Senior Analyst Resume
Englewood, CO
SUMMARY:
- Proven Confidential professional with 8+ years of experience in project management, business analysis, application development, and quality assurance of Open Enrollment data services and Claims Processing solutions.
- Adept at guiding internal teams and major healthcare payors through all phases of the project management lifecycle using the proprietary Confidential Advantage Framework.
- Dedicated to driving performance and value to the organization through continuous process improvement and business system efficiency.
- Committed to learning and growing daily to further impact performance.
- Deep understanding of team dynamics and how to foster harmony to maximize productivity.
TECHNICAL SKILLS:
Methodologies: Confidential Advantage Framework for Project Lifecycle Management, Sprints, Change Control, System Integration Testing ( Confidential ), User Acceptance Testing (UAT)
Standards: Protected Health Information ( Confidential ), EDI 834 Healthcare Enrollment Transactions, Electronic File Transfer (EFT), FTP, SFT (System File Transfer)
Select Tools: Facets, QNXT, HP Application Lifecycle Management (ALM), Project Portfolio Management (PPM), Claims Test Pro, Quality Test Pro, Hyperion, Oracle, SharePoint, NextGen, Globalscape, SQL
PROFESSIONAL EXPERIENCE:
Confidential, Englewood, CO
Senior Analyst
Responsibilities:
- Advanced to QA role to drive test case development and execution for delivery of strategic application development and database tool implementation projects for healthcare claims processing solutions. Led system integration testing ( Confidential ) for new applications, application upgrades, and feature enhancements.
- Increased application/tool testing performance and capabilities.
- Leveraged Sprints to accelerate quality assurance timelines.
- Drove test repeatability, defect tracking, and resolution by recording test cases in HP ALM.
- Employed Claims Test Pro to analyze and report claims processing errors; used Quality Test Pro to automate test case execution.
- Acted as Senior QA Analyst to coordinate testing team and support new QA resources. Served as primary liaison with customers while engaged with project management teams. Guided internal team communications and process improvement initiatives.
Confidential, Englewood, CO
IT Project Analyst
Responsibilities:
- Recruited to support multi - year, multi-million-dollar projects with major healthcare insurers like Confidential .
- Led project resource assignment, time tracking/reporting, budgeting, invoice reconciliation, and records management.
- Aided Project Manager in project planning, forecasting, timeline development, change request management, performance reporting, project team and customer communications.
- Facilitated delivery of projects related to core Facets product and Constituent Web Solutions ( Confidential ) in collaboration with PMO and cross-functional teams (Project Managers, Sponsors, QA, Configuration, Infrastructure, Data Migration, and Integration), including:
- Deployment and administration of SharePoint site for project collaboration.
- Transition of project information from Oracle to SharePoint and Project Web App.
- Creation of formal Project Change Request processes, cost estimates, and information flow.
- Client Engagement: Served as key liaison and PMO implementation team member for strategic account; performed frequent on-site visits to strengthen relations and drive project delivery.
Confidential, Baltimore, MD
Business Analyst & Open Enrollment Support Specialist
Responsibilities:
- Brought in for 3-month assignment and quickly recruited into permanent role.
- Promoted from Information Exchange Analyst to Business Analyst supporting Open Enrollment protected health information ( Confidential ) database updating, validation, resolution, electronic transmission, and reporting.
- Confidential Automation: Enabled automated electronic transfer of protected health information data using technologies like Globalscape, NextGen, and home-grown System File Transfer tool.
- Performed ETL process (Extract, Transform, Load) to bring data from healthcare payor database, transform it into compatible formats, and load it into Confidential data warehouse.
- Facilitated on-time delivery of open enrollment and black-out files to healthcare payors.
- Engaged stakeholders at major vendors/providers, such as Confidential, to validate 834 transaction reports and resolve Open Enrollment client data issues.
- Managed Open Enrollment file generation tickets.
- Collaborated with engineers to identify and remedy system/data defects.
- Created detailed process documentation for ongoing training and knowledge sharing.
