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Click here or scroll down to respond to this candidateCandidate's Name
Senior Data AnalystCranford, NJ, Street Address PHONE NUMBER AVAILABLEEMAIL AVAILABLEProfessional Summary:Versatile Programmer with over 20 years of IT experience in the areas of Business Analytics, Database Administration, Training, Support, Unix Administration, SQL, Networking, Benefit programming, Healthcare, Banking and Project Management.Core Competencies: Data Visualization Ability to effectively comminate findings and insight through data visualizing techniques such as charts, graphs, and dashboards Fraud Detection Techniques Knowledge of fraud detection methods and tools specific to healthcare, such as anomaly detection, and predictive modeling tailored to healthcare fraud patterns Reporting in SAS, SQL, Access, and Excel (Pivot tables, advanced formulas) Fluent in all Microsoft Office products (Advanced in MS Access, Excel, and VBA) Nasco Benefit Programmer/Tester IT Program and Project Management, Strategic Planning IT process development, Implementation and Management Data Center Operations, Application Development and Delivery Access Database design and implementationExperience:Horizon Blue Cross Blue Shield Jan 2008 - PresentSenior Data Reporting Analyst III Jan 2016 - Present Created Query's using Proc SQL in SAS Enterprise Guide to help find fraudulent providers. Developed complex code in Proc SQL to find outliers that lead to company savings. Created Macros in SAS which decreased reporting time. Developed and intake form in VBA that led to automating a process. Implemented a file transfer process via FTP to transfer files to vendors. Performed Data Analysis using Statistical methods and Data visualization tools to identify trends, patterns and anomalies to indicate fraudulent activity. Worked with predictive models to detect and prevent fraud based on historical data. Presented my findings and insight to our management team while providing my recommendations for fraud prevention strategies. Worked closely with the fraud investigators and IT specialists, to develop and implement effective fraud detection measures.Business System Analyst III Jan 2012 - Dec 2016 Created structured Queries and detailed reports in SQL. Developed an intake Database on SharePoint. Developed Databases in Access 2010. Prepared reports in Excel used for presentations. Mine data from system to perform analysis.Application Programmer Jan 2008 - Dec 2012 Project lead on healthcare reform project. Nasco Benefit programmer with experience in coding, testing, and auditing. Worked as a team lead on several projects. (ICD-9 to ICD10 transition) Experience using the NASCO NPS system including benefits programming/claims testing. Will provide technical support for post implementation research and correction of benefit issues. Program Benefit Strings, Limit Strings, and Accum rules on NPS system. Paragon FCUDatabase Administrator Jan 2000 - Dec 2008 Managed our on-shore and off-shore testing resources. Created and implemented Project Management processes and procedures within IT, including processes for project initiation and project prioritization. Managed corporate Help desk Participated in the relocation of a Data Center and all workstations and servers. Maintain HP 9000 servers running HP-UX. Integrated UNIX and Windows 2000/2003 servers into the network. Use Query on a daily basis to write detailed Database reports. HP 9000 day/month-end procedures including, but not limited to submitting jobs, monitor and maintain job queues, and print queues. Database admin on SQL DB. Windows administration and support for approximately 150 users in a Windows XP/2000 environment. Administer UC4 and Maestro Schedulers. Manage day-to-day data center operation including data recovery/backup services. Maintained an FTP server and securely transferred files back and forth between servers using PGP encryption.EDUCATIONMBA Management Information SystemsSaint Peter's UniversityBachelor's Degree in Business ManagementSaint Peter's University |
