Senior Business, Systems & Functional Analyst w/Agile Violet M. Beilfuss

San Diego, CA (able to work any time zone in the US) acdjqk@r.postjobfree.com 980-***-****

CREDENTIALS

Senior Business, Systems and Technical Analyst with 20 years of experience achieving optimum levels of competitive advantage/profitability with high emphasis on Quality and Regulatory Compliance (Provider/Payer/Pharma Analytics)

Specialist in the effective use of business process engineering to leverage information for the business purpose and the secure sharing of information inside and outside the organization in a Global Delivery Model (Information Mgmt.)

Technical Expert in the software life cycle: planning (as-is to future state/commercial off-the-shelf deployment),

analysis, design, development, testing, implementation & maintenance in Agile methodology (Information Technology)

A Subject Matter Expert with inpatient, outpatient and ancillary (LAB, RAD, PHARM, etc.) core functions: claims, billing, financial forecasting, legal, quality, compliance, access to care/pt. population (Pharma, Nurse Ed. & HC Ops)

KEY COMPETENCIES

ŸBusiness Requirement Elicitation & Documentation (BABOK) – User Requirement Specification

ŸSoftware Dev Life Cycle (Waterfall & Agile: Scrum/Sprints), Lean Six Sigma Green Belt (DMAIC, SIPOC, etc.)

ŸData Integration/Mapping (Unidirectional & Bidirectional) – ISA-95 Standard Integration Exchange

ŸPart 11 of Title 21 of the Code of Federal Regulations; Electronic Records; Electronic Signatures (21 CFR Part 11)

ŸProject Management of ICD-10/5010/HEDIS on both the Provider and Payor sides

ŸGood Manufacturing Practice (cGMP)/Good X Practice (GxP) initiatives for Human and Animal Drugs and Biologics

ŸDelivery of Data Analytics (HIPAA transaction: 837, 999, 824, 277), HL7, SNOMED, CPT4, HCPCS, UB92

ŸMedicare Health Plans (Part A, B & D) and Part C - Medicare Advantage (PPO, HMO, PFFS and SNP)

ŸMedicaid Plans for most U.S. States and Marketplace Exchanges

ŸChildren's Health Insurance Plan (CHIP), Behavioral Health and Long-term Care Programs

ŸDatabase Design/Development, T-SQL Query, Stored Procedures, Functions and VBA Scripting

ŸElectronic Medical Record Analysis/Dev/Implementation/Identity and Access Management (IAM/)Maintenance

ŸSystems and Quality Processes Review (Modification to Organizational Workflow), SWOT, Process Modeling

ŸWireframes/Use Case Diagraming/User Stories to include End User Go-Live Support

ŸPharmaceutical Analytics - Medicare Part D (PDP) via Prescription Drug Plans and Advantage Plans (MA-PD)

ŸJoint Application Development (JAD) & Root Cause and Impact Analysis with Process Mapping

ŸData Extraction, Transfer and Load (ETL) – XML, XL7, Flat Files

ŸDemonstrated understanding of statistical concepts (regression, correlation, analysis of variance, etc.)

TECHNICAL SKILLS

Platforms

MS Windows (10/7) & x32/64-bit

MS SharePoint 2018 & Team Found. Server

Azure Cloud Services & AWS

Collaboration

MS Teams/Zoom/Skype/WebEx/Hangouts/Go-to Meetings/Slack/Gmail Meet

Software Dev

Waterfall (SDLC)/Agile w/Scrum (Stand-ups/Sprints)/Joint Application Dev (JAD)/Lean Six Sigma

MS Office

Word/Excel (VBA)/PowerPoint/Visio/OneNote/Publisher/Outlook/SharePoint/MS OneDrive/Office365

Database/Forms

MS Access (VBA)/MS SQL Server 2005-2018/Teradata/Salesforce/Fieldglass/Draft Case Report Forms

BI Tools

SQL 05-18/SAS/Bus. Objects/Cognos 10/Crystal Reports/Power BI/SaaS/SSIS/SSAS/SSRS/Tableau 9.1

REQ Tools

JIRA/Confluence/HP Quality Center 9.2/HP ALM/Smartsheets/Rally/Clarity

EMRs/Claim

EPIC/QNXT/AHLTA/PowerMHS/IKA/Cerner/Allscripts/Meditech/Clarity/NexGen/RxClaim & RxNav (CVS)

Pub/Clinical Ed

Adobe Acrobat Pro/HTML/Corel Draw 9.0//Uberflip/CAD/Photoshop 5.5/PageMaker/Illustrator

EDUCATION

2005

University of Phoenix Mesa, AZ

2003

Mount Olive College Mount Olive, NC

Master of Business Administration (MBA)

Bachelor of Science (BS) Degree in Business Administration

Specialization in Healthcare Administration

Management and Organizational Development

Undergraduate thesis: MS Access Database Development (Personnel Management System for the US Navy)

PROFESSIONAL EXPERIENCE

NYC Health + Hospitals

Health Informatics Resources (staffing co.)

Date

Sept 2020 – Nov 2020

Title

Senior Business Information & Data Analyst

Location

New York City, NY (100% remote)

Type

Contract

Sr. BA

Essential duties include preparing, maintaining, and owning business glossary and data catalog documents. Participate in high-level workflow analysis and assist with benchmarking KPIs. Act as a data artifacts subject matter expert for assigned business service lines as aligned with a variety of EPIC modules. Carefully analyze the data and draw conclusions, communicating the results in a clear, concise, and actionable manner. Maintain and update the existing suite of reporting and dashboards. Working in cross-functional project teams that include ETL development, Data Quality Assurance, and Data visualization. Communicate directly with team members/support teams to diagnose and resolve issues. Work with other team members to continually improve our delivery of information and dashboards. Actively participate in project team meetings to achieve team goals and departmental goals. Compliance with business policies and industry-standard best practices regarding information security. Managing risk associated with handling sensitive data. Use analytic tools such as Tableau and SAS for data analysis and visualization.

Pratt Miller Engineering

Kavaliro (staffing co.)

Date

Feb 2020 - April 2020

Title

IT Project Manager

Location

Huntersville, NC

Type

Contract - Completion of contract

IT PM

IT project management using Agile methodology continuous iterations of development via Scrum, Stand-ups and Sprints and JAD sessions included overseeing the Continental Retread project for software development (JIRA and Confluence) by the client deliverable requirements within a budget of approximately 400K. Modeled use cases for wire frames to support testing in Balsamic that linked to the EDW system for Continental Tire with a key focus on Identity and Access Management (IAM) at both the Executive and Tire retread plant user level.

Sr. BA

Analyzed requirements for software development while documenting new functionality and defect fixes in process flow diagrams as needed. Performed UAT planning & execution with developers and client. Coordinated the ETL or weekly uploads for current tire specifications. Oversaw the monitoring, troubleshooting and resolution of issues via incidents and problem tickets within SLAs. A cost-benefit analysis was completed to measure using RFID tags on tires to integrate with the software to render reporting (time through the process) reporting more robust.

AmerisourceBergen - The Lash Group

AccruePartners (staffing co.)

Date

Aug 2019 - Nov 2019

Title

IT Project Manager - Pharma

Location

Fort Mill, SC

Type

Contract - Completion of contract

IT PM

IT project management by leveraging the Enterprise Wide Datawarehouse and using Agile methodology (the 5 ceremonies: Sprint Planning, Sprint Review Meetings, Daily Stand-up/Scrum, Product Backlog Review and Sprint Backlog Refinement) and led Joint Application Development (JAD) sessions includes overseeing projects (launched 2 drugs using Pfizer SDLC within a budget of approximately 1.5M/drug) for software development (using JIRA), hardware installations, network upgrades, cloud computing and virtualization rollouts, business analytics and data management projects and implementing IT services. Performed a cost-benefit analysis for the portals and their subsequent features and functions. Assisted primary Business Analyst with requirement for the Provider, Patient and REMS Portals. Assured identity attributes where formally in place via Requirements documents. Held daily stand-ups and coordinated 2-week sprints. Assured QA testing was achieved for incremental releases in accordance with the project schedule and as stipulated by the client deliverable requirements. Modeled use cases and user stories for wire frames to support testing for the R&D of the portals.

Sr. BA

Worked with the developers to lead the dev. and maintenance of GridX on Salesforce by way of helping analyze, define and document requirements that translated Pfizer’s needs into Salesforce technology solution. With the end goal to support the company’s strategic goals for their request for Provider, Patient and Risk Evaluation and Mitigation Strategy (REMS) Portals. Worked closely with Pfizer to assure information for Electronic Common Technical Document (eCTD) interface via ETLs had data points/fields for transfer of regulatory information (utilized the Common Technical Document (CTD) format. Assured all GxP and Title 21 CFR Part 11 for electronic records held to highest compliance/validation standards. As a manufacturer of drugs I assured the information necessary to sell them in bulk to wholesalers, which in turn sold the drugs to pharmacies was in the highest quality and integrity as stipulated by FDA regulations such that complex logistics and packaging methods to receive and deliver drugs on time and in good condition was met downstream.

VMB Consulting, LLC

State of California

Salt River Project (SRP)

Date

Dec 2016 - Jun 2019

Title

Project Manager & Senior Business Analyst

Location

Phoenix, AZ/Remote

Type

Contract - Completion of contract

PM

Initiated, planned and executed specifications using MS SharePoint per project/service agreements such that Key Performance Indicators were met per the process improvement plan. Used Agile software development w/JIRA technology to write use stories and use cases. The Epics were strategically broken down to stay within the approximately 1.2M dollar budget(s) to ensure the ultimate objectives for the State Medicare Advantage goals and SRP deliverable were met. Summed the benefits of a data lake creation for enhanced business decisions via the Enterprise Wide Database and then subtracted the costs associated with taking the actions in a cost-benefit analysis.

Sr. BA

Analyzed large datasets to Geomap service station throughout Arizona (using Tableau Heatmap graphs). Which included a compliment of reporting capabilities for the end client that were developed via complex queries in a SQL Server environment via SQL scripts. These files were delivered in Extensible Markup Language (XML) data file format with custom tags to define objects and the data within each object such that custom reporting could be accomplished.

BI

Built the infrastructure (data warehouse) to hold business metrics. This led to successful management of county and state adherence and tracking throughout the life of the project with emphasis on Title 21 CFR Part 11 compliance/validation.

LEAD

With my proprietary tool, led conference calls to gather requirements for the project completion (high level business, business, functional, non-functional and user requirements) which led to considerable data mapping for both clients.

Centene Corporation

Envolve Pharmacy Solutions (subsidiary)

Date

Jun 2015 - Oct 2016

Title

Senior Analytic Advisor for Medicare Part D

Location

Tempe, AZ

Type

FTE - Completion of project

PM

Pharmacy Benefits Management, analytics, and outcomes for 12 Health Plans across 7 states via EXCEL (VBA), SQL Scripts and SSRS Provider Payor reporting (ETLs) working with COO assuring compliance with Federal and State contractual requirements for not only the Medicare Part D program but also Parts A, B & C integration/co-alignment for patients. Through a variety of cost-benefit analyses, I continuously comparing options to determine whether to go ahead with certain aspects of the project(s) for each Health Plan weighing the project costs against the projected benefits.

Sr. BA

Reviewed and provided documentation for maintenance and distributed of Medicare Part D claims detail file (ETL, XML & flat files for integration into Enterprise Wide Datawarehouse and through Agile Sprints and SharePoint 365 or distribution. Managed the Supply chain as the amalgamation of key business processes across the business lines for the rationale of generating value for customers and stakeholders. Forecasted supply chain management by integrates past/future supply and demand within and across the companies I supported in an efficient business model.

BI

Modeled data using MS Excel (VBA), Access (VBA), SQL Scripts, XML/HTML, flat files (from Argus) and/or other data warehouse analytical tools applying Title 21 CFR Part 11 (records in electronic form that where created, modified, maintained, archived, retrieved or transmitted under any records requirements set forth in FDA Agency regulations

LEAD

Assisted with training and mentoring other Data Analysts who were using JIRA to manage other projects. Assisted with determining workload and related activities for other Data Analysts and other resources to stay within the budgets of over 4M for the 7 state Health Plans

Dignity Health

HcTech (staffing co.)

Date

Nov 2014 - Jan 2015

Title

Business Analyst for ICD-10 Readiness

Location

Phoenix, AZ

Type

Contractor - Holiday Backfill Coverage

PM

In an Agile environment independently and in cooperation with the Project Management Officer and Optum used MS Project 2012 and MS SharePoint for the effective management of this important and highly visible project

Sr. BA

Delivered effective presentations that offered immediate insight and recommended task planning, resource allocation, expenditures, and impact assumptions for the project to include Provider and Vendor education

BI

Used Excel (VBA)/Gantt/bar/milestone charts for reporting dependencies and/or constraints among activities and

network/production schedules that where united to show an overall integrated Master program schedule

LEAD

Maintained and advanced the ICD-10 project to include support of physician training, joint ventures, Pharmacy Benefit Management, and benefit management as paired with new code set and business vendor readiness programs

McKesson

Core Integrators (staffing co.)

Date

Jul 2014 - Oct 2014

Title

Project Manager & Senior Business Analyst

Location

Scottsdale, AZ

Type

Contractor - Completion of contract

PM

Worked closely with Stake Holders, Development Team and Software Testing team taking ownership of user requests to ensure that timely, complete solutions where delivered to the user for Pharma Regulatory Compliance and Validation (Title 21 CFR Part 11) with focus on Environment Health and Safety (EHS)

Sr. BA

Utilized Agile approach via JIRA and MS SharePoint to advise Business Stakeholders and current/future benefits management suppliers (Merck, Amgen, Biogen, Genentech, Ispen, Novartis and Takeda) on ways to optimize their use of Salesforce as a Customer Relationship Management tool for tracking their Reimbursement processes

BI

Planned, facilitated and coordinated User Acceptance Testing (UAT) using Excel for universal template for Pharmacy Benefits Management such that the Payor constituents were abreast of change request implementation

LEAD

Led comprehensive preliminary testing, data loading (ETL) and produced all entrance criteria documentation required to promote products under development to Production with both onshore and offshore resources

AMN Healthcare

Odesus (staffing co.)

Date

May 2013 - Jul 2013

Title

Project Manager & Senior Business Analyst

Location

San Diego, CA

Type

Contractor - Completion of contract

PM

Managed the development of policies and procedures in support of system design working closely with the Chief Financial Officer (CFO) to determine business rules in a finance application for every new account request/approval. The act of defining and listing the costs was a valuable exercise, forcing identification and evaluation of each upcoming expenditure for the project. This was accomplished through cost-benefit analyses.

Sr. BA

Developed Requirements Gathering to for management of opportunities for improvements while understanding system functionality to ensure that proper procedures and best practice were maintained for the Payor and Providers

BI

Worked closely with AMN Business Partners (Finance, Quality Services and Housing) to identify and maximize

opportunities to use information and technology to improve service and/or business processes

LEAD

Provided solid support of ITIL for the IT department to including: the CIO, IT directors and managers, architects, project managers and support staff

Genentech

Saama Technologies (staffing co.)

Date

Feb 2013 - Apr 2013

Title

Project Manager & Senior Business Analyst

Location

San Bruno, CA

Type

Contractor - Completion of contract

PM

Facilitated changes in processes as required by managing restraints, assumptions, issues and risks to ensure optimal overall projects work assignments. Assured ISA-95 standard where followed to provide consistent terminology as the foundation for supplier and manufacturer communications. Provided consistent information models via Agile practice to provide consistent operations models (wireframes, user stories and use cases) as to clarify application functionality and how information was used

Sr. BA

Performed Enterprise Data Modeling to addresses the unique requirements of a business via Business Process and

Services layers of SOA to compose services representing use-cases in terms of applications assuring Title 21 CFR Part 11 compliance and validation was assured. Migrated data from Draft Case Report Forms (eCRF) into system for analysis.

BI

Wrote SQL (SSRS/SSIS) queries for data consolidation and consulted with internal customers (CCO) to develop analyses that led to actionable insights while communicating work product via presentations and spreadsheet summaries in Excel and XML/HTML/Flat files that were delivered internally or from vendors

LEAD

Partnered with Managed Care Contracting Organization, R&D and Information Technology to identify/anticipate needs and proactively provide support for deployment of the Managed Care Data Mart (MCDM)

Kaiser Permanente

TATA Consultancy Services (staffing co.)

Date

Nov 2012 - Jan 2013

Title

Project Manager & Analytic Consultant

Location

Silver Springs, MD

Type

Contractor - Completion of contract

PM

Responsible for the development of Logical Solution Design Diagrams and facilitation of IT based solutions through

extensive Project Management in collaboration with developers, subject matter experts and business clients

Sr. BA

Prepared, presented or collaborated on all required artifacts and deliverables for PMO/CFO/CCO - Utilized Salesforce, SharePoint 2010 for management of Customer Data, Project Plan and Requirements document execution

BI

Created data models as Visio diagrams, PowerPoint flowcharts and Excel (VBA) spreadsheets to visually illustrate the

relationships between data and systems as coordinated through complex ETL processes

LEAD

Facilitated planning and review sessions through root cause analysis with Senior Management for implementation of numerous IT changes, upgrades, releases and/or installations

Gold Coast Health Plan

Maxis Group, Inc. (staffing co.)

Date

May 2012 - Jul 2012

Title

Senior Business Analyst

Location

Oxnard, CA

Type

Contractor - Completion of contract

PM

Provided Project support and subject matter expertise with the Project Management Officer and Project Manager rough the entire project development life cycle using Agile methodology

Sr. BA

Performed Business analysis and developed gap analysis documents for integration with master project plan on the Payor side while ensuring project and technical review milestones were met

BI

Consulted on development of business solutions for Medicaid specific Healthcare analytics – to include Pharmacy Benefits Management - via SQL programming Performed Business usability analysis and developed gap analysis documents

LEAD

Led and cultivated relationships with the Health Partners and business units to complete analysis of Return On

Investment in using Power MHS transaction system for claims adjudication as future state deliverable

WellPoint

Iconma, Inc. (staffing co.)

Date

Feb 2012 - Apr 2012

Title

Senior Business Analyst

Location

San Diego, CA

Type

Contractor - Completion of contract

PM

Developed Project Plan for conversion of legacy HEDIS application to Commercial of the Shelf (COT) product utilizing JAD sessions and Use Case modeling between Business and IT Groups

Sr. BA

Responsible for defining/managing scope of Business Systems project for users: Business, Functional & Non-functional

BI

Assured data mapping deliverables matched source to target so that the two-way exchange of data was meaningful by using common sourcing and targeting by way of the primary enrollment database and MS Excel (VBA)/SQL data sets

LEAD

Led mapping and integration of both unidirectional (going from source to target) and bidirectional (creating maps that translated in both directions) for Pharmacy Benefits Management

Kaiser Permanente IT

Rose International, Inc. (staffing co.)

Date

Mar 2011 - Aug 2011

Title

Solution Consultant Application Design - Business Systems Analyst

Location

Pasadena, CA

Type

Contractor - Completion of contract

PM

As the Project Manager, I collected and maintained project specific data, metrics and information needed for project

management administration. Maintained project status via Microsoft Project and SharePoint for PMO/CFO/CCO and assured the project progressed within schedule and budget (750K dollars). I broke down the costs into summaries and into its constituents by studying and reporting on each factor/phase of the project. This comparison of costs for web services/hosting/maintenance/etc. (as of standard of actual and for a given period) was for the purpose of disclosing and reporting on conditions of the improvement.

Sr. BA

Handled requests for customized operational solution (Web Based Survey Site) while coordinating solution build

activities with Lead Solutions Architect, Project Manager and the PMO (both Agile and Waterfall style of SDLC)

BI

Performed impact analysis (Technical, Systems & Business) to include systems gap and business process workflow

diagraming (Logical & Physical solution designs) within organization of multiple reporting lines (matrix organization)

LEAD

Participated in SCRUM and SPRINT activities for ICD-10 and 5010 conversions to include HEDIS program information

Execution and Clinical Staff education

Molina Healthcare, Inc.

Date

Nov 2010 - Dec 2010

Title

Senior Business Analyst

Location

Long Beach, CA

Type

FTE - Pursue alternate project

PM

Development of policies and procedures to facilitate enhancements and Business Process workflow design for claims adjudication and reimbursement optimization

Sr. BA

Monitored existing system functionality and made benefits set-up recommendations, where appropriate, to maintain acceptable levels of automation in claims adjudication, Pharmacy Benefit Management and accurate provider reimbursement

BI

Aided in the creation of SQL test scripts, including regression testing cases, to validate system configuration against source documentation via data mapping based on ETL considerations

LEAD

Proactively communicated and collaborated with external and internal customers to analyze business and functional

requirements and delivered artifacts

Cognizant Technology Solutions

United Health Group (client 1)

Affiliated Computer Services (client 2)

Keystone Mercy Health Plan (client 3)

Date

Sep 2009 - Oct 2010

Title

Project Manager & Senior Business Systems Analyst

Location

Pasadena, CA

Type

FTE - Completion of projects

PM

Operated within and was responsible for assigning/maintaining Risk, Assumptions, Constraints and Issues for A2D

Project in coordination of benefits management via MS Project and ALM progresses within schedule and budget of 3M. With United Health Group a cost-benefit analysis was performed to tally up all costs of a project/decision to create a master data warehouse and then subtracting that amount from the total projected benefits. This value was represented as a ratio by comparing indirect, intangible and opportunity cost against the benefits (i.e., direct, indirect, intangible, and competitive).

Sr. BA

Analyzed and evaluated Claims Detail, Professional, Institutional, Member, HEDIS, Pharmacy Benefits Management and Prior Authorization data for improvement in reporting while managing delivery of the TRICARE Access to Data (A2D) application release through interview and education of Senior Leaders, Physicians and Nursing Staff

BI

Evaluated Claims Detail, Professional Claims, Institutional Claims, Configuration Management/Adjustments for

members and Prior Authorization data element files/ETL for conversion from current to future state from Cognos to Facets

LEAD

Led Lean Six Sigma initiative: Software Requirements Gathering improvement through utilization of SharePoint 2010 for management of Project Plan and Requirements document execution

MPI Research

(a Contract Research Organization – CRO

as of 2018: Charles River Labs)

Date

Apr 2009 - Aug 2009

Title

Senior Business Analyst

Location

Mattawan, MI

Type

FTE - Pursue alternate project

PM

Responsible for controlling costs, improving outputs and contributing to the bottom line via Lean Six Sigma workshops in order to comply with cGMP, GLP, GDP, GAMP, GxP and international regulatory agency's requirements and Environmental Health Safety (EHS) for R&D. With the support of Draft Case Report Forms (eCRF) was able to report at all levels the status of the project.

Sr. BA

Diagramed business process for strategic improvement with MS Project plans and MS Visio process flow/value stream mapping. Utilized step by step pre-written standard operating procedures, forms, templates and manuals in the area of GMP (Good Manufacturing Practice), GLP, Production Operations, Quality Assurance Management, Quality Control & Microbiology Laboratory

BI

Held integration sessions focused on Define, Measure, Analyze, Improve and Control (DMAIC) paradigm of Lean

Six Sigma. Used Salesforce to collect, measuring and analyzing data for determining solutions via reporting

LEAD

Led the development of strategies for Business Partner Services and strategies regarding IT interfaces with other

Business Units to assure regulatory compliant facility for this Contract Research Organization (CRO)

Tricare Regional Office West

Lockheed Martin (contractor)

TekSystems (staffing co.)

Date

Apr 2008 - Oct 2008

Title

Project Manager & Senior Business Systems Analyst

Location

San Diego, CA

Type

Contractor - Completion of contract

PM

Project Managed, across 4 time zones, the authoring of annual TRICARE Business Plan for 72 medical facilities through development of Strategic Initiatives: Wounded Warrior, Clinical Quality (HEDIS), Prevention (HEDIS), Disease

Management (HEDIS), Customer Satisfaction, Decreasing Cost, Pharmacy Benefit Management and Reduction of Duplicate Claims using Lean Six Sigma methodology for implementation all with great attention to the Government budget of 1.3M

Sr. BA

BI

Strategic Business Initiative implementation through direct project execution or facilitation. Conducted TRICARE

analyses related to healthcare cost management, program statistics, claims analysis and audits and/or process

improvement. Prepared clear and well-organized TRICARE specific documentation to reflect analytic methods used, key decision points, caveats, etc., with enough detail to support comprehension of the analysis

LEAD

Omega Group, Inc.

Date

Apr 2006 - Apr 2008

Title

Project Manager & Senior Business Systems Analyst

Location

San Diego, CA

Type

FTE - Completion of project (software sold to Bureau of Medicine and Surgery)

PM

Principle in Project oversight of the duties and tasks pertaining to the workflow, communications and

research/development of FUMS Software development including management of 6 junior analysts and 3 contractors

Sr. BA

Analyzed clinical data (inpatient, outpatient, ancillary, pharmacy benefit management and HEDIS) using SQL 2005 to evaluate existing and/or potential trends as specified by scope of Health Care Requirement Analysis contracts

BI

Added and managed user credentials to administratively assure the most accurate tracking of access to the specific

application and data sources - Worked closely with client(s) to establish overall/customized project scope

LEAD

Oversaw the training and communications of the project to include making presentations on the project by liaising with various Senior leaders, Physicians, Nursing Staff and other audiences

Naval Medical Center San Diego

Government Service GS-12

Date

Jan 2005 - Mar 2006

Title

Health Systems Specialist (GS-12) & Project Manager

Location

San Diego, CA

Type

FTE - Group Dissolved

PM

Conducted studies of healthcare delivery systems and operations, including services provided in the direct healthcare system, either through contracts or agreements and the managed care support contractors’ network

Sr. BA

Collaborated in defining business rules for matching and classification of requirements for internal and external

customer involved in the MCDM and structuring/defining the changes to the model for Distributors and Customers data

BI

Developed methodologies to track and analyze performance relating to quality of service, access to inpatient and

outpatient care and efficiency of ancillary services to include Pharmacy Benefits Management Board regional rep.

LEAD

Performed continuous Nursing Education review of performance and productivity for Naval

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