Amanda Rowlett
Coal Township,PA
Summary
Detail-oriented Sr. business analyst with over 8 years extensive expertise project management including gathering, documenting, analyzing and validating business requirements, Ready to manage multiple priorities with a positive attitude and willing to take on added responsibilities to meet team goals with a high degree of accuracy.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Sr. Business Analyst
Optum/United Health Group
10.2022 - Current
- Receive and review regulatory communications to verify compliance
- Work with multiple teams to analyze and identify gaps driving the need for enhancement or solution development
- Manage all requirements elicitation activities and act as liaison between business and technical teams
- Evaluate downstream processes for potential organizational impacts
- Create workflow diagrams to help define project requirements (current state /future state)
- Assists in the development of project plans, time schedules, tasks and resource allocation needs
- Identify and communicate risks and issues that could impact project timeline
- Assists to create necessary business artifacts (i.e
- Job aids, policies and procedures)
- Report project status to executive leadership
- Meet with leadership teams to prioritize and develop and review with teams user stories and test cases for UAT and E2E testing
- Conduct post-implementation activities and document lessons learned.
Sr. Business Analyst
Geisinger Health Plan
05.2016 - 10.2022
- Analyze business need, plan all requirements elicitation activities
- Work with external vendors to document requirements and translate into functional and non-functional requirements
- Create visual diagrams to define project current state and desired future state
- Verifies and validates requirements, identifies risks and constraints with stakeholders
- Work with technical team to identify solution meets the business needs of the stakeholders
- Meet with leadership teams to prioritize and identify resource allocation needs, report risks and constraints that my impact timely delivery
- Develop test cases for UAT
- Meet with project team to discuss process improvement and lessons learned.
Sr. Appeal Coordinator
Geisinger Health Plan
09.2011 - 05.2016
- Gather, analyze and report verbal and written member and provider complaints, grievances and appeals
- Prepare response letters
- Create and maintain computer and physical case file for each appeal and grievance
- Correspond with members, providers and regulators regarding decisions and actions
- Coordinate reviews or fair hearings
- Manage large case load (100-200)
- Review, revise and audit case files
- Communicate within multiple Health Plan departments, State and Federal Regulators, Health Care Providers, Members and their designated Representatives
- Collaborate with team to streamline processes, provide input and take on additional duties as needed to maintain CMS compliance
- Multi-task and adapt to change in a fast-paced stressful environment
- Adherence to HIPPA regulations.
Education
Master of Science - Health Administrative Services
Strayer University
Washington, DC06.2015
Bachelor of Science - Political Science/Legal Studies
Bloomsburg University
Bloomsburg12.2002
Skills
- Requirements Gathering
- Workflow Process
- Verbal and Written Communication
- Project Management / Implementation
- Process Improvement
- User Acceptance Testing / E2E testing
- Problem Solving
- Microsoft Word, Excel, PowerPoint, Smartsheet and Visio
- Analytical Thinking
- Strategic Thinking
- Time Management
- Gap Analysis
- Detail oriented
- Vendor relations
- CSP Facets knowledge
Certification
ITIL certification - December 2021
IIBA certification (process started)
Volunteer
LCBC Host/Greeter
Children's Miracle Network
Relay For Life
Flag Football Cheerleading Coach
Timeline
Sr. Business Analyst
Optum/United Health Group
10.2022 - Current
Sr. Business Analyst
Geisinger Health Plan
05.2016 - 10.2022
Sr. Appeal Coordinator
Geisinger Health Plan
09.2011 - 05.2016
Master of Science - Health Administrative Services
Strayer University
Bachelor of Science - Political Science/Legal Studies
Bloomsburg University
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