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Business Analyst Consultant Resume Example

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BUSINESS ANALYST CONSULTANT
Professional Summary
Business Analyst offers over 14 years in the Healthcare. industry. Expert on business and systems requirements, user acceptance testing, process improvement and end-user training.Well-trained Business/Systems Analyst offering vast experience in healthcare operations, excellent interpersonal communication skills and organizational savvy. An Analyst who responds to shifting business needs and priorities in a systematic and effective way. Excels at implementing operational assessments and conducting functional requirements analysis.
Skills
Excellent customer service - I have built and maintained strong relationships with internal and external customers at all levels.

Excellent communication skills (verbal and written) - I have created training manuals, job documentation and other form for various users.

Proficient in Microsoft Office.

Proficient in Facets, NEMIS, PL/SQL		 Ability to multitask - I am able to evaluate the tasks assigned and prioritize them in order to meet the established deadlines.

Excellent analytical and problem solving skills. I continually look for ways to improve processes or solve existing issues.

Proficient in HIPAA X12 transactions (834,837 I/P/D).

Self motivated and works well independently.
Work History
Business Analyst Consultant Jun 2012
UnitedHealth Group Moline, IL
  • Monitor actual encounter submission and acceptance rates to meet state requirements and internal goals.
  • Review, research, investigate and correct encounter pends/rejects/bypasses.
  • Develop short or long-term solutions and process improvements by identifying root causes using data files, provider files, diagnosis files, etc.
  • Document and present findings to health plan leadership, operations or IT partners.
  • Work closely with IT partners and operations towards issue resolution for matters impacting encounter performance.
  • Identified process inefficiencies through gap analysis.
  • Conducted interviews with key business users to collect information on business processes and user requirements.
Manager IT Dec 2007 - Jun 2012
UHG IT Moline, IL
  • Managed permanent and contracted staff both on and offshore, onsite and telecommuters.
  • Led and developed staff by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; initiating, coordinating, and enforcing systems, policies, and procedures.
  • Coordinated resources and timetables to support projects through implementation.
  • Maintained State contract compliance by meeting all service levels agreements.
  • Initiated necessary projects or work orders.
  • Lead cross-functional teams to implement changes.
IT Business Analyst II Aug 2007 - Dec 2007
UnitedHealthcare Moline, IL
  • Monitor actual encounter submission and acceptance rates to meet state requirements and internal goals.
  • Review, research, investigate and correct encounter pends/rejects/bypasses.
  • Develop short or long-term solutions and process improvements by identifying root causes using data files, provider files, diagnosis files, etc.
  • Document and present findings to health plan leadership, operations or IT partners.
IS QA Analyst, UnitedHealthcare Jun 2000 - Aug 2007
UnitedHealthcare Moline, IL
  • Inspect and test software for defects, managing software data in test environments and creating test environments and creating test plans and cases to minimize production errors.
  • Ensure that established software development procedures and quality practices are applied on all departmental projects.
  • Measure the quality of software products and determine suitability for release to the user community.
  • Define and recommend improved processes to prevent future software defects.
  • Provide technical and administrative direction for development, change, testing, and documentation of software products.
  • Collect and assemble project performance data, creating benchmark statistics by which projects can be estimated, tracked, and compared against others in the industry.
  • Backup for TestDirector Administrator.
  • Add new projects, maintain and customize current projects using Visual Basic.
Education
Associate of Applied Science: Business Administration/Computerized Business Systems 1989
Robert Morris College Carthage, IL
Business Administration Computerized Business Systems
BS degree: Computer Science Computer Science
Completed MCSE course work.:
Skills
administrative, Backup, coaching, Excellent communication, counseling, Excellent customer Service, decision making, diagnosis, direction, documentation, forms, functional, Team building, leadership, managing, MCSE, Microsoft Office, PL/SQL, policies, presentation skills, problem solving skills, processes, quality, research, software development, statistics, TestDirector, training manuals, Visual Basic, written
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Resume Overview

Companies Worked For:

  • UnitedHealth Group
  • UHG IT
  • UnitedHealthcare

School Attended

  • Robert Morris College

Job Titles Held:

  • Business Analyst Consultant
  • Manager IT
  • IT Business Analyst II
  • IS QA Analyst, UnitedHealthcare

Degrees

  • Associate of Applied Science : Business Administration/Computerized Business Systems 1989
    BS degree : Computer Science
    Completed MCSE course work. :

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