ASHLEY REID
Council Bluffs,IA
Summary
Dynamic Business Systems Analyst with a proven track record at Mutual Of Omaha, adept at enhancing efficiency through expert strategic process improvements and effective change management. Skilled in Agile methodology and analytical problem-solving, I excel in translating business needs into actionable solutions, ensuring seamless project transitions and impactful training delivery to cross-functional teams.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Business Systems Analyst
Mutual Of Omaha
06.2024 - Current
- Identified gaps in existing processes and proposed solutions to improve efficiency.
- Analyzed business needs and translated them into system requirements.
- Documented all project steps along the way to ensure a smooth transition when handing off projects.
- Developed process flows, data models, use cases and other documentation to support the design of systems.
- Prepared and delivered targeted systems training for business personnel.
Dental Claims Hygienist
Mutual Of Omaha
02.2021 - 05.2024
- Develop, update, and present all documentation and training curriculum for the Authorization's Team
- Assist in transition from TPA to SaaS model for Dental System
- Created a Quality Audit tool from inception and trained quality team to use tool
- Lead Weekly Huddle Meetings
- Record and analyze all reporting requirements
- Implement improved workflows and enhance efficiency from reporting results
Billing/Insurance Coordinator and RDH
Hoover Dental
05.2017 - 02.2021
- Resolve patient conflict regarding insurance and billing
- Analyzed current processes for identifying areas where improvements could be made in order to increase efficiency.
Education
Master of Arts - Organizational Leadership
Bellevue University
Bellevue, NE12-2022
Bachelor of Science - Dental Hygiene
University of Missouri
Kansas City, MO12-2017
Associate of Science - Dental Hygiene
Iowa Western Community College
Council Bluffs, IA12-2014
Skills
- Adaptable: Manage new projects with no previous knowledge within the team Examples: Qtest, Implement new Code set process and implementing a QA tool
- Agile methodology: Participate in Iteration planning and Daily Stands Up SAFe 6 Scrum Master and Product Owner Certified
- Analytical: Created tool and recorded Authorization Statistic and analyzed results to identify areas that needed improvement
- Collaborator: Worked and developed strong relationships with different cross-functional teams, product owners, solution leads, stakeholders, and other team members
- Communicator: Documented change initiatives and presented changes in weekly team meetings Develop road map and presentations of analysis using Microsoft applications like Word, Excel and Visio Keep stakeholders informed during requirements gathering, testing and implementation of projects
- Facilitator: Trained all RDH and Claim Technician roles for the Authorizations team Facilitate Car readouts and DSU as needed
- Strategic thinker: Identify potential delays in planning for other team members projects and provide options for potential solutions to mitigate the risks that could case delay
Projects
- Created Quality Audit tool for 5 dental claims teams from inception. Managed project planning, execution and delivery to teams.
- Managed training of Third Party Administrator to System as a Service for three of the five dental claims team. Trained first few incoming classes for all three teams.
- Worked with third party developers to reconfigure how payment and patient responsibility was displayed. Met with business to clarify requirements and get sign off. Presented past and present state of explanation of benefits to the entire business after implementation.
- Worked with Developers to give acceptance criteria within an SDLC for coding and provided testing for coding that was documented in a JIRA story.
- Worked with third party developers to deploy code that increased EOB compliance for INN patient responsibility by 90%
Certification
- SAFe 6 Scrum Master Certified
- SAFe 6 Product Owner/Product Manager Certified
- IIBA - ECBA Certified
- Project Management & Communications Certificate - Bellevue University
Timeline
Business Systems Analyst
Mutual Of Omaha
06.2024 - Current
Dental Claims Hygienist
Mutual Of Omaha
02.2021 - 05.2024
Billing/Insurance Coordinator and RDH
Hoover Dental
05.2017 - 02.2021
Master of Arts - Organizational Leadership
Bellevue University
Bachelor of Science - Dental Hygiene
University of Missouri
Associate of Science - Dental Hygiene
Iowa Western Community College