Seeking the position of a business data analyst, to contribute my skills in collecting and analyzing data in an established health care or health care related organization Over 7 years of healthcare claims data and business analysis experience. Possess strong application skills in the use of relational databases Familiar with database extract and analyzing tools. In-depth knowledge of SQL Working knowledge of SAS Enterprise Guide and PL/SQL Extensive knowledge of healthcare claims data and clinical coding Sound knowledge of spreadsheet, database and software applications Excellent written and oral communication skills.
Milliman, IncAtlanta, GASr. Healthcare Data Analyst01/2008 to Current
Intake, load and integrate large volumes of raw, complex health care data from various healthplans and disparate sources.
Develop and implement SQL script to normalize and reformat client data elements into company standard.
Conduct preliminary and final QA reviews to ensure consistency and integrity of reporting outcomes.
Produce Excel based business performance reports (i.e.
for claims data, provider data, utilization data) and provide assessment of performance deviations and anomalies to project consultant.
Design and develop "on the fly" solutions, utilizing SQL code to resolve data process issues.
Mentor and train lesser experienced analysts through instruction, peer review and sharing of "best practices", to improve team efficiency.
Achievements: Successfully trained and triaged workload to (on and offsite) support members, whose contributions were noted for significantly impacting the teams ability to meet deliverable goals ahead of schedule.
Recognized for quickly assessing an urgent and high profile data issue, and implementing corrective SQL scripts that successfully stabilzed an estimated $2 million variance found during final review of a client deliverable.
Effectively stepped in as interim project coordinator during "highly sensitive" audit in absence of actuarial consultant.
Matria HealthcareMarietta, GATeam Lead/Sr. Data Analyst10/2004 to 12/2007
Achieved accurate business requirements and information sharing as facilitator on client data calls.
Created and translated business rules in SQL that simplified transformation logic to the development team.
Led process support team that was recognized for significantly improving turnaround time in defect resolution.
Provided expert support to Informatics team in resolving variance issues through drill-down analysis.
Achievements: Promoted as Team Lead to oversee new support team after only 1 year in junior role.
Reconciled a 50% discrepancy in client health plan cost after resolving complex data mapping issue.
Atlanta, GAI.T. Consultant Independent Contractor03/2004 to 09/2004
support/web design services to local real estate broker.
Achieved proficiency in using Dreamweaver web application through self-study, and successfully designed, developed and uploaded client web site.
Morehouse School of MedicineAtlanta, GABusiness Systems Analyst/Consultant08/2003 to 02/2004
Researched and presented to management, pertinent facts and trends supporting Data Warehouse initiative.
Gathered, translated, and delivered user business requirements elicited from stakeholder interviews.
Developed and maintained Access database that tracked and reported business requirements.
Effectively communicated use case scenarios to users and developers with UML diagrams.
Achievements: Hired as business analyst consultant after submitting to Chief Information Officer a requested case summary and SWOT analysis report, showing a clear understanding of the client's needs and expectations for Data Warehouse development.
American InterContinental UniversityDunwoody, GAGraduate Student11/2001 to 05/2003
Pursued and obtained graduate degree.
Received high marks on final assignment as project manager.
Led team through all phases of the software and development life cycle (SDLC), to the upload and presentation of a fully functional website.
Finished in top 10 percentile of class and placed on President's honors list.
Dominion Consulting GroupAtlanta, GAClaims Supervisor08/2000 to 10/2001
Managed operations to include call center, patient billing, and claims payment staff.
Developed and implemented strategies for process and system improvements.
Resolved high profile and complex health claims issues.
Achievements: Grew claims department from 2 to 15 employees in 60 days to meet more than a 200% increase in claim submittals received from new business.
Significantly increased customer satisfaction by 75% after cross-training claims examiners to also receive calls.
Masters:Information Technology2003American Inter-Continental University Morgan State University, Atlanta Baltimore, GA MDInformation Technology
Bachelor of Science:Business Management1987Business Management
billing, business analyst, call center, consultant, client, customer satisfaction, Data Warehouse, Dreamweaver, functional, instruction, Team Lead, logic, Mentor, Access database, Excel, QA, real estate, reporting, SDLC, scripts, script, SQL, UML, web site, website, web design