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Frederick Dela Cruz
RN, Systems Analyst
San Diego,CA
Summary
Highly motivated and results-driven Systems Analyst with over 14 years of combined healthcare information technology experience. Strong expertise in managed care applications as well as proficiency in integrated system design, testing and implementation. Key strengths include leadership, project management, analysis, critical thinking, problem-solving, documentation, process improvement with effective verbal, written and interpersonal communication skills while providing excellent customer service.
Overview
28
28
years of professional experience
6
6
years of post-secondary education
2
2
Certifications
1
1
Language
Work History
INDEPENDENT BUSINESS OWNER
FS&G Design & Concepts
San Diego, CA
01.2017 - Current
- In charge of the daily business operations.
- Performed marketing, bookkeeping, advertising, event scheduling and management, IT operations, web design and compliance.
- Participated in business events, conferences and trade shows to promote products and network with business owners and prospective clients.
- Specialized in photography, graphic design, stationery, printing, media and audio/video services.
- Great working relationship with clients, vendors and business partners.
IT SYSTEMS ANALYST
SHARP HealthCare
San Diego, CA
12.2010 - 02.2018
- Performed system analysis, documentation, testing, implementation, and user support for platform transitions.
- Provide quality operational support and maintenance of Managed Care Applications: Enrollment, UM/Referrals, Claims and EDI Transactions.
- Meet regularly with enterprise stakeholders for status report, prioritization, progress of change management requests along with ongoing and upcoming projects.
- Maintained file transfer protocols, data processing, server management and secure data connection.
- Performed Change Management, system configuration, testing and implementation.
- Facilitated Project Management, client workflows, documentation, training and process improvements.
- Great working relationship with the team: key users, vendors and trading partners.
ELIGIBILITY TECHNICAL REPRESENTATIVE
SHARP HealthCare
San Diego, CA
03.2003 - 12.2010
- In charge of patient eligibility verification, data entry, claims processing and registration.
- Security administrator for various health insurance websites.
- Performed Super User responsibilities and testing for all Managed Care applications and upgrades.
- Maintained monthly electronic enrollment files for loading, processing and extraction.
- Performed data and system analysis with ISD for key related issues and enhancements.
- Utilized test plans, file specifications and reports for review.
- Document and maintain procedural and training materials.
VISITING TEACHER
San Diego Unified School District
San Diego, CA
01.2002 - 06.2003
- Maintained day-to-day classroom management, instruction and discipline to promote learning initiatives.
- Followed classroom plans left by class teacher to continue student education and reinforce core concepts.
- Work closely with school principals, directors, speech therapists, counselors, nurses, teacher’s aides and parents.
- Repeatedly requested as substitute teacher by teachers based on excellent past referrals and trusted performance.
CONCESSIONS MANAGER
United Artists Theatre Circuit
San Diego, CA
01.1995 - 12.2001
- Managed inventory control, ordering, shipping and supply maintenance
- Responsible for managing concessions stands and box office sales
- Oversaw recruitment, training, staff scheduling, human resources, counseling and promotions
- Facilitate staff meeting, payroll, marketing and satellite events
- Maintain increased sales output while decreasing shortage and waste
Education
Associate of Science - Registered Nurse - Graduate
Grossmont College
El Cajon, CA 08.2005 - 05.2007
Bachelor of Science - Psychology - Graduate
San Diego State University
San Diego, CA 09.1999 - 05.2001
Associate of Arts - Psychology & General Studies-Graduate With Honors
Southwestern College
Chula Vista, CA 09.1995 - 05.1998
Skills
Current Unencumbered California Licensed Registered Nurse (#787287)
undefinedSoftware
Accomplishments
2007 - SHARP Core Award Recipient (Finance) - Process Automation
2005 - SHARP Employee of the Month
Certification
Certified Lean Six Sigma Yellow Belt
Community
San Diego Food Bank volunteer
Community Volunteer (Veterans, Homeless, Beach Clean Up & Fundraising)
Sharp Experience All-Staff Assembly volunteer
Sharp Best Health – System Services
References
References are available upon request.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Each new day is a new opportunity to improve yourself. Take it. And make the most of it.
Unknown
Timeline
High Reliability Organization (HRO) Training
04-2017
Certified Lean Six Sigma Yellow Belt
03-2017
INDEPENDENT BUSINESS OWNER
FS&G Design & Concepts
01.2017 - Current
IT SYSTEMS ANALYST
SHARP HealthCare
12.2010 - 02.2018
Associate of Science - Registered Nurse - Graduate
Grossmont College
08.2005 - 05.2007
ELIGIBILITY TECHNICAL REPRESENTATIVE
SHARP HealthCare
03.2003 - 12.2010
VISITING TEACHER
San Diego Unified School District
01.2002 - 06.2003
Bachelor of Science - Psychology - Graduate
San Diego State University
09.1999 - 05.2001
Associate of Arts - Psychology & General Studies-Graduate With Honors
Southwestern College
09.1995 - 05.1998
CONCESSIONS MANAGER
United Artists Theatre Circuit
01.1995 - 12.2001
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