Summary
Overview
Work History
Skills
Timeline

Rosie Mosquera

Business Analyst
Surprise,AZ

Summary

Detail-oriented and solutions-focused Business Analyst with extensive experience supporting clinical systems and business operations in healthcare environments. Proven ability to analyze complex workflows, translate business needs into functional specifications, and manage end-to-end implementations of EHR and operational systems. Adept at working in matrixed environments, facilitating cross-functional collaboration, and using various tools to manage projects and documentation. Strong background in access management, system configuration, process documentation, and stakeholder engagement. Seeking to leverage analytical expertise and a versatile background in healthcare project management, cross-functional collaboration, and problem-solving to deliver data-driven solutions that enhance patient care, operational efficiency, and stakeholder outcomes.

Overview

9
9
years of professional experience

Work History

Associate Business Systems Analyst

Optum
09.2023 - Current
  • Provided comprehensive technical and operational support for various applications/platforms, ensuring reliability and a high-quality end-user experience across clinical and administrative teams.
  • Oversaw user access and security management for clinical applications within the Mountain West Market, maintaining regulatory compliance and safeguarding sensitive healthcare data.
  • Acted as a subject matter expert (SME) and key liaison to leadership on onboarding workflows, offering strategic insights and support for operational procedures.
  • Collaborated with ancillary application SMEs across the Mountain West Market to identify interdependencies and ensure alignment in multi-application environments.
  • Partnered with stakeholders and cross-functional teams to gather and analyze business requirements, translating operational needs into functional and technical solutions.
  • Participated in solution analysis and design meetings for new system features, operational enhancements, and implementations.
  • Authored and managed comprehensive business documentation, including process maps, workflow diagrams, business mapping documents, and functional specifications.
  • Developed and executed test scripts for system validation post-patching and upgrades, ensuring performance consistency and reliability.
  • Managed clinical application configuration and customization to improve workflow efficiency and align systems with organizational goals.
  • Delivered workflow training and knowledge transfer to Practice Managers and end-users to support adoption of new processes and technologies.
  • Processed service requests through intake, triage, and fulfillment processes, maintaining SLA compliance and clear communication with requestors.
  • Supported project assignments across the full lifecycle — from requirements gathering and configuration through testing, deployment, and post-implementation support.
  • Engaged with third-party vendors to resolve system issues, coordinate enhancements, and ensure timely escalation and resolution.
  • Provided onsite support during go-lives and upgrade events to ensure stability and immediate issue resolution.
  • Maintained the integrity, accuracy, and confidentiality of healthcare data while working independently in environments without pre-established processes or procedures.
  • Effectively operated in a matrixed organization, fostering collaboration across clinical, technical, and leadership stakeholders.
  • Assessed business requirements to create focused solutions.

Sr. Clinical Administrative Assistant / Business Segment Liaison

Optum
07.2021 - 09.2023
  • Provides high-level administrative and technical support to Senior Executive Leadership, Medical Directors, Clinic Managers, Providers, and Community Center staff, ensuring seamless operational workflows.
  • Handles sensitive and confidential information with professionalism and discretion, adhering to HIPAA and organizational privacy standards.
  • Serves as primary IT support liaison for executive leadership, clinical personnel, and community teams, resolving technical issues promptly and efficiently.
  • Designs and implements team processes to enhance operational efficiency, productivity, and service delivery across departments.
  • Manages high-volume inbound calls and service requests, providing accurate information on network offerings and facilitating appropriate engagement with clinical or support staff.
  • Demonstrates extensive knowledge of functional responsibilities, drawing from deep operational experience to support decision-making and service execution.
  • Operates autonomously in unstructured environments, leveraging critical thinking and initiative to establish workflows and solve problems without predefined procedures.
  • Conducts intake and documentation of member information to support the admission, discharge, and post-notification processes across care settings.
  • Coordinates with hospitals, clinics, facilities, and internal clinical teams to manage member-related requests and ensure timely communication.
  • Oversees referral management processes, including intake, prior authorizations, referral tracking, and census reporting to support continuity of care.
  • Acts as a resolution specialist, addressing and resolving inquiries, complaints, and service issues from members and healthcare providers with professionalism and efficiency.
  • Builds and maintains positive relationships with providers, stakeholders, staff, and members, fostering collaboration and trust.
  • Leads onboarding, orientation, and training efforts for new team members, ensuring seamless integration and alignment with organizational policies and procedures.
  • Managed incoming correspondence from patients and healthcare providers, prioritizing urgent matters for timely resolution.
  • Achieved cost savings through effective inventory management and ordering of medical supplies.

Business Segment Liaison / Clinical Administrative Assistant

OptumCare
05.2016 - 07.2021
  • Collaborated with staff across all organizational levels, providing high-touch administrative and technical support while maintaining the highest standards of confidentiality and professionalism.
  • Served as Senior Executive Assistant to leadership, Medical Directors, clinical field staff, and administrative teams, ensuring seamless communication and operational continuity.
  • Managed complex calendars, scheduled meetings, and prepared and reconciled expense reports for senior leadership and Medical Directors.
  • Coordinated corporate events, leadership meetings, and staff engagements, including preparation of presentations and meeting materials.
  • Led onboarding, orientation, and training programs for new hires, supporting their integration and alignment with organizational protocols.
  • Monitored and triaged multiple department email inboxes, identifying urgent requests and ensuring timely responses or escalation.
  • Oversaw office and field supply procurement, including ordering equipment, software, PPE, and operational materials for clinical and administrative teams.
  • Greeted and facilitated check-in for guests and visiting employees, providing a professional and welcoming experience.
  • Provided first-level IT support, troubleshooting technical issues and liaising with IT teams as needed.
  • Maintained exceptional attention to detail and organization in all administrative functions, supporting operational efficiency and compliance.
  • Answered high-volume inbound calls to the CSC Line, routing inquiries to appropriate departments or personnel for resolution.
  • Created and managed UMRN case files for review and processing in alignment with healthcare and administrative procedures.
  • Supported accurate medical record data entry and acted as a liaison between clinics and members to facilitate timely access to clinical documentation.
  • Served as the primary point of contact, fostering strong relationships between internal teams and external partners.
  • Coordinated multiple projects simultaneously, ensuring timely completion and alignment with organizational objectives.

Skills

Business & Systems Analysis

  • Workflow Analysis & Optimization
  • Process Documentation & Improvement
  • User Acceptance Testing (UAT)
  • Analytical Problem Solving
  • Project & Technical Documentation
  • Analytical Thinking in Dynamic Environments

Healthcare Operations & IT Support

  • Electronic Medical Record (EMR) Support & Training
  • Medical Claims Submission & Audit Coordination
  • User Access Management
  • Production Support & System Maintenance
  • Information Security & HIPAA Compliance
  • IT Support & Incident Resolution
  • Executive Support & Stakeholder Engagement

Training & Leadership

  • Operations & Office Management
  • Personnel Training & Development
  • Employee Onboarding & Offboarding
  • Cross-Functional Team Collaboration
  • Interpersonal Communication & Conflict Resolution
  • Provider and Member Relations

Timeline

Associate Business Systems Analyst - Optum
09.2023 - Current
Sr. Clinical Administrative Assistant / Business Segment Liaison - Optum
07.2021 - 09.2023
Business Segment Liaison / Clinical Administrative Assistant - OptumCare
05.2016 - 07.2021
Rosie MosqueraBusiness Analyst