Risk Adjustment Data Analyst Resume Boston, MA - Hire IT People

SUMMARY:

Experienced IT professional with a history of success in design, development, enhancement and technical support of business client/server and web - based applications throughout the full SDLC. Curious, creative, and eager to adapt to new software environments.

CORE COMPETENCIES:

Operating Systems: Windows, UNIX, Mac OS X

Languages: Unix shell scripting, Windows PowerShell, T-SQL, PL/SQL, HTML, CSS, XML, C#, Progress 4GL, Visual Basic

Databases: MS SQL Server, Oracle, MySQL, Progress, Sybase

Software: Alteryx, Tableau, SSIS, SSMS, PL/SQL Developer, TOAD, PeopleSoft, MySQL Workbench, ASP .NET, VMware, JIRA, Remedy, Excel, Microstrategy, ReportNet, Oracle Reports.

PROFESSIONAL EXPERIENCE:

Confidential, Boston, MA

Risk Adjustment Data Analyst

Responsibilities:

Monitor ongoing encounter data submissions and corresponding federal government agency responses files to identify and address file level discrepancies
Perform routine data reconciliations to ensure data submission integrity
Review monthly error reports, perform trend analysis, investigate critical errors and work the appropriate business areas to resolve issues
Assist with implementation of vendor programs regarding data file transfers, including reviewing internally received files for completeness reasonability and accuracy
Provide general data management and analytics to support ongoing and upcoming risk adjustment initiatives.
Managed software installation and upgrade of proprietary deal management software for customers
Managed backup and recovery SQL Server 2005, 2008R2 & 2012 database
Analyzed and resolved customer business issues ranging from back-end related issues, hardware environment, configuration, and core software, to resource issues.

Confidential, West Bridgewater, MA

Database Administrator

Responsibilities:

Database administration inclusive medical claims and membership data import to enhance the development and analysis of healthcare cost data.
Operational support to Managed Care Department ETL processes including data analysis using SQL

Confidential, MA

Math Teacher

Responsibilities:

Provided private tutoring for middle school children, utilizing strong communication skills and knowledge of diverse learning styles to effectively convey key concepts and inspire an ongoing love of learning.
Prepared math lesson plans and delivered lectures for advanced after-school enrichment program, tailoring instruction to meet the needs of gifted learners.

Confidential, Wellesley, MA

Programmer Analyst

Responsibilities:

Developed SQL queries in PeopleSoft Campus Solution database (MS-SQL Server) for ad-hoc data analysis.
Produced and analyzed Excel reports to track DOL and comparison groups students.

Confidential, Southborough, MA

QA Analyst/contractor

Responsibilities:

Designed and managed data migration process from existing database to mySQL
Performed testing of data, data migration audit, reconciliation and exception reporting.

Confidential, Waltham, MA

Senior Technical Support Engineer

Responsibilities:

Managed Tier-2 technical support to general users and technology subscription customers.
Assisted with troubleshooting incidents, finding solutions or workarounds on functions and usage of Empirica Trace.
Collaborated with customers interested in creating custom SQL queries as well as QA activity to ensure optimized and timely solutions in adherence with regulatory requirements.
Documented enhancements, defects, and issue resolutions in Remedy tracking tool, demonstrating excellent attention to detail.
Monitored the quality of resolution and satisfaction level of PF customers using development and management tool Jira.
Presented findings to key staff members to improve overall level of customer service.

Confidential, Waltham, MA

Senior Programmer Analyst

Responsibilities:

Subject matter expert and report developer on Facility Contract, claims modeling and design.
Developed and maintained automated Unix scripts to integrate Facility Contract data into vendor applications in accordance with HIPAA regulations.
Developed Progress interfaces for third party Sybase application.
Claims Data Warehouse (CDW) - created interfaces using Pervasive to the UB92 claims.

Confidential

Database developer

Responsibilities:

Designed, developed and supported business reports using Cognos Impromptu, Cognos Powerplay, Cognos ReportNet for Lottery Management System.
Created various reports and screen forms to handle agent accounting, cash management and draw processing.

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Risk Adjustment Data Analyst Resume

Boston, MA

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