Carey Johnston

770-***-****

Alpharetta, GA *****

actiz3@r.postjobfree.com

Senior Business IT Analyst-UnitedHealth Group-Duluth, GA

October 2012 – Present

Serve as client advocate and a primary point of contact for Workers Compensation and/or Property and Casualty implementations

Collaborate with Business Units including Operations, BI and Development to ensure successful project launch

Demonstrate a clear understanding of client’s core business and effectively communicate the desired end result of projects/analysis to company’s operational units through documentation

Liaise with both technical and non-technical contacts to ensure deliverables are met using Agile methodology

Identify and resolve complex client implementation issues and internal development needs for requirements

Perform quality assurance of production changes and improvements

Create user stories in VersionOne from stakeholder feedback for change requests and new product development

Configure clients in Oracle database using SQL inserts and in pharmacy processor’s system using ServiceNow

Maintain Functional Requirements, Project Plans and Test Case Plans throughout each SDLC

Gather requirements from client and translate into technical documentation including project scope, data mapping, business rules, data flow, and ftp protocol for Engineers and IT Operations

ETL initial data files from client system into company database and facilitation of clean up

Create and execute SQL statements in production to analyze claim, invoice and payment data and QA client files

Monitor production data at go-live and provide post implementation support

Troubleshoot failed jobs by reviewing JavaScript code for errors

Mentor and coach Junior Analysts and support internal customers like Finance, Account Management, and Sales

Produce training documents and SOPs and diary new processes for new and existing hires

Manage major account remediation project and lead team of BAs on migration project from legacy platform

Senior Network Support Analyst-Liaison Technologies-Alpharetta, GA

June 2012 – October 2012

Establish and maintain AS2 connections and Interconnects

Troubleshoot FTP, AS2 and VAN issues using Unix to research system activity

Assist trading partners with migration testing to go-live

Provide second tier support via tickets and phone to VAN customers

Senior Business Analyst-Tungsten Network-Atlanta, GA

April 2008 – June 2012

Provide post sales project management from contract signature to production

Lead and mentor team of 5 Junior Business Analysts with onboarding and continuous training

Maintain supplier documentation based on vendor specifics and create and manage internal reference documents

Manage portfolio of 80 plus global suppliers for electronic purchase orders, invoicing and payments

Create field definitions for mapping department on multiple file types including ANSI, XML, CSV, and fixed width

Provide guidance to suppliers for importing/exporting purchase order/invoice files using various ERP systems

Work with offshore team of engineers on development of business solutions

Set up connectivity via VAN, AS2, FTP or web portal

Troubleshoot file rejections and act as liaison between suppliers and their customers

Provide issue escalation pathways and document and manage all partner issues

Consistently exceed quarterly objectives

EDI Manager-PracticeAdmin-Norcross, GA

January 2003 – March 2007

Manage daily EDI claims transmissions and acknowledgement files

Test and implement claims files to new payers and existing payers

Update file formats from NSF to ANSI to accommodate HIPAA mandates

Grew connections from 15 to more than 45 over 2 years

Manage contracts between providers/payers and payers/clearinghouse

Support electronic claims clients and relay payer rejections including ICD-9 and CPT code errors

Work trouble tickets via telephone, e-mail or web chat including researching required information

Provide product training and input on functionality and processes

Maintain payer database and confirm data in new requests from users

Assist and train new employees with PC applications, software installs and network access

Create forms from payer documentation in order to expedite enrollment process

Implementation and EDI Enrollment Analyst-ProxyMed-Norcross, GA

January 1996 – January 2003

Portal Trainer-2001-2003

Develop training manuals and implementation documentation to create support and registration processes

Conduct on-site training classes for payer representatives to market to and implement new clients on web product

Manage pilot site accounts and work directly with payers to assure system functionality end-to-end

Assist Product Management and Marketing teams with redesigns of registration process on website

Perform QA on new releases and submit ER’s as needed

Support vendor, payer and billing service accounts and provide technical training

Implement new clients via phone and web and instruct customers on uploading claim files for mapping

Provide weekly status reports on new and pending clients to the account managers

Educate Sales and Support to offer the best service and products to customers

Generate logins for new B2B clients using HIPAA standards

Increase customer usage by 34 percent over 3 months by implementing a follow up process

Claims Tracker-1999-2001

Work with payers, Operations Department, and customers to research missing or rejected claims

Submit CRs to Development for enhancements to systems as needed by payers and for data restores for clients

Instruct employees on support tools, process flows, and products and services provided by company

Develop reference material for internal and external customers

Senior Enrollment Coordinator-1997-1999

Lead data entry team to provide support and supervision with new enrollments

Administer new submitter contracts for 12 states to utilize company’s systems

Account Representative-1996-1997

Manage and support accounts of 3 major EDI payers to ensure customer satisfaction

Set up new POS clients on database for E-commerce transactions

Create work flow and registration forms to expedite new enrollments

Education

Business-Georgia Perimeter College-2006

Certifications

Design for Six Sigma-MSI-2016

Six Sigma Green Belt-MSI-2016

Skills and Tools

EDI, E-commerce, Integration, Migration, Mapping, Project Management, Implementation, PBM, Healthcare, Invoicing, Order Management, Workers’ Compensation, Property and Casualty, Ancillary, Training, Documentation, Process Management, QA, Testing, B2B, Requirements, Six Sigma, Agile, SDLC, Data ETL, HIPAA, PGP, sFTP, AS2, VPN, RDC, VersionOne, JIRA, Confluence, SharePoint, WebEx, Microsoft Office (Word, Excel, Access, Outlook, Power Point, Project, Visio), IE, Mozilla Firefox, Chrome, WinZip, CRT, PFE, WS_FTP, FileZilla, WinSCP, ProComm, HyperTerminal, Axway Secure Transport, Studio Mapping, MS SQL Server, DzSoft Perl Editor, Notepad ++, Softshare, GXS Trading Grid, ERP (QuickBooks, Peachtree, Oracle, SAP), CRM (ServiceNow, Ace, Lotus Notes, SalesForce.com), File Analysis (XML, Delimited, Fixed Width, Edifact, JSON, ANSI (835, 837, 810, 210, 110, 276/277, 850, 997)

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