Paiker Sayed

** ******* **** ****** ** ***** 732-***-**** acgrmm@r.postjobfree.com

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Professional Summary

* A dynamic individual with 5 years of experience in data analysis, business analysis and software development life cycle

* Possess excellent organizational, interpersonal, communication and documentation skills with good process management skills

* Possess strong analytical and problem solving skills with the ability to adapt to varied project environments and meet stringent deadlines

* Highly organized, excellent prioritization and multitasking and time management skills

* Strong ability to understand and document critical data through effective project coordination, setting timelines/milestones, data collection, data analysis and data interpretation

* Well versed with Claim processing from point of entry to finalizing, claim review, identifying claims processing problems, their source and providing alternative solutions

* Excellent public speaking and presentation skills

Technical Skills:

* Office tools: MS Excel, MS PowerPoint, MS Visio, MS Project,

* Database Tools: MS Access and MySQL

* Content Management tools: SharePoint, Star Team

* Statistical Analysis Tools: SPSS

* Power term, Clarity

Education

Goldey Beacom College Wilmington, DE

Master’s in Business Administration 2014 GPA-3.8

* Managerial Decision Modeling

* Database Management Systems

* Managerial Economics

School of Public Health, University of Maryland, College Park, MD

Masters in Health Services Administration, Dec 2009 GPA – 3.76

* Capstone Project: ‘Transformation of the Public Healthcare System in District of Columbia:2000 -2009’

* Co-President of Toastmasters Club and Graduate Assistant Leader at the School of Public Health

* Student Ambassador for CEPH accreditation process for the School of Public Health

Dr D Y Patil Dental College and Hospital Pune, India

Bachelor of Dental Surgery, Nov 2001- Oct 2005

* Diagnosis and treatment of patients in an academic hospital setting

* Organized dental health checkup camps for rural populations and local schools

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Professional Experience

June 2012 – Present Quest Diagnostics Lyndhurst, NJ

Lead Business Analyst

Enterprise IDAA – Laboratory Order Entry System: Quest Diagnostics being an international laboratory diagnostic testing corporation, it has several different systems. Currently there are a few different systems only for order entry. EIOM (Enterprise IDAA Order Management) is a project to assimilate all the functionality from these systems into IDAA – Expert System to make it the Enterprise wide Order entry application. IVDM: In Vitro Diagnostic Management: Worked on requirements and analysis for integrating a vendor purchased equipment to provide End to End automation to the diagnostic life cycle of the test samples. Worked with European vendors to elicit complete requirements and assess testing needs and modifications needed to business processes.

Responsibilities:

* Gathered Business Requirements, created user story documents for Enterprise IDAA project.

* Responsible for project coordination and assisted with the project planning as well as creation of the project charter, timelines etc.

* Facilitated business meetings for moving business logic and additional functionality, and gathered requirements for the same.

* Worked with developers and architects for the data field mapping for HL7V3 version

* Conducted requirements walkthrough with development team and worked with testers to help them understand requirements and creating test cases

* Facilitated requirements gathering sessions, maintained meeting minutes and action items

* Participated in the development of project plans, assessing business processes, working with business users and IT to develop system solutions and implementing the same

* Conducted analysis of several defects and enhancement requests and performed detailed evaluation of options to address the same.

* Conducted demonstration of developed functionality for business

* Wrote UAT test plans and conducting UAT Testing

* Lead Responsibilities: BA Capacity planning, Providing LOEs for BA work for all projects in the release, assigning projects to other team BAs, Providing help with their projects as needed, Conducting training for new hires.

Environment: Agile methodology, HL7 V3 and V2.5, MS Visio, MS Word, MS Excel, SQL, StarTeam

Mar 2011 – Aug 2011 Mayo Clinic Rochester, MN

Data Analyst

* Gathered business and reporting requirements for Clinical Quality Measures within the Meaningful Use Project (HITECH Act).

* Conducted analysis and breakdown of healthcare metrics required by Center for Medicare and Medicaid as part of Eligible Hospital (EH) and Eligible Professional (EP) quality measures

* Conducted mapping activity for measures to data elements and data elements to source systems for Quality Reports

* Facilitated meetings with various department SMEs to identify the source of data elements and the compliance thereof

* Performed Data profiling activity using IBM’s Information Analyzer tool

Sept 2010 – Jan 2011 Mayo Clinic MN, FL and AZ

Data Analyst

* Gathered business and reporting requirements for Enterprise level Quality Reporting Management Initiative- Quality Value Data Management Project

* Conducted mapping activity for measures to data elements and data elements to source systems for Quality Reports required by CMS, Leapfrog and The Joint Commission (TJC).

* Participated in Gap analysis in reporting Quality Measures

Jan08- Dec09 School of Public Health, UMD College Park MD

HB419 – Maryland Health and Wellness Commission Research Assistant

* Assessed the need for the Commission through research and analysis of statistical data on health indicators

* Analyzed epidemiological data of disease prevalence and incidence at county level

* Assisted the staff of Delegate James Hubbard in the Drafting the language of the bill

* Testified before the Health and Operations Committee – House of Representatives, Annapolis, MD

* Wrote grants to various foundations to seek support for the implementation of HB419

* Developed the Model of the Obesity Prevention Clinic – A collaborate initiative of the Commission

* Developed milestones for the Project and assisted with Program Planning and Management

* Developed budget and did financial planning for the Program

Jun 06-July07 United Healthcare Insurance - Wipro BPO Mumbai, India

Claims Representative

* Analyzed health insurance plans and assisted callers with queries on health benefits and coverage

* Analyzed processed claims and assisted providers understand Explanation of Benefits (EOB)

* Coordinated benefits for members with multiple insurance payers

* Assessed the accuracy of processed claims and made decisions on claim review

* Promoted to supervisor level to assist other claims representatives with complex cases require Level 2 handling

* Ensured accuracy of information and documentation thereof

Nov05–Jun 06 Pediatric and Preventive Dentistry, YMT Dental College & Hospital Mumbai, India

Clinical Resident

* Diagnosed and treated pediatric dental cases with restorative and behavior management techniques

* Undertook teaching assignments and class discussions for students and interns

* Assisted in the day to day administration of the department, including maintaining patient records and billing.

Internship Experience

July-Aug 09 Medstar Research Institute, Washington, DC

Clinical Research Finance Intern

* Financial management of grant awards using Hospital financial tracking systems like RMS, Invision etc

Feb–Apr 09 Performance Improvement, Medstar Health Inc Columbia, MD

Quality Intern

* Analyzed metrics for clinical quality indicators and performed data analysis for hospitals in the system.

* Interviewed operations managers, conducted surveys and compiled data from various hospitals for a

project on achieving optimum productivity in support services in the hospital system.

Summer 08 Washington Hospital Center, Cancer Institute Washington, DC

Intern

* Assisted with IRB application for the grant

* Strategized methods for effective provision of care to Breast Cancer patients amongst minority women

* Analyzed data on patient loss and appointment cancellation rates

* Assisted in the preparation of the semiannual report to the sponsor- Susan G Komen Foundation

Personal

* President of Hear the Turtle Toastmasters Club, UMCP provided leadership to the club to foster effective public speaking and presentation skills amongst students and staff at the University campus

* Won the Area 43 Toastmaster’s Speech Contest in March 2008 and first Runner up at the District level in April 2008

* Student Ambassador – represented school before the CEPH inspection committee

* Member of the Peer Leadership Council: Responsible for designing and facilitating leadership involvement workshops and discussions amongst graduate students on UMCP campus

* Member of American Public Health Association and American College of Healthcare Executives

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