MAURICE MORRIS
Charlotte,NC
Summary
Highly-accomplished and motivated management professional with over 20 years of healthcare experience, including data/business analysis, systems integration, product implementation, business process and quality assurance testing oversight. A unique combination of business and technical skills that allows for effective working relationships throughout any organization. Track record of successfully defining goals and providing optimal strategies and solutions to productively increase organizational efficiency and enhance productivity. Experience with requirements writing (business/technical), EDI transactions, data management, SQL, vendor relations, and root cause analysis & resolution. Experienced in front and back-end testing for multiple claims/payment engines and portals. Excellent written and verbal communications to all levels of management. Comfortable working in a fast paced environment and managing multiple projects and tasks independently.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Business & Technology Transformation Test Manager QA
EmblemHealth
10.2013 - 06.2023
- Managed all testing activities for external vendor partner to ensure EmblemHealth's business and testing priorities were focused.
- Identified project scope, objectives, test deliverables, service level agreements, and success criteria in collaboration with stakeholders, vendors and clients.
- Responsible for guiding testing for 10 to 20 projects per month for production implementation.
- Provided oversight for the development of test strategies, test plans, test execution for System Integration Testing and User Acceptance Testing.
- Managed this process through the implementation of a complete business transformation and the current run the business process.
- Responsible for provider, member, and broker portal front-end testing.
- Worked as the face between the business and external vendor partner for all testing related activities.
- Responsible for resolving and creating root cause analysis with solutions for any gaps between testing and requirement.
- Spearheaded the shift to automated testing, reducing manual effort by 20% and enhancing test accuracy.
- Implemented data masking strategies, ensuring compliance with data privacy regulations and reducing risk and exposure to Personal Health Information data.
- Analyzed test performance metrics to identify inefficiencies, leading to improvement in test execution efficiency.
- Led cross-functional teams to streamline test processes, improving project delivery timelines by 25% through efficient coordination and execution.
- Reviewed daily project metrics for accuracy and completeness.
- Managed and monitored vendor testing Key Performance Indicator metrics to ensure compliance to vendor service level agreements.
- Ensured accepted methodologies and best practices were utilized to address Quality Assurance test needs; share best practices within the organization; championed and monitored adherence of shared services to industry leading quality assurance testing practices.
- Managed communication of application release status, including issue/defect metrics, code coverage metrics, critical path and testing status.
- Coordinated with EPMO stakeholders and other key business stakeholders and project team for system enhancements.
Sr. Problem Management/Business System Analyst
EmblemHealth
10.2009 - 09.2013
- Gathered data, documented issues, and reported all problem management system problems to management daily
- Facilitated weekly IT meetings to discuss problem management issues to ensure all information is accurate
- Gathered business and technical requirements to determine project scope, criteria, impact, and outcome
- Led SQL-based data analysis creating technical reports with key trends to improve decision-making for member and provider services
- Worked closely with Program Managers, Project Managers, Senior Directors, and Developers to address systems issues
- Presented defect/bug reporting to leadership
- Responsible for problem defect reporting to Sr
- Level Management daily, weekly and monthly
- Lead Business Analyst working on an EDI Gateway Reengineering project as well as the government mandated 5010 implementation project
- Facilitated Business and Technical Requirement walk-thru to ensure all requirements have been documented accurately
- Responsible for creating mapping documents for following EDI transactions
- (835, 837, 820)
Lead Business Systems Analyst
Horizon BCBSNJ
10.2004 - 09.2009
- Acted as a liaison between the business community and the IT organization providing technical solutions to meet user needs
- Developed business processes and designs helping implement technology solutions to successfully resolve business issues
- Coordinated and lead resources to identify and define solutions
- Communicated with the end user and IBM to identify and create business requirements needed to create enhancements to several extracts related to QBLUE, including the Universal Payment System (UPS) extract, and Enterprise Data Warehouse (EDW)
- Responsible for daily, weekly, and monthly extracts, maintenance, and enhancement of daily feed of files with electronic submissions or referrals and authorizations
- This included writing SQL queries to create trend reporting
- Coordinate efforts with an outside vendor (INFOSYS) as it relates to creating BRD's
- Responsible for User Acceptance Testing as well as post production review
- (regression testing)
- Responsible for sending files from claims engine via the mainframe to create EOB's, Vouchers, and checks
- Developed test plans and responsible for the coordination of testing activities
- Developed mapping documents and extracts to send and receive the necessary Caremark files for Horizon Blue Cross Blue Shield of New Jersey
- Responsible for testing and preparation of the SOX audits for change control and application controls
- Production Support - Analytical work of claims and extract issues related to the QNXT claims engine.
Business Analyst
Mellon Financial
03.2003 - 04.2004
- Facilitated workshops for stakeholders to gather requirements, ensuring projects aligned with business objectives.
- Developed high-quality documentation to support training efforts, helping employees fully understand new systems and procedures.
- Performed gap analysis between existing systems or processes and desired state, identifying areas for improvement or enhancement.
- Improved business processes by analyzing current practices and recommending optimization strategies.
Quality Assurance Analyst
The TriZetto Group
12.2000 - 06.2002
Financial Analyst
Horizon Blue Cross Blue Shield
05.1999 - 12.2000
NMIS/Performance Guarantee Auditor
Horizon Blue Cross Blue Shield
08.1996 - 04.1999
Member Services Coordinator
Horizon Blue Cross Blue Shield
09.1994 - 08.1996
Marketing Representative/Management Trainee
Enterprise Rent-A-Car
04.1993 - 08.1994
Education
Bachelor of Science in Business Management -
Quinnipiac University
Hamden, CTSkills
- Software Development Life Cycle Testing (SDLC)
- Data Management/Analytics
- Management Project Summary Status Reports
- Problem Solving
- Root Cause Analysis & Defect Remediation
- Manual & Automated Software Testing
- Waterfall and Agile Methodologies
- Quality Control Compliance/Audits
- SIT,UAT, End to End & Performance Testing
- Excellent Written & Verbal Communication
- Business Process/Business Intelligence
- KPI/Statistical Metrics Reporting
- Functional & Regression Testing
- EDI Transactions(All)
- SQL
- SharePoint
- Oracle
- Facets
- QNXT
- NASCO
- Mainframe Applications
- Tableau
- ALM 15 HP Quality Center
- Microsoft Office Suite: Word, Excel, Outlook, PowerPoint
- JIRA
- XML
- Scrum Methodology
Certification
SQL Certification - In Progress via DataCamp August 24'
Timeline
Business & Technology Transformation Test Manager QA
EmblemHealth
10.2013 - 06.2023
Sr. Problem Management/Business System Analyst
EmblemHealth
10.2009 - 09.2013
Lead Business Systems Analyst
Horizon BCBSNJ
10.2004 - 09.2009
Business Analyst
Mellon Financial
03.2003 - 04.2004
Quality Assurance Analyst
The TriZetto Group
12.2000 - 06.2002
Financial Analyst
Horizon Blue Cross Blue Shield
05.1999 - 12.2000
NMIS/Performance Guarantee Auditor
Horizon Blue Cross Blue Shield
08.1996 - 04.1999
Member Services Coordinator
Horizon Blue Cross Blue Shield
09.1994 - 08.1996
Marketing Representative/Management Trainee
Enterprise Rent-A-Car
04.1993 - 08.1994
Bachelor of Science in Business Management -
Quinnipiac University
SQL Certification - In Progress via DataCamp August 24'
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