Senior Business Analyst (Consultant) Resume Example Community Health Plan Of Washington

SENIOR BUSINESS ANALYST (CONSULTANT)

Career Overview

Extensive experience in business analysis, project coordination, BI reporting and cross functional team collaboration
Solid ability to distinguish and grasp laws, rules, regulations, and business processes across domains
Possess strong knowledge of application development, data modeling, databases and quality assurance processes
Successfully engage in multiple projects, initiatives, and system requests simultaneously
Excellent verbal and written communication skills and the ability to interact professionally with diverse audience
Experience with OnBase (Document Management System) and several medical claims processing systems
Proficient knowledge of SQL, T-SQL, Tableau and BI suite (SSIS, SSRS, SSAS)
Familiarity with EDI (Electronic Data Interchange), HIPAA, CMS, Gateway processing and ActiveX interfaces
Passionate about creating and maintaining a positive customer experience with every initiative involved

Qualifications

Computer Skills : Microsoft Word, Excel, Access, PowerPoint, Visio, Project, FrontPage, VSTF and SharePoint

Database Skills: SQL Server, SSIS, SSRS, Teradata, Oracle, Epic Clarity, Tableau, Saas

Certifications :

*Microsoft Certified Solution Developer (MCSD) for Microsoft .NET Applications

Work Experience

Senior Business Analyst (Consultant)01/2014 to 06/2015Community Health Plan of WashingtonSeattle, WA

Acted as the Product Owner/Scrum Master for the organization website enhancement project which made it compliant with Health Care Authority's latest requirements in addition to integrating value-added features to better serve the health plan members Created UI templates, user stories and wire frames for the website enhancements by gathering requirements and soliciting inputs from all the business units, including Care Management, Operations, Customer Service, Membership and Provider enrollment
Gathered and documented latest regulatory requirements from CMS for the yearly CMS reporting audit and proactively worked with auditors in responding to queries regarding business process workflows and data integrity
Documented business logic, designed report dashboard templates and provided deployment support of client/plan driven reports for use by CHC clinics and affiliates
Involved in the design and implementation of an extensive OnBase automated workflow solution to capture, route, manage, share and archive high volumes of medical records critical to business operations
Collaborated with the test team to develop detailed test plans and successfully triage the defects to ensure the changes are migrated into production as per schedule.

Senior Business Systems Analyst (Consultant)09/2012 to 12/2013Qualis HealthSeattle, WA

Coordinated and conducted system requirements walkthroughs with business owners, Product vendor and Internal team developers to ensure quality delivery from implementation to ongoing day-to-day administration of a care management system
Analyzed key business requirements that require product customization, wrote business requirement documents (BRD) and successfully translated them into functional requirement specifications (FRS) for the development teams
Collaborated with the claims reporting team for analyzing and designing a reporting data warehouse that facilitated real time reporting and daily data transfers to external entities
Provided Internal development teams with data mapping documents mapping the UI data elements from Care management and Provider portals to the metadata repository views on the backend
Gathered client specific reporting requirements, created report mockups and report specifications for the developers and later involved in testing the reports and datasets to ensure qualitative client delivery.

Technical Business Analyst (Consultant)01/2010 to 08/2012Express ScriptsFranklin Lakes, WA

Designed a financial self-service intranet application (EXPERxT Advisor Analyst) that analyzes and extracts large datasets from Teradata
Designed and developed visualizations, charts, power pivots that showcases the patient metrics to the internal business units
Involved in the design and development of databases catering to the EXPERxT suite of products for collection, integration, tracking, and reporting of data
Developed data migration scripts using T-SQL on Teradata as per defined data team specifications and also performed data analysis and validation
Created high level data flow diagrams and process workflows for the EXPERxT suite of applications Involved in troubleshooting production issues for EXPERxT group of applications and resolve day to day operational issues using the Remedy ticketing & tracking system.

Senior Programmer Analyst (Consultant)07/2007 to 12/2009IMS HEALTHParsippany, NJ

Designed key application features such as sales force measures, brand performance Indicators in several display formats to report to the executive team
Designed and implemented an Intranet service scheduler application for the internal teams which allows them to upload client deliverables and schedule them to be sent out based on (Weekly/Monthly/Quarterly/Yearly) frequencies
Gathered business requirements and created functional specifications/UI mockups for the Commercial Implementation Services suite of products known as Report Master, Client scheduler and Report Management System
Utilized SQL Server Integration services (SSIS) to create and extract data from different origination Database servers and deliver them on the fly as requested by business users
Designed and developed Excel templates which involved extensive coding in VBA Macros to create custom graphs, pie charts and custom sorting capabilities according to client requirements
Developed reports using SQL Server Reporting Services (SSRS) after integrating the file deliverables into System
Designed Use-Case Models and work flows in MS Visio and developed strategies with Quality Assurance group to execute Test Cases for Functional testing and UAT (User Acceptance Testing)

Programmer Analyst08/2005 to 06/2007Quality MatrixParsippany, NJ

Responsible for executing Epic workflows, document analysis, system setup and configuring Epic ambulatory and inpatient templates according to the client's needs
Acted as primary liaison between the client departments and the Information systems department to perform analysis and estimation of client requests
Tracked activities on a day to day basis, responsible for reviewing new requirements and enhancements associated with EMR system
Facilitated JAD sessions with all levels of the business community for requirements gathering, project development, design considerations, impact and risk analysis
Created and executed Epic billing data and reports from decision support and billing systems
Ensured that the data interfacing into the application meets business needs for both ongoing interfaces and one-time data conversions
Tracked and resolved issues and problems related to Epic ambulatory care solution and inpatient management system.

Education and Training

MS: Computer Sciences2005Southern University and A&M CollegeBaton Rouge, LA

Computer Sciences

BS: Information TechnologyMadras UniversityChennai, Tamilnadu, India

Information Technology

Skills

Microsoft .NET, Agile and scrum certified, Epic ambulatory care, Epic Resolute, billing systems, business process and operations, CMS, Customer Service, data analysis and validation, data warehouse, decision support management systems, MS FrontPage, Alchemy, VBA Macros, MS Access, Microsoft Certified MCSD, MS Excel, MS PowerPoint, MS SharePoint, MS Word, Oracle 10g, Quality Assurance, Report Master, risk analysis, Scrum, SQL Server, Tableau, Teradata, T-SQL, Visio.

Resume Overview

Companies Worked For:

Community Health Plan of Washington
Qualis Health
Express Scripts
IMS HEALTH
Quality Matrix

School Attended

Southern University and A&M College
Madras University

Job Titles Held:

Senior Business Analyst (Consultant)
Senior Business Systems Analyst (Consultant)
Technical Business Analyst (Consultant)
Senior Programmer Analyst (Consultant)
Programmer Analyst

Degrees

MS : Computer Sciences 2005
BS : Information Technology

Senior Business Analyst (Consultant) Resume Example

Resume Score: 90%

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