Business Analyst Resume Example Centene, Corp

BUSINESS ANALYST

Professional Summary

Solutions-driven Business Analyst with a successful history in visual development and reporting in Tableau & Power BI. Applies trend and pattern knowledge to bring dramatic improvements. Over 5 years of experience forecast reporting, improving processes, performance analysis and business growth through up and down markets.

Work History

Business Analyst, 05/2019 to CurrentCentene, Corp, Atlanta, GA

Identify ways to enhance performance management and operational reports related to new business implementation processes.
Developed process mapping of current and future business processes.
Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems.
Identify and analyze user requirements, procedures, and problems to improve existing processes.
Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations.
Coordinate with various business units and departments in the development and delivery of training programs.
Diagnose problems and identify opportunities for process redesign and improvement.
Serve as the subject matter expert on the assigned function product to ensure operational performance.
Built library of models and reusable knowledge-base assets to produce consistent and streamlined business intelligence results.
Worked closely with software development and testing team members to design and develop robust solutions to meet client requirements for functionality, scalability and performance.
Restructured procedures by coordinating with leadership to create and execute projects.
Created detailed Metric reports from Power BI research for review by development team.
Performed competitor bench-marking analysis to identify manufacturing savings opportunities and potential product enhancements.
Implemented business and technical client training on new systems and supervised software integration on client's website.
Conducted 3 knowledge sharing sessions per week to capture lessons learned and streamline product improvement process.
Conducted interviews with key business users to collect information on business processes and user requirements.
Collaborated with the Data business unit team members to design new applications system to enhance client requirements for mobile computing capabilities.

Quality Analyst, 05/2016 to 05/2019WellCare Health Plans, Inc, Atlanta, GA

Re-designed and developed Visio Process Road Map for HSAG for Enterprise-wide initiative for re-review from audit - successfully passed with 100% approval of methodology.
Built a database for a team of nurses for easy access to data.
Data was analyzed and broken down for each IPA and allowed user to search by measure or provider.
Directs, designs, and manages operation and coordination of all aspects of Medicare and Medicaid Quality Improvement reporting and analysis functions for the assigned market(s).
Lead phases of project management: project planning, implementation and monitoring results.
Act as subject matter expert by providing technical assistance and guidance to management and associates on operational issues, process changes and activity status.
Identify opportunities to improve department results, communications and operating efficiencies.
Assist is system requirements gathering and testing to ensure accuracy across multiple systems.
Collaborated with management to provide training on improved processes and assist with creation and maintenance of quality training.
Participated in weekly meetings with IT department.
Served as information systems liaison with vendors, information services and end-users, making recommendations for optimization of systems and safeguarding overall data integrity.
Developed monthly, end-of-quarter and other statistical reports, including analysis for leadership team and for quality improvement program outcomes studies.
Collected and analyzed activity data and initiated, developed and recommended improvements to systems, processes and procedures to increase productivity and reduce cost.

Project Analyst, 10/2014 to 05/2016WellCare Health Plans, Inc, Atlanta, GA

Improve the quality of care through projects delivered on time and within budget.
Led a Provider/Quality Reporting Simplification Project.
Project management, Business Case/Plan creation for executives, concept mapping, logic-based algorithmic re-design of system.
Reduced time spent for work completion by almost 90% through implementation of new optimized workflows and system functionality Responsibilities:.
Responsible for managing the division's employee suggestion program.
Project manage 3 groups making sure they stayed on track and met deadline with their efforts toward the initiatives set.
Administered several internal surveys, tabulated/analyzed the results, and reported the results to senior leaders to increase visibility and make improvements where needed.
Served as a liaison in corresponding and communicating with providers, vendors and WellCare contacts and/or members representative's.
Interacts with other departments including Claims, Intake, Enrollment and Member Services to resolve member and provider issues.
Identified and resolved risk issues in project proposals, mitigating potential liability claims.
Tracked ongoing project advancement towards predefined milestones, reducing instances of missed deadlines by 99%.
Devised standardized project management documentation to streamline future management of repetitive projects.

Care Coordinator, 03/2010 to 10/2014United Health Group, Atlanta, GA

Achieved >90% of clinical goals and consistently generated improved health outcomes by educating and empowering patients in effective at home disease management.
Increased treatment plan acceptance rate to 96% within 30 days.
Created weekly/monthly reports for tracking purposes with Word & Excel.
Identify need for chronic case management, social work, and/or behavioral health care services, making interagency and interdepartmental referrals as necessary Responsibilities:.
Performed product QA to ensure consumers are introduced to the product at optimum level.
Request Clinical information, as directed by UM Clinical Nursing staff.
Enter Authorizations in the UM System in preparation for review by the UM Clinical Nursing staff.
Analyzed guidelines set forth in provider contracts utilizing proprietary computer applications.
Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.

Education

Bachelor of Science, Health Systems Management

Grantham University

Affiliations

Lean Six Sigma Green Belt

Certifications

(CPM) Certified Project Management

Skills

Exposure to SQL, Java, Oracle Database, Microsoft Office, Power BI
Strong understanding of test automation
Exposure to web technologies (e.g. HTTP, XML, HTML, etc.)
Exposure to development or test automation tools/frameworks (Visual Studio)
Excellent verbal and written communication skills and attention to fine details
Experience with development of software quality metrics for driving test improvement
Experience in working with distributed teams a strong

Project Management
Statistic analysis
Information gathering
Trend forecasting
Data Modeling
Technical analysis

Resume Overview

Companies Worked For:

Centene, Corp
WellCare Health Plans, Inc
United Health Group

School Attended

Grantham University

Job Titles Held:

Business Analyst
Quality Analyst
Project Analyst
Care Coordinator

Degrees

Bachelor of Science , Health Systems Management

Business Analyst Resume Example

Resume Score: 80%

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