Clever Senior Business Analyst with 30 years deriving invaluable business intelligence from novel sources. Practiced at discovering and exploiting underutilized resources to expand revenue and new business opportunities. Keen to provide unparalleled business knowledge and peerless data accuracy to accelerate business growth and enhance ongoing performance.
Overview
30
30
years of professional experience
Work History
Sr Business Analyst Manager
Gainwell Technologies
04.2022 - 11.2023
Created detailed user stories for system enhancements, leading to improved functionality and user satisfaction.
Facilitated requirement gathering workshops, resulting in clear project objectives and deliverables.
Conducted stakeholder interviews to understand user needs and preferences.
Managed stakeholder expectations through transparent communication and timely status updates, ensuring alignment between project deliverables and business objectives.
Product Development Manager
Optum Technology - United Healthcare Entity
01.2018 - 04.2022
Developed robust testing solution to allow for testing of all configuration in place and for future testing to assure design is being implemented properly
Oversaw development of more than 7-10 renewals with significant changes or new products each year.
Analyzed, collaborated, and responded to 22 RFP requests for new State contracts during my time on this team.
These responses were over many areas of expertise including but not limited to enrollment, finance, provider, benefit configuration, and reporting (Medicare and Medicaid defined Hedis reporting).
Cultivated valuable relationships with external partners including Government appointed officials, contractors and other vendors working for successful launches.
Implemented change control, configuration status accounting and configuration audits.
Created and maintained version description documents and worked with version control library.
Handled customer relations issues, enabling quick resolution, and client satisfaction.
Met with clients, delivering presentations, and educating on product and service features and offerings.
Community and State Performance Excellence Manager
United Health Group
01.2008 - 12.2017
Served as Internal Account Manager working closely with External Account Managers (CEO/COO), Compliance, and UHG Partners to understand and implement and meet State Requirements.
Provided collaboration as benefit configuration expert and provider network expertise to help reconcile provider ledgers for State client
Attended Provider community meetings to help educate providers on their contracts on behalf of State
Managed up to twenty-five benefit configuration analysts to ensure multiple client initiatives are set up in Facets correctly and efficiently
Project management of implementation of new clients including preparing documentation and reporting for leadership on progress of all initiatives ongoing
Creation of training process documents to assist new hires and existing employees to get familiar with configuration
Coordinated efforts for large conversion implementation project for platform consolidation
Identified and mitigated potential risks associated with implementing new technologies or processes within organization's Health IT environment.
Achieved compliance with industry regulations, such as HIPAA, by conducting regular audits and addressing identified gaps promptly.
Spearheaded innovative projects that leveraged emerging technologies to enhance delivery of healthcare services.
Fostered strong relationships with stakeholders at various levels within organization to gain buy-in on crucial decisions affecting technology infrastructure.
Promoted culture of continuous improvement within Health IT department through staff development initiatives and performance evaluations.
Continuously assessed performance of existing systems, leading optimization efforts where necessary in order to maintain high levels of efficiency and effectiveness.
Managed and motivated employees to be productive and engaged in work.
Technical Manager
FiservHealth- United Healthcare Entity
01.1994 - 12.2007
Managed multiple teams including financial, auditing, benefit and provider configuration, provider coordination, re-pricing, and eligibility
Ensured that performance guarantees, deadlines, quality standards, and client expectation are met
Coordinated with external office to test and implement large projects for company and client
Served as liaison between client and staff, earning respect and confidence through open communication and consistent results
Coordinated management of large client plan coding changes, fee schedule updates, and eligibility file analysis and load
Contributed to large client conversion to new eligibility system
Organized implementation of plan coding, eligibility, provider fee schedules, and authorization file loads for multiple small clients for Oklahoma office
Successfully delivered multiple high-profile projects on time, ensuring client satisfaction and fostering long-term relationships.
Coordinated file transfers and auditing of files for banking, eligibility, and external repricing vendors.
Streamlined project processes by implementing agile methodologies, resulting in increased efficiency and faster completion times.
Enhanced team performance by conducting regular training sessions and providing opportunities for professional development Coordinated with other departments effectively, integrating technical requirements into broader organizational goals seamlessly
Education
Associate of Science in General Education and Emphasis on Business Management -
University of Central Oklahoma
Edmond, OK
05.1998
Skills
Forecasting and planning
Operations Analysis
Technology architecture analysis
Business process improvement
Process Development
Agile Methodology
User Acceptance Case writing and Testing
Cost-Benefit Competitive Analysis
Business Administration
Data Warehousing and operational reporting
Process Mapping
Requirements Gathering
Software Development Lifecycle
Technical Writing
Workflow Analysis
Internal Auditing
Strategic Planning
Customer Targeting and Needs Assessment
Gap analysis and needs assessment
Operations and Staff Management
Microsoft Office Suite
Product Development
Project Management
Volunteer Experience
Vice President, Norman Athletic Association Board, Norman, Oklahoma, Help coaches, booster clubs, parents and student athletes understand how they can come together and make a difference in the community. Provide recognition for Student Athletes throughout the school year, organize large fundraising events, and provide letter Jackets and scholarship funds for the athletes of Norman, Oklahoma.
School Booster Clubs, Active involvement in the School Booster Clubs of my children's schools and participation in the school board to address community concerns.
Timeline
Sr Business Analyst Manager
Gainwell Technologies
04.2022 - 11.2023
Product Development Manager
Optum Technology - United Healthcare Entity
01.2018 - 04.2022
Community and State Performance Excellence Manager
United Health Group
01.2008 - 12.2017
Technical Manager
FiservHealth- United Healthcare Entity
01.1994 - 12.2007
Associate of Science in General Education and Emphasis on Business Management -
Senior Infrastructure and Security PMO Project Manager at Gainwell TechnologiesSenior Infrastructure and Security PMO Project Manager at Gainwell Technologies