Experience

Neighborhood Health Plan of Rhode Island

• Insurance
• 300 - 400 Employee

• Manager of Business Systems Analysis

  • Oct 2023 - Present

  Rhode Island, United States

• Senior Business System Analyst(EDI)

  • Sep 2022 - Oct 2023

  Rhode Island, United States

• Healthcare EDI Analyst

  • Sep 2018 - Sep 2022

  Providence, Rhode Island Area



HealthNow New York Inc.

• United States
• Insurance
• 400 - 500 Employee

• QA Tester II

  • Jun 2012 - Aug 2018

  I was involved in testing many projects of BCBSWNY. 1) Project Transform 2) Kaleida Joint Venture 3) Care Management Replacement. 4)Best Practice 5) Frontend Replacement 6) Benefit Focus



CVS Caremark

• Sr.QA Analyst

  • Jan 2012 - Jun 2012

  Cleveland/Akron, Ohio Area Responsible for testing conversion of MBEST Medicare Part D Enrollment and Membership system to Facets 4.81 Medicare Part D Enrollment systems hosted by Trizetto. Involved in all project activities that are needed to replace the existing MBEST Enrollment system with Facets 4.81 enrollment system.



TriZetto Healthcare Products

• IT Services and IT Consulting
• 700 & Above Employee

• Sr.QA Analyst

  • Jun 2011 - Jan 2012

  Union, NJ Responsible for testing Trizetto FACETS 5.0 product integration with different Trizetto satellite products including CAE (Clinical Care Advance), IHMF (Integrated Healthcare Management Foundation) and CWS(Constituent Web Solutions). Reviewed the business requirements and interface specifications documents for both FACETS and satellite products to develop test plan, test cases, and test scripts. I am responsible for executing different tests including functional tests, regression tests on… Show more Responsible for testing Trizetto FACETS 5.0 product integration with different Trizetto satellite products including CAE (Clinical Care Advance), IHMF (Integrated Healthcare Management Foundation) and CWS(Constituent Web Solutions). Reviewed the business requirements and interface specifications documents for both FACETS and satellite products to develop test plan, test cases, and test scripts. I am responsible for executing different tests including functional tests, regression tests on individual product configurations, and regression tests on the new integrated release. Show less



HealthNow New York Inc.

• United States
• Insurance
• 400 - 500 Employee

• Sr. QA Analyst

  • Nov 2010 - Jun 2011

  Buffalo/Niagara, New York Area Delivered in the role of Quality Analyst on the project that is part of the BCBS initiative to upgrade the FACETS system from version 4.41 to 4.71. This project supported the BCBS initiatives HIPAA 5010 compliance and QA test organization process improvements. As the Quality Analyst, I was responsible for testing the: FACETS Applications: 1) Provider; 2) Claims Processing Application; 3) Utilization Management; and 4) Subscriber/Member.