Systems Engineer Resume Profile

Objective

Apply my more than twenty-five years of data analytics, project management, process development, system design, data quality assurance and interpersonal skills in a working environment focused on servicing their customer base while maintaining the highest ethical, environmental and sustainable business model.
To accomplish this objective I bring to you:
Comprehensive analytical skills
Outstanding communication and customer service skills
Extensive Information Technology develop and application experience
Project Management certification
25 years health industry experience

PROFESSIONAL EXPERIENCE

Confidential

Contract Project Leader, Commercial PMO, BCBSSC

Managed multiple projects related to Blue Cross Blue Shield Commercial Business. Projects include upgrades to existing production applications, implementation of new business processes and integration of companywide call center software. Responsibilities included preparation and execution of executive management and customer presentations, MS Project plans, resource management and budget controls.

Confidential

Software Engineer, Data Management Group

Transformation Rules Analysis team member accountable for design, development and implementation of interfaces and conversion for multiple Medicaid state businesses.
Engaged in the execution of Medicaid Management Information Systems MMIS implementation, maintenance and production control for state of West Virginia and Maine.
Accountable for the timely delivery of construction, resolution, dissection and control of requirements gathering, data mapping, test script development/validation.

Confidential

Systems Engineer, MMIS/ Enterprise Solution Center

Documented business requirements, data gaps, reporting requirements and scope for New Hampshire Medicaid claims processing system.
Translated functional business requirements into system requirement specifications and created design documents.
Prepared daily and weekly ad-hoc project performance reports for executive management.
Reviewed, analyzed and critiqued project data for quality and standards assurance, making recommendations as appropriate.

Contract IT Project Manager

Confidential

Directed multiple projects related to enhancements of an existing Medicaid claims processing system for the state of New Mexico. Project scope of work included managing separate teams, regulating budget, deliverable timeline and scope.
Utilized MS Project to manage internal and external communication plan and Joint Application Sessions.

Contract IT Business Analyst

Confidential

Team Leader for the Decision Support Services, mining of Data Warehouse and Business Intelligence reporting.
Team member responsible for creation/reengineering of the Decision Support area. Utilized ETL and BI skills to populate and provide reports, queries and views into valuable analytical data.
Communicated with end users, customers and all levels of management.
Held support role as a technical expert, data analyst, and developer in the area of DSS.

Confidential

IT Project Manager, Enterprise Data Warehouse/ Business Intelligence

Managed Project implementation at Corporate and Regional levels utilizing MS Project increasing productivity and efficiency across the Project Life cycle.
Interacted with all staff levels within the corporation including Business Customers to Senior Level Management and Project Stakeholders.

Associate Data Analyst, Enterprise Data Warehouse - Data Quality Analyst

Managed data accuracy in the Enterprise Data Warehouse and brought new applications into compliance with procedure.
Procedures included accurate testing of modifications to new/ existing applications or databases, communication of the quality of the changes to all team members, tracking test plans and conditions, and allowing for follow-up/feedback.

System Analyst, StateASO, Government Contracts Department

Implemented a new claims/ eligibility processing system including modifications and on-going maintenance.
Supervised Night Shift Team, approximately 18 people to work on OCR Scanning process after implementation.
Project Lead for all Inquiry Control File changes, including automated survey letters to be sent to subscribers on a random basis.
Assisted in training department and vendors on new process and procedures.
Responsible for ad-hoc, canned and system generated report writing.
Assisted in Request for Proposal RFP process with State Merit Health Plan.

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