Accomplished Lead Business Analyst offering 15 years of experience in the health insurance industry. A proven record of creating efficient and effective Business Requirement Documents that clearly communicate the needs of the stakeholder as well as expected results. Innate ability to produce timely deliverables; properly trace requirements and accurately maintain and implement change request. Conduct thorough User Acceptance Testing which includes Regression, Functional and Post Implementation testing and related reporting. Assess business needs to overcome complex challenges and streamline workflows, assist with system enhancements and create valuable Policy and Procedure guides. Experience has honed a strong combination of analytical, organizational and interpersonal skills.
Microsoft Office: Word, Excel, PowerPoint, Access, Outlook, and SharePoint
Report and Query: SAP Crystal Reports and Business Objects, and IBM Cognos
January 2013 to Current
EmblemHealth/Cognizant Technology SolutionsNew York, NYLead Business Analyst
Manage operational and system enhancement projects in accordance with corporate goals and initiatives; develop thorough business requirement documents which are utilized to execute User Acceptance Testing (UAT) scenarios for validation.
Function as a Liaison between the Claims Department, UAT team and other business partners to test and fulfill project requirements on behalf of all stakeholders/business partners.
Serve as a subject matter expert throughout the life cycle of projects and assignments.
Validate modifications to existing systems and procedures to produce anticipated results as well as identify, track, and resolve post-implementation issues.
Utilize the Project Portfolio Management (PPM) system to create service requests and track projects.
Coordinate and manage projects utilizing HP Application Lifecycle Management (ALM) to record test cases, document and track defects.
Establish internal Service Level Agreements (SLAs) with business partners to ensure deadlines are met.
Create/generate reports utilizing Business Objects and Cognos reporting platforms.
Traveled to India to train and develop a group of 50+ new employees on facility and professional provider contract terms and demographic loads into multiple legacy systems for PPO and HMO.
Manage the off-shore Provider Contract/Demographic team and handle escalated issues daily.
Provide continuous coaching and development instructions via daily conference calls.
January 2011 to January 2013
New York, NYSenior Business Analyst
Acted as a liaison and team lead between Business and Technical Services Department (BTS), Information Systems Department (IS), Claims Operations Department and Business Partners.
Designed and wrote accurate, thorough and timely business requirement documents for multiple concurrent projects.
Lead processes by working with BTS and IS for approval of design documents.
Facilitated business requirement review sessions with IS to identify and resolve design issues.
Created and reviewed post implementation reports for all assigned projects and assignments, reported discrepancies for resolution.
Developed verifiable test plans, executed test cases and performed validation testing to ensure programming met the design requirements and specifications.
January 2009 to January 2011
Healthfirst Management Services, LLCNew York, NYOperations Analyst
Accountable for the Medical Management Department reporting, new system implementations and technical upgrades of existing programs.
This included: data collection, providing assistance with technical support, evaluating data/statistics and maintaining data integrity.
Utilized intermediate-level knowledge of Crystal reporting to run daily, weekly, monthly, quarterly and annual reports.
Prepared quarterly reports for Finance as well as used information acquired for the reports to compile/evaluate data and statistics into various other reports to aid in effective practices for the Medical Management Department.
Performed user acceptance testing (UAT) during system upgrades to ensure the systems functionality prior to going in to production.
Tested new hire laptops before the first day of employment to ensure that all applications, software and programs were properly installed and that the employee had the appropriate level of security according to their positions.
Prepared, maintained and presented departmental statistics to upper management.
Assisted with technical support including training new hires within the Medical Management Department on computer functions, VoIP, Outlook and MS live meeting.
January 1998 to January 2008
Horizon Blue Cross Blue Shield of NJNewark, NJBusiness Analyst
Responsible for collecting and consolidating required information and data for the Member Appeals Department.
Documented business processes as well as analyzed and tracked trends which largely contributed to a 17% reduction in the number of appeals received in 2007.
Designed/Created reports and responded to queries as required.
Modified and maintained the department's database which was stored on MS Access.
Recommended and implemented new processes and solutions.
Acted as a liaison between the department and Information Technology for system enhancements.
Actively participated as a member of various project teams as determined by upper management.
Education and Training
North Jersey School of Real Estate Edison, NJReal Estate Sales License
William Paterson University Wayne, NJElementary EducationElementary Education
West Side High School Newark, NJHigh School Diploma
BTS, Business Objects, business processes, coaching, Cognos, Crystal, SAP Crystal, data collection, database, Finance, HP, IBM, Information Systems, Information Technology, laptops, team lead, Medical Management, Access, MS Access, Excel, Microsoft Office, Outlook, PowerPoint, SharePoint, Word, processes, programming, Real Estate, reporting, requirement, Sales, Service Level Agreements, statistics, technical support, upgrades, validation, VoIP, annual reports