Description
Business Analyst with more than seven years of experience planning, designing, training, implementing new software systems, writing business rules, documentation, and meeting with clients and internal personnel. Subject Matter Expert in Healthcare and EDI Solutions software. Possesses strong product and technical knowledge, communication skills, and organizational skills. Demonstrated ability to work both independently, remote, and in a team environment. Areas of Expertise/Knowledge Microsoft Office products XML/SDO files EDI Snip Level Claims/Claims Life Cycle Strong verbal and written communication Large & complex implementations Agile QA Process Flow Server Configuration SOAP UI Testing raw data files Waterfall, SDLC, & Agile IBM Rational Tools Test plans/Test scripts Workflow analysis process Business process EDI Data Flow JIRA /qTest Informatica HIPAA guidelines & compliance Work Remotely IBM Message Queue EDI Crosswalks/Copybooks JAD Data migration testing Traceability Matrix TSQL PostgreSQL User Stories Business Rules MMIS/Enterprise Adjudication system BizTalk Encounter Claims EDIFECS 8.0 & 8.3 product tools (Hot Fixes, Specbuilder, Application Manager, EAM, XEngine, Transaction Management and XEServer Components) Training EDI Solution EDI Batch QNXT Healthcare Payer Domain Strong Client Facing skills Defect Management Process Excellent attention to detail Participated in X 12 org Go-Live/Operations Tier 1 & 2 EDI Support SharePoint QA/EDI Data Testing Data Mapping Created EDI X 12N Companion Guides Subsystem Integration Trading Partner Agreement Perform testing for new Trading Partners in EDI (or for new transactions) End-to-End testing Front-End testing process CMS guidelines Provider and Member domain
Work Experience
COMPANY | POSITION HELD | DATES WORKED |
---|---|---|
Molina Health | Professional Data Analyst | 1/2018 - 6/2019 |
Blue Cross Blue Shield Of Tn (Bcbst) | Edi Tester Contractor | 3/2016 - 7/2020 |
Sit, Uat, And Production Environments | Configured Xe Servers In Dev | 5/2015 - 1/2018 |
Precise Systems | Senior Edi Consultant/Business Analyst Edi Consultant Team Lead Edi Consultant/Business Analyst | 5/2015 - 7/2015 |
S2 Tech | Claims Business Analyst Mmis Implementation | 3/2014 - 1/2015 |
State Requirements And The Enterprise/Edi System Designs. | Mmis Edi Business Analyst | 7/2012 - 2/2014 |
Idr | Implementation Manager Hipaa | 9/2011 - 6/2012 |