Summary
Work History
Education
Skills
Timeline
Generic

Brittany Atkinson

Bothell,WA

Summary

Hardworking and highly motivated IT Business Analyst with over 10 years of analytical and problem solving polished in maintaining system processes, conducting requirement analysis and defining configuration specifications.

Work History

Manager, IT- Business Operations (IT Business Analyst)

CVS Healthcare
  • Application development environment experience with Agile development practices, including Scrum
  • Applied EDF- Enterprise Delivery Framework methodology to Identify internal procedures and tools and identifying areas for methodology improvement
  • Including, documenting and storing all appropriate documentation in the respective repositories
  • Contribute collaboration to the design and mapping of data conversion strategies
  • Participated in collaborative requirement, system and data design sessions with the user community, technical architecture resources, and development resources
  • Complete project activities on time and within budget, and proactively identifies and communicates issues that may jeopardize milestones or project budget to the Project Manager and Scrum master
  • Experience using SQL for data analysis
  • Provide technical support (internal & external clients), developers and QA Testing teams
  • Facilitate proactive and timely communication between internal and external stakeholders
  • Onboard and implement new eligibility files and PBM integrations with established and new external vendors
  • Manage relationships with external clients and vendors to streamline the implementation & renewal process
  • Prioritize and manage multiple projects and support tickets simultaneously
  • Designed configuration and training for online enrollment tools
  • Customer-focused, with demonstrated ability to understand and align to the strategic impact/value of the business needs and the flexibility to quickly adjust to changing needs and priorities
  • Provide detailed understanding of the business strategies needs and process within aligned domain; clearly explain them to the delivery team
  • Collaborate with project team, business user groups, technical systems groups and external clients
  • Gather and document business and technical requirements, facilitate evaluation and selection of solutions, developing and deploying testing, training and documentation
  • Assist in design and development of new and improved processes, tools and system enhancements to support business unit requirements
  • Partnered with customer and IT colleagues to design, develop and execute all test plans associated with deploying a solution
  • Collaborated with IT developers in testing for system fixes, new releases and enhancements, changes and implementations, in order to ensure functionality and user acceptance
  • Provide a key role in the analysis and design of system solutions from business and technical perspectives
  • Prioritize and categorize defect/bugs and enhancement requests
  • Collaborated with other departments to ensure timely completion of projects within budget constraints.
  • Collaborated with cross-functional teams to define product requirements and roadmap objectives.
  • Analyzed customer feedback to inform product decisions, prioritize feature requests, and develop user stories.
  • Created detailed documentation on product specifications, use cases, and release notes.

Sr. Plan Programmer/ IT Business Analyst

Healthcare Management Administrators
  • Application development environment experience with Agile development practices, including Scrum
  • Experience using SQL for data analysis
  • Maintain EDI x12 834 integrations, including but not limited to, daily file processing, ongoing maintenance, technical support (internal & external clients), and EDI System configuration
  • Facilitate proactive and timely communication between internal and external stakeholders
  • Onboard and implement new 834 x12 and PBM integrations with established and new external Vendors
  • Perform end-to-end troubleshooting in Edifecs & processing system
  • Manage relationships with external HRIS Vendors to streamline the implementation & renewal process
  • Prioritize and manage multiple projects and support tickets simultaneously
  • Complete configuration and training for online enrollment tools
  • Customer-focused, with demonstrated ability to understand and align to the strategic impact/value of the business needs and the flexibility to quickly adjust to changing needs and priorities
  • Detailed understanding of the business strategies needs and process within aligned domain; clearly explain them to the delivery team
  • Collaborate with project team, business user groups, technical systems groups and external clients
  • Gather and document business and technical requirements, facilitate evaluation and selection of solutions, developing and deploying testing, training and documentation
  • Assist in design and development of new and improved processes, tools and system enhancements to support business unit requirements
  • Work with customer and Technology Services colleagues to develop and execute all test plans associated with deploying a solution
  • Participate with Technology Services developers in testing for system fixes, new releases and enhancements, changes and implementations, in order to ensure functionality and user acceptance
  • Provide a key role in the analysis and design of system solutions from business and technical perspectives
  • Prioritize and categorize defect/bugs and enhancement requests

Pharmaceutical Document/Knowledge Management Specialist (Contract)

SEAGEN
  • Provided system technical and business process support, answer user questions, monitor & report on metrics, and provide user training for enterprise knowledge management processes and solutions managed by the Enterprise Knowledge Management Team
  • Served as Project Manager and/or IT Business Analyst on technology projects supporting enterprise knowledge management solution enhancements, replacement, or new technology development
  • Collect and report on knowledge management metrics for processes and systems
  • Lead issue troubleshooting, resolve root cause, and update process and documentation to avoid similar future scenarios
  • Identified opportunities to streamline and scale processes that align for organizational goals
  • Administer and managed technical report system and applications across the organization
  • Facilitate and communicate opportunities for continual improvement of knowledge management process supported.

Discovery Auditor III, Quality Improvement Auditor II, Correspondence Representative, Technical Support Specialist, Customer Representative

PREMERA BLUE CROSS
  • Review claims and provider/member/group web portals for accuracy, completeness, and timeliness
  • Identify, analyze and research errors
  • Complete assigned audits by department due dates and within required turnaround time goals
  • Maintain in-depth working knowledge of procedural changes, audit techniques, plan automated systems, subsystems, file designs, manuals and reference materials for audit functions
  • Provide input to improve procedures as needed
  • Facilitate and participate in meetings to discuss work schedules, work distribution and exchange information, workgroups; including Value Stream Mapping, Incentive Teams and Calibration groups
  • Coordinate with appropriate departments to reach consensus on errors
  • Identify trends of errors and recommend improved procedures and guidelines, offering proactive solutions to operations proactively
  • Work with management to review errors each month for accuracy and consistency
  • Facilitate meetings and work groups regarding system and client specific goals, discrepancies, and updates
  • Identify overpayments through standard and ad hoc reporting processes
  • System analytic testing for both product configuration and client specific requirements
  • Test new system policies, requirements and ad hoc reports for potential overpayments
  • Respond to written inquiries regarding benefits, claims adjudication, eligibility issues in a timely and professional manner
  • Document and researching inquiries using the appropriate systems
  • Request to the reprocessing of claims, claims history review, resolving eligibility issues, and researching system errors
  • Recognize the need for procedural updates and taking the appropriate steps to have the procedures clarified or changed
  • This has resulted in a higher level of accuracy and fewer inquiries
  • Perform in-team audits of team members and given feedback when appropriate
  • Assist my supervisor and team members with correspondence either in person or through their question folders
  • Research the correspondence teams aging reports and offering assistance when needed.

Education

Some College (No Degree) - Business Administration And Management

Edmonds Community College
Edmonds, WA

Skills

  • 8 years experience with Cognizant Facets QNXT QicLink Market Prominence
  • 10 years experience in Health Insurance industry including CMS, Medicaid, ASO, Self-Insured and third party administrators
  • Root Cause Analysis
  • CAG (Client Acccount Structure) configuration mapping
  • PBM and Enrollment Integrations
  • EDF – Enterprise Delivery Framework with Agile
  • Requirements gathering and documentation
  • Development and User Testing utilizing various test and production environments
  • Data Validation
  • System Analysis
  • Experience using SQL FTPSFTP
  • Business Relationship Development
  • Excellent Verbal and Written Communication Skills
  • Analytical Skills
  • Strong Interpersonal Skills
  • Workflow improvement
  • LEAN Methodologies including Continuous Improvement
  • Problem-solving aptitude
  • Product Development
  • Adaptability and Flexibility
  • Project Documentation
  • Organizational Skills
  • Client Relations
  • Technical Analysis
  • Task Prioritization
  • Risk Assessment
  • System Architecture
  • IT service management
  • Business Data Analysis
  • Design strategy
  • Project Planning

Timeline

Manager, IT- Business Operations (IT Business Analyst)

CVS Healthcare

Sr. Plan Programmer/ IT Business Analyst

Healthcare Management Administrators

Pharmaceutical Document/Knowledge Management Specialist (Contract)

SEAGEN

Discovery Auditor III, Quality Improvement Auditor II, Correspondence Representative, Technical Support Specialist, Customer Representative

PREMERA BLUE CROSS

Some College (No Degree) - Business Administration And Management

Edmonds Community College
Brittany Atkinson