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Quality Assurance Analyst

Location:
Hampton, GA, 30228
Posted:
April 28, 2014

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Resume:

**** ******, ** **** ***

Conley, Ga ***** 317-***-****

acdv8z@r.postjobfree.com

Tina M. Brantley

Objective I am looking to work with an Organization that will allow me use my knowledge and understanding that I have gained from other positions and school. I work well under pressure, under little to no direction and a very fast learner. I am looking forward to share my skills and gain new skills from your company.

Experience 07/01/2012- Present HP Enterprise Services Tucker, GA

GA MMIS (OnSite 2 days/remote 3 days)

Business Service Analyst II / Tester

Prior Authorization, TPL, and Financial (Claims)

Understand the basic cycle of claims

Daily and weekly project meeting internally and with client

Research, identify, develop and answer question about system functionality and issue that may arise.

Perform system, integration, and regression testing

Develop detail documentation to support system requirements.

Prepared material and trained clients concerning system enhancements.

Testing of claims, claims adjustments, Prior Authorization, ICD-10 and Financial

HIPPA

Quality Assurance

Creating CO’s, Defects, and system Maintenance

Develop relationships with internal and external customers

01/01/2012- 06/30/12 HP Enterprise Services Wisconsin/Oregon

WI Title XIX/Oregon Immunization registry system (Remote worker)

Business Service Analyst II / Tester

Conduct customer training

Gathering business requirements

Quality assurance

Facilitated meetings and walkthroughs Federal and State employees

Develop and maintain relationship with customer

Creating Business Requirement Documents, Functional Design document, and test plans

Worked with VTrckS on the ALERT Immunization Information System (IIS) for Oregon.

System: iTrace, Oregon ALERT IIS, SharePoint, SQL, Oracle, MO office, Visio, PowerPoint and Outlook

10/01/07-12/31/07 HP Enterprise Services Massachusetts

Massachusetts DDI (Implementation)

Business Service Analyst I / Tester (Remote Worker)

Third Party Liability Subsystem

Test the TPL subsystem

Facilitated meetings and training for State employees

09/01/2007-12/31/11 HP Enterprise Services Columbus, OH

Ohio MMIS/MITS Account/Implementation (Remote worker)

Business Service Analyst I/ Tester

Third Party Liability Subsystem and Buy-In

Elicit requirements using interviews, document analysis, requirements workshops, surveys, site visits, business process descriptions, use cases, scenarios, business analysis, task and workflow analysis

Critically evaluate information gathered from multiple sources and reconcile conflicts

Communicate with external and internal customers and analyze functional requirements.

Act as a liaison between the clients, business units and technical teams.

Work with developers and Subject matter experts to establish vision and performance needs

Define concepts and interpret the client’s needs.

Work independently or with little supervision.

Ability to interact professionally with people.

Requirement gathering. Creating Change orders, defects, change requests, writing test cases and UAT testing.

Create Business Requirements Documents (BRD)

Facilitate and lead requirement validation (RV) sessions, Joint Application Development (JAD) sessions and all other meetings with the clients.

Analyzed business requirements and specifications to support the Ohio MITS Creating test plans and executing test cases.

Develop and maintain the Ohio Other Insurances plan and rules.

Create and update Mock-ups and all documentation.

Created and worked Defects and CO’s

Conducted training for the client one the TPL panels, letters and reports.

Created and presented Use Cases

Research and answer question about system functionality

Perform system and integration testing

Develop detail documentation to support system requirements.

Prepared material and trained clients concerning system enhancements.

Systems/Software: iTrace, Interchange, Quality Center, sharepoint, Clearquest, MEUPS, MMIS, Documentum, PES, Web Portal, SQL, filezilla, MMIS web portal, HP Interactive portal and Oracle

11/01/2006-08/31/2007 EDS, Inc Indianapolis, In

IN Title XIX (OnSite)

Medicare Buy-In Analyst/Trainer

See details below

04/2004-10/31/2006 Contractor/EDS Fishers, IN

Third Party Liability -Health Analyst/ Medicare Buy-In Analyst

Buy-In/SME/Trainer

The main function of this position is to cost avoid for the state and save money.

determine effective date for Medicare buy-in

work directly with the State and federal government regarding Medicare Buy-In issues

subject matter expert (SME) for my department

Work several reports with very demanding deadlines

Answer Medicare Buy-In questions for caseworkers and SSA

Send information to CMS and send report status to the state

Update all information in the system for Medicare part A, B, and D

created several Maintenance and system modification change orders

Resolved several issue management problems

Scheduled meeting and supplied the agenda and minutes.

In this position have taken several business writing courses and courses to learn the functions of other departments.

Send faxes and emails to the clients and customers

Training

Created the Buy-In procedural manual

System: OnDemand, IndianaAIM, ICES, Web interchange, Project workbook Microsoft word, excel, PowerPoint, visio and outlook

Health Analyst/SME

Answer Insurance and Eligibility questions for Caseworkers, Member, Attorneys and commercial insurance company

Update the AIM system with the correct info to reflect the changes to Ices and Web interchange.

Verify commercial insurance coverage. Answer calls for Medicare buy in and Casualty.

Processed Birth Expenditure Claims for Prosecutors office. Participated in a lot of research projects for the state

Work site is located at EDS in the TPL department I work in OnDemand, IndianaAIM, ICES, Web interchange, Project workbook Microsoft word,visio, excel, PowerPoint, and outlook

Education

03/2012-12/2013 Keller Graduate Decatur, GA

Graduate: Health Services management

1/2003-5/2007 IUPUI Indianapolis, IN

Major: BS in Criminal Justice

5/29/2007-5/2009 U of Phoenix Phoenix, AZ

Graduate: Masters of Science in Administration Justice and Security (MS/AJS)

Volunteer 2005-2007 Marion County Emergency Management Division 2 years

Title: Emergency Operations Center (EOC) support

Monitor the cameras on the street and test storm alarm system

Planning and Analysis

Conducted Training and Exercise programs

Conducting investigation on late or wrong dispatch

Community Outreach and Professional Mentoring

Monitor fire and Police to ensure the cars are dispatched correctly to emergencies.

Assist in disasters such as Natural disasters and severe weather

Response team

Work with State, Federal and Private Sector partners

WebEOC

tracks and disseminates late breaking information gathered from its multiple networks

track developing situation across the state, provide guidance and support to emergency management / first responders across the state, and provide a 24/7 contact point with our state, regional and federal partners

General Election 5 years

Fire and safety instructor for several apartment complexes.

• Help with and conduct fire and safety classes to inform the residents what to do during a fire and other safety incidents.

Church Administrator for Triumphant Life Worship Center

• Facilitating Bible study

Minister at Triumphant Life Worship Center



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