Heather Sutton
Summary
Detail-oriented team player with strong communication skills. Ability to handle multiple projects simultaneously with a high degree of accuracy in a fast paced environment. Work well with IT partners in determining the best solution for Medicaid Implementations and system enhancements.
Overview
18
18
years of professional experience
Work History
Senior Business Systems Analyst Professional
Humana, Inc.
05.2005 - Current
- Elicited and clearly documented business and system requirements.
- Developed key functionality to move work from a top 50
application new provider data management system in
order to sunset an outdated technology. - Wrote requirements to integrate provider data
management system with a contract management system
streamline all provider data submissions. - Identified gaps in current system processes and logic to fully implement Medicaid contracting, credentialing, and directory production for South Carolina, Ohio, and Louisiana.
- Wrote documentation and trained operational areas on new Medicaid implementations.
- Subject matter expert for Credentialing, Medicaid and Provider load processes.
Education
Bachelor of Science - Criminal Justice
Northern Kentucky University
Highland Heights, KY12.1997
Skills
- Gather Project Requirements
- Application Deployment
- Test and Optimize Systems
- Data Mapping
- Leading Projects
- Technical Requirements Understanding
- Process Flow Diagram Creation
Timeline
Senior Business Systems Analyst Professional
Humana, Inc.
05.2005 - Current
Bachelor of Science - Criminal Justice
Northern Kentucky University
Similar Profiles
Kevin DooleyKevin Dooley
Workplace Solutions Mergers & Acquisitions Lead at Humana, Inc.Workplace Solutions Mergers & Acquisitions Lead at Humana, Inc.
Robb HudsonRobb Hudson
Network Operations Manager at Humana, Inc.Network Operations Manager at Humana, Inc.
Lorena SockyLorena Socky
Care Management Support Assistant III (CMSA3) at Humana, Inc.Care Management Support Assistant III (CMSA3) at Humana, Inc.
Deborah Winter, BSN, RNDeborah Winter, BSN, RN
Utilization Management Nurse 2- Front End Review at Humana, Inc.Utilization Management Nurse 2- Front End Review at Humana, Inc.
Jonathan SkidmoreJonathan Skidmore
Business Systems Analyst, Senior Professional at FiservBusiness Systems Analyst, Senior Professional at Fiserv