BRIAN J. CARROLL
Albany
Summary
Highly experienced healthcare professional with 25+ years of extensive expertise across hospital operations, Medicaid projects, and third-party insurance systems. Demonstrated ability in bridging technical teams and healthcare stakeholders to deliver project requirements successfully. Proven leader skilled in Quality Assurance, Business Analysis, User Acceptance Testing (UAT), and regulatory compliance.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Functional Manager & Business Analyst
TED/IMPACT Medicaid LTC Recovery
03.2022 - 03.2024
- Led communication and coordination between Illinois State agencies and multiple vendors to ensure compliance with federal, CMS, and state regulations.
- Managed all phases of User Acceptance Testing (UAT) for transitioning Long Term Care services to web-based platforms, resulting in seamless project rollouts.
- Facilitated approval of project documentation, reporting real-time progress to stakeholders, ensuring project milestones and deadlines were consistently met.
Specialist Case Investigator
Staffing Solutions Organization (NYS Department of Health)
01.2020 - 01.2022
- Conducted in-depth demographic research for COVID-19 positive cases using Accurint Lexis Nexis to enable effective contact tracing.
- Interviewed and advised residents on isolation protocols, connecting them to community support services to enhance public health outcomes.
Senior Quality Assurance Analyst
Capital District Physicians Health Plan
01.2015 - 01.2019
- Successfully coordinated and executed multiple large-scale System Integration Projects, managing both onsite and international QA teams.
- Oversaw implementation phases for the NYS Health and Recovery Plan (HARP) and Home and Community-Based Services (HCBS), consistently achieving regulatory compliance.
- Provided comprehensive project status reports and presentations to the New York State Department of Health.
Education
Associate Degree Coursework - Fine Arts & Graphic Design
College of Saint Rose
Albany, NYSkills
- Healthcare Industry Expertise
- Medicaid and Healthcare Regulations
- Project Management
- Business Analysis & Requirements Gathering
- User Acceptance Testing (UAT)
- Quality Assurance & Compliance
- Agile & Scrum Methodologies
- Team Leadership & Training
- Data Analysis & Reporting
- Vendor & Stakeholder Coordination
- Technical Communication & Documentation
Certification
- Johns Hopkins University Certification – COVID-19 Contact Tracing and Research Investigation
- Certified Business Analysis Professional (CBAP)
- Certified ScrumMaster (CSM)
Affiliations
- Member, International Institute of Business Analysis (IIBA)
- Member, Project Management Institute (PMI)
Training
- Agile Project Management Workshop, PMI, 2023
- Advanced Business Analysis Techniques Seminar, IIBA, 2022
Timeline
Functional Manager & Business Analyst
TED/IMPACT Medicaid LTC Recovery
03.2022 - 03.2024
Specialist Case Investigator
Staffing Solutions Organization (NYS Department of Health)
01.2020 - 01.2022
Senior Quality Assurance Analyst
Capital District Physicians Health Plan
01.2015 - 01.2019
Associate Degree Coursework - Fine Arts & Graphic Design
College of Saint Rose
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