Experience

Universal Health Care

• United States
• Insurance
• 100 - 200 Employee

• Sr. BUSINESS SYSTEMS ANALYST

  • Mar 2012 - Present

  St Petersburg, FL • Build the Enrollment Tracking System using C# and T-SQL to track Enrollment Applications in order to keep the MA Organization stay in Compliance with CMS Guidelines • Build a Medicare Incremental Uncovered Month Process to calculate retro and current Monthly LEP. The process has helped identifying more than a million dollars of non-paid Late Enrollment Penalty. • Build the OEV Tracking Process to monitor, across multiple in-house systems, Agent Applications identified for… Show more • Build the Enrollment Tracking System using C# and T-SQL to track Enrollment Applications in order to keep the MA Organization stay in Compliance with CMS Guidelines • Build a Medicare Incremental Uncovered Month Process to calculate retro and current Monthly LEP. The process has helped identifying more than a million dollars of non-paid Late Enrollment Penalty. • Build the OEV Tracking Process to monitor, across multiple in-house systems, Agent Applications identified for OEV. The system help the business pass the 2013 OEV CMS Audit. • Create various reports covering Membership Count, CMS Enrollment and Disenrollment Universe, Medicaid Member County, Address, and Language Discrepancies (834 File vs. Member Master DB) . Show less



WellCare Health Plans

• United States
• Insurance
• 700 & Above Employee

• Sr. Business Analyst

  • Apr 2010 - Present

  Tampa, FL. * Develop processes using C#, Oracle pl/sql, SQL Sever, Excel, Sharepoint to generate and serve Audit Reports. * Develops ad-hoc reports to conduct data analysis and validation * Researches methodologies and conducts advanced metric reporting * Analyzes trends to recommend process and/or operational improvements * Prepares detail and summary level reports including written interpretation of analytic results * Presents results to management, including data-driven business… Show more * Develop processes using C#, Oracle pl/sql, SQL Sever, Excel, Sharepoint to generate and serve Audit Reports. * Develops ad-hoc reports to conduct data analysis and validation * Researches methodologies and conducts advanced metric reporting * Analyzes trends to recommend process and/or operational improvements * Prepares detail and summary level reports including written interpretation of analytic results * Presents results to management, including data-driven business recommendations and alternatives * Evaluates financial impact of implemented initiatives Show less



Comcel d haiti

• Research and Development Manager

  • 2004 - 2010



Communication Cellulaires d'Haiti

• Research and Development Manager

  • 2004 - 2010



Comcel

• Telecommunications
• 400 - 500 Employee

• Research and Development Manager

  • Jan 2006 - Sep 2009

  Multi National Environment with International Senior Management International Technical Team mixing Americans, Hispanics, Europeans, and Locals; Assure full life-cycle development of Solutions with complex technology; Provide technical direction, and coordinate the efforts of software development Analysts, software engineers, and Testing/QA in performance of assigned projects; Ensures the scalability and maintainability of all new and existing Software to accommodate… Show more Multi National Environment with International Senior Management International Technical Team mixing Americans, Hispanics, Europeans, and Locals; Assure full life-cycle development of Solutions with complex technology; Provide technical direction, and coordinate the efforts of software development Analysts, software engineers, and Testing/QA in performance of assigned projects; Ensures the scalability and maintainability of all new and existing Software to accommodate future development and maintenance; Develop design and documentation standards for the department; Lead the implementation of continuously growing Customer Relation Management Software; Create software to support cellular network migration from TDMA to GSM Technology; Support Network Team in designing, dimensioning and branching new sites to the main Comcel LAN/WAN Network; Lead the development and deployment of all USSD Services launched by COMCEL allowing service subscriptions, electronic balance transfer, and voucher recharge;

• Analyst Programmer

  • Jul 2004 - Jan 2006

  Implement Customer Relation Management Software. Implement Provisioning Gateway System. Implement Indirect Sales Software Solutions to Create software to support cellular network migration from TDMA to GSM Technology.



Comcel

• Telecommunications
• 400 - 500 Employee

• Information Technology Internship

  • Jan 2001 - Mar 2004

  Administrate and maintain patient, employee, Account DB using SQL Server 7; Use VB6 to maintain and add functionalities to existing healthcare management software; Provide troubleshooting supports of company infrastructure (LAN & Internet Connectivity);