Experience

Elevance Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Information Technology Business System Analyst Advisor, Carelon Digital Platform

  • Sep 2021 - Present

  Works on the direction of Data & Analytics Management in ensuring alignment to the organizational goals and strategies laid out to them within the cross-functional teams/ assignments they work with. Facilitates troubleshooting, root cause analysis and problem remediation of solution initiatives. Servers as liaison with Initiative Teams, Product Manager, Product Owners by supporting the execution for initiatives. Establishes a consultative partnership with key stakeholders and cross-functional teams to achieve their goals. Actively participates in PI planning for Agile Release Train/ Team of teams. Supports work intake/ scope/ estimation of effort/ complexity for Epics and works with teams to build functional User Stories to ensure successful Epic delivery. Serve as an emerging Data & Analytics expert in assigned domains/ analytics systems/ capabilities for healthcare systems.



Cotiviti

• United States
• IT Services and IT Consulting
• 700 & Above Employee

• Technical Product Owner/ Scrum Master/ Business Intelligence Developer

  • Oct 2020 - Sep 2021

  Works with the Revenue Technical team to manage various projects throughout applications, and internal reporting technical systems. Collaborates with business stakeholders, business analysts, and product owners to create new and/or improved business solutions. Facilitates daily stand-up, iteration planning, sprint review, and iteration retrospective. Guides team in time estimating practices and facilitates team estimates. Work with the team leads to resolve people problems and project roadblocks. Engage and lead stakeholders and other contributors in developing functional and non-functional business and use case requirements. Maintain team data in project management software (i.e. JIRA) to support estimates and execution. Develop, design and create Operational and Client reports utilizing SQL, Tableau, and SSRS tools. Collaborate with technical team colleagues and operations department to gather and analyze requirements using industry best practices. Create Agile User Stories in support of Agile Sprints.

• BI Developer

  • Jan 2015 - Oct 2020

  Develop, design and create Operational and Client reports utilizing SQL and SSRS tools. Provide support to RQID staff and clients related to system, issues and reporting. Provide support and testing for IT staff in development of enhanced tools for Health Risk Partner proprietary ReconEdge system, as well as Chart Navigator and Rapid Suite. Assist in new client system implementations, including data transfer and user administration. Validates data integrity of client data. Serve as Scrum Master and Technical Product Owner for Revenue Analytics Reporting Team. Release Coordinator for Analytics Reporting Team.



Elevance Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Business Intelligence Developer Advisor

  • Jun 2010 - Dec 2014

  Maintained active relationships with customers to determine business requirements, leads requirement and design review meetings. Collaborated with engineers for creative ideas for Web portals supporting interactive content, analyzes and classifies complex change request and reviews and evaluates possible enhancements. Oversaw issue resolution and implementation of alternatives across enterprise initiatives. Addressed risks and implements contingency plans. Partnered with business, architecture and infrastructure to develop service level agreements to ensure consistency and customer satisfaction. Supervised the preparation of designs and technical and/or functional specifications. Mentored others on coding standards and performs code reviews. Supervised others on developing application internals for usability, reliability and scalability requirements. Ensured system testing is complete, meets the test plan requirements and implemented according to plan. Provided consultation for integration activities with other IT to ensure successful implementation and support of project efforts. Assessed current status and supports BI planning efforts. Designed and evaluated detailed design components with high-level architecture blue prints.

• BI Developer Sr.

  • May 2008 - May 2010

  Designed, developed, and implemented analytic applications and reporting tools, utilizing various Business Intelligence technology platforms. Maintained active relationship with business customers to determine business requirements, lead requirement meetings. Performed project management task including planning, estimating, status reporting and scope management. Analyzed and evaluated detailed business and technical requirements. Performed analysis and conceptual design on system components and ensured designs were accurately documented and receive the appropriate stakeholder approval. Mentored others on coding standards and perform code reviews. Coordinated integration activities with other IT to ensure successful implementation and support of project efforts. Participated in on call activities including identification, research, resolution and documentation of root cause of ETL and production issues or system problems. Served as a primary consultant for business and technical issues involving toolkits. Key Accomplishments:• As a member of the Enterprise COC Technical Team, served as a primary contributor to the design, development and implementation the datamart for the Enterprise Cost of Care project. The Enterprise Cost of Care Application project provided an automate source and process for producing Enterprise level Cost of Care analysis and reporting.

• Application Developer Sr.

  • Oct 2003 - May 2008

  Designed, developed, and implemented web and client server applications utilizing financial, underwriting, and ancillary system knowledge. Performed project management task including planning, estimating, status reporting and scope management. Performed analysis and conceptual design on system components and ensured designs were accurately documented and received the appropriate stakeholder approval. Participated in on call activities including identification, research, resolution and documentation of root cause of ETL and production issues or system problems. Served as a primary consultant for business and technical issues involving toolkits. Administrator for business customer intranet site.Key Accomplishments:Designed, developed and implemented Group Audit System for Small Group Underwriting. The increased productivity in the business area by eliminating manual processes and automating the data extracting process.Design, developed and implemented Electronic Worksheet web application. The site provides online access to medical underwriting guidelines manual as well as other departmental information.While serving as project lead for the SUGAS project, received commendation from management on thoroughness of change management documentation. The documentation was featured on the IT PMO website.

• Senior Programmer Analyst

  • Jun 2000 - Oct 2003

  Provided experienced programming, system analysis and system implementation, including assistance to management in project planning, and project design. Designed, developed, and implemented small to mid-size client server applications. Acted as systems liaison to the user community, in conjunction with management. Developed Small Underwriting intranet site. Key Accomplishments:Designed, developed and implemented Community/Mid-Size Renewal System for 15-99 Group Underwriting. The system is responsible for the production of monthly renewal packages.Designed, developed and implemented Small Underwriting Intranet site. The site provides online access to medical underwriting guidelines manual as well as other departmental information.Developed multiple Access databases for underwriting clients to facilitate better tracking, reporting and data retrieval time.

• Programmer Analyst

  • Jun 1997 - Jun 2000

  Analyzed, designed, and proved programming support for Corporate Finance Information System functions. Tested, debugged, and refined computer software to produce required product for business customers. Prepared both program level and user level systems documentation. Key Accomplishments:Designed, developed and implemented the Aging database for HMO Finance. This database produced various aging of bad debt reports for the department.Designed, developed and implemented the Healthkeepers Gold Collection Letter System. This database produced collection letters for past due receivables.

• Accounts Receivable Accountant

  • May 1995 - Jun 1997

  Analyzed monthly billing summaries. Performed monthly analysis of revenue. Prepared 5500 reporting for fully funded and self funded groups. Prepared revenue, unearned, and inter-company transfer journal entries. Analyzed Aged Receivables and prepare Bad Debt Report. Prepared monthly account reconciliation. Key Accomplishments:Designed, developed, implemented, and managed the Miscellaneous Cash automated system. Established controls to protect integrity of the Miscellaneous Cash automated system.Designed, developed and implemented the HMO Revenue automated system. This database produced the monthly revenue journal entries for HMO finance. The implementation of this database greatly streamlined the process of posting the monthly revenue.



Virginia Department of Professional and Occupational Regulation

• United States
• Government Administration
• 1 - 100 Employee

• Revenue Supervisor

  • Aug 1991 - May 1995

  Supervised revenue staff in the processing of renewal fees in the Division of Financial Management. Established and implemented procedures, organized workloads, and maintained controls to ensure timely processing of fees. Monitored the verification and reconciliation of revenue collected. Conducted monthly board meeting with Regulatory Board Administrators. Prepared and analyzed Account Receivables. Coordinated and managed Debt Set-Off Program. Key Accomplishments:• Designed, developed, implemented, and managed agency’s Bad Debt automated system.• Served as chairman of the Governer Awards Committee for Outstanding Employees.