability to multi-task and work with multiple internal and external partners
  • Display an ability to solve practical problems dealing with several variables in order to obtain a specific end goal.
  • Daily operations of RXCLAIMS (AS400), RECAP (TANDEM), & PEOPLESAFE (QL) platforms to support all three inbound calls.
  • PBM experience (Pharmacy Benefit Manager) - Mail Order
  • Inbound\Outbound calls - physicians office, members, pharmacies
  • Maintain complete, timely and accurate documentation of all approvals\denials, and transfer as appropriate with judgment calls to pharmacist.
  • Post-fix Overrides for corrections within all three platforms.
  • Beta Testing for CAS Software - Version 20

Confidential, Frisco, TX

President /CEO/Founder

Responsibilities:

  • Created business market niche focused on women for better health and wellness.
  • Perform consecutive 50, 80, 110-minute quality massage therapy sessions.
  • Design and perform specific sessions based on the clients’ individual needs.
  • Promote and communicate the health / wellness benefits to the clients’ receiving massage therapy on a regular basis. Evaluate and perform the best practice massage for the client.
  • Adhere to local and state licensing laws and regulations.
  • Techniques of Swedish, Deep Tissue massage and other various modalities.
  • Customer Service oriented and able to communicate effectively with clients
  • Understand and promote the healing benefits of massage therapy and bodyworks.
  • Promote and achieve goals for Pre-booking, Closure sales, Retention clients.
  • Generate new clientele though promoting member referrals and guest past programs.

Confidential, Frisco, TX

License Massage Therapist

Responsibilities:

  • Perform consecutive 50, 80, 110-minute quality massage therapy sessions.
  • Design and perform specific sessions based on the clients’ individual needs.
  • Promote and communicate the health / wellness benefits to the clients’ receiving massage therapy on a regular basis.
  • Create an excellent experience for members / guests through a professional attitude.
  • Evaluate and perform the best practice massage for the client.
  • Adhere to local and state licensing laws and regulations.
  • Techniques of Swedish, Deep Tissue massage and other various modalities.
  • Customer Service oriented and able to communicate effectively with clients, clinic management and sales staff.
  • Understand and promote the healing benefits of massage therapy and bodyworks.
  • Promote and achieve goals for Pre-booking, Enhancements, and Closure sales.
  • Generate new clientele though promoting member referrals and guest past programs.

Confidential, Irving, TX

Certified Pharmacy Technician

Responsibilities:

  • Filling, Drop off, Input, customer service
  • Math skills / Strong attention to detail / Organizational skills / Connexus / Tasco / POS Systems

Confidential, TX

Assistant Manager/Stylist Operator

Responsibilities:

  • Determine staffing plans (Schedule), ensure coverage of shift, train, motivate and coach team members to achieve continuous improvement and operational excellence. Assist stylist with following Sport Clips proper procedures, Night close out of POS system (Short-Cuts).
  • Bi -Weekly Awards - Top Sales for Retail \ Back Bar \ Production Haircuts per hour

Confidential, Orlando, FL

Senior Technical Analyst

Responsibilities:

  • Support the Procurement activities of day-to-day business process functions used under all versions of the Oracle Module. (Oracle Application versions 10.6, 10.7, 11.0, 11i) ERP system
  • Implement “Best Practices” for specifications according to business needs
  • Responsible for Priority 1 issues of Oracle Purchasing Apps software
  • Converted Procurement business processes / best practices into system specifications.
  • Provided 24X7 technical support in test & production operation environment
  • Performed initial diagnosis of issues, analyze cause, resolve software application problems, and escalations for production (down) systems
  • Supervised and Managed Queue Issues of other employees - Evaluate, Coach & counsel, mentored and provided feedback to others.
  • Tar creation and resolution within a 72 hour timeframe.
  • Collaborated with various functional departments to ensure timely and accurate solutions for customer
  • Oracle Purchasing applications Setup Configuration / Troubleshooting /
  • Audit \ Testing
  • Managed multiple complex ongoing projects within timeline deliverables.
  • RFQ’s, Quotations, Requisitions, Receipts, Purchase Orders (Changes), Notifications, Reports, Web Requisitions / Functional Knowledge
  • Invoicing via A/P, Oracle Forms/Reports
  • Workflow / EDI Issues / Output determination / trading partner setups
  • Oracle “Boot Camp” Training with Junior DBA level knowledge (Oracle 8)
  • Oracle Security - User Security Admin
  • Requisition Import / Interface
  • Functional Knowledge of MRP, INV, OE for Core Manufacturing
  • Self Service Purchasing 4.0 (SSP 4.0) - Web Applications. Perform complex operational tasks that include monitoring of various types of applications used in a web infrastructure
  • Interviewed Candidates for the Southeast Practice
  • Use of TKPROF, SQL Trace files / FTP Patch Requests

Confidential, Orlando, FL

SAP Management Consultant

Responsibilities:

  • Architect strategies involving User Security Administration and Role Management
  • Analyze past business role, and determine user security access according to tasks assigned, IMG configuration.
  • Design and consolidate roles with reference to needs of the business
  • Develop, test, and implement all security functions according to the current business roles of best practices for the business
  • Audit \ Testing
  • Project management proficiency, analytical skills
  • Managed multiple complex ongoing projects within timeline deliverables.
  • Re-design the interface profiles to remove redundancies and grant authorization access as needed with data conversions
  • Minimize profiles for maximum efficiency performance. Minimize cost for future maintenance.
  • Acquired functional knowledge in the FI, CO, MM (A/P, G/L) modules for access of security in these areas
  • Worked directly with Corporate functional team (Superusers) to build roles for implementation of business requirements
  • Implement business process controls and security in SAP
  • Responsible for application security team's training and development program
  • Provided extensive training / mentoring to client for preparation of basic foundation knowledge of security
  • Workbench Organizer - Logistics, Transports, and System Upgrades (TMS)
  • Worked on EDI transactions / Configuration for implementation of business needs.
  • Lead End-User Training for SAP Workflow at Client site - (BC605 SAP Workflow Configuration)

Confidential, Orlando, FL

Systems Analyst / SAP Security Administration

Responsibilities:

  • Worked on SAP R/3 for EDI Configuration & MM Purchasing procurement.
  • Implementation MM Purchasing and SD Sales & Distribution Team.
  • Audit \ Testing
  • Project management proficiency, analytical skills
  • Managed multiple complex ongoing projects within timeline deliverables.
  • Worked directly with corporate procurement staff, field operations buyers, and financial group in utilizing the procurement requirements.
  • Specs for transaction set 850 Purchase Order, 860 PO Change, 810 Invoice, 856 ASN, and Acknowledgments (855, 865) / Set up Partner Profiles
  • Output Determination for Suppliers / Monitor Status Workflow problems - batch cycles
  • Created user manuals for training on Workflow errors, add/delete partners & provided training to end-users.
  • Maintenance of the Item Master and Vendor Master file
  • EDI / ALE technologies for IDOC process both inbound & outbound
  • Testing on Harbinger Software package for Transaction sets
  • Coordinate the testing process & facilitate the issue / GAP weekly meetings
  • User Security Administration and Role Management
  • Transport Management Systems (TMS)
  • Migrate implementation profiles to condensed profiles
  • Update Profiles & create new users
  • Create Objects, Object classes, profiles, and authorizations from test to production
  • Implement business process controls and security in SAP

Confidential, Altamonte Springs, FL

Bank Implementation Analyst

Responsibilities:

  • Convert million dollar bank files from Dimension 2000 to Dimension 30 00
  • Developed Matrix for future bank systems on AS/400 - 3 Tier system
  • TSO/ISPF, Sun Solaris system, DB2 (TSO&CICS)
  • Mapping Dimension 2000 to Dimension 30 00 System
  • Audit \ Testing
  • Project management proficiency, analytical skills
  • Managed multiple complex ongoing projects within timeline deliverables.
  • High communications with banks
  • Collaborated with various functional departments (Programmer, GL, Loans manager, & others) to ensure timely and accurate solutions for customer
  • Re-design software to meet the needs of the banks business processes
  • Post conversion fixes

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