Cynthia Buchanan
Omaha
Summary
Detail-oriented professional with over 18 years of experience , knowledgeable in EDI an API with solid background in analyzing business processes and implementing efficient solutions. Successfully led multiple projects that optimized workflow and increased productivity. Demonstrated expertise in data analysis and stakeholder management. Experienced with implementing comprehensive integration solutions for diverse industries. Utilizes in-depth knowledge of integration frameworks to resolve technical challenges and improve system interoperability. Track record of fostering team collaboration and driving successful project outcomes. Results-driven management professional with proven ability to lead teams to success. Strong focus on team collaboration, operational efficiency, and achieving measurable outcomes. Adept at strategic planning, process improvement, and fostering culture of accountability and excellence. Known for adaptability and consistently meeting changing organizational needs.
Overview
18
18
years of professional experience
Work History
Integration Consultant II
Ideon
01.2025 - 04.2025
- Provide expertise as the internal escalation point
- Works with development teams to identify issues within the system and how they can be fixed
- Responsible for the end-to-end process once the Product and development team transitioned over to the Enrollment team.
- Control environment project (Project that identifies process issues and internal control issues requiring remediation)
- Ensure seamless integration of new and modified services into the environment
Manager, EDI Integration
Ideon
04.2024 - 12.2024
- Oversee staffing responsibly for design and development of EDI applications interfaces and mapping
- Managed subordinate staff in day-to-day performances of their job.
- Allocated the resources for testing and project Assuring they stayed on schedule.
- Ensuring that the project /development milestones/goals were met in a timely manner.
- Help manage and to develop, coordinate implementations and manage all EDI related developments for the organization
- Coaching and mentoring a team of 6, promoting continuous improvement on service standards
Pod Lead
Ideon
06.2023 - 03.2024
- Identified inefficiencies in the daily workflow to reduce the time to production.
- Worked with product and engineering to implement the solution
- Lead implementation analysts on complex connection and how to handle escalations
- Self-motivated, with a strong sense of personal responsibility.
Senior Business Analyst
Ideon
07.2021 - 05.2023
- Developed training materials and trained new team members
- Handled escalations and complicated file builds
- Streamlined workflow for better productivity with the implementation of new software solutions.
- Created detailed user stories for system enhancements, leading to improved functionality and user satisfaction.
Business Configuration Analyst I
Blue Cross and Blue Shield of Nebraska
03.2019 - 01.2021
- Work with the assigned process teams to develop, update, and enhance configuration components within HealthRules platform, which include updating relevant departmental components (i.e., reimbursement and provider contracts, codes and medical policies, or rates and fees).
- Identify, troubleshoot, and resolve configuration related issues.
- Identify system configuration enhancements to improve business efficiency and auto adjudication rates.
- Develop testing scenarios and conduct configuration unit testing.
- Collaborate with business units to develop solutions that leverage the HealthRules platform.
- Configuration experience within the HealthRules or similar platform
- Experience working in an Agile environment
- Ability to interact with individuals of varying technical abilities
- Ability to adapt to changing requirements
Enrollment System Analyst I and II
Blue Cross and Blue Shield of Nebraska
07.2013 - 03.2019
- Determines operational objectives by studying business functions; gathering information; evaluating output requirements and formats while maintaining system protocols by writing and updating procedures
- Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks
- Experience in new implementation projects (start to finish)
- Experience in project requirements elicitation techniques such as interviews, stakeholder and document analysis, and data analysis to identify project milestones, phases, and elements
- Contributes to team effort by accomplishing related results as needed
- Ability to complete multiple tasks within established deadlines.
- Excellent organizational, work management, and analytical skills
- Recommends controls by identifying problems, writing improved procedures
Membership Specialist 1,2,3/SME/ Coach/Tester
Blue Cross and Blue Shield of Nebraska
03.2009 - 01.2013
- Assisted with reporting monitoring and general quality assurance.
- Oversaw member information reconciliation procedures and paperwork.
- Researched and resolved discrepancies in enrollment activities.
- Supervised member invoice preparation and distribution on a regular basis.
- Provided unit function backup in management report formulation.
- Ensured integrity of enrollment eligibility processes.
- Provided double-checking assistance for customer billing invoices on a regular basis.
- Handled and evaluated customer inquiries and complaints.
- Conducted outbound verification member telephone contact.
- Provided assistance to other related departments as required.
- Trusted in an informal leadership position as a Coach
- Went above my duties and was recognized as a “go to” analyst (SME)
Enrollment Services Assistant
Blue Cross and Blue Shield of Nebraska
03.2007 - 01.2009
- Demonstrate competency in performing multiple functional tasks
- Pick-up and deliver mail, parcels, and other items to customers within established timeframes and service standards
- Effectively work individually or in a team environment
- Contributed to a positive work environment with strong interpersonal skills and proactive teamwork attitude.
- Maintain the highest levels of customer care while demonstrating a friendly and cooperative attitude
- Demonstrate flexibility in satisfying customer demands in a high volume, production environment
Education
Bachelor of Science - Bachelors in Sports Medicine
Dana College
Blair, NEBachelor of Science - Bachelors in Sports Medicine
Lamar Community College
Lamar, COSkills
- Team leadership and coaching
- Time management and decision-making
- Task delegation and goal setting
- Staff training and development
- Complex problem-solving
- Cross-functional collaboration
- Employee development
- Testing strategies
- Data mapping EDI an API
- Requirements gathering
- Performance tuning
- User acceptance testing
Timeline
Integration Consultant II
Ideon
01.2025 - 04.2025
Manager, EDI Integration
Ideon
04.2024 - 12.2024
Pod Lead
Ideon
06.2023 - 03.2024
Senior Business Analyst
Ideon
07.2021 - 05.2023
Business Configuration Analyst I
Blue Cross and Blue Shield of Nebraska
03.2019 - 01.2021
Enrollment System Analyst I and II
Blue Cross and Blue Shield of Nebraska
07.2013 - 03.2019
Membership Specialist 1,2,3/SME/ Coach/Tester
Blue Cross and Blue Shield of Nebraska
03.2009 - 01.2013
Enrollment Services Assistant
Blue Cross and Blue Shield of Nebraska
03.2007 - 01.2009
Bachelor of Science - Bachelors in Sports Medicine
Dana College
Bachelor of Science - Bachelors in Sports Medicine
Lamar Community College
Similar Profiles
Jacob HargravesJacob Hargraves
INTEGRATION ANALYST I at IDEONINTEGRATION ANALYST I at IDEON
Michelle TabibMichelle Tabib
Intern at Ideon MediaIntern at Ideon Media
MU-IZZ O GBADAMOSIMU-IZZ O GBADAMOSI
Manufacturing Engineer at Ideon TechnologiesManufacturing Engineer at Ideon Technologies