SEARCH

Business Analyst III Resume Example

Resume Score: 90%

Love this resume? Build Your Own Now
BUSINESS ANALYST III
Summary

To obtain a position where I can apply my excellent communication and analysis skills to fully understand business needs, capture and analyze current state, write high-quality requirements, and successfully facilitate user acceptance testing.

Highlights
  • Excellent Communication Skills
  • Test Case Creation
  • Requirements Writing
  • Change Request Process
  • Strong UAT Coordination Skills
  • ICD10 Knowledge
  • Process Improvement
  • Ability to Resolve Conflicts
  • Self-Starter/Works Independently
  • ICD10 Mappings
  • Reports Administration
  • Monitor & Track Deliverables
  • Defect Identification & Resolution
  • Guiding Principles
  • Effective JAD Sessions
  • Productive Meeting Facilitator
  • Continuity/End to End Testing
  • Interface Testing
  • Mentor/Lead other BAs
  • Swim lanes & other Visio flows
  • Knowledge of UM/CM/PSCCR
  • System/Application Knowledge
  • ICR
  • ECC/WMDS
  • MS Excel- Proficient
  • PRAWS/MAS toolbar
  • HLI Tool
  • EncoderPro
  • MS Project-Beginner
  • RQM/Requisite Pro/Clearquest
  • SharePoint- Expert
  • WGS/Star/Q-care
  • MS Access- Beginner
  • NY IVR/Telephony Knowledge
  • Test Director
  • MS Visio- Expert
  • MS Power Point-Expert
  • CS90/Xcel Inquiry Knowledge
  • Crystal Reports
  • MS Word-Expert
  • Facets (basic knowledge)
  • Nasco (older version)
Accomplishments

Was assigned as business lead for the ICD10 Care management project

Experience
01/2010 - Current
Anthem Care Management ACM
  • Business Lead for ECC & WMDS- ICD10 Responsibilities included holding JAD sessions, requirements and guiding principles writing, Requisite Pro, test scenario/case writing, RQM, Requisite Pro, Clear Quest, performing UAT, coordinating Business Checkouts.
  • Identified & remediated all areas of impact including intake, utilization management, care management, PSCCR, interfaces, reporting, system impacts, feeds/interfaces, policies, procedures, & job aids.
  • Worked with other ICD10 teams both internally and externally to ensure a smooth transition.
  • Created Visio flows for both the project and system level.
  • Also created the Visio flows that were used by IT to program the new ECC JCS rules.
  • Supported the migration from Auto Coder to EncoderPro.
  • Identified issues/defects and ways to resolve them.
  • Facilitated meetings, created agendas & minutes, held daily calls with IT to get past issues jeopardizing our dates.
  • Mentored new hires & held weekly check points with BA's assigned to me to disperse work and get updates.
  • Supported numerous MaxMC upgrades for both ECC and WMDS.
  • Worked with training to ensure training materials were accurate and timely.
  • Supported the AIX and Oracle upgrades for WMDS that were needed to accommodate ICD10.
  • Coordinated the Auto Configuration process where we mapped tables from ICD9 to ICD10.
  • This included Code Competency Meetings with Medical Directors, IT for system extracts, review of complex mappings using HLI, expert Excel skills, etc.
  • Validated changes in a UAT environment, reported defects, entered derivations manually into the system (admin skills) and then validated in production.
01/2008 - 01/2010
Anthem Care Management Business Analyst III
  • Served as the business lead on the PRAWS project to lead requirement sessions and testing efforts.
  • I also assisted on the AIM SRX Portal (SRX/PRAWS) project to write eligibility requirements for Q-Care/WGS/Star.
  • Provided test coordination for the BABW- West, NE, Central, & NY projects.
  • Supported varies other projects to assist with requirement sessions and testing efforts such as: Alternative Network, and AIM Cardiac Services.
  • Supported various Care Management initiatives such as Medical Policy Automation, ECC Reporting Change Requests, and other lights on tasks.
  • Worked as the reports administrator for ECC reporting requests.
01/2001 - 01/2008
Empire Blue Cross Business Analyst II
  • Coordinated telephony and IVR (Member and Provider) change requests for new and existing business.
  • Responsibilities included: Requesting 800#, opening a change request, creating an IVR script, review of CCT call flows, determine/modify call center specifics (i.e.
  • hours of operation, routing for call overflow, emergency shutdown, etc.), and distribution of new Aspect headsets.
  • Coordinated E-business new business request.
  • All NY new business and open enrollment IVR request were worked by me during this time.
  • Requests were opened on Infoman and later through the SSCR process.
  • CS90 Membership training & CS90 Claims inquiry training.
  • Reporting administrator for NY telephony reports.
  • Requirements writing.
  • IVR script enhancement project.
  • Test case creation, testing and production checkout.
01/1999 - 01/2001
Empire Blue Cross Blue Shield Customer Service Representative
  • Answered provider and member calls for National Accounts/Par Accounts and entered correspondence on the NASCO system.
  • Effectively handled irate customers, satisfying their needs without a supervisor's intervention.
  • Utilized other dependency systems such as TLC, CS90 and XCEL.
  • Covered for an Account Representative while out on STD.
  • Responsibilities included communications between employers, other blues and claims teams to resolve claims issues.
Education
Empire State College B.S: Business Management and Economics

Business Management and Economics (In progress)
Enrolled Systemation Business Analyst Certification
2007
SUNY Orange A.A.S: Criminal Justice Criminal Justice
Skills

AIX, Automation, BA, basic, Business Analyst, Business Analysis, call center, Excellent Communication, Crystal Reports, E-business, ICD10, Infoman, IVR, Meetings, Mentor, MS Access, MS Excel, Excel, MS Power Point, MS Project, SharePoint, MS Word, Works, migration, Network, Oracle, Organizational Skills, policies, Process Improvement, Quest, reporting, requirement, routing, Self-Starter, script, supervisor, tables, Telephony, Test Director, training materials, upgrades, Visio

Build Your Own Now

Resume Overview

Companies Worked For:

  • Anthem Care Management ACM
  • Anthem Care Management
  • Empire Blue Cross
  • Empire Blue Cross Blue Shield

School Attended

  • Empire State College
  • SUNY

Job Titles Held:

  • Business Analyst III
  • Business Analyst II
  • Customer Service Representative

Degrees

  • B.S : Business Management and Economics
    Enrolled Systemation Business Analyst Certification
    A.A.S : Criminal Justice

Advertisement

Similar Resumes

View All

Business Analyst/Case Analyst III

Cognosante - Contracted through Robert Half Technologies

Phoenix, Arizona

Posted 1297 days ago