Skilled analyst with 14+ years of experience implementing process improvement strategies for healthcare insurance and software companies
Overview
21
21
years of professional experience
1
1
Certification
Work History
Business System Analyst
Blue Cross Blue Cross Blue Shield of Tennessee (Facets Billing)
03.2020 - Current
Serve as product owner for billing solutions created/maintained by development team
Manage intake, acceptance criteria, prioritization of stakeholder requests with clear communication and coordination between business, leadership, development team
Manage product backlog/backlog visibility in order to prioritize user stories for implementation based on customer vision
Work with business to define product features necessary to create value for stakeholders; Manage changing requirements
Facilitate requirements refinement with business stakeholders, define user stories to highlight product features clearly understandable to development team; Conduct analysis to help clarify requirements
Conduct analysis to troubleshoot reporting issues and help address urgent production support requests
Assist development team with application testing and data validation
Serve as liaison between development team and business partners
Negotiate with business on scope and priority of development team’s work
Build/maintain solid business relationships with all the areas the development team supports across the company.
Business Analyst
Blue Cross Blue Cross Blue Shield of Tennessee (Corporate Security)
01.2019 - 03.2020
Coordinate and manages delivery of departmental security projects
Elicits and defines business requirements for team initiatives
Facilitates training sessions for departmental employees
Supports data validation on new and integrated implementations
Working in collaboration with department Management Team on process improvement strategies
Analyze current process standards and metrics to provide solutions for improvements
Develop and implement test plans to ensure successful delivery of a project
Prepare communication plans regarding process re-engineering for multiple stakeholders
Accurately determine, assign, track and manage project task, activity, documentation, and time information
Prioritize and implement process change requirements based on the critical project needs
Develop, program and test corporate physical security access control systems
Provide system support and diagnostics to minimize cost to the site with repairs to access hardware
Design and conduct trainings for the end user on applications and other process changes on a period/quarterly and annual basis
Contribute to bi-weekly conference calls to discuss process changes and technical issues
Develop timeline on assigned projects
Analyze departmental business processes for inefficiencies
Document and evaluate required data and information
Analyze and communicate to stakeholder needs by translating business requirements into software requirements.
Functional Analyst
Insuresoft
06.2016 - 12.2018
Responsible for coordination of Business Systems Analysis activities for Personal and Commercial Insurance Policy Administration
Support work efforts for the eBusiness and agency domain such as ebonding (transactional commercial and contract), servicing, portal capabilities (upload/download, credit card payments, book of business dashboards)
Utilize a combination of Excel and other tools through gathering data out of various sources
Translated raw data into detailed business analysis and builds the business case to solve business challenges by proposing recommended actions
Tracked, analyzed and reports on metrics used to determine operational performance, staffing needs, productivity, or other measures deemed valuable to an organization
Supported report needs analysis, creation and modification for reports/dashboards considered of moderate complexity to better understand the overall business and/or unit
Develops presentations and shares findings as well as recommendations
Received, evaluated, and responded to data-related inquiries by applying knowledge of data and business operations and obtaining information from various sources
Successfully implemented process improvements including application deployment strategy by overseeing all production releases and ensuring they are properly packaged, supported, coordinated, and documented
Accurately converted production data from legacy systems with detailed documentation.
Analyst
Children’s of Alabama
03.2014 - 06.2016
Provided support to Physicians, hospital staff, and management
Participated in project management as assigned
Performed other duties as assigned
Coordinated vendors for functional and technical support of applications, interfaces, and equipment
Maintained assigned applications and interfaces
Participated in training, development, and performance evaluations of assigned project staff
Conducted testing for assigned applications
Administrated Information Technology applications used by our physicians, residents, nurse practitioners, surgeons, physician assistants/extenders and other clinicians
Interacted with physicians, clinical staff and hospital departments to elicit business requirements, complete needs analysis, document specifications, design, plan, oversee development, implement, test and maintain clinical information systems focusing on physician and clinical documentation, EMR, Computerized Provider Order Entry (CPOE), program code (Medical Logic Modules), Structured Query Language (SQL), end user reports, etc
With focus on security, quality and accessibility of all episodic patient care information used by care providers
Diagnosis of end user technical issues working with vendors, clinicians, and technical resources to evaluate and implement remediation
Provided technical leadership, support and supervision to entry level and senior level analyst with regards to implementing, monitoring, and maintaining clinical information systems including but not limited to Allscripts Sunrise Clinical Manager
Lead and coordinated team, individual, consultant and project activities to meet schedules and deadlines
Coordinate with technical resources on interfacing, integration, application, and network support related to serving the IT needs of physicians, nurses, and other clinicians.
Analyst
DCH Hospital (Pharmacy)
01.2006 - 03.2014
Responsible for support, design, and implementation of hospital pharmacy clinical processes
Manages software applications, system upgrades, and user security access for multi-site facilities
Serves as a liaison between Information Systems, Pharmacy and other hospital departments for clinical research, application development and maintenance procedures
Analyze and troubleshoot patient system database errors
Provide project management support for hospital admissions and billing departments
Participated in the identification and resolution of system (application) problems and procedures, suggesting solutions to identified problems
Including: investigation of system issues and concerns, distinguishing between user error and education vs
System issues, reporting system problems, communication and follow up with system vendor, testing of resulting program fix, and verification of proper system functionality post-fix
Established and maintained patient profiles following HIPPA guidelines
Coordinated with multiple department members for preparation and implementation of new applications
Assisted in resolving billing clerk issues and questions regarding claims and pharmacy drug related functions
Created and published training reference materials related to end-user applications and competencies
Assisted in Data Integration Testing by participating in hospital wide evaluations for new or improving integrated data flow or processes
Provided project management support to IT project teams
Set up, test, modified, and maintain dictionaries and customer defined screens in both LIVE and TEST environments for patient information system
Served as an expert support consultant for hospital admissions, cancer treatment center, and billing department.
Direct Support Worker
Dynamic Disabilities
11.2003 - 01.2006
Performed personal care tasks, including assistance with basic personal hygiene and grooming, feeding, and ambulation, medical monitoring, and health care related tasks
Fostering positive relationships between individuals served and their housemates
Ensuring client safety and maintaining a safe environment
Assisting with toileting, including bedpans, urinals, and commode chairs
Reminding/assisting client with self-administration of medications (with proper training)
Encouraging self-help activities
Reporting changes in client's condition or family situation to the office
Documenting services provided
Performing home management functions such as light housekeeping, laundry, bed making, and cleaning
Planning meals, shopping for groceries, preparing and serving food/meals, feeding and clean-up
Accompanying client to scheduled appointments
Transporting clients or running errands for clients.
Education
Bachelor of Science, Business Administration -
Stillman College
Tuscaloosa, Alabama
12.2004
Skills
Use Case Development
Functional specifications
Certification
Agile Product Owner Certification
Timeline
Business System Analyst
Blue Cross Blue Cross Blue Shield of Tennessee (Facets Billing)
03.2020 - Current
Business Analyst
Blue Cross Blue Cross Blue Shield of Tennessee (Corporate Security)
01.2019 - 03.2020
Functional Analyst
Insuresoft
06.2016 - 12.2018
Analyst
Children’s of Alabama
03.2014 - 06.2016
Analyst
DCH Hospital (Pharmacy)
01.2006 - 03.2014
Direct Support Worker
Dynamic Disabilities
11.2003 - 01.2006
Agile Product Owner Certification
Bachelor of Science, Business Administration -
Stillman College
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