Health Data
Resume:
L O L A B. L AWA L
Apt B, Baltimore, MD 21239 abhje2@r.postjobfree.com
A Professional with experience and insight of business, technology and the knowhow of implementation
processes which combine technology and business to enhance the vision of the organization. An effective
communicator, excellent team player, quick learner and creative problem solver with finely tuned analytical
skills and significant hands-on experience in Healthcare and also Banking/Financing domain
Master’s in Information Technology - Marymount University, Arlington VA – 2014
Graduate Certification in Health Informatics - Marymount University, Arlington VA – 2014
Bachelor’s in Health Education & Public Health – UDC, Washington DC – 2012
KNOWLEDGE & EXPERTISE :
Knowledge in SDLC, UML, Requirement Analysis, Data modeling, Testing - unit, smoke, regression, load,
functional, performance, integration testing. Knowledge of PC Architecture, Operating Systems Security,
Computer networking. Agile and Waterfall methodology. SQL, Tableau, Microsoft Word, Excel, Access,
PowerPoint, Visio, Toad, Putty, Sql Developer, HTML, SQL, SQL Server
Paypal
Business Systems Analyst – Syntel 07/2014 –
P resent
Paypal Global Credit Expansion Project - Credit expansion beyond the US market. GCE project is to
deliver a f lexible credit platform that can rapidly and efficiently scale to new markets. Phases of the
p roject focuses on the expansion through different countries.
• Act as liaison between the product owners and technology teams.
• Conducted JAD Sessions with the subject matter experts, stakeholders and other management personnel
• finalization of the User Requirement Documentation.
• Participate in daily Scrum meetings, sprint planning, sprint review, and sprint retrospective.
• Assisted in documenting workflows, BRD documents and Created Requirements Traceability Matrix
(RTM) mapping Requirement to Design Artifacts to UAT Cases
• Developed standard data management processes, procedures, and templates
• Generated and reported all testcase status to Team lead
• Performed Data Analysis and Data validation by writing complex SQL using Toad and Putty against the
Database.
• Created extensive SQL queries for data retrieval, manipulation, and reporting
• Managed User Acceptance Testing (UAT), including the review of requirements documentation,
authoring, and executing test cases, tracking defects, validating test results and creating supporting
documentation with a focus on detail transaction processing.
• Gathered and document requirements for to back-end data output related to Authorization, Settlement,
Pricing & Reporting.
• Resolved issues related to requirements during system testing and UAT in JIRA.
• Managed and tracked all defects, retested and validated all fixes before pushing into production.
• Created and executed Test Plan and Test Cases based on Design document and User Requirement
documents for testing purposes. Involved in User Acceptance Testing and training of end users
E nvironment/Application: Share Point, ETL jobs (Informatica), MS Excel, Java, .Net, SQL, Visio, MS
P roject, MS PowerPoint, MS Word, B usiness Objects, Crystal Reports, Portico.
Cormac Corporation 05/2014 – 07/2014
Business Analyst - I ntern – Columbia, M D
CMS - Medicare Fraud Prevention Project at Cormac Corporation – Anaylze EDI t ransactions including
837P based on X12, H L7 and H ipaa Standards and mapping them in order to comply with standards.
Liason between business owners and development team.
Elicit requirements using interviews and document analysis.
Analyze EDI claims.
Partener with CMS representatives to understand business needs and gather business requirements.
Analyze source to target matrices.
Analyze original 837P transactions and EDPS transactions.
Analyze the changes that has occurred through the intial processing of Medicare Encounter Claims (Part
C) Data from the EDPS/EODS system to the IDR Production data warehouse.
Evaluate Medicare fee for service data record and analyze how they correspond with the 837 claims
transaction.
Conduct harmonizations of the shared systems with CMS transactions.
Subject matter expert on client data, processes, and business methodologies.
Experience with information security and r isk management issues on the Medical Transactions.
Experience in Medical data, PHI data Protection.
M D, Department of Family Services – Medicaid Waiver Unit
Community Developer/Case Manager - C amp Springs, M D
03/2013 – 05/2014
Establish case records of participants in the Medicaid Waiver Program in the tracking system.
Analyze health Assessment reports conducted by the Department of Health.
Develop care plans for participants
Collaborate with DHMH, Department of Health and Service Providers.
Maintain all participants data as needed in the database.
Provide case management services for individuals enrolled in the Medicaid Waiver Program.
Manage participant’s cases transitioning into the community and conduct training to service providers.
Educate and conduct outreach to Servcice Providers on CMS policies and all regulations by DHMH.
Conduct quarterly assessment for enrolled clients to ensure appropriate services are being delivered.
Evaluate the effectiveness and impact of current health care services and programs.
Ensure service providers billing and ensure proper reimbursement for all claims submitted for services
provided.
Community Multi Services
Direct Support Care Provider, Silver Spring, MD 07/2010 –
12/2013
Lead orientation and monthly training session for new employees.
Collaborate with physicians, nurses, and other healthcare members to ensure patients are receiving
optimal care while at the same time being vigilant of side effects of medications.
Monitor health services and intervene if any contravention of norms at the hand of health experts is
identified.
Provide psychological, emotional, and academical support to individuals.
I nfusion Center, Providence Hospital
A dministrative Assistant, Washington DC 09/2011-
05/2012
Assisted with the coordination of community outreach programs.
Provided financial support programs to patients in need of financial support.
Responsible for submitting and filling-out accurate and updated medical documents such as patient
records, insurance forms, and patient admission to the hospital and laboratory services.
Scheduled patient appointments and drafted correspondence letters
Contact this candidate