High energy, conscientious, team player. Articulate in written and oral communication. Seeking a fulfilling role as an analyst where troubleshooting skills and attention to detail can be applied to assist business challenges.
Overview
20
20
years of professional experience
Work History
Experienced analyst
CVS Retail
In design, coding, testing mainframe applications, collaborating with both business owners and IT staff in project development and issue resolution
Responsibilities: mainframe developer, QA resource and project lead – creating and managing project documentation encompassing all facets of SDLC such as: business requirements, design documents, issue and status reporting, testing and implementation, organizing and prioritizing tasks as well as determining root cause analysis of product malfunction
EZTRIEVE, JCL, CICS, SQL (exposure)
Programming Tools: File-Aid, and IBM utilities
Technical Environment: IBM Mainframe 5650-Z0S: TSO/ISPF, VSAM, SCLM, IOA, Control M job scheduler.
Lead IS programmer/analyst
Cross/Blue Shield of Hawaii, HMSA
Honolulu, Hawaii
In multiple Open Enrollment projects
Lead IS programmer
Cross/Blue Shield of Hawaii, HMSA
Honolulu, Hawaii
Analyst for Conversion of select Senior Plan (Medicare/Medicaid) members from LRSP (mainframe) to QNXT
Programmer Analyst for drug and dental membership conversion
Analyst position involved gathering user requirements, evaluating current system to determine best business solution, setting tasks and deadlines, conducting meetings, creating program specifications, programming in EZT and COBOL
QA testing and implementation required as well as reporting status to senior management
Project involved programming, testing and implementation
Emphasis on data analysis discrepancies and root cause analysis
Technical Environment: IBM Mainframe, EZT, JCL, IMS and VSAM, Business analysis, system design and programming - involving all phases of project methodology - user requirements, technical requirements, design documentation and programming, unit and system testing and implementation required in assignments
Designed and programmed process flow to supply enrollment data feeds to multiple external vendors
(NIA Radiology, LSV Dental, Landmark PT/OT, Hawaii ProServe) as well as Medicare and Medicaid eligibility files
Worked with business users to create requirements document, data mapping and process flows
Conversion projects: member id conversion from SSN to unique Blue Cross Id, enrollment and conversion of members to a Medicaid sponsored group.
Project Manager
CVS Headquarters
Woonsocket, Rhode Island
Customer Collections and Medicare billing
Customer Collections: Business and technical requirements, data analysis, file structure design, program specifications, and resource management.
Medicare: Assisted in designing in-house Medicare drug billing system: user requirements documentation, process flows, on-line screen design, data file structures, and program specifications, and case test design documents.
Lead Systems Analyst
DME
For the HIPAA 837 Billing transaction for Medicare and Medicaid, drug claims: system design and program specifications
Worked with CMS HIPAA support staff in obtaining transaction specifications and data mapping
Worked with GENTRAN team in the conversion of the mainframe files to the 837 format
Sr Systems Analyst
CVS Health
Woonsocket, RI
08.2013 - 01.2022
Lead Analyst/ Consultant
Smith Johnson & Associates
Draper, Utah
01.2012 - 06.2013
Application Support Programmer Analyst
Care New England, Hospital Network
Warwick, RI
06.2011 - 01.2012
Responsible for vendor contact in troubleshooting and procedure documentation
Application Support for various hospital systems: Teletracking, SSI Products: Remote Client Billing and CDMS
Overseeing the processing of Third party billing and payments including Medicaid and Medicare
Assignments included creation of adhoc query reports using Cyberquery (type of SQL), maintenance of existing production reports and UNIX scripts
Customer Relations Supervisor at CVS Caremark Retail Pharmacy, Care Call CenterCustomer Relations Supervisor at CVS Caremark Retail Pharmacy, Care Call Center