Carlene McGee
Detroit,MI
Summary
Experienced professional in system analysis and implementation coordination, skilled in healthcare claims processing and technical documentation. Strong leadership in managing teams and projects, consistently delivering results that improve operational efficiency and stakeholder satisfaction.
Overview
17
17
years of professional experience
Work History
Business Technology Team Lead
Blue Cross Blue Shield of Michigan
Detroit, Michigan
05.2012 - Current
- Managed cross-functional teams to deliver projects on time.
- Collaborated with stakeholders to define project requirements and scope.
- Monitored project progress and provided feedback to ensure on-time delivery.
- Facilitated meetings to align project updates and resolve team challenges, enhancing collaboration.
- Served as a liaison between business users, developers, and management teams.
- Maintained communication with stakeholders on project status and changes, ensuring alignment and transparency.
- Identified and implemented process improvements to enhance efficiency.
- Provided guidance on best practices for coding quality assurance processes.
- Enforced coding standards across the benefit file coding team.
- Resolved technical issues related to medical claims problems in a timely manner.
- Analyzed system requirements to determine appropriate solutions based on user needs.
- Mentored junior team members on new technical skills and tools, enhancing team capabilities.
- Coordinated with other teams to ensure a successful integration of systems.
- Created detailed documentation for related tasks and procedures.
- Researched, tested, and verified proper functioning of healthcare claims processing.
Advanced System Analyst
Blue Cross Blue Shield of Michigan
Detroit, Michigan
07.2009 - 05.2012
- Collaborated with stakeholders to ensure the successful implementation of systems projects.
- Completed Benefit File and Provider Fee coding/testing requirements for group benefit changes, new group implementations, corporate projects, and supported defect root cause analysis for resolution.
- Documented and communicated system updates for medical benefit processing, facilitating smoother operations.
- Provided ongoing support to resolve claims issues, improving user experience and satisfaction.
Education
Associate of Applied Science - Information Technology
Henry Ford College
Dearborn, MI06-1989
Business Administration
Lawrence Technological University
Southfield, MISkills
- System analysis
- Microsoft Office
- NASCO 3270 (Benefit File Coding/Provider Fee Variation)
- Time management abilities
- Stakeholder/Teamwork collaboration
- Healthcare claims processing
- Functionality testing
- Verbal and written communication
- Technical documentation (JIRA/Confluence)
- Implementation coordination
References
References available upon request.
Timeline
Business Technology Team Lead
Blue Cross Blue Shield of Michigan
05.2012 - Current
Advanced System Analyst
Blue Cross Blue Shield of Michigan
07.2009 - 05.2012
Associate of Applied Science - Information Technology
Henry Ford College
Business Administration
Lawrence Technological University