Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic
Andrea Kurtz

Andrea Kurtz

Summary

Dedicated Product Management professional with over 18 years experience supporting new product build, system enhancements, product redesign, and new customer implementations for technology solutions ranging from public websites & secure portals to complex transactional software systems.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Director Government Programs / Decision Services Product Management

UnitedHealth Group
03.2019 - Current
  • Lead Product Management activities including defining the vision for the product, release strategy, Roadmap development, defining Features and User Stories, managing product backlog prioritization, review and acceptance of backlog items, and defining UAT strategy and plan
  • Implemented and executed Product Management responsibilities from concept to initial release, enhancements, and new client implementations for three Optum built products that support member enrollment, regulatory reporting, and single sign-on capabilities for healthcare payers
  • Lead Product Management for new client implementations and enhancements for vendor product that supports Care Management, Disease Management, Utilization Management, and Appeals & Grievances for healthcare payers
  • Own business rules engine product activities that include requirements/backlog creation, design, build, testing, and maintenance to support business intelligence for member enrollment and clinical products to increase automation, improve processing accuracy, and help to support healthy outcomes for members
  • Partner with architecture and software engineer teams to identify solution options and participate in high level design sessions to ensure requirements are satisfied
  • Collaborate with end users from multiple clients to identify enhancements to streamline processes, increase automation, improve customer satisfaction, and ensure competitive advantage in the market
  • Create and maintain User Guide and Training Materials for initial release and subsequent enhancements
  • Track various KPI's to ensure system efficiency, high level of automation & processing accuracy, low work queue volume, low CMS rejection rates, and minimal customer support tickets
  • Collaborate with leadership to provide accurate and timely status reporting for all product deliverables and define product capability and performance goals
  • Support diverse scrum teams comprised of US, India, and Ireland resources across multiple time zones and leverage various tools to collaborate remotely on a daily basis
  • Created and continually enhance best practices and procedures for Product Management deliverables, standard Features for new client implementations, and standards for implementing and maintaining business rules
  • Provide demos and support for prospective client sales

Sr Manager/IT Manager Claims Product Management

UnitedHealth Group
01.2011 - 03.2019
  • Managed team of product business analysts ranging from entry level to senior level supporting claims and encounters products for UnitedHealthcare's Medicaid and Dual Enrolled membership
  • Oversaw & managed backlog creation (Features & User Stories), prioritization, and UAT deliverables for all new Medicaid & Medicare health plan implementations as well as enhancements to the claims processing and encounters products to ensure each release was successful and business needs & regulatory requirements were met
  • Created standard backlog of Features for new health plan implementation (claims processing, claims editing, fraud detection, recovery operations, auditing, Encounter submissions, and member explanation of benefits) that was used as a starting point for all implementations to decrease time to market
  • Mentored product business analysts and scrum teams on Agile methodology and best practices & developed training documentation for use across product management teams
  • Led the requirements gathering, Feature and user story creation, design, build, testing, and maintenance of business rules to support business intelligence across claims, member enrollment, and clinical related products
  • Created team of Rule Writers to support business rules by training and developing existing Business Analysis staff and providing best practices and procedures for implementing and maintaining business rules
  • Provided management with accurate and timely status reporting for all product deliverables
  • Completed all tasks required to hire and onboard new employees and/or contractors and annual reviews and development plans for staff in order to ensure continued growth and enhanced knowledge across all team members
  • Engaged employees by having regular one on one meetings, team meetings, and team building activities

Sr Business Analyst

UnitedHealth Group
01.2010 - 01.2011
  • Led requirements gathering and review sessions with business partners for implementing new health plans and changes to the claims processing systems for existing Medicaid and Medicare health plans
  • Led requirements gathering and review sessions with business partners for implementing new health plans and changes to the claims processing systems for existing Medicaid and Medicare health plans
  • Analyzed and documented functional requirements and non-functional requirements
  • Partnered with development team to identify various solution alternatives to meet business needs and participated in high level design sessions to ensure requirements were met
  • Drove the development of the test strategy deliverables and participated in post implementation review and assessment
  • Effectively performed responsibilities of Lead Business Analyst on multiple projects concurrently
  • Created reference guide to aide new Business Analysts with training and mentored new Business Analysts to help ensure new team members received sufficient training and support

Sr Business Analyst

Coventry Health Care
01.2005 - 01.2010
  • Led requirements gathering sessions with business partners to aid in analysis and documentation of functional and non-functional requirements for public websites and secure portals
  • Led requirements gathering sessions with business partners to aid in analysis and documentation of functional and non-functional requirements for public websites and secure portals
  • Utilized data analytics to drive search engine optimization to support paid search campaigns through Google
  • Partnered with development team to identify various solution alternatives to meet business needs and participated in high level design sessions to ensure requirements were met
  • Drove the development of the test strategy deliverables for pre and post deployment
  • Defined processes and templates for other analysts to use in various project phases to improve efficiency and consistency
  • Developed training program for other business analysts for web designer and content tools
  • Developed queries using multiple databases to retrieve data required for routine reports and ad hoc projects
  • Redesigned reports to be more effective and efficient and automated numerous manual processes

Business Analyst II

Liberty Mutual
01.2004 - 01.2005
  • Developed queries using multiple databases to retrieve data required for routine reports and ad hoc projects
  • Reviewed performance of business in a particular state, goals for the state, and competitor performance and strategies to recommend initiatives to optimize performance and profit
  • Developed training program for MS Excel

Education

Bachelor of Science - Management Science & Information Systems

The Pennsylvania State University
University Park, PA
05.2004

Skills

  • Microsoft Azure
  • GuidingCare
  • FICO Blaze Advisor Decision Rules Management System
  • Rally
  • Visio
  • Microsoft Office Suite with advanced MS Excel and Access skills
  • SQL Developer
  • Facets
  • ServiceNow
  • IBM Operational Decision Manager (ODM) Business Console & Enterprise Console
  • SoapUI
  • Aqua Data
  • PLSQL
  • Sybase
  • Diamond
  • Quality Center
  • SharePoint
  • Stellent Content Management System
  • Product Roadmaps
  • Sprint Planning
  • Product Launch Support
  • Web Applications
  • User Acceptance Testing (UAT)
  • Product Team Leadership
  • User Training
  • Presentations and Demonstrations
  • Backlog Management
  • Agile Framework

Certification

Agile Essentials Certification, October 2016

Product Owner Certification, August 2017

Timeline

Director Government Programs / Decision Services Product Management

UnitedHealth Group
03.2019 - Current

Sr Manager/IT Manager Claims Product Management

UnitedHealth Group
01.2011 - 03.2019

Sr Business Analyst

UnitedHealth Group
01.2010 - 01.2011

Sr Business Analyst

Coventry Health Care
01.2005 - 01.2010

Business Analyst II

Liberty Mutual
01.2004 - 01.2005

Bachelor of Science - Management Science & Information Systems

The Pennsylvania State University
Andrea Kurtz