Open To Work
KELLY M. CALLIES
SHARP HEALTH PLAN
Chula Vista,CA
Work Preference
Job Search Status:
Open to work
Desired Job Title
Business Analyst ManagerImplementation ManagerImplementation Project ManagerImplementation ConsultantImplementation Specialist
Work Type
Full Time
Location Preference
Remote
Minimum Desired Compensation
$140000/yr
Important To Me
Career advancementFlexible work hoursHealthcare benefitsPaid time offWork from home optionCompany Culture
1
Certification
26
years of professional experience
Senior BSA with 20+ years translating business need into delivered system capability across health plan claims, enrollment, benefits, and provider data. Supported a 387,208-member Medi-Cal managed care plan, coordinated 6 external vendors, and led a team of 15 business analysts with deliverable approval and feedback responsibility. Experienced in hybrid Waterfall/Agile delivery — writing to sprint cadence and backlog priority while maintaining the requirements traceability and documentation rigor that regulated payer environments require. Hands-on with Epic Tapestry, HealthEdge, QNXT, and EDI transaction sets (834, 270/271).
Work History
Trainer, Application Management (Requirements & Enablement)
7 Years 10 Months- Coordinate training project timelines against system implementation and release schedules
- Support the plan's core administrative systems — Epic Tapestry Portals and HealthEdge — not limited to claims, enrollment, benefits, and provider data workflows
- Author policies, procedures, and learning objectives standardizing application education plan-wide
- Track and report delivery metrics and user feedback via an executive dashboard
Senior Business Systems Analyst
3 Years 7 Months- Senior analyst supporting a 387,208-member Medi-Cal managed care plan, coordinating 6 external vendors in a hybrid Waterfall/Agile environment.
- Facilitated elicitation sessions to identify business problems and document associated requirements across claims, enrollment, provider data, and member-facing systems
- Worked within sprint cycles and contributed to backlog prioritization in TFS, while producing the traceable requirements documentation required for regulatory and vendor-contract deliverables
- Ensured test plans covered all requirements and data scenarios prior to release
- Analyzed processes and implemented improvement opportunities across operational departments
- Reviewed state and federal regulations, assigned compliance tasks, and confirmed business area compliance
- Supported concurrent system initiatives at times: inContact, Avaya, Vonage, Salesforce, member portal, website, SB137 provider directory, provider disputes, appeals and grievances, and robotic claims automation while balancing 2-4 high priority initiatives
- Co-authored SDLC process standards with the BA Manager covering change requests and defect resolution
- Delivered production support for assigned systems, driving change requests and defect closure; supported QNXT
- Contributed to vendor and solution selection evaluations
Advanced Business Analyst
3 Years 2 Months- Mentored a team of 15 business analysts, approving deliverables, and providing performance feedback
- Authored high-level and detailed requirements including process flows, UI mock-ups, and report specifications
- Delivered 834 enrollment automation (large group), 270/271 eligibility automation, FFM 834 receipt, automated EAPG code assignment, and proprietary provider authorizations
- Validated proposed technical designs against business requirements prior to development
- Facilitated elicitation sessions with stakeholders at all levels
- Served on the core team establishing BML methodology standards; mentored analysts on BA tools, techniques, and healthcare domain
- Delivered formal training on BML and interpersonal effectiveness topics
Business Analyst Consultant
7 Months- Trained users on HP Quality Center test case loading
- Developed end-user instructional documentation
Senior Consultant / Analyst
10 Years 11 Months- Led requirements gathering across QAD, IFS, and iRenaissance, including custom development requirements
- Managed QAD Barcode Data Collection from specification through release and distribution
Education
Bachelor of Science - Information Systems
Skills
Requirements Elicitation & Documentation
Team Leadership & Analyst Mentoring
Process Analysis & Improvement
UAT & Test Plan Coverage
Hybrid Waterfall/Agile
Backlog Prioritization
EDI (834
270/271)
SDLC Standards & Governance
Functional Specifications
Gap Analysis
Regulatory Compliance
Stakeholder facilitation
Epic Tapestry
HealthEdge
QNXT
Salesforce
TFS
Smartsheet
MS Project
HP Quality Center
Visio
Certification
- Lean Six Sigma – Yellow Belt
- PMP Exam Preparation Bootcamp, Project Management Academy (35 contact hours)
- Stakeholder Management, University of Wisconsin Business School (2014)
- Requirements Quest: The Producer (2011)
Systems And Tools
- Epic Tapestry
- HealthEdge
- QNXT
- Salesforce
- TFS
- Smartsheet
- MS Project
- HP Quality Center
- Visio
Timeline
Trainer, Application Management (Requirements & Enablement)
SHARP HEALTH PLAN
11.2018 - CurrentRead More
Senior Business Systems Analyst
COMMUNITY HEALTH GROUP
04.2015 - 11.2018Read More
Advanced Business Analyst
DEAN HEALTH PLAN
02.2012 - 04.2015Read More
Business Analyst Consultant
CUNA MUTUAL GROUP (Contract via DHE Services)
07.2011 - 02.2012Read More
Senior Consultant / Analyst
RADLEY CORPORATION
08.2000 - 07.2011Read More
Grand Valley State University
Bachelor of Science from Information Systems
Read More