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PHONE NUMBER AVAILABLE EMAIL AVAILABLEOBJECTIVEMy objective is to obtain a position that encompasses influential work and tangible worth through measurable milestones in producing work from inception to completion that aligns with the companys initiatives and mission statement.PROFESSIONAL SKILLS PROFILEHIPAA EDI TransactionsJira / ConfluenceMedicare / Medicaid / CHPNCPDP D.0 File TransactionsAzure DevOpsHIPAA & OSHA CertifiedClaims Transaction SystemsOracle SQL / MS SQLMedical TerminologyPharmacy Claims Systems / POSMS SuiteAccounts Payable and ReceivableCRM SystemsCMS 1500 / UB-04Process ImprovementState Web PortalEOBsCritical Thinking / Problem SolvingEDUCATIONColorado State University Global, Aurora, CO In Progress Bachelor of Science, Healthcare Administration and ManagementEverest College, Thornton, CO July 2011Medical Insurance Billing & CodingPROFESSIONAL EXPERIENCEHighRoads, Remote 10/2022 10/2023Business AnalystAccountable for the documentation of business requirements to standards of work assignments Im tasked to deliver upon. Provide input on sprint planning for IT releases regarding severity level of bugs that need to be addressed, triaged and worked to then be put through code deployment for software implementation and enhancements for various commercial health insurance carriers.CNSI, Remote 1/2022 9/2022Business AnalystManaging production support for the provider eligibility and enrollment, including credentialing for the State of Michigan. Responsible for managing service tickets such as bug defects or enhancements for projects implementations. Gather and document business and functional requirements.COLORADO ACCESS, Aurora, CO 12/2019 12/2021Business AnalystResponsible for working as part of production support as well as implementation support for various projects, including gathering and documentation of requirements, current processes and future processes. Responsible for being the subject matter expert for the daily and monthly HIPPA Compliant files received from HCPF, State of Colorado. Analysis and data recording, and requirements for projects. Consistent, daily collaboration, innovation and service of trust and excellence to stakeholders.COLORADO ACCESS, Aurora, CO 04/2019 11/2019Program Support AnalystGather, analyzing, and reporting data to support the departments contractually related deliverables and operations. Coordination and collaboration with internal departments and external data vendors to ensure report data requirements are clearly communicated. Responsibility of data quality assurance while applying a broad knowledge of project management and business operations.COLORADO ACCESS, Aurora, CO 11/2013 04/2019Supervisor of Member Data IntegrityResponsible for creating daily processes and assisting with standards for quality and performance; assisting in the development of policies and procedures and ensuring the accuracy and integrity of the health plans enrollment and eligibility for all lines of business. Responsible to serve as support to organizational and/or departmental decision-making though analysis, reporting, and evaluation of data generated from internal sources. |