Sony Abraham

813-***-****)

Email: ac7bl1@r.postjobfree.com

1

Seeking a business analyst opportunity to harness the power of technology and to learn and improve business processes and strategies within an IT team

SUMMARY Junior Analyst with good amount of experience in supporting the analytical needs of management by applying my education, knowledge, training and skills. Outstanding

team building, communication and management skills. Dynamic, hardworking and task-oriented professional.

SKILLS Knowledgeable in SQL, SDLC, Jira, Agile, Waterfall, RingCentral, RxConnect, RxClaim, DPAS, COS, New Leaf and Microsoft applications (Word, Excel, PowerPoint)

PROFESSIONAL EXPERIENCE:

Part-time Business Analyst

SaiberSys March.2018 - Present

Worked on creating user stories from high level requirements document for a video calling application

Knowledge of Databases(Postgres) and writing SQL queries using PG Admin tool

Created test cases for the Web application in JIRA using Zephyr.

Good amount of knowledge on Agile methodology, Project Planning and Software Development Life Cycle

Performed UAT testing prior to releases

Worked closely with the development team to clarify and understand functionality, resolve issues and provided feedback from the UML diagrams.

Clinical Analyst Dec. 2017 – Present

FreseniusRx (office) – St. Petersburg, FL

●Identity barriers to workflow efficiency through root cause analysis and eliminate the need for overtime by teaching colleagues to use the most effective procedures

●Test new releases for defects, compatibility, and adherence to requested criteria

●Develop training documents for review and approval by supervisor

●Responsible for troubleshooting and resolving technical issues that arise in the NewLeaf system in relation to Pharmacy business functions

●Coordinate with clinics and dispensing facilities to follow up and resolve escalated cases

●Answer inbound phone calls from clinics and patients to create new orders, resolve insurance issues, and educate caller on emerging polices associated with renal disease

●Maintain detailed records of incoming and outgoing calls by utilizing company software

●Sort through fax documents based on over 20 categories and group into appropriate orders

Prior Authorization Analyst Sept. 2017 – Dec. 2017

Aetna (call center) – Tampa, FL

●Review coverage determination requests from prescribers and members for appropriateness of medication based on clinical criteria and master formulary

●Research, resolve and document inquires, grievances and outcomes in DPAS Desktop App

●Authorize approvals for requests that meet FDA indicated diagnoses and CMS guidelines

●Escalate denials and requests requiring extensive clinical review to pharmacists

●Develop reports and provided them to providers, and/or management

Data Entry Technician

Dec. 2015 – Aug. 2017

WellDyneRx (mail order) - Lakeland, FL

●Review physician inbound responses and route to proper department with comprehensive notes

●Analyze operating procedures for deficiencies and implement improvements as necessary

●Ensure full stock availability while increasing inventory turnover

●Contact doctor's office for clarification on ambiguous or missing information

●Evaluate prescriptions for compliance with state and federal regulations

●Perform data entry accurately on up to 90 prescriptions per hour (expectation was 60 per hour)

●Retrieve, count and label up to 45 prescriptions per hour (expectation was 40 per hour)

PTCB Certified Pharmacy Technician July 2013 – Dec. 2015

CVS Health (retail) – Valrico, FL

●Perform data entry and insurance adjudication on new prescriptions while resolving rejected claims and calling doctors for clarification as needed

●Collaborate with coworkers, doctors, and insurance companies to dispense effective and affordable medication in a timely manner

●Maintain adequate inventory levels by correcting inconsistencies in the perpetual system, ordering essential supplies, and returning unneeded items through Cardinal Health

●Treat each and every customer with the utmost respect to earn their lifelong trust and loyalty while adhering to HIPAA guidelines

●Oversee the smooth integration of new features such as ScriptSync by training colleagues, addressing issues, and relaying progress to management

Senior Travel Coordinator Sept. 2012 – June 2013

EDUCATION Bachelor of Science Aug. 2008 – May 2012

University of Florida – Gainesville, FL

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