SUMMARY:

• Over thirty years of analytical, technical, project management, experience for customers within the property casualty and group health benefit business.
• Analysis and facilitation of business requirements, functional system specifications, supporting quality assurance and user acceptance testing activities for numerous group health, finance, Pharmacy, property casualty claim and data warehouse and Confidential applications.
• Agile methodology, CA Agile Central, HP Quality Center (ALM), Teradata, Oracle, PL/SQL, SQL * Plus, MS Access, Microsoft Office Suite, MS Project.

PROFESSIONAL EXPERIENCE:

Confidential, Conschoken, PA

System Analysis/Quality Assurance

Responsibilities:

• Testing Product Owner (Agile) for Finance Controllers - Responsible for end-to-end test scenario (feature) development, establish execution priorities, acceptance criteria of successful test scenarios(user stories) across the Enrollment, and Claim and Constituent Services value streams for a large platform project to integrate United Health acquisitions onto a single common platform. Coordinate and collaborate with my Testing Product Owner peers to for a successful end-to-end business process validation on the Polaris platform.
• The Polaris end-to-end testing effort utilized Agile methodology. My role was Testing Product Owner for Finance horizontal value stream. Coordinated and collaborated with my peer Testing Product owners for the Enrollment, Claim and Constituent Service vertical value streams

Confidential, Farmington, CT

System Analysis

Responsibilities:

• Plan, schedule, facilitate, develop the functional and application design specifications for with business and ETL teams for the Confidential Home Delivery Data Mart to provide financial reports to support Accounting in booking Home Delivery financial results to the corporate general ledger, provide drug level revenue and ingredient costs to Pharmacy Finance to support drug pricing and projection modeling for revenue planning.
• Plan, schedule, facilitate, and develop the functional and application design specifications with business and ETL teams for the Confidential Financial Operational Datastore for the periodic reconciliation and payment of the Home Delivery Fulfillment Invoice from Confidential (Catamaran).

Confidential

Business Analysis

Responsibilities:

• Plan, schedule, and facilitate business and functional requirement sessions with business and technical SMEs for the Commercial Financial Integration in support of the change of Pharmacy Benefit vendor.
• Developed business requirements for each business segment claim application to support the financial Confidential of the retail pharmacy claim adjudication.

Confidential

Business Analysis Consultant

Responsibilities:

• Developed business and functional requirements for ETL data warehouse and Confidential applications housing group health (medical, pharmacy, and inpatient), workers comp, and disability data.
• Coordinate, review and approve test plans and scripts put forward by quality assurance to affirm delivery of application solutions met the business and functional requirements.
• Project work included business and functional requirements for trend analysis Confidential application focusing on the ETL aggregation and business intelligence layer. Implementation of ICD-10 code set for client data analytics and Confidential warehouse and business intelligence application.

Confidential ; Hartford, CT

Senior IT Business Analyst

Responsibilities:

• Lead Business Analyst for Loss Connect and Source applications on ( Confidential ) project. Responsible for defining Claim workers compensation business requirements for P+C and SRS organizations to build integrated interface between thee Loss Connect and Source applications to identify P+C and SRS accounts participating in Confidential product. Responsible for gathering and defining the business requirements for data interface between the Source and GBD applications handling disability claims and absences under the Family Medical Leave act for Hartford accounts participating in Confidential .

Confidential

Responsibilities:

• Lead Business Analyst for Source application on Center for Medicare Excellence Confidential (CMS) project. Responsible for defining P+C Workers Compensation business requirements to capture and modify Source business rules to satisfy the federal Medicare mandatory Confidential for non-group health insurers. Coordinated and with the business analysts from Claim Inknowvation and SRS to leverage the best solutions to have the Hartford be consistent in meeting the federal mandated Confidential across the enterprise.

Confidential, Hartford, CT

Oracle Developer/Application Architect

Responsibilities:

• Team member on Confidential . Team responsible for converting 9 million plus claims and related data from third party claim administration application to internal claim administration application.
• Wrote PL/SQL for data profiling and analysis of Commercial and Specialty Risk Services Workers Comp, Auto and General Liability claims data.

Confidential, Hartford, CT

Program Financial Manager

Responsibilities:

• Develop individual project CBAs in cooperation with IT, and business program mangers for corporate approval and initiation of projects.
• Provided analytical and forecasting support to program and project mangers to manage delivery adhering to time and cost estimates.

Confidential, Hartford, CT

Site/Project Manager

Responsibilities:

• Developed and executed project plans and budgets to remediate or replace non-Y2K compliant desktop PCs, servers, related peripherals and software for 7 Claim Business Group sites. All seven sites were operational on January 3, 2000.

Confidential

Analyst Consultant

Responsibilities:

• Member with the Sapient Design Team conducting facilitated design sessions to document Business Design requirements for new Personal Lines Confidential .

Confidential

Project Manger/Consultant

Responsibilities:

• Managed implementation of automation supporting Workers Comp Redesign Initiative. Successfully achieved project's mission-to have “the right claim handled by the right person” by establishing centers with medical professionals for simple compensation (medical only) claims freeing up claim handlers to focus on the high dollar exposure “lost-time” compensation claims.

Confidential

Specialist

Responsibilities:

• Participated on a team that delivered target architecture for supporting development of client server claims application and strategies for migration from current distributed and mainframe architecture.

Confidential

Team Leader

Responsibilities:

• Initiated Managed Care Automation Team (MCAT) integrating Hartford, external partners, Claims automation, and business areas to deliver projects for Workers Compensation to ensure appropriate treatment to injured workers.

Confidential

Programmer/Programmer Analyst/Systems Analyst

Responsibilities:

• Supported a variety projects that provided claim reinsurance financial Confidential, online claim financial transaction processing, development of functional and technical design specifications for distributed claim processing platform for handling personal lines, commercial and workers compensation claims.