Heidi Farrell
Durham,NC
Summary
Seasoned Senior Business Systems Analyst with several years of experience translating business requirements into system requirements and documenting function and non-functional requirements.
Overview
14
14
years of professional experience
Work History
Senior Business Systems Analyst
Blue Cross and Blue Shield of North Carolina
Durham, NC
03.2022 - Current
- Independently facilitate discussions with business areas to review, analyze, and develop solutions for critical business systems and applications
- Identified and quantified business impact of proposed solutions, recommending actionable strategies to supported business areas
- Coordinated configuration and maintenance of complex system tables and data elements across multiple environments, ensuring data integrity and system reliability
- Served as point of contact for business testing activities, ensuring alignment of testing processes with business requirements
Pharmacy Operations Administrator
Blue Cross and Blue Shield of North Carolina
Durham, NC
11.2019 - 02.2022
- Supported Pharmacy Coordinators in resolving escalated and complex issues
- Audit prescription drug benefit plans within internal systems, such as Product Code Matrix, Quote Explorer, Portfolios, Product Grids, as well as our current PBM system, the Benefit Edit Tool
- Engage with many departments, such as Product Management, Sales, AIT, Facets Configuration, to manage pharmacy benefits and coding
- Engaged with departments including Product Management, Sales, AIT, and Facets Configuration to manage pharmacy benefits and coding effectively
- Collaborated with Corporate Pharmacy Compliance Officer to maintain compliance with state and federal regulations for commercial plans
Pharmacy Services Specialist
Blue Cross and Blue Shield of North Carolina
Durham, NC
05.2018 - 11.2019
- Coordinated review and implementation of pharmacy benefit plans for custom employer groups, ensuring alignment with client needs
- Responsible for responding to and reviewing RFPs, new programs, and all custom pharmacy benefit requests
- Directly involved in all Pharmacy Benefit changes due to Health Reform and Federal Mandates
- Served as subject matter expert for custom pharmacy benefit coding through Benefit Edit Tool and Product Code Matrix, enhancing accuracy and compliance
- Facilitated coordination of pharmacy benefits with BCBSNC departments and PBM Client Engagement Team to streamline processes and improve service delivery
- Consistently meet required deadlines for pharmacy benefit plans and all project work
Pharmacy Services Coordinator
Blue Cross and Blue Shield of North Carolina
Durham, NC
04.2012 - 05.2018
- Assisted with pharmacy operations project work by collaborating with team members to identify tasks and deadlines.
- Directly involved in all Pharmacy Benefit changes due to Healthcare Reform and Federal Mandates
- Supported implementation of pharmacy benefit changes resulting from healthcare reform and federal mandates
- Interpret and review client requests for custom pharmacy benefit designs
- Collaborate with the PBM Client Engagement Team for new groups and custom pharmacy benefits
- Code standard pharmacy benefits through the Benefit Edit Tool and Product Code Matrix
- Collaborated with PBM client engagement team to develop new groups and custom pharmacy benefits
- Submit Access Requests for all Prime Systems and BCBSNC systems for Pharmacy Operations Team
Education
Bachelors of Science - Psychology
Longwood University
Farmville, VAMasters of Education - School Counseling
Virginia Commonwealth University
Richmond, VASkills
- Business analysis
- Requirements gathering
- System configuration
- Data management
- Testing coordination
- Cross-functional collaboration
- Problem solving
- Critical thinking
- Attention to detail
- Time management
Timeline
Senior Business Systems Analyst
Blue Cross and Blue Shield of North Carolina
03.2022 - Current
Pharmacy Operations Administrator
Blue Cross and Blue Shield of North Carolina
11.2019 - 02.2022
Pharmacy Services Specialist
Blue Cross and Blue Shield of North Carolina
05.2018 - 11.2019
Pharmacy Services Coordinator
Blue Cross and Blue Shield of North Carolina
04.2012 - 05.2018
Bachelors of Science - Psychology
Longwood University
Masters of Education - School Counseling
Virginia Commonwealth University