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product analyst lead resume example with 5+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Professional Summary

Self-motivated, quick developing professional with over 10 years of experience including over 5 years in the PBM space. Educational background in Actuarial Science with 2 of the Actuary exams complete and plans to continue towards ASA certification. Extensive career experience in numerous types of PBM roles including operations, client and health plan implementations, workstream leadership on major enterprise projects, and product development and design.

Skills
  • Microsoft Excel and Access
  • Large Data Set Analysis
  • SQL and NoSQL Database
  • AQT / Query Creation
  • Quick Adaptation Of New Concepts
  • Project Workstream Leadership
  • Systems Analysis and Product Design
  • Time Management
Education
University of Minnesota Minneapolis, MN Expected in 2016 Bachelor of Science : Mathematics - Specialization in Actuary Science - GPA :
Work History
Prime Therapeutics LLC - Product Analyst Lead
City, STATE, Eagan, MN 04/2022 - Current
  • Led application design of database, API, and UI features for Coverage & Benefits plan intake and reporting application
  • Interviewed stakeholders and users from various workstreams at Prime to ensure premier and user-friendly application design
  • Analyzed and standardized benefit data over 10,000 active benefit plans during application data integration
  • Produced process flow and data pattern concepts to be used to house standardized plan data with automation
  • Collaborated with developers to design MongoDB (NoSQL) database collections and ensure all necessary application APIs are generated over these collections
Prime Therapeutics LLC - Functional Business Consultant
City, STATE, Eagan, MN 03/2020 - 04/2022

Project Willow

  • Finalist for Prime Therapeutics' Presidents Award
  • Led Benefits workstream efforts during onboarding of Prime Therapeutics' new specialty and mail network offering
  • Directly collaborated with finance and network contracting partners to ensure successful operational implementation of pricing for products filled through Prime Therapeutics' new pharmacy offering
  • Orchestrated successful benefit design updates for each Commercial and Health Insurance Marketplace client
  • Spearheaded new benefits QA testing approaches, and partnered with financial audit partners, to result in near perfect operational project result
  • Supported various workstreams, including Finance, Network Contracting, and Specialty Operations, to define milestone dates, provide deliverables, produce responses for questions, and ensure consistency between operational designs and requirements of various stakeholders

Outside Of Project Willow

  • Designed business requirements for new product features in RxCLAIM while working with various workstreams such as Network Operations, Benefit Operations, Specialty Operations, and Pricing to ensure all operational and claim pricing components are considered
  • Led the Benefits & ePrescribe workstreams during the onboarding of a new third party administrator product for one of Prime's biggest clients
  • Assisted actuarial and underwriting resources by creating initiatives to backfill existing formulary ID data gaps in benefits data and solution for ongoing accuracy of this data
Prime Therapeutics LLC - Account Install Analyst
City, STATE, Eagan, MN 09/2018 - 03/2020
  • Analyzed 1000s of plans for multiple projects and clients per day to ensure benefit design and project implementation accuracy
  • Gained extensive knowledge in AQT / SQL as well as Pega and became benefit operation's go-to resource for questions and training on these programs
  • Created solutions and new innovations for numerous business needs for Prime's Blue Cross clients. These innovations include new automated accumulator guides that were adopted as standard for Commercial/HIM clients
  • Researched claim inquires to provide guidance on nearly all claim aspects such as claim cost and reimbursement rates, reject and paid claim statuses, messaging, and accumulator applications
  • Successfully implemented benefits of one newly acquired Blue Cross by determining efficient benefit designs that will lead to success internally and future positive experience for Blue Cross
Prime Therapeutics LLC - Account Install Specialist
City, STATE, Eagan, MN 04/2017 - 09/2018
  • Coded benefit plans based on benefit elections submitted by clients with exceptional build accuracy rate of 99.8%
  • Reviewed plan summary submissions from clients to ensure all information is complete and clear
  • Consistently among top in department both in accuracy and efficiency and became entrusted with supporting numerous complex and custom benefit plans
  • Trained in multiple new hires and continued to guide them to success after training

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Resume Overview

School Attended

  • University of Minnesota

Job Titles Held:

  • Product Analyst Lead
  • Functional Business Consultant
  • Account Install Analyst
  • Account Install Specialist

Degrees

  • Bachelor of Science

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