Business Analyst Resume Profile, CGI, KY

Reference Id: 28403     Posted on Tuesday 7th April 2015      Business Analyst



Please note that this is a not a Job Board - We are an I.T Staffing Company and we provide candidates on a Contract and Full-time basis. If you need I.T.Professionals to fill a Contract or a Full-time Position, please call (800) 693-8939

Business Analyst Resume Profile, CGI, KY

Employment History

Senior Business Consultant
Confidential delivers a full spectrum of health IT solutions to help providers plans and governments meet new mandates advance the quality of care promote health and increase efficiency as organizations seek to leverage technology and best practices across boundaries for greater insight collaboration and innovation

Responsibilities



  • Provided subject matter expertise for the implementation of HealthInsuranceExchange Business Processes with a focus on Medicaid Integrated Eligibility Plan Management SHOP and Financial Management business domains
  • Provided business process modeling for Certifications Accreditations and Attestations of Insurance Carriers and the System Integrations with the Department of Insurance DOI the SERFF system and the CMSHHS Federal Hubs
  • Validated Qualified Health Plan QHP Benefits Rates Network Adequacy Essential Community Providers and Service Area Information and mapped the business process flows to the RFP requirements
Environment Share Point 2010 Industry Print 5 MS Visio 2010 Excel PowerPoint

Senior Business Analyst
Confidential is a global technology services company Confidential serves as a Medicaid Fiscal agent for several states in the Confidential Confidential and claims processing system encompassing the next generation of Confidential The solution is highly secure configurable rules driven next generation product for US Healthcare Payers

Responsibilities



  • Provided Business Analysis support for MMIS Managed Care Enrollment Capitation Management Case Management Utilization Management and Provider Enrollment ePrescribing and Pharmacy Point of SaleInformation systems for various MMIS state implementations
  • As part of the Business Process Guidance Team mentored crossfunctional healthcare teams in Agile Scrum SDLC methodology quality improvement and efficiency of the business processes to promote Healthcare industrys best practices
  • Worked on MS PowerPoint Presentations that include graphs/charts/tables/ proposals for the review of the top management
  • Involved in the meeting with executives
  • Designed MITA 30 Business Processes and Graphical User Interfaces GUI for web based client server HIT applications adopting secure routing messaging orchestration SOA ESB technologies monitored and reported on the progress of the project plans and deliverables
  • Worked on designing and generation of reports for Dashboard using Cognos
  • Collaborated with cross functional MMIS business teams such as Business Relationship ManagementEDI Member Management Provider Management Program Integrity Management Reference Administration Financial Operations Prior Authorization Benefits Management Pricing Management Third Party Liability TPL and Claims Management
Environment MS Visio Excel Caliber RM Quality Center 10 Share Point 2010 Informatica 90 Oracle 11g PowerPoint


Senior Business Analyst
Confidential specializes in providing dialysis services and products Web Continuous Quality Improvement CQI project standardizes the compilation of data by extracting and integrating data from various enterprise systems Quality Status Reports allow managers to assess quality of enterprise data over time and allow for performance comparisons

Responsibilities



  • Performed Project Management activities in support of data warehousing and BI effort with offshore and onsite model
  • Facilitated superior coordination of user acceptance testing of final IT infrastructure and software development deliverables through iterations Evaluated Key Business Performance Indicators KPI
  • Involved in the meeting with executives
  • Monitored progress of project plans analyzed variances to plan determined phasing and scheduling of Quarterly and Annual Quality Status Reports
Environment Rational Requisite Pro Excel Rational Rose C SAS 7 Oracle 11g PowerPoint
Senior Business Analyst
Confidential a global leader in health care helping change millions of lives through providing access to safe and effective medicines Oracle RDC Quality Oversight project establishes a consistent methodology to inspect measure and report on data quality in the functional areas Database Build Medical Dictionary Coding Discrepancy Management facilitating Process Oversight Quality Control and Compliance with Confidential

Responsibilities



  • Followed Rational Unified process RUP strategized the implementation of iterations through phases of Inception Elaboration Construction and Transition Delivered Project Vision Scope Requirements Documents Use Case
  • Ensured FDA 21 CFR part 11 Federal Compliance for Electronic Data Management Systems EDMS and Electronic Signatures
  • Adopted statistical sampling tagging inspection and error rate calculation for flexible or fixed data sample intervals across clinical studies or targeted data
  • Wrote QA/V V Master Validation Plans IQ/OQ/PQ and monitored the application testing process
Environment Oracle Clinical RDC SAS 7 Enterprise Architect Excel PowerPoint Visual Paradigm

Senior Business Analyst
Confidential provides transformational medical technologies and services that are shaping a new age of patient care Confidential is a subsystem and infrastructure development program for Centricity Enterprise to develop enhanced emergency care functionality and provide robust clinical infrastructure to enable future platform innovation

Responsibilities



  • Provided expertise for Care Management systems that integrate data from various sources such as EHRs PHRs Claims and HIEs by building and managing a 360 degree view of a members profile to facilitate better care coordination and continuum of care
  • Adopted Agile SCRUM SDLC methodology generated System Design Requirement Specifications SDRS Visual Models Use Cases and Activity Diagrams
  • Responsible for Member Discharge module and White Board module consisting of Member Diagnosis Matched Instructions Follow up Prescriptions Graphics Images Handout Member Portal Enterprise Instructions Primary Care Provider Messages Plans Management and Medications Lists
  • Ensured HIPPA regulatory compliance for audit controls of Electronic Medical Records EMR and implemented HL7 standards
Environment C Net Doors Tandem Excel PowerPoint

Search Resumes

Looking for I.T Professionals on a Contract basis?