Michael Pedersen
Castle Rock, CO 80104
Summary
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Healthcare analysis, data reporting, data conversion, and interfaces
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Proficient in Oracle PL/SQL, SQL Server, Sybase, and Perl
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Team lead, analyst, and developer
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Various reporting tools and programming languages
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Senior Consultant - The TriZetto Group, Inc. Greenwood Village, CO – Jul, 1998 - Present
Responsibilities
• Senior Consultant for various healthcare payer clients across the country
• Analyze data to determine root cause of complex problems
• Design solutions
• Develop programs to meet requirements for clients
• W ork with teams of developers to create solutions that solve problems
Experience
• W orking knowledge of all subsystems within the healthcare industry including Provider, Groups,
Members, Claims, Authorizations, Accumulators, Brokers, Capitation
• Implemented solutions for large scale healthcare payers including United, Wellpoint, Cigna,
Providence, Presbyterian, Amerigroup, John Muir
• Built multiple data conversions and interfaces between legacy systems
• Analyzed and developed reporting solutions across all subsystems for multiple clients
Prior Experience
Senior Analyst – INFOTRUST, Waukegan, IL – Aug, 1999 – Jul, 2001
Business Analyst – QualMed Inc, Pueblo, CO – May, 1995 – Aug, 1999
Developer – PARTNERS Health Plan, Tucson, AZ – Apr, 1992 – Feb, 1995
Research Analyst - The Fontana Group, Tucson, AZ Dec, 1990 – Apr, 1992
Education
Bachelor of Science in Business Administration
Double Major: Management Information Systems/Operations Management
The University of Arizona, Tucson, Arizona, 1990
Software
Oracle PL/SQL, Microsoft SQL Server, Sybase SQL, Perl
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HP3000, Suprtool, Quiz, QTP, JCL
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W indows 2000, Microsoft Office, Microsoft Access, Microsoft Project, Microsoft Visio
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References Available upon Request