JENNIFER JOY
United States
Summary
- 20+ years of Project Management, Business Process Improvement, Agile Team Building and Business & Systems Analysis experience, including 8+ years of Management experience
- Expertise in creating Business Requirement Documents, Technical Specification Documents, Data Mapping Documents, Process Workflow & Data Flow Diagrams
- Team builder with excellent communication, leadership, and presentation abilities
- Excellent knowledge of US healthcare system, HIPAA, EDI
Overview
19
19
years of professional experience
Work History
Business Analyst Manager-Business Systems Implementation
Elevance - Carelon Behavioral Health
United States
02.2016 - Current
- Company Overview: Carelon Behavioral Health (CBH) operates as the behavioral health segment of Elevance Health, enhancing mental health and wellness services. It emphasizes personalized and integrated care, aiming to improve access and outcomes for members through comprehensive support for mental health and substance use disorders.
- Manage a large team of Business Analysts and oversee multiple complex EDI implementations, ensuring alignment with organizational objectives.
- Oversee team management, IT infrastructure, and business processes to facilitate smooth operational flow and enhance productivity.
- Act as the primary liaison between the development team and both internal and external stakeholders to ensure transparent communication and project alignment.
- Leverage expertise in EDI data exchanges including HIPAA 834, 837, proprietary Eligibility, Claims, and Accumulator files to ensure compliance and operational excellence.
- Manage team responsible for the ongoing monitoring and maintenance of the primary file transfer application, leveraging experience with SFTP protocols, compliance and snip level checks, to ensure the smooth transfer of all inbound and outbound files.
- Establish team goals, conduct performance reviews, and define KPIs and SLAs to drive accountability and measure success.
- Oversee the development, testing, implementation, evaluation, and ongoing enhancement of business systems to ensure they meet business requirements and compliance standards.
- Work on projects with significant financial and compliance impact, ensuring that strategies are aligned with business objectives.
Business System Analyst Team Lead
Elevance Health - Carelon Behavioral Health
United States
01.2007 - 01.2016
- Company Overview: Carelon Behavioral Health (CBH) operates as the behavioral health segment of Elevance Health, enhancing mental health and wellness services. It emphasizes personalized and integrated care, aiming to improve access and outcomes for members through comprehensive support for mental health and substance use disorders.
- Led as a Business Systems Analyst Team Lead, managing client and enterprise information along with reporting deliverables to ensure accuracy and timeliness.
- Responsible for supporting and training a team of Business Systems Analysts, assessing their performance, growth opportunities, and overseeing their workloads. This included providing guidance and support on projects, new implementations, testing, and problem resolution.
- Analyzed business data needs and recommended viable solutions, contributing to improved business processes and outcomes.
- Involved in the project life cycle for all projects handled by the Business Analyst team. Responsible for monitoring the statuses of all projects to ensure all timelines are met as well as providing support in developing business requirements and writing comprehensive documentation to support end-users and facilitate future enhancements. These included Business Requirement Documents (BRDs) and Technical Specifications for complex EDI implementations, utilizing JIRA for project management.
- Collaborated with clients, technical team leads, and application development management to define Business Requirements and Technical Specifications.
- Acted as an expert technical resource to client and development management and staff in all phases of development and implementation processes.
- Managed multiple projects simultaneously, consistently meeting deadlines while maintaining a high standard of quality performance.
- Performed Testing to ensure functionality and compliance with requirements.
- Developed QA processes and SQL scripts for monitoring various client processes, ensuring accuracy and reliability.
Business Systems Analyst
Elevance - Carelon Behavioral Health
United States
01.2006 - 12.2006
- Company Overview: Carelon Behavioral Health (CBH) operates as the behavioral health segment of Elevance Health, enhancing mental health and wellness services. It emphasizes personalized and integrated care, aiming to improve access and outcomes for members through comprehensive support for mental health and substance use disorders.
- Interfaced with Service Centers, Clients, Corporate Departments and IT development teams to identify business requirements; developed and implemented solutions and provided service and training to those requiring IT support. Analyzed business requirements and developed design specifications that included business rules, data mapping tables, edit logic, etc.
- Led/participated in joint application design sessions for new and enhanced system development efforts.
- Served as the primary liaison between IT technical staff and end users of IT systems.
- Developed testing scenarios/scripts. Conducted Level 2 testing for development initiatives while documenting testing results. Served as a subject matter expert for Level 3 end user testing.
- Ensured design specifications were appropriately documented and revisions maintained through the development implementation and support life cycles.
- Demonstrated competency to consider all business implications of the application to the current business environment.
Education
Bachelor Of Arts - Psychology
Cornell University
Ithaca, NYSkills
- IT Project Implementation
- Business Requirements
- Functional Testing
- Operations Management
- Communication
- Analytical Skills
- Leadership
- Agile Methodologies
- Business Analysis
- Project Management
- Software Development Life Cycle (SDLC)
- Healthcare
- Team Development
- Business Process Improvement
- Data Analysis
- Requirements Analysis
- EDI
- Requirements Analysis
Accomplishments
- Efficient EDI Implementation: Implemented EDI systems leading to reduction in processing time.
- KPI Success Leadership: Led a 7 person team achieving 100% KPI targets on time.
Timeline
Business Analyst Manager-Business Systems Implementation
Elevance - Carelon Behavioral Health
02.2016 - Current
Business System Analyst Team Lead
Elevance Health - Carelon Behavioral Health
01.2007 - 01.2016
Business Systems Analyst
Elevance - Carelon Behavioral Health
01.2006 - 12.2006
Bachelor Of Arts - Psychology
Cornell University