Customer Service Project

RESUME OF

Patricia Speights

**** ****** **** **, ********, GA 30144 USA

Home: 770-***-**** Cell: 850-***-**** email:

*************@*****.***

EXPERIENCE SUMMARY

. Energetic and experienced professional with an extensive background in

Medicaid Insurance knowledge.

. Software Development Lifecycle (SDLC) experience

. Able to liaison between technical and non-technical staff

. Understand design artifacts (database diagrams, workflow diagrams, and

user roles)

. Proficient at determining requirement and executing test cases

. Effective and professional written verbal communication skills

. Work well independently or with others

. Quick learner

KEY SKILL SETS

. Medicaid MMIS; Web & Mainframe

. Analyzing and researching

. Test case analysis, execution, and documentation

PROFESSIONAL EXPERIENCE

10/10/2009 -06/2010 Exxova, Atlanta, GA Business Analyst/ QATester

(Contractor - VA Project)

. Translated requirements into test cases

. Created and reviewed test cases in Rational CQTM

. Created and reviewed test scripts in Rational Manual Tester

. Identified, researched, and documented defect information in Web Based

Applications

. Performed functional and regression testing on Web based & HATS

application developed with SDLC process to include test plan

development, test case creation, and test execution.

. Communicated all quality assurance or testing issues to appropriate

team members

. Provided input to estimation process for project

11/27/2007 -10/2009 ACS Government Healthcare Solutions, Atlanta, GA

Business Analyst/Tester (ND Project)

. Closely worked with web developers to ensure accurate Provider

portlets.

. Updated DSD documentation for provider business processes

. Loaded documentation into Rational Requisite Web

. Uploaded documentation to SharePoint

. Created and reviewed test cases in Rational CQTM

. Created and reviewed test scripts in Rational Manual Tester

. Performed functional test on the Enterprise Provider Subsystem

(developed with RUP Process to include test case creation and

execution)

. Uploaded defect information to Clear Quest Web

. Provided input to local estimation for project (including providing

daily status)

. Translated development and/or maintenance requirements into

specifications

. Recommended approaches to obtain desired functionalities and/or

enhancements

. Responsible for liaising with internal and external staff to meet

requirements.

. Responsible for creating DSD Team deliverables (use cases, user

interface specifications, reports, exhibits (valid values, error

messages, business rules, etc)

. Verified table mappings in LDM/PDM for interface and report

specifications

10/2005 - 11/2007 - ACS Government Healthcare Solutions, Atlanta, GA

Business Analyst (New Hampshire Project)

. Translated development and/or maintenance requirements into

specifications

. Recommended approaches to obtain desired functionalities and/or

enhancements

. Responsible for liaising with internal and external staff to meet

requirements.

. Closely worked with web developers to ensure accurate Service

Authorization portlets.

. Created JAD, GSD, team deliverables (use cases, user interface

specifications, reports, exhibits (valid values, error messages,

business rules, etc)

. Loaded documentation into Rational Requisite Pro

06/2004 - 08/2005- ACS Government Healthcare Solutions, Tallahassee, FL

Business Analyst (Florida Medicaid Systems)

. Provided HIPAA compliant X12 837 transaction billing assistance to

Florida Medicaid providers, Florida Medicaid operational staff, and

Florida Trading Partners

. Analyzed CSR (Customer Service Request) after programmer analyst

finished coding.

. Monitored daily claims cycle activity for submittal issues by providers

or clearinghouses.

. Interacted with EDI Clearinghouse staff to resolve X12 transactions

issues for providers, billing agents, and vendors.

1/2003 - 6/2004 ACS Government Healthcare Solutions, Tallahassee, FL

Systems Consulting Analyst (FL HIPAA Remediation Project)

. Used DSS Business Object/Query Path to select claims test data from DSS

database

. Translated HIPAA requirements into test cases

. Performed functional testing of MMIS System

. Prepared and presented testing results packages to the Florida Medicaid

Contract Management (MCM) staff

. Provided UAT (User Acceptance Training) to MCM Staff

. Provided X12 assisted to MCM staff, Medicaid Providers, and others

concerning 277, 278, 837, 835, and 997 X12 transactions

. Researched and analyzed claims issues requiring a systems department

response using DSS

EDUCATION

. Walden University, Pursuing Masters of Public Health Degree -

Expected graduation date 2011

. Florida State University, Tallahassee, FL - Bachelor of Science

Degree in Food and Nutrition with a major in Dietetics

HARDWARE/SOFTWARE SUMMARY

Application Software: Legacy applications: COBOL/CICS, Endevor, FileAid,

TSO/ISPF, SDSF, JCL, WAAPDSUT, TPMS, ACTNOW, Omnitrack, Edifecs, DSS,

Business Objects, ZEKE, HATS, SPSS.

Other applications: SharePoint, IBM Rational ClearQuest Web (includes

defect tracking), Rational Manual Tester, Rational ReqWeb; MS Office (Word,

PowerPoint, Access, Excel, Publisher, Project, Visio), Adobe, XJ Series,

Spark and OCS Messaging Systems

Additional Knowledge & Skills: Knowledge of public health mission, Office

Systems Technology

Operating Systems: IBM OS/390, Microsoft Windows XP and 7, Web, DB2

REFERENCES

Professional and personal references may be furnished upon request

Contact this candidate