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Click here or scroll down to respond to this candidateCandidate's Name , CSPOhttps://LINKEDIN LINK AVAILABLE Cell Phone Street Address -215-2774Columbia TN Street Address EMAIL AVAILABLEPROFILESenior Business Analyst with over 12 years of experience gathering requirements, business analysis, and successfully completing projects in the Healthcare, Automotive and P&C Insurance domains. I am looking forward to my next full time or contract opportunity in the Nashville area as a Sr Business Analyst, Scrum Master or Product Owner.AREAS OF EXPERTISEProcess Improvement Healthcare and P&C Insurance CSPO Certification/ Agile/ Lean Project Management Decision Support Systems SQL/SAS/Toad/SAP/Tableau/Power BI Green Belt Training Data Analysis and Reporting Office and Advanced Excel PROFESSIONAL EXPERIENCEHCA Healthcare, Nashville, TN 01/24 - presentSr Business Systems Analyst (CSPO/PM) (contract NTTData) Upgrade of ServiceNow systems and internal dashboards Worked with stakeholders to build out a backlog and sprint cycle Data reporting on tickets worked for Appointments across the HCA Organization as a whole Worked with CSR level to executive level to define requirements for the team projects Sentara Healthcare, Virginia Beach, VA 04/23 - 12/23 Sr Business Systems Analyst (CSPO/PM) (contract TekSystems) Upgrade of JIVA system from 6.1 to 6.5 Worked with stakeholders to build a better Medicare Commissions payment system with Finance/Sales Operations Data report out on status with stakeholders in leadership and the Business/IT ownership Kaufman Insurance Group, Farmington Hills, MI 11/22 - 03/23 Policy Admin Analyst III (CSPO/PM) (contract Blue Chip Talent) Conversion of Legacy applications to Guidewire/Sapiens PAS systems Worked with VP level Program Managers to consolidate ratings systems across the organization (Tableau and PowerBI reporting) Led Scrum calls daily and groomed the backlog with stakeholders Improved letters/forms system consolidating 1700 manual forms into 200 automated forms Maintained relationships with entry level to executive level staff SpecialtyCare Nashville, TN 03/22 10/22Sr Business Analyst (contract Rezult Group) Requirements gathering and project management of new scheduling application for clinician and physician staff Led Scrum calls daily and groomed the backlog with other stakeholders and executives Delivered on time and budget scheduling application that is reducing case handling time and improving performance $3.5mil in FY22 Maintained relationships with both internal and external vendors during the implementation Velocity Risk, Nashville, TN 02/20 02/22Sr Business Analyst / Scrum Master Served as Business Analyst/PM with Guidewire Policy Admin System conversions Rate editing and provisions with data analytics group (Tableau) Gained CSPO certification during available downtime Managed relationships with stakeholders from entry level to CEO level Coordinated workflows and business needs with sprint grooming and retrospectives to cover the lessons learned from each sprintNissan USA, Franklin, TN 01/19 - 02/20Sr Business Quality Systems Analyst (contractor with JDC) Served as Business Analyst/PM in planning and execution the conversion of legacy SQL, COBOL, DB2 databases to Oracle in an Agile environment Coordinated data visualization replacement with Tableau reporting Managed the workflow with offshore resources and obtained work signoffs Product Owner for the new DRIVE Database and SAP products Managed Privacy GDPR/CCPA relationships with global data legal entities Cigna-Healthspring, Nashville, TN 07/17 - 11/18MDQO -RAPS/EDS Risk Adjustment - Sr. Business Analyst / QA Test Lead Served as Scrum Master/QA Lead in SDLC Sprint planning and execution in an Agile environment Managed a team of 10 analysts responsible for contributing $4 billion to the overall Cigna recovery based on submissions while maintaining 99.58% accuracy rate Adhoc SQL requests for reporting and compliance CMS Audits Assist with Sprint documentations and PM projects as needed Cigna-Healthspring, Nashville, TN 3/16 06/17Application Development Sr. Systems Analyst (contract with Conexess group) Develop and implement changes to McKesson CCMS Clinical Support Application Requirements gathering from various business units to make recommendations to senior level leadership for process improvement Adhoc SQL requests for reporting and compliance CMS Audits Assist with Sprint documentations and PM projects as needed United HealthGroup, Franklin and Brentwood, TN 5/14 -3/16 Business Intelligence Sr. Business Analyst UnitedHealth Community & State division of UHG Reporting and Dashboards Write SQL Reports for the State Medicaid Program showing Utilization Management and other key metrics for business needs. Work with Internal stakeholders and external clients to gather requirements and transform data into actionable business decisions Responsible for automating monthly and quarterly reports to our client dashboard system Business Intelligence Analyst - PopHeathCare/Inspriris division of UHG Data Reporting for Population Health and HEDIS information Work closely with internal stakeholders to understand needs and develop solutions Pull and analyze data from a SQL database to provide visibility on project status, business performance and opportunities for improvement against key metrics Identify and communicate actionable insights to refine project delivery Provide executive-level reports to senior leadership Healthcare Economics Sr. Business/Data Analyst Optum division of UHG- Advanced Analytics Lab Data Mining and Analytics Write SQL and SAS programs to identify claims overpayments and coordination of benefits to make sure the correct party is paying the claim. Pre, post and retrospective audits and flag indicators for the United Payment Integrity group. Advanced Reporting Skills Experience in extracting data from data warehouse environments, spreadsheets, and other file formats, manipulating data for analysis, developing repeatable algorithm models, and preparing models for production environments. Excellent Communication skills extensive requirements gathering experience from entry level employees to senior leadershipMedSolutions, Franklin, TN 01/08 5/14Clinical Integration Business Analyst Project Management experience revising the Utilization Management Medical Guidelines and Rationales under the leadership of the Chief Medical Officer and Vice President of Clinical Operations Configure medical coding changes (CPT, HCPCS, ICD-9, ICD-10) in PeopleSoft Application Reporting to health plans, physicians, and executives utilizing SQL databases and COGNOS. Automated medical guidelines with Decision Support system that was developed internally Develop action plans and designed strategies to implement client customization requests EDUCATION & PROFESSIONAL DEVELOPMENTB.B.A. MANAGEMENT, MIDDLE TENNESSEE STATE UNIVERSITY, MURFREESBORO, (1999) A.S. BUSINESS, COLUMBIA STATE, COLUMBIA, TN (1997) CSPO Certification 2021 |
