Experience

BRIGHT HEALTHCARE SERVICES LTD

• United Kingdom
• Hospitals and Health Care
• 1 - 100 Employee

• Enrollment Source EDI Analyst

  • Ogos 2019 - - Kini



LTCG

• United States
• Insurance
• 400 - 500 Employee

• Business Analyst II

  • Okt 2017 - Dis 2018



EngagePoint

• United States
• Medical Practices

• System Analyst

  • Jan 2013 - Ogos 2017

  Created X12 5010 based implementation guides for MN State Healthcare Exchange.Worked with data architects to design and implement a coverage election storage data model. Performed ad-hoc reporting using SQL to support business processes and research into defects.Designed and implemented the interface for communication of election information to a financial billing and reconciliation system.Provided consultative direction to the MNsure to ensure that the MNsure 834 system meets the needs of the state, carriers, and federal government agencies as well as other tangential project stakeholders.Provided cross-functional work that combines business analyst, system analyst, and architect functionality for back end processes.Designed and executed test plans that anticipate the expected interactions with systems developed along parallel timelines. Produced design documentation, for various processes including the EDI process, which outlined structure of process flow as well as the detailed interactions between various components. This includes specific interchange structures and requirements.Ensured that the design and implementation of the 834 system was fully integrated with MNsure systems. Ensured that the design was compatible with the architectural and security decisions that were made for the system as a whole.



BeneSys, Inc.

• United States
• Insurance and Employee Benefit Funds
• 300 - 400 Employee

• Business Analyst

  • Jan 2012 - Jan 2013

  Documented existing business data flows as part of a company wide effort to create a single integrated product offering.Gathered requirements and documentation for requested short-term high value updates to the existing system.Business requirement documentation for new integrated product system.Designed and documented a new common export system for COBRA data to create a standard extract from the COBRA system utilizable for all carrier data feeds. Documented existing business data flows as part of a company wide effort to create a single integrated product offering.Gathered requirements and documentation for requested short-term high value updates to the existing system.Business requirement documentation for new integrated product system.Designed and documented a new common export system for COBRA data to create a standard extract from the COBRA system utilizable for all carrier data feeds.



SHPS

• United States
• IT Services and IT Consulting
• 1 - 100 Employee

• Senior Business Systems Analyst

  • Jan 2005 - Apr 2010

  As a member of the Professional Services Implementation Team IImplemented and help to support mid-sized and Fortune 500 clients.Serve as Subject Matter Expert and 834 Committee Leader, facilitating the development of accurate data exchange documentation protocols, and assuring compliance with 834 government-mandated standard.Field back-end escalated technical support issues, and support ongoing Business Systems Analysts and multiple national clients.Analyze account and enrollment systems, facilitating data collection processes, exporting/distributing data to multiple carriers, increasing data-management accuracy, and reducing client participant calls.Troubleshoot and resolve client and carrier issues, by identifying/correcting data/business rule analysis errors and discrepancies, and achieving high client satisfaction and retention ratios.Train, mentor, and technical support for new Business Analysts, educating professionals on system dynamics, methodologies, and applications, and improve team competencies.Write internal application specifications, forwarding project requirements to Programmer Team, and collaborate with Development Teams on application design and implementation.



Ebenx

• United States
• Insurance

• programmer

  • 1997 - 2004

  Developed and deployed mission-critical proprietary applications and supported seamless client-to-carrier data exchange.Created one-off programs, addressed data cleanup/repair issues, and increased data accuracy and integrity.Interfaced with multi-department Managers, defined reporting requirements, and generated project-specific internal and external data analysis and extraction reports.Built hundreds of client-specific programs that facilitated system-to-system data exchange and clean-up processes and consistently achieved implementation deliverables.Collaboratively redesigned company data model, identified previous model weaknesses, improved data model reporting and data analysis flexibility, and expanded product range and service capabilities.



Guidant CPI

• Document Services System Support Analyst

  • Jan 1995 - Jan 1997

  Compiled, maintained, and updated ISO-9000 and general business process documentation and assured documentation integrity and compliance.Installed document-imaging indexing system, technically supported Document Support Team, and troubleshot/resolved software issues.Implemented and documented a bar-code-based Document Storage System, and trained and supported Technical Team.Provided Documentation Services Department and PC support for 10 to 15 workstations. Compiled, maintained, and updated ISO-9000 and general business process documentation and assured documentation integrity and compliance.Installed document-imaging indexing system, technically supported Document Support Team, and troubleshot/resolved software issues.Implemented and documented a bar-code-based Document Storage System, and trained and supported Technical Team.Provided Documentation Services Department and PC support for 10 to 15 workstations.



The Fan Man

• Australia
• Furniture and Home Furnishings Manufacturing

• Sales Associate

  • 1995 - 1995

  Established/sustained positive customer relationships, recommended product solutions, and marketed multi-brand ceiling fan products.Provided on-site support for retail clients, troubleshot/repaired fan products, and increased client satisfaction and repeat business. Established/sustained positive customer relationships, recommended product solutions, and marketed multi-brand ceiling fan products.Provided on-site support for retail clients, troubleshot/repaired fan products, and increased client satisfaction and repeat business.