Resume of Business Analyst/Web Developer

Title
Business Analyst/Web Developer

Primary Skills
UI Web Developer

Location
US-CT-East Haven

Posted
Jan-31-08


OBJECTIVE:
Seeking an opportunity to fully utilize HTML, JavaScript, content management and website development skills.

EMPLOYMENT:

Health Net, Shelton, CT 2004/Current

Business Systems Analyst

* Web-Site Development: Obtain layered Photoshop files from graphics department and implemented it into a functional web-page using html and java script.
* Transactional Based Design: Designed and developed ways for our customers to transact with Health Net via healthnet.com. (i.e.: Change Primary Care Physician, Check and Submit Authorizations)
* Content Management: Worked with our IT staff using Interwoven's TeamSite to design a system that allowed business units to update content on healthnet.com. The lead and developer of all content projects for healthnet.com
* Project Development Life Cycle: Worked with IT to develop business practices and awareness that enabled ebusiness to be an integral part of any project for healthnet.com.
* Technical Support: Provided support and training to all business units within Health Net that used TeamSite.
* Web Site Usability: Working with outside vendors, coordinate usability studies before the implementation of new applications.

Oxford Health Plans, Trumbull, CT 1996/2004

Marketing Associate

* Web-Site Development: Obtain layered Photoshop files from graphics department and implemented it into a functional web-page using html and java script.
* Manager/Developer of three design enhancements for oxfordhealth.com from an HTML/Java Script perspective.
* Manager/Developer of oxfordbenefitmanagement.com and oxfordmedicare.com.
* Assisted in the development of the first phase of online enrollment for a new insurance product introduced at Oxford.
* Department Liaison: Ensure open communication between Oxford's Marketing and Electronic Commerce departments concerning customer interactions with Oxford's database via the web-site. Assist the Electronic Commerce department with the creation of functional specifications through deployment of new applications.
* Web Site Usability: Working with outside vendors, coordinate usability studies before the implementation of new applications.
* Content Administration: Coordinate and maintain new and revised content for oxfordhealth.com.
* Technical Support: Provide technical advice and assistance for Oxford's intranet web-site constituents.

Claims Documentation Consultant

* Web Site Management: Edited department documents and presented them on a corporate internal website to ensure common format, language and presentation of all on-line documentation.
* Benchmarking: Analyzed Oxford's payment policies and compared them to industry standards and legal mandates. Presented findings to upper management for review.
* Training Documentation: Created training and workflow documentation to be used by trainers, claims processors and auditors for daily claim administration.
* Department Liaison: Acted as a departmental liaison throughout the company to address and resolve claims processing gaps.

Senior Claims Specialist

* Claim Adjudication: Processed claims in several specialty queues while maintaining all department standards for speed and accuracy.
* Training/Coaching: Provided training and support to claims processors within
various departments.
* I.T Support: Researched and resolved Vendor, Member and Benefit adjudication issues within Oxford's claims systems.
* Help Desk Operator: Provided department wide support for claims processors in the adjudication of suspended claims.
* Claim Audits: Retraction and repayment of specialty queue claims initially
processed incorrectly.

Customer Service Associate

* Telephone Operator: Assisted all Oxford's constituents access its medical delivery system. Provided and interpreted explanation of benefits. Brought in the resolution of complaints to Oxford's constituents.

SUMMIT SERVICES, Wellsley, MA / MEDIPLEX, Milford, CT 1993-1996

Director Of Housekeeping

* Manager: Direct Report for a staff of 20 employees. Maintained and controlled labor schedules. Coordinated a full range of management responsibilities and measured performance/quality
for subordinates.
* Trainer: Developed, implemented and coordinated an ongoing training/cross training program.


EDUCATION:
Gateway Community College, New Haven, CT Selected Business Courses

Jonathan Law High School, Milford, CT Graduated 1993

REFERENCES:
Available upon request.

Certifications
See above


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