SUMMARY:

• Over 25 years of IT experience in Requirements Gathering, Analysis and Design, Enterprise Application Integration, Project Management, Product Support, Application Development and Maintenance.
• In - depth knowledge of Systems Security Controls, Confidential ; System and compliance including, Disaster Recovery, Business Continuity and implementation of Corporate Policy and Procedures.
• Extensive knowledge in the Health and Property and Casualty Insurance Industry; with emphasis on system and compliance. Follow Project Life Cycle and Methodology, as defined by the Statement of Work (SOW), Perform Discrepancy Analysis Reporting and Resolution (DARR), and resolution for Plan of Action and Milestones (POA&M). Facilitate Joint Application Requirement (JAR) Sessions, and Joint Application Development (JAD) Sessions; with experience in RUP Methodology.
• Previous experience includes Insurance, Medical D Confidential for Systems and other related insurance processing.
• I have the ability to provide leadership and direction to a diverse group of individuals with multi-functional skill levels.
• I am self-motivated with exceptional analytical, research and problem solving skills. Excellent oral, written communication, Interpersonal and PC skills.

SKILLS, TECHNOLOGY, AND TOOLS:

Project Management: FISMA / Confidential Privacy and Compliance Confidential - National Institute for Standards Technology (achieved Confidential for Contract ) Six Sigma E-Yellow Belt Certified and PMI - Project Management Fundamentals Orientation to Project Management Level I and Project Development Leading High Performing IT Team / Building Better Relationships with IT Clients Leading the Performance Management Process / Coaching for Behavioral Change Effective Skills Delegation / The Process of Interpersonal Communication MS Project, EXCEL, MS Office Suite, PowerPoint, ABC Flowcharter, Visio

Version Control Software: Rational Clear-case Requisite Pro /QDQ SharePoint Document/Version Control

Change Management: MSEMP (Issue and Change Request Tracking Tool), Program Management Facility (Issue and Change Request Tracking Tool)

Requirements Management: JAR Sessions / Advanced Business Systems Analysis Techniques and Requirements Engineering Business Analysis, Requirements Definition and Testing Techniques

Object Oriented Analysis and Design: Software Architecture, VISIO, JAD Sessions

Programming and Modeling Languages: Knowledge of DB2, SQL and UML

Testing Applications: Mercury, Unitech/Unitest ( Confidential )

Systems: Inquiry Control System (ICS) Managed Information System (MIS) Common Administrative Platform (CAP) Diamond, Siebel Analytics (Related Dashboard) Relational Billing Management System (RBMS)

EXPERIENCE:

Confidential, Jacksonville, FL

Systems Analyst / Application Analyst

Responsibilities:

• Facilitate and serve as the Project Manager for Distributed Systems Infrastructure projects. Accountable for project schedules, communications, requirements gathering and overseeing technical projects through implementation.
• Serve as the Sr. Systems Analyst for technical research and development to enable continuing innovation within the infrastructure. Monitor and review system hardware, operating systems, software systems, and related procedures adhere to organizational standards for correct estimation and allocation of staff resources needed for Infrastructure support.
• Coordination of Server Hosting Forms, Decommissions, Firewall Requests. Serve as a liaison for Distributed Systems in Confidential, Confidential and Infrastructure Meetings for the Team. Work the Heat Ticket Queue for technical tickets such as security related functions, Password resets, adding users to specific folders/groups maintained on the servers
• Contribute to and maintain system standards by facilitating New Virtual Server set up and Decommission of older or outdated servers. Maintain operational, configuration and other procedures.
• Research and recommend innovative automated approaches for system administration tasks. Identify approaches that utilize our resources, including recommendations for resource allocation and coordination with Systems Manager for accurate project hour estimation.
• Perform daily system monitoring, verifying the integrity and availability of server resources, systems and key processes, review system application and validate functioning as designed. Create, change, and delete user accounts.

Confidential, Jacksonville, FL

Senior Business Analyst

Responsibilities:

• Applied comprehensive knowledge of business analysis, requirements gathering, development of project and program management and facilitation for the Conversion of Confidential - 9 to Confidential -10 Code Set as defined by the HIPAA-AS regulatory mandate which included in-depth knowledge of the Confidential 5010 Conversion.
• Led and facilitated JAR/JAD sessions for complex project assignments across multiple lines of business for Senior Leadership Groups and internal stakeholders which included Information Technology, Third Party Vendor Engagement, Enrollment and Billing, Other Payer Liability and Individual Medical Underwriting.
• Led and participated in cross-functional task forces to identify current and future work flow, business impact assessment, process improvements, and d Confidential definitions. Served as the liaison between the Technical and Operational area s to ensure business commitments, objectives and service level agreements were met.
• Developed and wrote comprehensive Business Requirements Specifications (BRS) for proposed segments of the Confidential -10 project utilizing Rational Requisite Pro and followed QDQ Protocol for signoff and approval.
• Evaluated existing system functionality to determine remediation needs and ensure all applications would be compliant as of 10/1/2013 while ensuring business objectives were met and financial neutrality achieved for optimum savings at all organizational levels.

Confidential, Ponte Vedra, FL

Manager, System and Compliance

Responsibilities:

• Served as the Project Director/Manager as the liaison for Systems for Confidential in support of governmental contractual obligations. Confidential achieved for the Confidential Contract on schedule with approved to Operate for Confidential Compliance issued by the Contracting Officer for the Confidential .
• Prepared proprietary documentation for system development, including the review and approval process. Wrote and implemented all compliance documentation including, System Security Plan Business Continuity, and all other corporate documentation needed for compliance, reviewed and maintained the POA&M list.
• Validated System Structure aligned with requirements defined by the Statement of Work, facilitated efforts to lead Confidential through the required audit by a Third Party Administrator as well as a full audit through the Department of the Interior ( Confidential ) to ensure compliance.
• Identified resources and support teams for project implementation, Change Management, and set priorities to ensure business commitments, objectives and service level agreements were met per agreed upon contractual obligations.

Senior Business Analyst

Confidential

Responsibilities:

• Provided support for system remediation and system development for the Technologically Advanced Tool Suites that were implemented for Confidential .
• Documented projects; wrote Service Level Agreements (SLA s) and provided Statements of Work (SOW) for business applications and technology projects.
• Created and submitted Request for Proposals (RFP).
• Prepared proprietary documentation for system development including the review and approval process. Identified resources in the support team to ensure all projects were completed on schedule.
• Gathered requirements and performed analysis for enhancing tool suites for cost effective health maintenance for securing custom provider networks.
• Completed detailed assessments for Predictive Index Analysis as needed to support client base.
• Completed Quality Audit and sign off, participated in post implementation, identified synergies within the organization, coordinated application development using architecture strategy, and provided expertise and knowledge to the development teams.

Confidential, FL

Business Analyst II / Project Lead

Responsibilities:

• Served as the business lead for the Medical Informatics Team to support system remediation and new system development for the Informatics Tools product lines supporting the Project Charter, Service Level Agreements and Statements of Work for business technology projects.
• Documented project requirements for risk assessment through JAR and JAD sessions. Wrote use case and use case realization development, identified and documented issues, provided resolution and/or alternate solutions, facilitated walkthroughs of requirements and analysis documents.
• Completed Quality Audit Signoff. Provided business mentoring to the application development teams and built strong interactions with Application Development and Client/Requirement teams.
• Developed and documented comprehensive business cases with volumetrics, cost of service, benefit dimensions for proposed projects and work requests for funding and scope decisions.
• Trained, mentored and supported Business Analysts and the Operational Area s.
• Coordinate work efforts between BA s Evaluated existing and futuristic system functionality.
• Diamond Validated current and future business needs were accommodated during implementation. Insured implementation

Confidential

Project Consultant

Responsibilities:

• Performed as the Senior Project Consultant for the Year 2000 Conversion.
• Planned, coordinated, tested and implemented the Year 2000 Project.
• Evaluated all Lines of Business affected by Confidential Conversion.
• Gathered requirements and performed analysis and design on systems and subsystems. Performed Senior Testing Functions.
• Coordinated testing efforts, documented and resolved problem identification (PI s) prior to implementation.
• Performed Unitech/Unitest comparisons for subsystems as well as technical functions.