**** ****** ****, **** ****, SOUTH CAROLINA *****

717-***-****© ac18w2@r.postjobfree.com

AMBRA SUE WILSON

Lead Business Systems Analyst

Detailed-oriented Business Analyst with comprehensive experience performing business analysis in the insurance industry. Skilled communicator: able to quickly develop relationships, facilitate discussions, and build consensus between cross-functional teams.

PROFESSIONAL EXPERIENCE

Lead Business System Analyst – Consultant 09/2016 - Present

Blue Cross Blue Shield of South Carolina – Columbia, SC

Work closely with customers and technical teams to develop project artifacts; including use cases, requirements, process flows, test strategies, test matrices and test plans using CMMI Level 3 documentation standards and best practices.

Collaborate with Project Managers and the Application Developers to help ensure the customers’ requirements are being addressed throughout the SDLC process.

Coordinate and provide oversight for system testing efforts. Manage defects and facilitate defect meetings with customers and technical teams to help identify and define resolutions.

Acquired Department of Defense (DoD) – Confidential – Level 2 (C2) clearance.

Lead Business Analyst – Consultant 01/2016 – 08/2016

State of Pennsylvania, Harrisburg, PA

Recruited as a Lead Business Analyst to plan and complete project for the State of PA, including PA Enterprise to Link Information for Children Across Networks (PELICAN) projects.

Coordinated Project activities with customers and developers.

Gathered pertinent requirements, wrote test casts, and performed testing using Microsoft Excel and Word.

Facilitated all project, stakeholder, and team meetings for effective communication of progress, issues, and changes.

Coordinated closely with Microsoft Team Foundation Server and Test Manager.

Created and delivered training documents and presentations to promote support of applications and projects.

Senior Business Analyst 08/2015 – 01/2016

Highmark, Inc., Camp Hill, PA

Performed business process analysis and provided process improvement recommendations by working closely with senior level staff.

Elicited detailed business requirements and performed test case creation and testing.

Coordinated project activities, following the life cycle of the project.

Supported peers with defect management and issued escalation and resolution.

Assigned and managed workloads for staff to handle inquiries pertaining to claims processing.

Business Technical Analyst 01/2014 – 08/2015

Highmark, Inc., Camp Hill, PA

Reviewed business process to identify needed changes to the processes or systems by gathering detailed business requirements while supporting payment, pricing and claims processing applications.

Handled Customer inquiries related to Claims Pricing and Payment.

Performed project activities, following the Life Cycle methodologies of the project.

Performed testing: created test data in the requirements management tool (RequisitePro) and linked requirements to other project artifacts.

Worked with various departments within the organization to implement application changes or enhancements following the release schedules.

Worked with RequisitePro to house supplemental specifications and project documentation

Created SQL Queries and gained knowledge of Crystal Report creation.

Business Analyst II 01/2011 – 01/2014

Capital Blue Cross, Harrisburg, PA

Requirements Lead on major corporate initiatives; such as, Affordable Care Act (ACA). Responsibilities included gathering and documenting requirements, and facilitating requirements work sessions.

Created guidelines for training and mentoring staff on how to write requirements and Microsoft Visio.

EDI Production Support team lead, which consisted of designing and EDI database, monitoring and managing defects, assigning appropriate staff to defects, managing and mentoring the team, facilitating EDI team meetings and creating EDI roles and responsibilities for team members. Created and provided proposals, EDI transaction volume and defect reports to management.

Created Microsoft Access reports for mass adjustments of claims and performed product builds in the Facets application.

Created SharePoint Site for HIPAA/Blue Exchange and Facets business support staff

Coordinated Blue Exchange activities for reporting and HIPAA.

Test Lead: Created Test Strategy Documents, Test Scripts and Automated Test Scripts with HP Quick Test Professional, created test plans, and performed testing by using Quality Center.

Release Management Analyst 2 11/2009 - 09/2010

Highmark, Inc., Camp Hill, PA

Supported multidisciplinary teams in diverse areas, including guidance throughout release management process.

Directed accurate preparation of status and release reports.

Oversaw several Corporate Project Planning meetings and project facilitation.

Managed customer expectations and ensured ongoing satisfaction.

Effectively communicated and fostered relationships and various organizational levels.

Owned continuous improvement through successful management of all aspects of IS Release Management projects as well as entire Business Process Management.

Seamlessly integrated new and emerging technical concepts, technologies, workflows, process development, and messaging tools to ensure optimized productivity.

Continually updated and managed personal knowledge of business and industry changes related to release and service management.

EDI Project Analyst Lead 02/2004 - 11/2009

Highmark, Inc., Camp Hill, PA

Concurrently served as representative and Lead Project Analyst for EDI Operations, directing all project activities and overseeing team meetings.

Provided EDI operations with support for the Business to Business (B2B) application.

Provided testing support and created test cases for system changes/enhancements

Created test cases, updated project plans and produced project estimates.

Provided Customer checkout and related activities.

Participated activities in creation and management of Trading Partner Portal for EDI partners.

Worked with HIPAA X12 Transactions: 835, 820, 837I/P/ D, 270/271, 276/277, 278 and 834 transactions for 4010, 4010A1 and 5010

Developed project requirements for delivery to technical staff, providing clarity and support as needed.

Consistently ensured successful implementation through effective management of release activities.

Prior Experience:

EDI Services Business Analyst III (2000 – 2004)

HIGHMARK, INC., Camp Hill, PA

EDI Electronic Commerce Analyst (1998 – 2000)

HIGHMARK, INC., Camp Hill, PA

Customer Service Representative/Senior Customer Service Representative (1994 – 1998)

HIGHMARK, INC., Camp Hill, PA

Customer Service Clerk (1992 – 1994)

HIGHMARK, INC., Camp Hill, PA

WORK RELATED EDUCATIONAL COURSES AND AWARDS

ITIL Foundation Certification - 10/27/2006

Help Desk Certification - 03/30/2006

ISG Team Excellence Award - Real Time Claims Adjudication and Estimation - 04/2009

ISG Team Excellence Award - EDI Trading Partner Portal Team - 11/2007

Mercator Software - Fundamental Integration Concepts & Tools - Certificate of Achievement - 07/16/2001 - 07/20/2001

Business Analysts Certification – 2009

Business Analyst Boot Camp – 2014

Microsoft products: Word, Excel, Project, PowerPoint, Visio

Lotus Notes, Electronic Project Notebook, Cooperate Provider Repository, Ultra Edit, Mainframe, Service Manager, Outlook, Share Point

Project Management Courses

Crystal Report Training

Access Report Training

FACETS Certification Training

EXTRACURRICULAR ACTIVITIES

Volunteer Activities through Highmark, Inc - CPARC - New Cumberland

Attend charity events - Jump Street

CORE COMPETENCIES

Business Analysis • Requirements Gathering • Project Management • Leadership • ANSI/EDI Management • Project Analysis & Documentation • Test Case Analysis • Communication • Cross-Functional Collaboration • Release Management Activities • Data Entry • Customer Service • Administration • Ad-Hoc/ERT Reporting • HIPAA X12 4010/A1 and 5010 Versions of Electronic Transactions: 835, 820, 837I/P/D, 270/271, 276/277, 278 and 834

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