Business Analyst offering 8 years delivering cost-effective, high-performance technology solutions to meet shifting organizational demands.
Regulatory Reporting Claim Project: To deliver 18 Professional and Institutional claims reports for Myers and Stauffer who audited the Medicaid claims and encounters submissions of WellCare.
FL MMA(Medical Management) Alere(third party Vendor) Reconciliation project: Alere Reconciliation project for the reconciliation of Alere's processing of WellCare's claims data (medical, pharmacy and lab).
ICD 10(Affordable Care Act): To upgrade Wellcare applications from ICD9 to ICD 10.
CMS(center for Medicare/Medicaid) Audit Extract, Approved/Denied Reports: To automate data extracts for Enterprise Medical Management Application (Universe)
Annual Enrollment project- Medicare/Medicaid Correspondence changes
OB (obstetrician) Census:
Course Work emphasis in Datawarehousing,Datamining,Financial accounting and Project management.
Computer Science and Engineering GPA: 3.8/4.0
Course Work in Software development.
EDI Transactions,Agile,Data Mapping,Business case, Business modeling, Business Objects, Business Plan development,Critical Thinking, data dictionary, Databases, documentation, sequence diagrams, ICD 10 facets, Java Script, Managing, Market, Meetings, MS Access, MS Excel, Exchange, MS Outlook, MS PowerPoint, MS Project, 2000, MS Word, Works, oracle, Oracle 8i, process improvement, processes, project development, Project management, Proposals, QA, Quest, Rational Rose, Reporting Requirement, requirements gathering, SAS EG, software development, MS SQL Server, SQL Server, statistics, supervising, System design, system analysis, Teaching, Toad, Process flows,UML, upgrade, validation, VB Script, view, Visio, Web Applications, workflow, XML.
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