Helen Simon
Wayne,United States
Summary
Senior IT Professional with extensive experience in assessing business requirements and formulating effective strategies. Proven ability to provide technology options and document technical solutions that drive organizational success. Expertise in development methodologies, strategic project planning, and technology implementation. Demonstrated success in product ownership and managing complex projects to completion.
Overview
37
37
years of professional experience
Work History
Sr. Product Owner / Lead Business Analyst Payment Administration Product Team
Mutual of America Financial Group
New York, New York
09.2015 - 05.2025
- Sr. Product Owner on the Payment Administration Product Team. The Team's areas of responsibility are Distributions, Plan Terminations, Beneficiary Claims, Compliance Processing, Loan Processing on the OMNI DC / Omni Pay Record Keeping platform.
- Direct responsibilities: Periodic installation, testing, business review presentation of OMNI DC/OMNI Pay upgrades.
- Periodic installation, testing, business review presentation of Secure Act 2.0 regulatory upgrades.
- Supported Loans, Withdrawals, Remittances, Billing.
- Documented Business Requirements.
- Backlog management and prioritization.
- Third-party vendor collaboration.
- Cross-functional requirements.
- Documented User Stories in JIRA.
- Proficient in Confluence, ServiceNow.
Business Analyst Team Lead
Horizon Blue Cross Blue Shield of New Jersey
09.2013 - 09.2015
- Lead business analyst on government-mandated Payment Innovations project. The goal of the project is to expand BCBS capabilities to exchange data across all Blues.
- Lead business analyst on the Print Transition project. The goal of the project is too transfer all printed materials (checks, EOB, EOP, bills, etc) to new vendor.
Sr. Business Analyst
Medco Health Solutions
Franklin Lakes, NJ
09.2007 - 03.2013
- Developed superior customer service skills by identifying client requirements, implementation of new accounts, and ongoing client collaboration opportunities.
- Data Mapping of proprietary client/vendor layouts to the standard company layout, mapped EDI 834 X12 5010 eligibility transactions, analyzed client files, and handled annual enrollment process.
Business Analyst
Health Management Systems
New York, NY
02.2005 - 08.2007
- As BA/BSA was responsible for analysis and implementation of highly customized processes of evaluating third party claims for the purpose of recouping money for Medicare and Medicaid. Worked directly with clients to maximize recovery percentage and to ensure compliance with policies and guidelines.
Business System Analyst
Health Plan of Greater New York
New York, NY
08.2004 - 02.2005
- Worked on functional enhancements for the Claims Adjudication and Billing Systems by partnering with SQA, Business owners, and Development teams.
Business Analyst
Merck
Franklin Lakes, NJ
11.1995 - 01.2003
- Effectively worked as a technical lead for client installs, functional and operations changes and analysis of eligibility and claims files. Gathered, documented client business requirements; prepared technical requirements and worked closely with development and QA teams to bring each project to completion.
- Led company-wide VSAM-to-DB2 conversion which allowed for Book of Business expanded functionality using SQL.
Sr. Applications Analyst
Sony Electronics
Woodcliff Lake, NJ
05.1988 - 11.1995
- Part of the Emerging Technologies Group participated in the development and implementation of various systems using the CASE Methodology / Integrated IEF software. The systems included Stock Locator System, Employee Skills System, Procurement System.
Education
Bachelor Of Arts - Liberal Arts and Sciences/Liberal Studies
Marymount Manhattan College
New York, NY01.1984
Skills
- Management Information Systems (MIS)
- File Management
- Product Development
Languages
- Russian, Native or Bilingual
- English, Native or Bilingual
Timeline
Sr. Product Owner / Lead Business Analyst Payment Administration Product Team
Mutual of America Financial Group
09.2015 - 05.2025
Business Analyst Team Lead
Horizon Blue Cross Blue Shield of New Jersey
09.2013 - 09.2015
Sr. Business Analyst
Medco Health Solutions
09.2007 - 03.2013
Business Analyst
Health Management Systems
02.2005 - 08.2007
Business System Analyst
Health Plan of Greater New York
08.2004 - 02.2005
Business Analyst
Merck
11.1995 - 01.2003
Sr. Applications Analyst
Sony Electronics
05.1988 - 11.1995
Bachelor Of Arts - Liberal Arts and Sciences/Liberal Studies
Marymount Manhattan College
Similar Profiles
Lorenzo PusateriLorenzo Pusateri
Group Retirement Plan Specialist at Mutual of America Financial GroupGroup Retirement Plan Specialist at Mutual of America Financial Group
John "Christian" DelligattiJohn "Christian" Delligatti
Group Account Representative at Mutual of America Financial GroupGroup Account Representative at Mutual of America Financial Group
Julia ThomasJulia Thomas
Manager of Operations at Mutual of America Financial GroupManager of Operations at Mutual of America Financial Group
Capri CarterCapri Carter
Business Development Manager | CEO at BSP Industries LLCBusiness Development Manager | CEO at BSP Industries LLC
Paola PazPaola Paz
Quality Control Technician at R3 CompositesQuality Control Technician at R3 Composites