Project Quality Assurance
Resume:
M a r i e J . L u ke
Slidell, LA 70461
*****.******@*****.***
EDUCATION
Louisiana State University Baton Rouge, LA
Bachelor of Arts, Political Science and Psychology August 2007 - May 2011
Double Major, Graduate
Achievements: Dean’s List, Advanced Credits, TOPS Scholarship, and Freshmen Merit Scholarship
EXPERIENCE
SystemTec/South Carolina Department of Health and Human Services Columbia, SC
Consultant December 2012-August 2013
• Requirements development execution, including the elicitation, analysis, specification, and validation
• Documented and analyzed agency business processes and recommended improvements
• Documented and analyzed data requirements and relationships
• Provided requirements interpretation and guidance to technical and test teams.
• Proactively identified risks, issues, and action items leading to possible solutions.
• Interacted with internal and external organizations.
• Participated in standup of business operations supporting the Eligibility and Enrollment Member
Management Project.
• Planning for, conducting, and reporting on testing and other quality assurance activities.
• Worked with Clemson Information Technology teams to coordinate effort on the Member Management
project.
• Researched and documented business rules for assigned process areas.
• Performed gap analysis of current operations with IBM Curam Health Care Reform (HCR) software.
• Worked with IBM Curam consultants with Curam/South Carolina implementation.
CNSI (Client Network Services Incorporated) Baton Rouge, LA
Claims Business Analyst June 2012-December 2012
• Conducted Design, Development, and Implementation (DDI) business analysis activities on the Louisiana
Medicaid Management Information System (MMIS) project
• Assisted with requirements management activities
• Communicated status, issues, and risks to Functional Team Lead and Functional Manager as appropriate
• Reviewed and became familiar with existing legacy and transfer system documentation
• Develop Requirements Specification, General System Design, Detailed System Design documents for the
Claims functional unit
• Conducted requirements validation activities
• Participated with collaborative sessions to document Medicaid business processes ("as is" and "to be")
• Reviewed and commented on "as is" and "to be" business process work flows
• Provided requirement statements and business rules to articulate end-user functionality
• Analyzed RFP requirements and maintained requirements traceability
• Participated in requirements analysis for the Claims business areas
• Ensured all business area requirements are included in the overall requirements documentation
• Communicated requirements and business processes to the designers and developers
• Updated/maintain Requirements Specification and Detailed System Design documents
• Reviewed ongoing MITA assessments and assist in the development of processes to achieve higher MITA
levels
• Coordinated functional aspects with fiscal intermediary operations
University of New Orleans- Medicaid Technical Services Contract, Procurement, Analysis, Research, and
Support Unit (PARSU) Baton Rouge, LA
Business Analyst/Project Coordinator July 2011-July 2012
• IT and operations project coordinator assigned to documenting the impact of Affordable Care Act health
reform legislation on existing Medicaid business processes; conducted research for a gap analysis of
existing and future systems and program updates that will be necessary for compliance with federal
regulations.
• Served as a researcher and contributing writer to multi-million dollar RFPs for IT professional services
administering complex policy programs within the Department of Health and Hospitals Medicaid Vendor
Administration (Medicaid), including MEDS (Medicaid Eligibility Determination System) and Program
Integrity Rate Audit Contractor (RAC).
• Served on a team that is the point of contact with CMS (Center for Medicaid and Medicare Services) to
define scope of programs and IT technical criteria for Louisiana Medicaid programs.
• Worked with a staff of technical writers, requirements gatherers, web designers, web programmers, and
junior project managers to conduct business and policy requirements analysis, process analysis, and
functional specification design governing software design within the DHH MVA operations environment.
• Benefitted from ongoing professional development, including project management material review and
PMP certification exam prep, industry best practices, and user interface design.
• Assisted in software projects utilizing the Waterfall SDLC and other project management techniques as
defined by the PMI; contributed to scope expression, requirements traceability, and functional specification
development.
• Implemented and participated in the analysis of surveys assessing the efficacy of Medicaid programs, as
well as ethnographic investigation of Medicaid eligibility analysts using enterprise software (semi-
structured and structured interviews, participant observation, and thick description).
• Developed project management plans for high-level projects for Medicaid and Department of Health and
Hospitals clients.
• Researched fraud control techniques and technologies to control wasteful expenditures in Louisiana
Medicaid in conjunction with the Louisiana Medicaid Program Integrity unit.
TECHNICAL SKILLS
• Microsoft Office - Mastery of Word, Excel, PowerPoint, and Outlook
• Microsoft Visio and Biz Agi- Intimate knowledge and experience in performing business process
layout and wireframe layout to allow for seamless handoff to developers.
• Working knowledge of software programming techniques; familiar with major development
concepts.
RESEARCH AND WRITING SKILLS
• Proficient procurement and technical writing and documentation abilities.
• Practiced in social research methods such as structured and semi-structured interviews, survey
design and implementation, participant observation, and thick description.
References
• Available upon request.
Contact this candidate