Kathy Pevito
Walker,LA
Summary
Kathy has over 30 years of Managed Healthcare. She has extensive business knowledge of Enrollment (group and individual, Marketing through Membership and Billing) and is highly knowledgeable in project implementation, conversions, and business requirements analysis. Kathy has experience working with the HealthRules process and configuration and is knowledgeable of FACETS process and configuration. She has demonstrated ability to work independently as well as in a team environment.
Overview
8
8
years of professional experience
Work History
Senior Configuration Analyst
FlexTech/Emids
09.2016 - Current
- Currently serving as Senior Configuration Analyst for one (1) year and four (4) months at a system implementation of HealthRules Payor for Neighborhood Health Plan of Rhode Island commercial health plan
- Responsibilities include configuration design, testing, documentation, and production support of various components.
Senior Configuration Analyst
- Served as Senior Configuration Analyst for one (1) year and nine (9) months for production support activities of HealthRules Payor for Neighborhood Health Plan Medicaid health plan
- Responsibilities include configuration design, testing, documentation, and production support of various components.
Configuration Analyst
- Served as Configuration Analyst six (6) months at a system implementation of HealthRules Payor for South Dakota commercial health plan
- Responsibilities include configuration design, testing, documentation, and production support of various components.
Configuration Analyst
- Served as Configuration Analyst for three (3) months at a system implementation of HealthRules Payor for Tuft’s Health Plan commercial health plan
- Responsibilities include configuration design, testing, and documentation of various components.
Configuration Analyst
- Served as Configuration Analyst for fifteen (15) months at a system implementation of HealthRules Payor for Nebraska commercial health plan
- Responsibilities include configuration design, testing, documentation, and production support of various components.
Configuration Analyst
- Served as Configuration Analyst for eighteen (18) months at a system implementation of HealthRules Payor for California Commercial and Medicare health plan
- Responsibilities include configuration design, testing, documentation, and production support of various components.
Senior Configuration Analyst
- Served as a Senior Configuration Analyst for two (2) years and four (4) months at a system implementation of HealthRules Payor for New York State Medicaid and Medicare health plan
- Responsibilities include configuration design, testing, documentation, and production support of various components.
QA and Testing Engineer
- Served as a QA and Testing Engineer for six (6) months
- Responsibilities include conducting quality-control tests, analyzing systems, validating configurations, and performing testing activities.
Business Engineering Analyst
- Served as a Business Engineering Analyst for eight (8) years
- Responsibilities include identifying and implementing solutions, conducting system analysis, documenting requirements, and supporting configuration changes.
Product and Benefit Coding Analyst
- Served as a Product and Benefit Coding Analyst for one (1) month
- Responsibilities include determining and coding benefits, establishing coding data, and preparing schedules.
eRoc Configuration / Subject Matter Specialist
- Served as an eRoc Configuration / Subject Matter Specialist for five (5) months
- Responsibilities include designing configuration, working with development, and utilizing various systems and tools.
Benefits Coding Specialist
- Served as a Benefits Coding Specialist for eight (8) years four (4) months
- Responsibilities include determining and coding benefits, establishing coding data, and working with underwriters.
Group Administration Clerk Lead
- Served as a Group Administration Clerk Lead for two (2) years one (1) month
- Responsibilities include working on the eligibility desk, processing enrollments, and providing training and assistance to clerks.
Group Administration Technician II
- Served as a Group Administration Technician II for one (1) year, five (5) months
- Responsibilities include data entry, supporting Benefits Coding Specialist, and providing technical assistance.
Group Administration Technician I
- Served as a Group Administration Technician I for four (4) years one (1) month
- Responsibilities include interpreting enrollment documents, data entry, and screening and verifying information.
Group Billing Account Clerk
- Served as a Group Billing Account Clerk for three (3) years two (2) months
- Responsibilities include handling group billing, making changes to contracts, and working with special groups.
Education
Associate of Arts degree - Computer Science
Southeastern Louisiana University
12.1984
Skills
- Citrix
- Mercury Quality Center
- HP Quality Center
- Microsoft Office 2000/2003/2007/2013
- FACETS
- Legacy
- PlanView
- SharePoint Portal
- HealthRules Payor Access
- Common Query Tool
- EBlue Proficient
Timeline
Senior Configuration Analyst
FlexTech/Emids
09.2016 - Current
Senior Configuration Analyst
Configuration Analyst
Configuration Analyst
Configuration Analyst
Configuration Analyst
Senior Configuration Analyst
QA and Testing Engineer
Business Engineering Analyst
Product and Benefit Coding Analyst
eRoc Configuration / Subject Matter Specialist
Benefits Coding Specialist
Group Administration Clerk Lead
Group Administration Technician II
Group Administration Technician I
Group Billing Account Clerk
Associate of Arts degree - Computer Science
Southeastern Louisiana University
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