Customer Excellence
Antonio Sutton
Data Analyst/ Consultant
Nashville,TN
Summary
Seasoned Business Analyst offering nine years working a analysis industry success. Expert on business and systems requirements, user acceptance testing and end-user training. Accomplished at leveraging past lessons to inform future decision-making. Creative solutions architect with real-time problem-solving flexibility. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
20
20
13
13
Years of professional experience
8
8
Analyst
4
4
Retail
3
3
Project Management
3
3
Sales
5
5
Consultant
5
5
Years of post-secondary education
14
14
years of professional experience
Work History
EIS /Housing Case Manager III
Street-Works
Nashville, TN
03.2024 - 06.2024
- Excellent communication skills, both verbal and written.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Proved successful working within tight deadlines and a fast-paced environment.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Identified issues, analyzed information and provided solutions to problems.
- Increased adoption of collaboration tools within organizations by creating user-friendly documentation and support materials.
- Conducted regular database audits to ensure accuracy, completeness, and compliance with industry standards.
- Coordinated essential services for clients, resulting in improved overall well-being and selfsufficiency.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Participated in regular professional development opportunities to stay current on best practices within the field of case management.
- Fostered open lines of communication with clients'' families and support networks, involving them in the case management process as appropriate.
Senior Partner - Freelancing
Sutton Consulting Group LLC
Dallas, TX
06.2022 - Current
- Managed day-to-day business operations.
- Consulted with customers to assess needs and propose optimal solutions.
- Trained and motivated employees to perform daily business functions.
- Enhanced operational efficiency and productivity by managing budgets, accounts and costs.
- Recruited, hired and trained initial personnel, working to establish key internal functions and outline scope of positions for new organization.
- Reconciled daily sales, returns and financial reports in QuickBooks.
- Used Software to perform accurate financial analysis and audits to mitigate financial risks.
- Directed budget development, creation of budgetary controls and recordkeeping systems and investment management.
- Analyzed financial data regarding product performance and customer performance and developed reports for key stakeholders.
- Wrote and realigned functional specifications, feasibility analysis and requirements definitions to facilitate smooth and efficient improvement strategies.
- Performed as consultant for startup business in areas of marketing, logistics and training to various behavioral healthcare service professionals.
- Strengthened client relationships with consistent communication and timely project updates.
- Managed multiple projects simultaneously while maintaining a high level of attention to detail and organization.
- Stayed current on industry trends by regularly participating in continuing education courses and workshops related to my field of expertise.
- Negotiated fees and contracts to reach mutually beneficial agreements with clients.
- Utilized HTML, CSS and JavaScript programs to create customized websites, enhancing features and aesthetics.
- Debugged and resolved technical issues related to website and mobile applications to minimize disruptions.
Senior Business Analyst - Contractor
Dallas Area Rapid Transit, Dart
Dallas, TX
04.2023 - 07.2023
- Collaborated with stakeholders to define project objectives and criteria.
- Performed gap analysis to identify areas of improvement.
- Interacted with internal customers to understand business needs and translate into requirements and project scope.
- Analyzed key aspects of business to evaluate factors driving results and summarized into presentations.
- Evaluated diverse organizational systems to identify workflow, communication, and resource utilization issues.
- Compiled research data and gave professional presentations highlighting finds and recommended optimizations.
- Guided teams and refined Agile techniques throughout journey and evolution of delivery cycles, establishing documentation framework to support Agile methodology implementation with Waterfall-centric delivery team.
- Supported leadership team with reporting, analysis, and business presentations to inform divisional strategies.
Business Consultant - Contractor
TEKsystems | LA Metro
Los Angeles, CA
06.2022 - 09.2022
- Created and Maintained reports w/different departments/groups within the company and client
- Detailing inventory levels, new products for which buyer, production schedules, and shipping timelines
- Conducted weekly meetings with all stakeholders to ensure/update that projects was on track and meeting budget & deadlines
- Liaison and maintain open communication by presenting regular updates on project status to non technical viewer; client, departments and vendors
- Consult with vendor with creating WebAPI, writing queries and implement new process and procedures
- Understanding KPI requirement, target performance measure and design metric/ KPI
- Collaborated with competitors. Vendors negotiations and contract management
- Perform data Analysis, leveraging large data sets to develop insights & amp; support data management decisions, trade, monitor, and publish cross data quality reports
- Established and maintained relationships with key stakeholders for growth opportunities and successful partnerships.
Data Analyst / Business Analyst - Contractor
Cognizant
Dallas, TX
02.2021 - 06.2022
- Responsible for meeting process deliverables in terms of targets; including quality targets for complex transaction processes clients/internal applications
- Involved in creating dashboards and ad-hoc reports in Tableau using visualization and create report schedules on Tableau server
- Performed CRM Reports, Strategy reports, AR reports from different data source like Service Now (SNOW), SAP, Tera data and SQL Server
- Validate and developed Meta Data for all developed reports in Microsoft Power Bi Desktop
- Load data using ETL process dealing with different data sources MS excel, MS Access and SQL Server into target database by performing different kinds of transformation using SQL Server Agent to automatic SSIS
- Provide reports and other data requests specified by client For Parkland Health (TX Medicaid)
- Run daily EDI/ raw data monthly report files for all Medicaid consumers in Dallas TX
- Use data and table comparisons for Data Quality Auditing w/ usage of Vlookup and complete any fall out on reports using data mining
- Involved in extracting data from OLTP to OLAP using SSIS
- Take ownership of Projects/ assignments based upon customer/client approval
- New members enrollment files, testing (UAT), and data validation
- Assist w/ Extract, import, and reconcile large amounts of data across multiple system platforms and sources
- Develop and modify training processes and materials and oversee training execution for different departments
- Assist in implementing new procedures and creating new DLP’s
- Review and process pending/ denied medical claims, Pharmacy Rx Claims
- Assist in creating new Script for back of house data to be implemented sometime using agile methodology in testing
- I Increased annual revenue by 10% by, recommending improvements in escalations transportation efficiency
- Partnered with infrastructure engineers and system administrators in designing big-data infrastructures.
Project Manager - Part Time
One Stop Maintenance
New York, NY
09.2021 - 01.2022
- Resolved customer issues by evaluating project and tasks and recommended solution to Project Manger
- Developed and maintained existing vendor relationship to expedite customer orders and obtain pricing using Project Management software as in; SaaS and Asanas
- Maintaining client relations and website reporting tools (Tableau) for each client weekly
- Utilize roadmapping before each project starts
- Plan, Budget, oversee and document all aspects of specific project that was needed for each client
- Managed 1 large clients account – T-Mobile over 250 locations (Eastern Region)
- Managed one assistant and attended project coordination and multi-stakeholder meetings weekly/monthly
- Conducted quality control, document management and invoices activities to comply with company and site policies and procedures and to achieve cost-saving
- Use SQL to analysis data to compile excel spreadsheets for reports
- Ensured all stakeholders had completed, accurate, and timely information
- Integrated financial and operation plans with strategic objectives to deliver improved operational and financial results to boost customer satisfaction, profitability and working capital
- Established vision and master plan for regional supply chain end-to-end structure, sourcing and delivery
Registrar - Part Time
Parallon, HCA
Nashville, TN
04.2017 - 02.2021
- Transferred to - Plano, TX – Patient Access, Collecting patient demographic and health history once arrive to hospital or medical clinic for ER visit, Pre- registration for birth of baby, registering patients for Outpatient procedure, High Volume
- Verifying issuance detail on behalf of organization
- Maintain inpatients reports, submit EDI x12n and 835
- Great practice of A.D.A.E.T
- Gathering payment data from patients for bill purposes
- Contact insurance providers via system to obtain patient deductible and or workers compensation
- Coding and recording patients’ location within facility
- Assisting patients with starting state Medicaid applications
- Performed regular quality and validation assessments on patient data to verify accuracy
- Organized, reviewed and filed paperwork for secure recordkeeping
- Worked with clients to develop financial planning strategies and solutions through evaluation of finances.
- Worked with clients and finance companies to find optimal solutions for financing.
- Supported management by processing invoices and documents with consistent on-time delivery.
EDI Data Analyst/Promote - Full Time
Cognosante LLC
Nashville, TN
07.2015 - 10.2019
- To Case Management Analyst III –, Client – CMS (health MarketPlace, Work on Federal contract with Center of Medicare/Medicaid Services
- Supporting first line of issues for client (CMS) and company with computer and software issues
- Review documented training material for accuracy and assist with end user training and support, writing SOP
- Review regulations and other policy documents from Centers for Medicare & Medicaid Services (CMS) to assess impact to business operations, including processes and communications
- Work with technical and development team using tableau to resolved identified issues within timely manner and sending progress reports to clients and internal
- Support development and implementation of analysis data to reconciliation of data from health insurance exchange
- Plan project stages and assess business implications for each stage
- Understand and using SDLC and Agile Methodology for software development Life Cycle
- Created, reviewed, and evaluated test strategies and plans based on business requirements and developments design documents
- Handling case assignments, analysis, and review case progress, and determine case closure
- Applying triage, research, collaboration, and technical knowledge to resolved transaction and processing issues
- Work with Casework Supervisor to summarize and present extremely complex and unique cases to internal stakeholders and/or Center for Medicare and Medicaid (CMS) representatives for clarification and guidance during review sessions
- Responsible for analysis data and research, workflow investigations, business procedures and making recommendations using reporting software as Tableau
- Participated in updating SOP for Complex Case Help Center (CCHC)
- Maintain Quality score of 98%
- Subject Matter Expert (SME) in Quality Audit to completed cases and BUU update process
- Subject matter expert within team
- Manage team meetings
- Prioritized workload by age of case, case level and by number of contacts with/from consumer
- Manage application with Health Insurance Marketplace and issuer (Providers)
Supervisor - Full Time
Cognosante LLC, DHS
Nashville, TN
12.2013 - 07.2015
- Provide quality customer service support by handling inquiries and consumer escalations and resolving issues to satisfaction of TennCare (Tennessee’s managed Medicaid plan) stakeholders
- Interface with team members, stakeholders, and management to anticipate and manage changes to reporting needs
- Manage call flow for internal Callback Queue
- Coach and train agents to improve their quality
- Assist with performing analysis of as-is and to-be systems and processes
- Assist with design, plan and overseas self audits of operation processes and systems, interpreting results and recommending improvements
- Monitor system enhancements through UAT testing, sign-off and implementations
- Thoroughly executes duties per Cognosante and TennCare member Service Center policies, regulations, and expectations
- Assist with Change Management due to contract which
- Manage/ coach team of 32 members
- Analysis reports for Response Unit, Appeals, Terminations, Newborns that is submitted to client daily.
- Utilized guidelines and review tools to conduct extensive research and analyze grievance and appeal issues.
- Developed and implemented office management procedures to increasing training team productivity and accuracy.
Lead Sales Manager - Full Time
Goodwill Middle Tennessee Inc
Nashville, TN
12.2012 - 07.2013
- Provided direct customer service and problem resolution of escalated issues
- Supervised, trained, Managed, and completed employee schedulers for 26+ employees
- Perform onboarding for new hires
- Assisted with completing employee payroll weekly
- Assisted store manager with day-today operations and reports
- Implemented and enforced company policies and procedures and corporate directives
- Coached employees in successful selling methods and encouraged cross-selling for additional products and services
- Targeted and prospected for new business through telemarketing, individual creativity and innovation
- Updated key human resource metrics on turnover and terminations using reporting tools on HRMS database
- Processed unemployment claims and acted as company representative at unemployment hearings
- Liaised with HR and payroll to coordinate and manage employee leaves of absence
- Developed and built internal and external relationships with project teams, department managers and consultant teams to improve delivery of HR services
Project Manager - Full Time
One Stop Maintenance
New York, NY
12.2010 - 06.2012
- Client – MaxMara, Diesel, Resolved customer issues by evaluating project and tasks and recommended solution to Project Manger
- Developed and maintained existing vendor relationship to expedite customer orders and obtain pricing using Project Management software Asana
- Plan, Budget, oversee and document all aspects of specific project that was needed for each client
- Managed Seven clients account including over 200 locations across USA, saved each clients about 15% per quarter.
- Managed two assistants and attended project coordination and multi-stakeholder meetings
- Conducted quality control and document management activities to comply with company and site policies and procedures and to achieve cost-saving
- Parter with some vendors in multiple states to coordinate, conduct inventory of supplies, negotiate contracts with manufacturers
- Coordinate schedules for vendors and clients including receiving and delivering of product and supplies
- Use SQL to analysis data to compile excel spreadsheets for reports
- Ensured all stakeholders had completed, accurate, and timely information
- Worked with third-party vendors to streamline appropriate processes for product storage, transportation and disposal
- Developed and led multi-disciplinary team to redefine problems and reach solutions based on different perspectives
- Ran statistical analyses within software to process large datasets
- Identified, analyzed and interpreted trends and patterns in complex data sets
- Led change management initiatives and designed functional area infrastructure to support demand planning and supply strategy
- Led implementation of effective supply chain planning systems while improving sales and operations planning processes for distribution network
- Verified discrepancies and resolved clients' billing issues
- Processed incoming payments in accordance with established financial policies.
- Maintained records by imaging invoices, debits and credits.
Education
Bachelor of Science - Business Management/Accounting
Tennessee State University
Nashville, TN 08.2005 - 05.2010
Skills
- SSI (SQL server Integration Services), BI Tools, MySQL, Visio, Tableau, Python, Data Mining, ETL, TEDS, NoSQL, Oracle, Utilities, Noridian Medicare Portal
- Relational Databases: MS SQL server 2008, MC Access, WebAPI, SaaS, EMR, Data Net, Onvida, MMIS, Navitus,Team Collaboration, Business development, Strategic Analysis/Planning, Call center, HOPPS, OnBase, Medicaid and Medicare experience, Navitus Pharmacy, waterfall, Agile, Lean Six sigma, Electronic Data Interchange, Claims Solving, Problem Solving, People skills, Scrupulous records management, Executive Leadership
- Data Transformation: Querying, Extraction/ mapping, 834, 835 and 837 transactions and X12, ISO
- Others: Passport, EPIC, Revenue Cycle, MS-Project, MS-Excel, Pivot table, Meditech, Workday, Team Collaboration, QuickBooks, Change Management, Business Development, Microsoft DevOps, Macro, PMO, Federal contracts, Supervisory Experience, MMIS, Process Improvement, Change Management, Forecasting, Project Management, Business Process Workflow, Operational Analysis, Board Oversight, Change and Growth Management, Raising Capital, Reducing Costs, Intuit QuickBooks, Business Consulting, KPI Management, Lean Methodology, Human Resources Management Systems
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Certification
- Lean Six Sigma "Green Belt", COGNOSANTE
Accomplishments
- Supervised team of 32 staff members, CSR/ Service Coordinators w/ State of TENN Medicaid Appeals department.
- Collaborated with team of 23 vendors for 1 Client in the development of DART "Go Pass".
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Achieved Implementation by introducing Workday for HR/Operational tasks.
Timeline
EIS /Housing Case Manager III
Street-Works
03.2024 - 06.2024
Senior Business Analyst - Contractor
Dallas Area Rapid Transit, Dart
04.2023 - 07.2023
Business Consultant - Contractor
TEKsystems | LA Metro
06.2022 - 09.2022
Senior Partner - Freelancing
Sutton Consulting Group LLC
06.2022 - Current
Project Manager - Part Time
One Stop Maintenance
09.2021 - 01.2022
Data Analyst / Business Analyst - Contractor
Cognizant
02.2021 - 06.2022
Registrar - Part Time
Parallon, HCA
04.2017 - 02.2021
EDI Data Analyst/Promote - Full Time
Cognosante LLC
07.2015 - 10.2019
Supervisor - Full Time
Cognosante LLC, DHS
12.2013 - 07.2015
Lead Sales Manager - Full Time
Goodwill Middle Tennessee Inc
12.2012 - 07.2013
Project Manager - Full Time
One Stop Maintenance
12.2010 - 06.2012
Bachelor of Science - Business Management/Accounting
Tennessee State University
08.2005 - 05.2010