AMY FRYE

**** ********* ***** #***

COLUMBIA, SC 29206

803-***-****

abicn7@r.postjobfree.com

EDUCATION:

MBA, University of South Carolina, 1993. Concentration in Accounting

and Finance.

B.S., Administrative Management, Clemson University, 1986. Minors in

Accounting, Computer Science, and Law.

PMP, Performing self-study classes to sit for PMP exam.

SC Life, Health & Accident license, July 2009

PROFESSIONAL EXPERIENCE:

04/08 - Present INDEPENDENT CONSULTANT: WEBSITE

ANALYST/DESIGNER

? Works with former co-workers and project members to focus on

multiple business unit websites and support all facets of the decision

making platform (clickstream analysis, outcomes analysis, search

analysis & usability analysis).

? Performs analysis of web sites to identify gaps in the data

capture strategy and collaboratively implement enhancements and

security protocols. Presents web pages designed using SharePoint &

FrontPage

? Ensures that best practices in metrics and decision making are

being exposed to the website decision makers/users.

07/07 - 04/08 CONSULTANT: PROJECT COORDINATOR & BUSINESS

ANALYST

SRC - an AETNA

Company

? Consultant for Aetna with TPA/limited benefits company to lead and

implement development of CA dSeries Workflow Automation tool.

? PM for IT to develop new corporate strategies and business level

changes for infrastructure in personnel and job functions as well as

mentor business analysts and assist in their training.

? Responsible for facilitating the WBS process and translating WBS into

an MS-Project schedule and keeping the project schedule updated

throughout the work request life cycle, and for managing a change

control process to reflect changes in requirements, deliverables,

dates, or budget.

? Responsible for facilitating the identification of risks and issues,

and tracking these through the SDLC, scheduling, facilitating and

recapping team meetings and escalation of issues and for

communications of status to all levels of management on both customer

and I/S side.

? Developed and trained business analysts in leading JAD sessions and

developing and documenting technical requirements and functional

specification documents for existing and future automated workflow

using Visio.

? Oversaw the creation of business process and activity diagrams using

Visio and led client JAD sessions to ensure validity and usability

with new technological platforms and redefined business functions.

? Developed test plans, test scripts and use cases for testing of

workflow automation tool in conjunction with business community and IT

development staff.

? Hired, trained and mentored BA and technical developer

consultants to implement CA dSeries as well as maintain existing

systems (Unix, Informix and Lotus Notes databases)

? Wrote and reviewed code as necessary and incorporates into technical

specifications, requirements and work breakdown structure documents

using Visio.

04/06 - 05/06 PROJECT MANAGER/BUSINESS ANALYST

Sea Star Line, LLC

? Developed and implemented web-based and hand-held software

solutions for port intranet operations.

? Implemented project management software (MS Project) at port &

instructed/trained employees on tool functionality.

? Automated EDI ASC x12 transactions for error identification, tracking

and resolution within back end (IVSS) systems. Identified EDI errors

by using SQL to query the Oracle database to determine problem.

? Created and maintained business and technical specification documents

and RUP artifacts using EA Architect.

? Analyzed and developed use cases and activity diagrams in conjunction

with clients and developers using Rational and Enterprise Architect

and tracked through all phases of system development lifecycle

? Managed subcontractors in development of Oracle RDB and web-based

systems.

11/04 - 06/06 LEAD CONSULTANT/SYSTEMS ANALYST

CorpWorx

? Created, marketed and implemented audit software developed for

Sarbanes-Oxley compliance employing a unified corporate business model

for definition of operational and financial performance objectives to

include gap analysis, corporate systematic monitoring, security and

government reporting using Oracle and Access.

? Gathered and documented industry-specific requirements (e.g., P&C

insurance and managed healthcare insurance) to create skeletal chart

of accounts for product adaptation by business line. Implemented

PDA/EDI transaction processing and error resolution.

? Authored technical and functional specifications to define system and

environment requirements.

4/04 - 7/04 CONSULTANT: ENVIRONMENT/INFRASTRUCTURE MANAGER

Blue Cross Blue Shield of Florida

? Primary contact for managed care health insurance environment

infrastructure and firewalls for Customer Relationship Management

(CRM) web site development and supervision of test teams and business

units. Provided senior management with performance reports by using

SQL to query Oracle corporate database for related metrics.

? Developed and lead software implementation of processes and procedures

for CRM/UML environment management strategy with technical developers

as well as end-user business clients.

? Used TSO to edit and submit JCL for execution of billing programs.

? Managed the promotion of program code throughout all phases of SDLC

(development, unit/system/Q/A, prod).

? Introduced EDI software into various user groups for tracking

projects, management and accounting, actuarial and billing functions

as well as error processing.

? Facilitated weekly meetings for environment pipeline to gather and

author requirements and technical specification documents. Ensured

release dates were being established and achieved on schedule.

Monitored server loads for managed healthcare business systems (CRM,

rating/premium, actuarial and billing).

? Developed and managed project plans and resource allocation for

technical developments and enhancements.

? Created enterprise architecture diagrams reflecting all systems,

databases, servers, interfaces as well as their connectivity and

storage capacities. Created process flow diagrams, use cases,

activity diagrams and testing matrices using Visio and RUP.

? Created and maintained environment documents (requirements, technical

specs) for functional areas within CRM.

4/03 - 11/03 CONSULTANT: WEB BUSINESS ANALYST & COORDINATOR

Blue Cross Blue Shield of South Carolina

. Authored business requirements documents and technical

specification documents to include Java code and ODBC calls for

clients to develop commercial lines managed healthcare self-service

web site. Point of contact for off-site developers and clients.

. Functioned as primary business analyst liaison throughout all

product development life cycle phases of .Net Systems self-service

managed care commercial web sites, social security conversion project

and HIPAA initiatives and requirements (primarily claims/837

transactions).

. Translated end user client Web needs into technical solutions

including design of Web pages utilizing Visio, development of use

cases and process flow diagrams using RUP tools, data flow diagrams,

interfaces, network reliability, and security.

. Trained quality assurance testing staff on Web site testing for

applications. Developed use cases and assisted QA team members on

their usability.

. Performed analysis, mapping, and translation of functional

requirements; investigated and documented solution risks and barriers;

recommended project approaches; prepared project plans; and produced

client documentation (e.g., scope, requirements, and design documents

and storyboards consisting of Web pages and business logic).

. Integrated architecture by assisting development of solutions

to bridge gaps in overall system structure to include mainframe

architecture, LDAP structure, Access database, INFOrm system and MQ

formats.

8/01 - 4/03 RETAIL CONSULTANT

. Ralph Lauren/Polo consultant for Strawbridge's national retail

corporation in Philadelphia.

. Regional recipient of Ralph Lauren sales award and bonus for

exceeding projected sales December 2002.

. Implemented inventory control and accounting measures and developed

theft prevention processes (Strawbridge's - Philadelphia).

4/99 - 12/00 CLINICAL ANALYST/PROGRAMMER

Children's Hospital of Philadelphia

. Successfully managed Y2K QA clinical testing and implementation

including development of test matrices, validation of results and

implementation of programming changes utilizing DB2.

. Developed unit/system/integrated test matrices for clinical systems

upgrades. Managed all phases of testing, re-coding, and validation.

. Performed requirements analysis and implemented software programming

to clinical inpatient systems to create order sets, nursing and

patient care summaries and online radiology reports and lab results

using TDS Matrix coding and RFT coding.

. Functioned as liaison between programming staff and clinicians to

determine system requirements and translation to system functional

code. Clinical inpatient systems representative on Nursing

Informatics team.

. Led problem resolution efforts when acting as Staff Duty Officer on

call.

. Implemented TSO (formerly using Mountain Lakes) and trained clinical

team on syntax and uses.

4/98 - 3/99 SENIOR SYSTEMS MANAGER

Independence Blue Cross & Blue Shield

. Managed off-site subcontractor programming staff to implement software

for statutory and ad hoc reports and managed care system production

changes for the Government Programs (Medicaid, Medicare, Medigap,

COBRA) business area.

. Began and implemented enforcement for HIPAA regulations for Medicaid

and Medicare areas.

. Analyzed all user systems requests and assigned and managed programmer

responsibility utilizing MS Project and other home-grown systems for

accounting purposes. Prepared reviews and evaluated individual

performance.

. Developed test matrices for Medicare and Medicaid requirements and

supervised testing and subsequent implementation.

. Led implementation of state-managed Medicaid programs in Vermont and

Texas.

. Authored RFP documents for submission to states for approval for

Medicaid and Medicare programs.

. Conducted JAD sessions with users to gather and document system

requirements for government programs.

. Designed Microsoft Access database for capture and reporting of

provider, capitation, and billing data and developed SQL queries for

successful monthly reconciliation of capitation and billing files.

. Developed Crystal reports to track managed healthcare metrics for

Medicare and Medicaid.

12/95 - 3/98 SENIOR PROGRAMMER/ANALYST

Reliance Insurance Company

. Functioned as project leader for redesign of COBOL and CICS legacy

systems to relational database (DB2) systems for P&C (HO and PAP, CA).

. Responsible for programming, troubleshooting and maintenance of all

statutory P&C reports (reinsurance, accounting and actuarial) using

COBOL/COBOL II/JCL and wrote ad-hoc SQL queries using QMF to query DB2

tables.

. Performed month-, quarter- and year-end programming to reconcile

financial statements for reinsurance, accounting & actuarial

departments.

. Led JAD sessions with actuarial department to obtain reporting

requirements and utilized Crystal to produce reports to meet actuarial

needs (e.g., loss development triangles)

3/95 - 12/95 SENIOR DATABASE ANALYST

Prudential Insurance Company of America

. Project leader for development and implementation of DB2 internal

systems and software development for managed healthcare insurance

applications (provider, eligibility, membership and billing).

. Responsible for maintenance and troubleshooting, requirements

analysis, design, programming and installation of additional phases,

user and system documentation and training using MSOffice, SQL with

QMF, COBOL II, CICS and TSO/JCL on MVS.

. Facilitated client-IS JAD sessions to identify managed healthcare

insurance systems data requirements. Documented requirements,

business process flows and data modeling.

9/94 - 3/95 SENIOR PROGRAMMER/ANALYST

Wachovia Bank of North Carolina

. Developed and implemented metrics EIS to measure banking and account

statistics.

. Authored business requirements document and business processes

documents and published internally.

. Primary liaison between business units and programmers developing data

requirements and processing functionalities for the Metrics system.

. Programmed, scheduled and implemented DB2 utilities to support the

Metrics system.

12/93 - 9/94 SENIOR PROGRAMMER/ANALYST

Pennsylvania Manufacturers Association

. Team leader responsible for the re-engineering and deployment of the

workers compensation and STD/LTD systems.

. Performed and documented requirements analysis and led JAD sessions to

develop new property and casualty insurance systems.

. Established test scenarios and led QA activities for workers comp

programming.

.

7/90 - 12/93 SYSTEMS ANALYST

Policy Management Systems Corporation

. Developed and deployed DB2-based managed healthcare insurance

applications to capture provider, enrollment, membership and billing

data for Blue Cross Blue Shield of Connecticut. Prepared business

scope and business requirements documents. Analyzed data requirements

from client JAD sessions and documented using ADW ER Diagrammer and DF

Diagrammer.

. Developed test matrices and led QA activities for PMSC's property and

casualty insurance clients (Homeowner's, commercial auto/personal auto

and umbrella) policies and floaters.

. Developed host and workstation systems for Management Decision Support

and Reinsurance for property and casualty insurance clients.

. Developed, documented and taught user and technical system design

classes for IMIS (P&C reporting, NAIC requirements), Reinsurance, RMF

(4GL) and Interactive Bureau Facility reporting.

. Created, loaded and maintained DB2 tables for P&C insurance company

clients and created customized queries by client using SQL via QMF on

MVS/TSO.

. Performed sales/marketing demos of systems products to insurance

executives and directors.

SOFTWARE EXPERIENCE:

MS Project, MSOffice, UML/RUP, SDLC, UNIX, FrontPage, Informix,

Lotus Notes, MSAccess, SharePoint, Enterprise Architect, SQL Server,

SDLC/BPE, VB.NET, Java/Java Scripts. DB2, SQL, QMF, HTML, XML,

Microsoft Directory Smart, VISIO, TDS/Eclipsys (RFT and Matrix

coding), MQ Series, LDAP, Crystal Reports, MVS, JCL, TSO/ISPF, UNIX,

TSP/IP, Oracle, VSAM, CICS, Expediter, Internet Explorer,

Powerbuilder, McAfee Help Desk, Storyboard, VSE, ADW (ER diagrammer

and DFD), Word Perfect, CLIP, SAPIENS, EasyFlow, Peachtree Complete

II, Dreamweaver, COBOL, COBOL II, SAS, ADCycle.

Accounting Experience:

Riverland Development Corporation, Inc., May 1988 - June 1990,

General Manager (hired initially as Financial

Mgr & promoted to GM).

Investors Title Insurance Company, April 1987 - February 1988,

Assistant Branch Manager & Title Insurance Underwriter.

Professional Designations and Affiliations:

Project Management Institute (PMI), member

International Institute of Business Analysts (IIBA), member

IIA INS21 - Property & Liability Insurance Principles, 1991.

Realtor's License, South Carolina, 1990.

Certified Property Manager's License, South Carolina, 1990.

Volunteer Work:

Jacksonville Museum of Modern Art Junior League

The Cooperative Ministry Make-a-Wish of Northern

Florida

AIDS Benefit Foundation of SC Providence Hospital

Jacksonville Humane Society Project Pet

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