Resume of Senior Business Analyst

Title
Senior Business Analyst

Primary Skills
Interpret and understand system requirements for new and existing applications.

Location
US-GA-Atlanta

Posted
Apr-07-07

Professional Objective:

Seeking a career in a major corporation that offers both a challenge and an opportunity for growth and development. My ultimate goal is to work in a network systems environment where I can enhance my knowledge on software applications.

Career Highlights:

* Member of the team that put in place current federal HIPAA guidelines for the Wellpoint Blue Cross and Blue Shield Plan.
* Provided business requirements for the HIPAA Privacy project and configured into Anthem/Wellpoint systems.
* Account Delinquency Project - entailed the system maintenance of delinquent accounts.
* HIPAA Security Project - This project consisted of codes used to protect customer's sensitive information and configuring these codes into the system.
* Account Implementations Project - This project consisted of implementing new accounts ensuring that their business needs is configured into Anthem/Wellpoint systems and consolidated as one.
* Benefit Verification Project - This project consisted of loading and testing codes and configurations to ensure benefits are processed on claims correctly.
* Obtained certification in maximizing team effectiveness.
* Received awards for perfect attendance 2 years in a row 2001 and 2002.
* Member of the MetaVance migration, conversion and testing team for NASCO and Carefirst Blue Cross and Blue Shield.
* Lead the Medicare data cleanup team that put together ideas on loading Medicare information onto the NASCO system before conversion and configuration.
* ITS Inventory reduction project; this was a project I lead, where we had to reduce the ITS correspondence (mail) that came in from out of state providers.


Professional Experience

Keane Inc, April 2006-Present
Atlanta, GA
Senior Consultant, Quality Management

* Responsible for all project deliverables within contractually mandated timeframe.
* Skillfully identify and pursue testing objectives in a challenging environment under minimal supervision.
* Interpret and understand system requirements for new and existing applications for both production and model office environments.
* Execute test using predefined business cases against a test environment.
* Participate in UVT, Migration, Regression, and parallel testing via manual and automated tests.
* Identify, manage and document defects to closure.
* Trained and lead new testers on new procedures and existing applications and testing tools.
* Currently working on site with the NASCO testing team.
* Performed Installations of the MetaVance Software on desktops for operations and performed technical support when issues and defects occur in addition to troubleshooting escalations.
* Trained other Analyst on the NPS (NASCO Processing System) and provided technical support for the operations department.
* Performed liaison issues between operations and the technical unit when production and testing issues occur.
* Performed functional expertise in regard to product, application and services.
* Maintained project management documentation for assigned projects.


Anthem Blue Cross & Blue Shield April 2000-October 2005
Worthington, OH

Business Systems Analyst

* Research and provide analysis on health claims such as UB92 and HCFA claims.
* Provide technical support for operations by creating work processes, flow charts and developing ideas on enhancing current and future workflows for the operations department.
* Troubleshoot and provide data analysis to operations, such as detecting defects, and creating automated reports for the operations team and researching of specs to identify possible defects from either membership or claims department.
* Coding of benefits into the system and testing the benefits to ensure efficiency.
* Worked on HIPAA projects and implementation of policies
* Implementation of groups, conversion of business requirements into systems and testing of applications.
* Configuration of codes and testing of applications
* Creating test scenarios for new groups once implemented into the system
* Train new and current analyst on the NPS System and developing training documents to enhance the efficiency of the team.
* Performed claim adjudications, account implementations, claim analysis and provided technical support for Anthem's operation department.
* Document and reviewed current process flows for business and vendor requirements.
* Verified environmental readiness for testing for multiple vendors between the NPS modules.

North American Van Lines/Customized Logistics August 1998-April 2000
Princeton NJ,

Operations Manager

* Managed Xerox $9 million distribution parts center
* Maintained daily computer inventory for Xerox business accounts
* Provided logistical solutions for Xerox service engineers
* Made administrative decisions regarding employees

Team Lead

*Processed shipments and orders from technical representatives
* Supported technical representatives from Xerox Corp
* Resolved complaints from technical representatives


Technical Skills

* Fundamentals of Networking, Internet Protocol Systems Network Architecture, Lotus Notes, IBM Mainframe Systems A/S 400, Windows NT 2000, Windows XP
* Rational ClearQuest, Rational Test Manager, Directpro.
* Health Care Systems (NASCO) MetaVance Systems
* All Microsoft Products Windows XP, Word, Excel, PowerPoint, Outlook, Access.


Education
Seton Hall University - South Orange, NJ Sept.1992 - May 1996
* Bachelor of Arts - Criminal Justice & Political Science
* Played basketball for Seton Hall for 2 years


Professional References
Provided upon request

Certifications
See above


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