Project Manager Customer Service

Cell 614-***-****

Home 470-***-****

s

*********@*****.***

Snellville GA 30039

Tobie Famusipe

Professional Objective: Seeking a career in a major corporation that offers

both a challenge and an opportunity for growth and development. My ultimate

goal is to work in a company where I can expand my strengths in Healthcare,

Systems Analyst, and Project Management.

Career

Highlights

. Member of the HIPAA team that put in place current federal HIPAA

guidelines for the Wellpoint Blue Cross and Blue Shield Plan.

. Provided business requirements for the HIPAA Privacy Project and

configured into Anthem/Wellpoint systems.

. Accounts Delinquency Project - entailed the system maintenance of

delinquent accounts.

. HIPAA Security Project - This project consisted of codes used to

protect customer's sensitive information and configuring these

codes into the system.

. Worked on various EDI Transactions 837, 834, 835, 276, 270 and 271

During Anthems/Wellpoint HIPAA guideline configurations

. Account Implementations Project - This project consisted of

implementing new accounts ensuring that their business needs is

configured into Anthem/Wellpoint systems and consolidated as one.

. Benefit Verification Project - This project consisted of loading

and testing codes and configurations to ensure benefits are

processed on claims correctly.

. Obtained certification in maximizing team effectiveness.

. Received awards for perfect attendance 2 years in a row 2001 and

2002.

. Member of the MetaVance migration, conversion and testing team for

NASCO and Carefirst Blue Cross and Blue Shield.

. Lead the Medicare data cleanup team that put together ideas on

loading Medicare information onto the NASCO system before

conversion and configuration.

. ITS Inventory reduction project; this was a project I lead, where

we had to reduce the ITS correspondence (mail) that came in from

out of state providers.

. Team member and Lead in the Operation Excellence Program Project

for Horizon Blue Cross and Blue Shield.

. Team Lead in ICM Crisis Management when all Oncology applications

are down.

. Provided Server and Network Support for the Oncology department,

and provided analytical support for the application Engineers.

. Studied HL7 (Health Level 7) Specifications for EDI and messaging

exchange between health Applications for healthcare information

companies.

. Performed Medical Billing and Analysis with NASCO Claims systems.

. Leading the SharePoint Migration for the MetaVance team;

responsible for performing conversions of MetaVance documents and

NASCO Documents to the new MetaVance webpage.

. Responsible for maintenance of all documents on the MetaVance

SharePoint site for all our MetaVance team members.

Hollstadt and Associates (Delta Airlines)

May 2014 -

Present

Sr Business Systems Analyst (mentor)

. Responsible for leading initiatives and providing consultation to the

internal and/or external customer.

. Provided expertise in the customer area and provided support with

technical understanding of the business unit's systems, capabilities,

and respective technologies.

. Analyze customer processes and requirements.

. Prepare specified project documentations.

. Assist in business process redesign as needed.

. Maintain communication with customer and team members and promote a

team environment.

. Essential Responsibilities*:

. Gather, develop, coordinate, and maintain business requirements for

various projects and/or systems from initial phase to final

implementation, assuring requirements meet standards.

. Interact with users, other portfolios, and vendors for full life cycle

of project.

. Troubleshoot, coordinate, and maintain production

systems/programs/applications, as needed.

. Produce scheduled and ad hoc reports as necessary.

. Assist in maintenance and communication of project status reports and

tracking.

. Provide user support and coordinate resolution of issues to include

change management, root cause analysis, and appropriate escalation as

needed.

. Develop use cases and functional specifications and coordinate the

capture of process models and functional testing, ensuring system is

functionally appropriate, technically sound, and well integrated.

. Develop and manage user acceptance criteria.

. Coordinate the process to analyze, evaluate, implement, and maintain

systems developed internally and/or externally with an outside vendor.

. Assist in the development of project definitions, cost/benefit and

risk analysis, work plans, progress reports, and presentations.

. Transition product support to systems operations.

. Assist in establishing end user training.

. Wrote requirements for the SAP application migration project,

conducted requirement gathering sessions, performed analysis on

current state and future state of the SAP applications.

. *May perform other duties as assigned.

McKesson (Relay Health)

July 2013 - May 2014

Atlanta, Georgia

Sr Business Systems Analyst

. Prepare detailed system requirements and specifications and

participate in the development of system solution design for

existing and new capabilities and design activities.

. Work closely with Product Managers, Development and QA teams to

development requirements in preparation for enhancements or system

updates.

. Facilitating JAR/JAD sessions.

. Working with other analysts to detail use cases and analysis

models, Functional or conceptual designs.

. Working with technical design team to complete the detail technical

design and testing of the application prior to full system

integration testing, using CMMi methodologies.

. Performs requirements gathering and analysis, use cases, SDLC

process analysis, MS Applications.

. Analyze Client Requests for Project/Work Initiation.

. Identify and document high level business requirements.

. Provide leadership/ direction/consultation to technical staff for

system solutions

support acquisition of project resources.

. Performs testing for new or upgraded pharmaceutical system

solutions.

. Manage Project Implementations and leading multiple projects for

product management.

. Act as a mentor, providing coaching and guidance to Stage I and

Stage II SBAs on work related issues.

. Creating project plans and timelines for requirement gathering

sessions.

. Proactively consult with client and other business and technical

staff to resolve business/technical issues and needs.

. Perform system analysis on pharmaceutical products for preparation

for JAD sessions, and requirement gathering.

. Performs requirement gathering planning sessions using metrics such

as MLOE's to develop timelines.

. Performs peer reviews with other analyst on the team to review

completed requirements before final approval with stakeholders.

. Works with technical staff and others to determine and document the

root cause, propose a design solution, test and implement the

solution, with minimal guidance and no negative impacts to adjacent

functionality.

American Recruiting and Consulting

March 2013- July 2013

Jacksonville Florida

Sr Systems Analyst (Blue Cross and Blue Shield of Florida)

Prepare detailed system requirements and specifications and participate in

the development of system solution design for existing and new capabilities.

Primary accountabilities includes analysis and design activities,

facilitating JAR/JAD sessions,

Working with other analysts to detail use cases and analysis models,

Functional or conceptual designs, working with technical design team to

complete the detail technical design and testing of the application prior to

full system integration testing.

Requirements gathering and analysis, Use Case, UML, RUP, SDLC process, MS

Applications, and SQL Basics

Analyze Client Requests for Project/Work Initiation

Identify and Document High Level Business Requirements

Provide Leadership/ Direction/Consultation to Technical Staff for System

Solutions

Support Acquisition of Project Resources

Performs Testing New or Upgraded System Solutions

Manage Project Implementation

Act as a mentor, providing coaching and guidance to Stage I and Stage II SAs

on work related issues

Creating project plans

Proactively consult with client and other business and technical staff to

resolve business/technical issues and needs

Act as a SME regarding key business functions within BCBSFL product family

Understanding interface points of core business/systems and processes

Verify all/most testing at the systems level

Review test results for any system modification

Provide direction on key requirements for test plans

Providing research analysis and gap analysis on potential issues for

existing systems, work with technical staff to determine root cause,

propose, document, implement a solution, conduct testing, with minimal

support

Performs research analysis and gap analysis on ICD 9 and ICD 10 migration.

Works with technical staff and others to determine and document the root

cause, propose a design solution, test and implement the solution, with

minimal guidance and no negative impacts to adjacent functionality.

Jawood Consulting

August 2011- September 2012

Atlanta GA

Senior Business Systems Analyst (Horizon Blue Cross and Blue Shield New

Jersey /NASCO)

. Reviews all work deliverables with Senior Application Manager prior

to submission to NASCO Project Manager for publication to Horizon

Blue Cross and Blue Shield.

. Completes weekly status report, using the customer's status report

template, each week.

. Participates in Core Team Meetings and providing input to any

possible changes or enhancements.

. Follows Customers Redesign Program Management Approach and prepares

deliverables in accordance with NASCO Enhancements or changes.

. Performs development of test strategies, test plans, and test

grids, and deploying of test cases to the automated testing system.

. Performs executions of test using appropriate applications once

test cases return from testing application.

. Performed system maintenance and support using the NASCO system.

. Conduct post implementation once changes, updates are made or

migrations are performed, e.g. quality check to ensure updates or

corrections using

. Responsible for all project deliverables within contractually

mandated timeframe.

. Skillfully identify and pursue testing objectives in a challenging

environment under minimal supervision.

. Performed analysis with client to investigate any defects on claims

that are processing benefits.

. Participated in the implementation of the changes once approved by

senior level directors. I'm also the team lead in testing the

changes in different testing environments, before it's deployed to

production.

. I then performed a regression testing for the clients to ensure

there is no in production problem and monitor the enhancements for

90 days.

. Created release notes to the clients or managers using PowerPoint

and all Microsoft tools to explain the enhancements or changes that

was done In addition to training the new and current users.

. Performs research analysis and gap analysis on ICD 9 and ICD 10

migration.

Jawood Consulting

April 2010-August 2011

Detroit, MI

Senior Business Systems Consultant (BCBS of Michigan)

. Performs work as assigned by MetaVance Senior Business Analyst/Lead

. Reports progress of work to Senior Program Manager.

. Reviews all work deliverables with Senior Application Manager prior

to submission to NASCO Project Manager for publication to Blue

Cross Blue Shield of Michigan

. Completes weekly status report, using the customer's status report

template, each week.

. Participates in Core Team Meetings and providing input to any

possible changes or enhancements.

. Follows Customers Redesign Program Management Approach and prepares

deliverables in accordance with MetaVance Enhancements or changes.

. Performs Development and review of business requirements and

documents in addition to leading project initiatives for MetaVance

changes or enhancements.

. Utilize clients Project Methodologies to write business cases and

requirements.

. Performs development of test strategies, test plans, and test

grids.

. Perform research and analysis on EDI transactions 835, 834, 820,

276 and 277.

. Performs executions of test using appropriate applications related

to the client in addition to performing different test in multiple

testing environments for MetaVance applications such as webclient

and NASCO mainframe systems.

. Conduct post implementation once changes, updates are made or

migrations are performed, e.g. quality check to ensure updates or

corrections using Webclient, NASCO and IBM Clearquest to log any

Issues or defects.

. Responsible for all project deliverables within contractually

mandated timeframe.

. Skillfully identify and pursue testing objectives in a challenging

environment under minimal supervision.

. Performed analysis with client to investigate any defects on

MetaVance

. After analysis and research, I provided recommendations on how to

get these issues fixed, this was done by having meetings with the

MetaVance leadership team. .

. Participated in the implementation of the changes once approved by

senior level directors. I'm also the team lead in testing the

changes in different testing environments, before it's deployed to

production.

. I then performed a regression testing for the clients to ensure

there is no in production problem and monitor the enhancements for

90 days.

. Leading the SharePoint Migration for the MetaVance team; I was

responsible for performing conversions of MetaVance documents and

NASCO Documents to the new MetaVance webpage.

. Responsible for maintenance of all documents on the Metavance

SharePoint site for all our MetaVance team members.

Alere (Formerly Matria HealthCare) February 2008-

September 2009

Atlanta, GA

Senior Business Systems Analyst

. Gathering of Business Requirements and writing requirements for the

developers

. Perform Liaison duties between offshore developers and clients within

the Oncology department.

. Performs SDLC duties from Implementation to completion for projects

initiated by the business unit or operations management.

. Performs analysis on web based applications with the Oncology

department.

. Reviews all requirements written in preparation for signoff with the

clients.

. Performs testing on requirements once developers complete development

in preparation for deployment to production by creating test cases or

use cases from the scratch.

. Provided analysis and support for portal development and application

development.

. Log defects during testing using Test Director and testing defects

once fixed in model office.

. Provide web application support to offshore developers and oncology

nurses that work the ICM (Integrated Care Management Systems)

application.

. Provided Server and Network Support for the Oncology department,

and provided analytical support for the application Engineers.

. Trained new developers on how to use the web based application in the

Oncology department.

. Complete weekly status reports and submitting to application

development Director.

. Attend Meetings with clients and developer and perform interpretation

when necessary.

. Perform presentations to clients and train clients once enhancements

and changes are complete.

. Performs redesign activities on the QO (Quality Oncology) systems, and

providing recommendations on possible enhancements and changes.

. Utilizing Clients methodologies in writing business requirements for

developers.

. Reports progress to Client Manager and Application Director.

. Writing of both High Level and detail level requirements for new

clients that want system customization.

. Performs Conversion of Helpdesk tickets to Test Director using Mercury

Quality Center.

. Performing System Administration duties and supporting over 300

hundred nurses across the 4 time zones in addition to performing IT

analysis for the users when they have application issues.

. Performed and assisted deployments of updates to all Oncology

applications and websites in the Oncology Department.

. Team lead on Crisis management when Oncology applications are down,

and providing solutions to the ICM business team when issues are

resolved.

Jawood Consulting

June 2007-February-08

Atlanta, GA

Senior Systems Consultant (Horizon Blue Cross and Blue Cross Blue Shield)

. Performs work as assigned by NASCO Senior Business Analyst/Lead or

Kaizen Project Manager.

. Reports progress of work to Senior Program Manager.

. Reviews all work deliverables with Senior Program Manager prior to

submission to Kaizen Project Manager for publication to Horizon

(and prior to any scheduled tasks marked completed)

. Completes weekly status report, using the customer's status report

template, each week.

. Provide weekly updates to changes in vacation requests and on-site

schedule

. Participates in Core Team Meetings

. Follows Customers Redesign Program Management Approach and prepares

deliverables in accordance with Horizon process templates unless

otherwise directed by Project Manager

. Performs Development of Business requirements and documents in

addition to leading project initiatives.

. Utilize clients Project Methodologies to write business cases and

requirements.

. Performs development of test strategies, test plans, and test

grids.

. Performs executions of test using appropriate applications related

to the client.

. Conduct post implementation once changes, updates are made or

migrations are performed, e.g. quality check to ensure updates or

corrections.

. Responsible for all project deliverables within contractually

mandated timeframe.

. Skillfully identify and pursue testing objectives in a challenging

environment under minimal supervision.

. Performed analysis with client to investigate why the NASCO system

was not processing claims correctly.

. Performed research with claims analyst, and customer service reps

on how the claims were processing for provider and how errors codes

were stopping claims from making payments to the providers.

. After analysis and research, I provided recommendations on how to

get these issues fixed, this was done by having meetings with the

NASCO leadership team.

. Recommend system enhancements to suppress the suspends that happens

on the claims.

. Participated in the implementation of the changes once approved by

senior level directors. I also was the team lead in testing the

changes in different testing environments, before it's deployed to

production.

. I then performed a regression testing for the clients to ensure

there is no in production problem and monitor the enhancements for

90 days.

. Created release notes to the clients or managers using PowerPoint

and all Microsoft tools to explain the enhancements or changes that

were done.

. Gathering of reports for different edits in the NASCO system and

documentation of project updates.

. Prepared Technical Documents or modified existing documents for the

development team.

Keane Inc, (Carefirst Blue Cross and Blue Shield) April 2006-May

2007

Atlanta,

GA

Senior Consultant, Quality Management

. Responsible for all project deliverables within contractually

mandated timeframe.

. Skillfully identify and pursue testing objectives in a challenging

environment under minimal supervision.

. Interpret and understand system requirements for new and existing

applications for both production and model office environments.

. Execute test using predefined business cases against a test

environment.

. Participate in UVT, Migration, Regression, and parallel testing via

manual and automated tests.

. Identify, manage and document defects to closure using IBM

clearquest and RUP.

. Trained and lead new testers on new procedures and existing

applications and testing tools.

. Performed Installations of the MetaVance Software on desktops for

operations and performed technical support when issues and defects

occur in addition to troubleshooting escalations.

. Performed EDI analysis on 835, 834, 837, 276 and 277.

. Trained other Analyst on the NPS (NASCO Processing System) and

provided technical support for the operations department.

. Performed liaison issues between operations and the technical unit

when production and testing issues occur.

. Performed functional expertise in regard to product, application

and services.

. Maintained project management documentation for assigned projects.

. Performed testing on web based conversions in addition to software

application products.

. Created test scripts for Manual and Automated testing.

. Performed whitebox testing in a web based environment (MetaVance

Systems), testing were performed in model office, production

staging, and production.

Anthem Blue Cross & Blue Shield

April 2000-October 2005

Worthington, OH

Business Systems Analyst

. Research and provide analysis on health claims such as UB92 and

HCFA claims.

. Provide technical support for operations by creating work flow

processes, flow charts and developing ideas on enhancing current

and future workflows for the operations department.

. Troubleshoot and provide data analysis to operations, such as

detecting defects, and creating automated reports for the

operations team and researching of specs to identify possible

defects from either membership or claims department.

. Coding of benefits into the system and testing the benefits to

ensure efficiency.

. Worked on HIPAA projects and implementation of policies

. Implementation of groups, conversion of business requirements into

systems and testing of applications.

. Configuration of codes and testing of applications

. Creating test scenarios for new groups once implemented into the

system

. Train new and current analyst on the NPS System and developing

training documents to enhance the efficiency of the team.

. Performed claim adjudications, account implementations, claim

analysis and provided technical support for Anthem's operation

department using NASCO mainframe system.

. Document and reviewed current process flows for business and vendor

requirements.

. Verified environmental readiness for testing for multiple vendors

between the NPS modules.

. Performed testing in various environments, model office, production

staging, production, and .NET environments.

Technical Summary:

. Fundamentals of Networking, Internet Protocol Systems Network

Architecture, Lotus Notes, IBM Mainframe Systems A/S 400, Windows

NT 2000, Windows XP, Test Director.

. Rational ClearQuest, Rational Test Manager, Reqpro, and RUP,

Mercury Quality Center, Test Director. SAP applications Maintenance

and support. Oracle Database testing and support

. Health Care Systems (NASCO) MetaVance Systems, ICM systems

(Integrated Care Management Systems), QO Administration (Quality

Oncology Administration)

. Microsoft Project and Visio.

. Microsoft SharePoint, Windows 7, MetaVance (Members Edge Systems).

Webclient. SQL Basics.

Education

Seton Hall University - South Orange, NJ

Sept.1992 - May 1996

. Criminal Justice & Political Science

. Played basketball for Seton Hall for 2 years

Contact this candidate