Post Job Free

Resume

Sign in

Senior Business Analyst

Location:
Gardners, PA, 17324
Salary:
95,000 annually
Posted:
February 05, 2019

Contact this candidate

Resume:

Jacquelyn Marie Snyder

Gardners, Pennsylvania ***24 717-***-**** ac8eba@r.postjobfree.com

Senior-Level Business Analyst

Talented business consultant with strong business acumen matched with advanced knowledge of analytic programming tools and methods. A dynamic leader skilled at leading teams of diverse individuals in the gathering and analysis of key performance indicators. Communicative and personable with a penchant for optimizing health plan operations and the unique ability to manage multiple projects with competing priorities and deadlines. Adept at identifying problems, recommending resolutions, and spearheading improvement efforts.

Areas of Expertise & Technical Skills

Problem Solving Leadership

Project Management

Data & Operational Analysis

Stakeholder Communication

Data Migration

Validation Testing

Business Requirements

Scrum/Agile

Staff Training & Development

Business Analysis (SDLC)

Quality Assurance

Professional Experience

SDLC Partners, L.P, Pittsburgh, PA 8/2017 – Present

Senior/Lead Business Analyst Consultant

Serve as the Senior Business Analyst for Highmark Health Solutions and United Concordia Dental in the enhancement and implementation of Customer Service Applications in an Agile/Scrum environment. Document detailed business and system requirements and utilize use cases, user stories, acceptance criteria, and systems testing to guide the scoping of the project.

Key Accomplishments:

Continually demonstrate the flexibility to shift focus as business needs change and evolve.

Facilitate innovative team grooming sessions and technical design discussions, translating complex developer language into business speak.

Collaborate frequently with project stakeholders to optimize the planning process while translating between.

Successfully guided and implemented the United Concordia Dental Mobile App Project and implementing the Provider Portal Attachment project.

SAFEGUARD SERVICES LLC, Camp Hill, PA 9/2004 – 8/2017

Business Services Analyst (4/2010 – 8/2017)

Led the transition to UPIC-CMS Unified Case Management system. Conducted data mapping, identified business rules to populate UCM data warehouse, performed validation testing, and provided ample post-implementation support. Supported operations, quality standards, audits, ad-hoc customer requests, and special projects through workload analysis and data trending. Ensured the accurate and timely delivery of customer deliverables while continually reviewing and monitoring data quality, business processes, and operations to identify areas for improvement and ascertain conformance to contract requirements and federal regulations.

Key Accomplishments:

Served as the subject matter expert for Medicare fraud investigations, data analysis, project management, business processes, documentation, and healthcare data.

Interfaced directly with clients, demonstrating highly evolved communication and presentation abilities.

Maintained very high rate of customer satisfaction through rigorous standards of excellence.

Improved team knowledge, productivity, and performance by mentoring and motivating investigators and data analysts.

Fraud Investigator (9/2004 – 4/2010)

Identified problems related to the Medicare program and resolved them through applied research and development. Facilitated claims utilization analysis to uncover aberrant providers to prevent Medicare fraud, waste, and abuse. Performed provider audits through on-site visits, beneficiary interviews, and desk reviews and defended the audit finding throughout the appeal process.

Key Accomplishments:

Worked closely with medical review staff and federal law enforcement to support prosecutor efforts to combat Medicare fraud and abuse.

Supported program integrity performance by producing ad-hoc reports for management.

Entrusted to mentor new investigators while supporting management as a back-up lead investigator.

Additional experience as Business Services Analyst, Project Analyst, Reporting Analyst, and Statistical Analyst for Electronic Data Systems and Pennsylvania Blue Shield.

Education

Bachelor of Science in Business Administration & Business Information Systems

Shippensburg University, Shippensburg, PA



Contact this candidate