EDI Business Analyst Resume

PROFESSIONAL EXPERIENCE

Confidential

EDI Business Analyst

Responsibilities:

837, 835, 270/271 HIPAA EDI transactions testing and support, for healthcare claims
834 EDI Enrollment Design, testing and production
Project Documentation, impact analysis, review and analyzes business system for end user needs, companion guides, gap analysis, use cases creation, workflow and requirement documentation
Payer Client project work for FFM (ACA) Enrollment Improvement Project

Confidential

Team Lead/Administrator

Responsibilities:

Administer Benefits, Insurance Entitlements and Payment Processing
Produce Performance Matrix Reports
Oversee financials for approximately 200 personnel
Manage the personnel and medical readiness programs
Manages various types of financial management programs
Provide advice on processes and procedures to address various types of pay, benefits, entitlements
Coordinate with the Directorate of Public Works for facility security infrastructure support

Confidential, St, Indianapolis, IN

Business Analyst Lead/Supervisor

Responsibilities:

Payment processing and automated systems support
Research and respond to complex congressional inquiries related to retirement benefits
Scheduling
Supervised team of 22 personnel
Work to improve work flow and production
Create training documentation onboarding new resources

Confidential, St, Indianapolis, IN

Business Analyst Lead

Responsibilities:

Provides advice and guidance on more complex/difficult matters of Civilian pay processing and automated system
Plans and organizes work to be accomplished by subordinates, establishes priorities and prepares schedules for completion of work for a team of 17 personnel
Defines standards for work and prepares instructions for its accomplishment
Reviews work with the authority to accept, amend or reject to insure acceptable quality and quantity
Makes changes in the organization of work and assignment of functions or duties to positions as necessary to fully use employee skills, accommodate changes in workload, improve work flow, reduce back logs and provide smooth flow distribution and timely processing of civilian pay actions in the unit
Performs nonsupervisory work equivalent to that performed by subordinates, as necessary to combat work slowdown due to personnel absences, peak workloads and backlogs to ensure timely, accurate, and efficient processing of civilian pay transactions

Confidential, St, Indianapolis, IN

Business Analyst Contractor

Responsibilities:

Review, research, and audit complicated pay accounts
Research laws, regulations, directives, and pay to verify amount and propriety of debt or and perform extensive pay audits
Identify recurring system problems encountered in payroll processing, and recommend possible solutions
Worked, additionally, as an interim supervisor when needed for a small team of 4 personnel
Processed pay audits for a team sized project resulting in over 1,500 delinquent accounts being processed in two months. This, in conjunction with workload processed, lead to being granted the Joint Service Achievement Medal at the end of my contract.

Confidential

Human Resources

Responsibilities:

Provide guidance based on regulations to the unit Commander to ensure compliance with current laws and regulations
Process personnel actions for 45 personnel
Train incoming Human Resource Personnel on how to accomplish daily job requirements
Provide guidance to each team’s management staff on how to accomplish requirements and meet administrative requirements
Develop training guides for personnel action for distribution within the organization to ensure timely completion for records review, insurance documentation, benefits documentation, annual evaluation requirements, award submission, retirement submission, and awards processing
Advise leadership on current standing for the unit and advise on action plan to maintain or improve current metrics
Prepare/reviews correspondence for substance and accuracy
Manage the unit personnel readiness programs
Assist with onboarding new personnel to the unit; coordinate with the section leadership the individual is going to ensure they a smooth in - processing is completed

TECHNICAL SKILLS