Currently seeking new employment opportunities as a business data analyst in the Atlanta metropolitan area. My goal is to continue to leverage my health insurance and data analysis experience to bring value to an established healthcare or healthcare services related organization. 15+ years working with healthcare claims and associated data sets, in the areas of healthcare analytics, disease management, claims reimbursement and provider billing Masters degree in Information Technology; Proficient in SQL script writing In-depth knowledge of medical coding (CPT, ICD-9, DRG, etc.), and healthcare payer transactions Agile project experience
Business Analyst July 2015 to Current
Senior Data Analyst January 2008 to June 2015Healthcare Informatics Milliman, Inc － Atlanta, GA
Stewarded the intake, standardization and reporting of large healthcare claims data sets from various health plans.
Performed ad hoc analysis to assess problematic trend variances, utilizing "on the fly" SQL queries and Excel pivot tables.
Generated Excel-based utilization and expense reports, and assessed key performance indicators (KPI's) to projections.
Designated as Quality Assurance Coordinator and improved the overall efficiency of lesser experienced analysts through instruction, peer review and sharing of "best practices".
Achievements: Effectively stepped in as interim project coordinator during "highly sensitive" audit in absence of actuarial consultant.
October 2004 to December 2007Team Lead/Sr. Data Analyst
I.T. Consultant March 2004 to September 2004Matria Healthcare － Marietta, GA
Achieved accurate business requirements and information sharing as facilitator on client data calls.
Created SQL code that clarified business rules and ETL transformation logic to development team.
Led process support team that was recognized for significantly improving turnaround time in defect resolution.
Provided expert support to Informatics team in resolving variance issues through drill-down analysis.
Achievements: Promoted as Team Lead to oversee new support team after only first year in junior role.
Business Systems Analyst/Consultant August 2003 to February 2004Morehouse School of Medicine － Atlanta, GA
Researched and presented to management, pertinent facts and trends supporting Data Warehouse initiative.
Gathered, translated, and delivered user business requirements elicited from stakeholder interviews.
Developed and maintained Access database that tracked and reported business requirements.
Effectively communicated use case scenarios to users and developers with UML diagrams.
Achievements: Hired as business analyst consultant to the Chief Information Officer after submitting a case summary and SWOT analysis report, showing a clear understanding of the client's needs and expectations for Data Warehouse development.
Graduate Student November 2001 to May 2003American InterContinental University － Dunwoody, GA
Pursued and obtained graduate degree.
Finished in top 10 percentile of class and placed on President's honors list.
Claims Supervisor August 2000 to October 2001Dominion Consulting Group － Atlanta, GA
Managed operations to include call center, patient billing, and claims payment staff.
Developed and implemented strategies for process and system improvements.
Resolved high profile and complex health claims issues.
Kaiser Permanente/K-Force Consultant Atlanta, GA
Serves as Healthcare Claims SME (Subject Matter Expert) within the Kaiser Medeanalytics development and support team.
Collaborates with department Director (Product Owner), vendor and project manager, in "grooming" and prioritizing user stories for application development and Sprint QA testing.
Coordinates and participates in bi-weekly Sprint user acceptance testing (UAT), and provides an active feedback loop to vendor throughout the testing process.
Performs ongoing gap analysis between current and "ideal" states of application, and communicates results to Product Owner with recommendations for fixes and/or enhancements.
Provides continual follow up, to outstanding or pending Performs ad-hoc analysis and reporting; utilizing MedeAnalytics application tools, SQL coding Excel pivot tables and charts, Periodic Utilization and Supplement Reports, and "on the fly" SQL queries against corporate Data Marts.
Achievements: Was given moniker "Mede Man" in recognition for obtaining "super user" status, and becoming a primary resource and proponent for user adoption of the newly implemented MedeAnalytics application.
Independent Contractor Atlanta, GA
support/web design services to local real estate broker.
Achieved proficiency in using Dreamweaver web application through self-study, and successfully designed, developed.
and uploaded client web site.
American Inter-Continental University － Atlanta, GA
Masters : Information Technology, 2003Morgan State University － Baltimore, MDInformation Technology
Bachelor of Science : Business Management, 1987Business Management
Dreamweaver, ad, application development, billing, business analyst, bi, call center, charts, consultant, client, Data Warehouse, ETL, expense reports, instruction, Team Lead, logic, Director, Access database, Excel, peer review, pivot tables, coding, QA, Quality Assurance, real estate, reporting, SQL, stories, trend, UML, web design, web site