Summary

I am an articulate and highly proficient I.T. professional with 20 years of Business Analysis, Project Leadership and Quality Assurance expertise. I am both a team player and a leader. I have managed teams from 3 to 45 professionals in the Automotive, Banking, Healthcare, Communications and Federal Government. I have conducted JAD/RAD sessions in the Manufacturing and Healthcare industries. I have held prior Top Secret Security Clearances for DOD and US Customs Service. I have prepared Cost Benefit Analysis, Mission Needs Statements, Feasibility Studies, Functional Requirements documents and SDLC documentation.

Experience

Confidential

Areas of Responsibility:

The User Interface UI Team has strategic ownership for the look and feel and usability as well as functional design and consistency of all custom user interfaces for GHS. I personally function as the SME for Web Portal on the Alaska, California and Montana projects as well as backup support SME for New Hampshire. My team has responsibility for UI design, prototyping and the governance of user interface standards and best practices supporting all active Health Enterprise MMIS and OS DDI projects, for proposals, business development and to support ongoing maintenance of the New Hampshire MMIS. This includes all phases of California MMIS, North Dakota MMIS, Montana MMIS, North Dakota OS and Montana OS . My team has also had a consulting role on the Alaska MMIS project for UI design, prototyping and the governance of user interface standards and best practices. As I was the UI designer for Alaska prior to assuming this role, Alaska support will also be included under my current team's domain. Online help content creation for all Health Enterprise MMIS and OS DDI projects also falls under the UI team as well as the security area functional requirements including the RPM and security within the MMIS portal, AVR system, Cognos, EDMS and integration to COTs for Health Enterprise MMIS. The UI team directly supports New Hampshire and Montana and consults on California, North Dakota and Alaska. The UI team maintains the responsibility for supporting screenshot mockups for other design concepts for new products and for OS and for supporting the MMIS sales demo region including support for oral presentations for Enterprise bids. This includes making menu modifications to the demo environment to link to COTs products such as Med Compass and Cognos. This responsibility will continue in the standup of the next generation demo environment being planned.

Confidential

Accomplishments:

• I have been involved in the re-engineering design of the Xerox total web-based solution for the Medicaid claims payment system. My involvement has been in the development and maintenance of the HTML Dreamweaver prototype used by the off-shore development team to create the live code. This involves both creating use cases and user interface specifications for the common and global components as well as interpreting the design requirements from the functional BAs for each of the specific components such as provider specifications, member/recipient specifications, claims entry, financial TPL, A/P, A/R, Budget Inquiry, etc , contact management, and service authorization. After spending 4 years on the core product, I moved to the Alaska contract as the UI team lead architect. Was also instrumental in defining the Provider Enrollment Web Portal interim solution for Alaska, designing the communications site for Alaska and converting the hundreds of documents migrated from the previous vendor FAS web site to a Xerox deployed version. I also developed a prototype demo in Flash, for an intra-divisional competition. My division's submission was for a new Long Term Care LTC product, by which, my division won the competition.
• Assigned to the State of Alaska MMIS DDI Replacement Project that is based on the Enterprise core product development.
• Prepare Requirements Specifications for provider enrollment web-based process.
• Define specifications for a provider communications web site for the state's Medicaid community.
• Define specifications for the rebranding of the Fiscal Agent FAS Medicaid provider web site.
• Modify HTML prototype as required to satisfy functional change requirements.
• Function as the UI change coordinator for all front end enhancement/modifications required across all functional areas supporting the state of Alaska MMIS replacement project.
• Functioned as Project Manager for the web-enabled interim solution for provider enrollment application.
• Assigned to the Enterprise Web Services Group
• Developed User Interface Specification design specifications
• Developed web page mockups
• Defined standards review and development for the re-engineering project that will convert the State/commercial claims processing healthcare MMIS from a mainframe based system to a web based application.
• Participated in the functional elaborations to determine user interface requirements to construct Use Case and User Interface Specifications UIS documentation.
• Worked with offshore development staff to define backend processing requirements
• Worked with architecture team to identify database requirements
• Developed process lifecycle for web front end user interface requirements
• Developed/supported General Systems Definitions GSD for Acuity and Accounting components
• Developed/supported Detailed Systems Definitions DSD for Acuity, Accounting and Reference components
• Participated in the change control board CCB meetings to determine UI impacts
• Defined/Prepared Test Plan and Test Case standards
• Reviewed offshore system development to ensure interface specifications are satisfied
• Worked with sales and marketing group to develop prototype designs for presentation package.
• Worked with coding staff to define, review and approve prototype page requirements

Environment: PC, Windows XP, SharePoint, MS Word, MS PowerPoint, MS Excel, MS Project, MS Publisher, Dreamweaver CS5, Flash CS5, Expression Web, VISIO, MS Outlook, Consultrack, NetMeeting, WebEx

Confidential

Accomplishments:

• Assigned to the IT AD - Institutional Business Pensions and Annuities group.
• Prepared and tracked customer system requests for data extracts, data loads, special reporting requirements, and new client interface requirements
• Responded to technical requirements for RFP solicitations
• Developed streamlined procedures to process external customer data load requests
• Prioritized programmer coding assignments
• Interfaced with MetLife pension Administrators
• Functioned as POC for two annuitant payment systems
• Participated in the 2005 SOX compliance team representing the pension payment systems
• Developed, monitored and enforced SOX SAS70 Test Plan. Enter evidence in Calligo and control documents in Risk Navigator.
• Worked with off shore programmers that support day to day production problems and SOX evidence development.
• Developed Lotus Notes status reports for user community and director-level manager

Confidential

Analyst/Designer/Developer

Confidential

Accomplishments:

• Assigned to the Claims Processing, Payment and Reporting Test Group for the Georgia Health Partnership Medicare and Medicaid Programs
• Gathered business requirements from the users and updated Project Scope document and Pharmaceutical Benefits Management PBM EDI clearinghouse system.
• Developed personalized Companion Guides for 9 states and 80 commercial pharmaceutical providers who would submit HIPAA compliant transactions via the iDEx EDI communications system.
• Modified VISIO Business Process Flow diagrams, System Interface diagrams and Transaction Matrix for the Multi-state PBM development and implementation requirements.
• Developed claims reference Windows DSD for MMIS system design specifications.
• Reviewed narratives from Phase I consistencies for Phase II claims reporting, claims processing and claims payment subsystems.
• Developed matrix for correspondence remark code cross reference to Phase I current Exception Code triggers and identified new requirements for Phase II Commercial segment of GA Health Partnership Program.
• Created over 1000 Test Plans containing from 3 to 20 Test Cases each.
• Developed standardized procedures for executing Test Plans and Test Cases.
• Trained other Business Analysts in the execution of the Test Plans and Test Cases.
• Monitored and tracked execution of Test Plans and Test Cases conducted by those BAs.
• Recorded and tracked Test Plans, Test Cases and testing defects in Test Director.
• Created Test Plans for claims entry, processing, adjustments, credits and payment processing with Test Director 7.5
• Identified Claims data to be entered. Enter HCFA 1500, UB92, and Dental Claims forms.
• Used Niku to report task/line item time expenditures for Test Plan development and execution, team training and policy and procedures development.

Confidential

Accomplishments:

• Analyzed, designed and developed basic web pages for internal documentation support linked by keyword to AMC document templates.
• Designed new template specifically for Regression Testing event captures.
• Developed Application Improvement Testing Approach diagram to support maintenance issues.
• Developed Testing Strategies process flow diagram to facilitate quality issues within maintenance programming tasks.
• Represented team in 6-Sigma project to reduce software defects, SQA, and CMM project practices.
• Contacted Foreign Partners to identify business process issues and concerns with current Vehicle Recall VR process.
• Met with Rest of World ROW Ford Headquarters staff to review Current State of VR process for foreign partners.
• Met with European Ford Headquarters staff to review Current State of VR process for European partners.
• Reviewed current business process documentation and diagrams for European VR procedures and communicated via telephone and email with key personnel in the UK partners offices.
• Reviewed current business process documentation and diagrams for North American VR procedures and conducted information gathering sessions with Ford Headquarters personnel responsible for USA recalls.
• Prepared Business Needs Analysis and parameters to justify multiple RAD/JAD sessions to gather all interested business partners for Future State VR process design. Developed formal Current State, Future State and Implementation Plan documentation for Global Recall System from the joint information gathering sessions.
• Developed graphical representations of these system functionalities that identified all of the users involved in each business function, as well as defining how a Use Case will be initiated.
• Presented these Use Case definitions to user group to:
• Ensured that we were are all on the same page
• Ensured that users understood the requirements
• Focused on the What will be done rather than the How it will be done
• Provided sample Test Cases
• Consolidated findings from Business Partner RAPID/JAD sessions and distributed results to attending business partners and POC from partners unable to attend.
• Identified and prepared formalized Implementation Plan for application systems deployment of the GVRS.
• Worked with Customer and Project Team Group PTG to review production problems with current Global Distribution System GDS for vehicle recall parts requirements.
• Created and presented PowerPoint presentations to team members to instruct them how to complete the required project documentation templates.