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EDI ANALYST

Location:
Raleigh, NC
Posted:
September 09, 2018

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Resume:

CHRIS O. NWAINOKPOR

D/L: +1-919-***-****

ac6zk4@r.postjobfree.com

Summary:

Comprehensive understanding of HIPAA Standards (4010 & 5010) and Compliance issues, ICD9, ICD10 and Claims adjudication process.

Knowledge of EDI X12 standards in healthcare insurance, SNOWMED, HL7, EMR Medical Informatics

Knowledge of Health Insurance Plans (Medicare Part A, B, C and D), managed care concepts

(Medicaid, Medigap and Medicare)

Thorough working knowledge of industry methodologies, rules, applicable laws and regulations

Project Methodologies: Waterfall, Agile/Scrum

More than 25 years of Management experience, Budgeting/Planning/Procurement and contract negotiations

Strong ability to successfully span cultural and geographic boundaries to achieve objectives, by combining integrity, commercial acumen, and a pragmatic approach to drive measureable, sustainable, bottom-line results and maintaining good corporate citizenship in the community.

Improved business technology solution effectiveness and efficiency and institutionalized business values

Knowledge in modifying claims management system with government mandate NPI numbers for providers and payers.

Knowledge of Business Analysis methodologies and Software Development Life Cycle (SDLC

Preparing Business Cases, Business Requirements Documents, Use Cases, Functional and Technical Specification Documents, Requirement Traceability, Traceability matrices, Test plans, Test scripts and Software Development Plans.

Comprehensive understanding of the Organizational Framework that help to map the AS-IS and TO-BE model using the GAP Analysis and plan and monitor effective approach to build/buy solutions to the business problems/needs/opportunities.

Working knowledge of MS Office

Excellent communication and presentation skills along with strong interpersonal & analytical skills.

Ability to act as a liaison between the development team and the management team to resolve any conflicts in terms of requirements.

Education:

NORTH CAROLINA CENTRAL UNIVERSITY - Durham, NC, USA Masters of Public Administration: MAY 1996

FAYETTEVILLE STATE UNIVERSITY - Fayetteville, NC USA Graduate Course in Business Management

SHAW UNIVERSITY - RALEIGH, NC USA

B.S. Business Management: MAY 1986

HEALTHCARE BUSINESS ANALYST TRAINING

Honors/Activities:

National Dean's List; Honor student all four years in undergraduate studies; Member of Alpha Kappa Mu Scholarship Society,

Alpha Chi Honor Society;

Executive Member, International Students Association: Shaw University Chapter 1985/86. Work History

Healthcare Business Analyst Training

Savesoft Inc. April 2018 – July 2018

Knowledge of Business Analysis Health Insurance

Knowledge of Claims Process EDI Transactions I

Knowledge of EDI Transactions - II

Knowledge of Health Information Exchange and New Trends in Healthcare IT GPX E&P Limited, Sumter SC.

Project Management/Business Development, April 2007 to Dec. 2017 Responsibilities:

Developed standard operating procedures for all administrative employees.

General business administrator

Responsible for material management and logistics tracking, including ensuring communication regarding warranty items, warranty policy and customs discrepancies; provide solution for any and all problems, utilizing constant communications skills with regard to accelerated time frames and needs.

Human Resources Administrator/Recruited/ contracts analyst

Coordinated special projects and managed schedules.

Leveraged advanced skills and training to support operational needs of multiple projects.

Emerging Economy Assessment Analyst, Acquisition and Corporate Planning.

Administration and Managerial Functions, Strategic Planning, Budgeting and Implementation.

Special Adviser to the Chairman on African Matters

Management of Corporate Social Responsibilities. TERRALLIANCE INC. Newport Beach, CA. September 2006 to May 2008 Consultant/Corporate Agent

Responsibilities:

Business Development and emerging market analyst, develop, review and monitor industry trends and new innovations for project development.

Acquisitions specialist.

Business Analyst and Corporate Ambassador for Africa. Design and implement corporate project

Coordinator and operations management.

Developed strategy to integrate business needs in line with statutory requirements. LINKTRADE INTERNATIONAL: Raleigh, NC August 1995 to July 2000 Project Manager/Coordinator

Responsibilities:

Coordinator and international liaison officer; serve as single agent for procurement.

Developed comprehensive logistics record of distribution and tracking.

Analytical skills with the ability to collect, organize, analyze, and disseminate information with attention to detail and accuracy.

Interface with key vendors in the United States after thorough consultation and analysis of corporate needs.

OBI Incorporated – Durham, NC July 1994 to July 1995 Training and Operations Research Analyst,

Responsibilities:

Conducted marketing research survey for the Agency.

Elicitation and business need analysis

Coordinated special projects and managed project implementation for USAID on behalf of the agency. J & C Ventures Inc. Raleigh, NC Feb. 1990 to April 1994 Operations Manager

Responsibilities:

Recruitment and compensation specialist.

Product procurement and inventory management specialist.

Management coordinator, Liaise between vendors and retail division, Business development

Purchasing and distribution manager.

Led corporate social responsibility unit.

Crown Central Petroleum Corporation, Raleigh, NC October 1986 to December 1989 Retail Location Manager

Supervised and controlled operations center from a managerial standpoint.

Responsibilities included purchasing, logistic Human Resource Administrator

Customer Relationship Manager and Oversee of franchise relationships. References available upon request.



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