Business Consultant Resume Hartford, CT - Hire IT People

SUMMARY:

Senior Business Systems Consultant/Analyst with over fourteen years’ experience in the health care, personal insurance and financial industries focusing on complex system integration projects.

CORE COMPETENCIES INCLUDE:

Ten years experienced healthcare professional in managed care and hospital settings
Managed care physician reimbursement methodologies and analysis such as capitation, fee for service and Confidential Pricing.
Healthcare claims payment experience with Confidential
Leading multiple project teams concurrently
Effective project manager within the full system development lifecycle
MS Excel, Word, Visio & PowerPoint
Strong business and systems analytics to project planning, organizing and documentation
Project Management Professional Certification and Six Sigma Green Belt

TECHNICAL SKILLS:

SKILLS: Excel, Word, Power Point, Visio, MS Project and Quality Center

EXPERIENCE:

Confidential, Hartford, CT

Business Consultant

Responsibilities:

Requirements Lead for a staff of four Business Analysts.
Organizing and documentation of best practices for project documentation.
Planning of the Business Analyst Work Plan.
Creation of user interface design documentation and use cases.
Leading facilitated sessions to elicit and develop business requirements.
Creation of Work Breakdown Structure during the project planning phase.

Project Manager

Confidential

Responsibilities:

Responsibilities included project and risk management planning, budgeting and resource management activities.
Produced weekly project status reports and resolved project issues.
Led a staff of twelve team members supporting all aspects of systems development lifecycle.
Managed project budget of $1.2 million.

Confidential, Windsor, CT

Registered Representative

Responsibilities:

Worked with businesses and individuals on preparing financial plans, as well as conducting financial seminars.
Developed marketing campaigns in conjunction with accounts, lawyers and real estate agents.
Created direct mail financial services campaigns to target audiences.
Marketed financial services through a monthly newspaper article.

Confidential, Farmington, CT

Business Analyst

Responsibilities:

Implementation Lead for the Contract Management and Patient Level Management modules.

Confidential, Bloomfield, CT

Senior Business Analyst

Responsibilities:

Led three multidisciplinary claim teams concurrently to create business requirements and business systems designs for the October 2003 HIPAA compliance date.
Led the data gathering and documentation for the HIPAA ANSI 835X12 transaction.
Developed error and statistical reports for the HIPAA 835 Transaction.
Testing Lead for System, Acceptance and End to End testing.

Business Analyst

Confidential

Responsibilities:

Provide reimbursement and coding expertise for DRG, CPT4, HCPCS, Revenue, ICD9 Diagnosis and ICD9 Procedure codes for proper claims adjudication.
Project Lead during systems, acceptance and end - to-end testing.
Developed IntelliClaim rule hierarchy to support Confidential claims adjudication process.
Project Lead to determine the current claims payment practice for surgical trays on CIGNA’s legacy and end-state claims systems.
Team Lead in charge of developing the project’s business requirements.
Co-produced the operational interface screens for the ID Card Analysts.
Created over 600 systems, acceptance and end-to-end test scripts.
Trained users on the Access to Care system, as well as post-production policy procedures.

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Business Consultant Resume

Hartford, CT

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