Senior Lead Business Analyst Resume Example Company Name

SENIOR LEAD BUSINESS ANALYST

Professional Summary

To acquire a thriving role within a company that further develops my knowledge of the Health Care industry and that allows me to utilize my current skills, such as creativity and lateral thinking. A position that is challenging and that demands strong organizational, technical, and interpersonal skills.

Skills

Experienced presentation and verbal skills
Seasoned critical and analytical thinking skills
8+ years organizational leadership skills
12+ years of Customer Service experience
8+ years Business Analyst experience
7+ years Project Management experience
9+ years multi-role PBM experience
8+ years data analytics skills
3+ years User Acceptance Testing skills
5+ years issue management/ inventory
8+ years inter-company relationship building
8+ years of experience in Gap Analysis, Risk Analysis and Impact Analysis
Applications
Salesforce.com
PEGA
Oracle
RxClaims
Excel Macros
Online Reporting
IT ADR Sites
RxConstruct
Microsoft Outlook, Word, One Note, PowerPoint

Microsoft Excel, Visio, Access, Share Point
3D, Inventory, Project Management
ADR, Leadership, Relationship building
Ad, Leadership skills, Reporting
ART, Leadership development, Requirements gathering
Benefits, Macros, Risk Analysis
Business Analyst, Access, SOP
Bi, Microsoft Excel, Supervisor
Business process, Excel, Supervision
Call center, Microsoft Outlook, Training material
Charts, PowerPoint, Trend
Com, Share Point, Verbal skills
Oral communications, Word, Visio
Client Management, Oracle
Client, Organizational
Clients, Pharmacy Technician
Customer Service experience, Processes
Customer Service, Progress

Work History

Senior Lead Business Analyst, 06/2015 to Current
Company Name – City, State

Subject Matter Expert in implementation and maintenance of pharmacy benefitsfor largest client account.
End-to-end ownership of supportive relationship between OptumRx and client representatives in discussing current processes, outline future changes, and resolve outstanding issues.
Continuously and effectively support inter-company relationships with partner teams such as Formulary Management and Benefit Operations.
Active participation in leadership discussions in implementing changes, evaluating risks, and analyzing impact.
Analyze and interpret internal and external team business process impacts correlating with client-mandated changes.
Proactively create and maintain team SOP's and job aids.
Effectively represented PDL Operations team in OptumRx large-scale issue management forum.
Active participation in inter-company client specific forum focusing on streamlining and error prevention.
Assess member or client impact in identified issues as well as mass adjustments.
Proactively identify and outline required internal/ external communications to prevent discrepancies.
Interactive ownership of the OptumRx - Client Medispan process and accompanied benefit changes.
Simultaneously oversee the new NDC process alongside the OptumRx - Client Medispan process.
Work on numerous Ad-Hoc projects related to client mandates or company growth.
Day-to-day submissions of tickets to supporting teams for client-mandated benefit changes.

Lead Business Analyst, 09/2011 to 05/2015
City, State

Day-to-day interaction with the Prior Auth Client Implementations teams.
End-to-end ownership of supportive relationships between Prior Auth and Client Management teams.
Manage a team of 8 individuals within the Prior Authorization Plan Issues team.
Analyze, track, and trend data of tool and system discrepancies that negatively impact business production.
Host inter-departmental education gatherings with Prior Auth Clinical Pharmacists in Clients benefit set ups.
Interactive role in developing support teams such as the Authorization Review (ART) Team.
Provide full support for business support teams within Prior Authorization.
Active participation in manager discussions of business process improvements.
Analyze and interpret business process changes, gather requirements, and operationalize them.
Closely work with 3D Learning and the Prior Auth communications team in creating training material, flow charts, guidelines, and SOP's.
Full support and participation in ensuring lead team is properly trained and provide required job aids, flows, and tools to perform the work.
Day-to-day interaction and supervision of the Prior Authorization UAT team.
Facilitate extensive business requirements gathering sessions with Prior Auth management and IT.
Weekly to bi-weekly participation and supervision of PAS post implementation testing.
Day-by-day participation in developing test scenarios for Prior Auth User Acceptance Testing.
Proactively track and report UAT and post implementation testing progress and results to management.
Cautiously monitor business flows post system enhancement and changes implementation.

Customer Service Representative/ Mail Service, Help Desk, 06/2010 to 09/2011
Company Name – City, State

Answered inbound calls and performed outbound calls.
Maintained department goals on a monthly basis, with above average metrics.
Assisted members with orders, benefit inquiries, eligibility questions, and prescription status inquiries.
Primary Subject Matter Expert for team.
Facilitated day-to-day team discussion and training sessions on updates and new procedures.
Proactively provided full support to former supervisor and in return expanded my knowledge of the call center experience.
Assisted the Customer Service lead team in answering escalated calls.
Provided full support and dedication for new department tool releases, such as IRIS and RxHD.

Education

BA: Business Administration, 12/2019
California Baptist University - City, State

Associate Degree (AA): 2011
American Career College - City, State

Pharmacy Technician Certification: 1: 2009
University of Phoenix - City, State

Extra curriculum activities in leadership development.

Extra curriculum activities in oral communications.

Work History

Senior Lead Business Analyst, 06/2015 to Current
Company Name – City, State

Subject Matter Expert in implementation and maintenance of pharmacy benefits for largest client account.
End-to-end ownership of supportive relationship between OptumRx and client representatives in discussing current processes, outline future changes, and resolve outstanding issues.
Continuously and effectively support inter-company relationships with partner teams such as Formulary Management and Benefit Operations.
Active participation in leadership discussions in implementing changes, evaluating risks, and analyzing impact.
Analyze and interpret internal and external team business process impacts correlating with client-mandated changes.
Proactively create and maintain team SOP's and job aids.
Effectively represented PDL Operations team in OptumRx large-scale issue management forum.
Active participation in inter-company client specific forum focusing on streamlining and error prevention.
Assess member or client impact in identified issues as well as mass adjustments.
Proactively identify and outline required internal/ external communications to prevent discrepancies.
Interactive ownership of the OptumRx - Client Medispan process and accompanied benefit changes.
Simultaneously oversee the new NDC process alongside the OptumRx - Client Medispan process.
Work on numerous Ad-Hoc projects related to client mandates or company growth.
Day-to-day submissions of tickets to supporting teams for client-mandated benefit changes.

Lead Business Analyst, 09/2011 to 05/2015
City, State

Day-to-day interaction with the Prior Auth Client Implementations teams.
End-to-end ownership of supportive relationships between Prior Auth and Client Management teams.
Manage a team of 8 individuals within the Prior Authorization Plan Issues team.
Analyze, track, and trend data of tool and system discrepancies that negatively impact business production.
Host inter-departmental education gatherings with Prior Auth Clinical Pharmacists in Clients benefit set ups.
Interactive role in developing support teams such as the Authorization Review (ART) Team.
Provide full support for business support teams within Prior Authorization.
Active participation in manager discussions of business process improvements.
Analyze and interpret business process changes, gather requirements, and operationalize them.
Closely work with 3D Learning and the Prior Auth communications team in creating training material, flow charts, guidelines, and SOP's.
Full support and participation in ensuring lead team is properly trained and provide required job aids, flows, and tools to perform the work.
Day-to-day interaction and supervision of the Prior Authorization UAT team.
Facilitate extensive business requirements gathering sessions with Prior Auth management and IT.
Weekly to bi-weekly participation and supervision of PAS post implementation testing.
Day-by-day participation in developing test scenarios for Prior Auth User Acceptance Testing.
Proactively track and report UAT and post implementation testing progress and results to management.
Cautiously monitor business flows post system enhancement and changes implementation.

Customer Service Representative/ Mail Service, Help Desk, 06/2010 to 09/2011
Company Name – City, State

Answered inbound calls and performed outbound calls.
Maintained department goals on a monthly basis, with above average metrics.
Assisted members with orders, benefit inquiries, eligibility questions, and prescription status inquiries.
Primary Subject Matter Expert for team.
Facilitated day-to-day team discussion and training sessions on updates and new procedures.
Proactively provided full support to former supervisor and in return expanded my knowledge of the call center experience.
Assisted the Customer Service lead team in answering escalated calls.
Provided full support and dedication for new department tool releases, such as IRIS and RxHD.

Skills

Experienced presentation and verbal skills

Seasoned critical and analytical thinking skills

8+ years organizational leadership skills

12+ years of Customer Service experience

8+ years Business Analyst experience

7+ years Project Management experience

9+ years multi-role PBM experience

8+ years data analytics skills

3+ years User Acceptance Testing skills

5+ years issue management/ inventory

8+ years inter-company relationship building

8+ years of experience in Gap Analysis, Risk Analysis and Impact Analysis

Applications

Salesforce.com

PEGA

Oracle

RxClaims

Excel Macros

Online Reporting

IT ADR Sites

RxConstruct

Microsoft Outlook, Word, One Note, PowerPoint

Microsoft Excel, Visio, Access, Share Point,

3D, ADR, Ad, ART, benefits, Business Analyst, bi, business process, call center, charts, com, oral communications, Client Management, Client, Clients, Customer Service experience, Customer Service, inventory, leadership, leadership skills, leadership development, Macros, Access, Microsoft Excel, Excel, Microsoft Outlook, PowerPoint, Share Point, Word, Oracle, organizational, Pharmacy Technician, processes, progress, Project Management, relationship building, Reporting, requirements gathering, Risk Analysis, SOP, supervisor, supervision, training material, trend, verbal skills, Visio

Resume Overview

School Attended

California Baptist University
American Career College
University of Phoenix

Job Titles Held:

Senior Lead Business Analyst
Lead Business Analyst
Customer Service Representative/ Mail Service, Help Desk

Degrees

BA : Business Administration , 12/2019
Associate Degree (AA) : 2011
Pharmacy Technician Certification: 1 : 2009
Extra curriculum activities in leadership development.Extra curriculum activities in oral communications.

Senior Lead Business Analyst Resume Example

Resume Score: 90%

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