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Project Manager

DeSoto, Texas, 75115, United States
October 27, 2016

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Elaine Watson Flanagan, M.P.H.

Desoto, TX ***** § 469-***-**** §


Data/business/systems analysis

Data flow & process mapping

Software/systems implementations


Onsite CBT or Web Based training

Content Management Applications

Proficient in: MS Project, MS Visio, Remedy, MS Office, MS PowerPoint, HP Quality Center, HP Application Lifecycle Management, Rational Req. Pro, COGNOS Reporting, Telelogic DOORS, MS Live Meeting, WebEx, SharePoint, SQL, HTML, HL7, Interpreting EDI Transactions( 837P,837I,835,270,271), Waterfall, Rapid Application Development and Agile Methodology

Professional Experience

ACS/Xerox –District of Columbia MMIS

Senior Business Analyst (Contract Engagement-Remote) Jun 2011-Present

Responsible for testing and research of provider, prior authorization and claims database enhancements (HCFAs and UB04)

Provide detailed direction and performs specialized analysis and research of systems modifications for enhancements or to resolve any technical issues

Provide online MMIS system module demonstrations for the District of Columbia Department of Health Care Finance

Responsible for requirements gathering, verifying, documenting, communicating internal and external customer requirements for new and modified business requirements. Manage documentation in ALM application

Interview technical and business subject matter experts to obtain specific detail required to meet client business intent

Prepare presentations summarizing client related work flow activities

Development and Testing; Develop test script documentation to assist with coding development, test case scenarios, and test execution as required throughout SDM phases

Texas Health Resources – Arlington, TX

Business Analyst – ITS Governance (Contract Engagement) Dec 2010-Jun 2011

Defined state and future state of business needs for hospital entity projects

Gathered technical information for feasibility discussions to determine ITS resource planning and impact; gathered capital and operating costs.

Developed benefit case to include ROI or targets for other benefits

IAG Consulting – Nationwide

Sr. Business Analyst (Contract Engagement) Jun 2010-Dec 2010

Captured “as is” current state and “to be” future state system analysis for AWIN Consortium Employment Services Project (Idaho, Arizona, North Dakota and Wyoming)

Created business process models, activity diagrams, entity relationship diagrams, data dictionaries

Defined business/systems requirements by using use cases/user stories and functional specifications in defined templates

Ensured delivery of artifacts as agreed to by the team. This will include detailed requirements, and any diagrams that the team needs to understand the requirements such as business process diagrams, sequence diagrams or data flow diagrams.

Developed training scenarios, test surveys and training material for ongoing training

Accountable for ensuring test cases were written, executed (manually and in automated environment) and make sure acceptance test criteria is developed

Participated in daily scrum meetings and take the initiative to prepare for and organize other necessary meetings such as Sprint Planning.

Produced business/software requirements documents and requests for proposals

Managed requirements through testing and release

National Care Network – Irving, TX

Business Analyst (Contract Engagement) Sept 2009-Mar 2010

Translated business needs into actionable programming and process steps for developers

Provided client implementation best practices and ongoing technical support

Assisted in development of ongoing technical processes and procedures

Responsible for change management tasks

Supported the project delivery team during design, development, testing and participated in UAT

Documented processes and procedures for EDI implementations

Implemented HIPAA EDI messaging for health insurance industry (payers), including health plan administration, claims processing and transaction codes.

Centers for Medicare and Medicaid – Baltimore, MD

Sr. Business/Data Analyst-Medicare Nov 2008 - Mar 2010

Proposal development for bid on CMS Medicare Advantage Prescription Drug program as key personnel.

Facilitated Joint Application Design (JAD) sessions with CMS business owners

Managed project documents, meeting minutes and client approvals in SharePoint

Participated in daily scrum meetings and take the initiative to prepare for and organize other necessary meetings such as Sprint Planning

Established the requirements or product backlog; work with the product owner to ensure feature-level user stories are prioritized and accurately reflect customer and business priorities.

Ensured delivery of artifacts as agreed to by the team. This will include detailed requirements, and any diagrams that the team needs to understand the requirements such as business process diagrams, sequence diagrams or data flow diagrams.

Developed requirements in accordance with CMS’ SDLC and CMMI Level 3 standards.

Supported CMS as a business and data analysts for the following programs/systems:

oPremium Withhold System (PWS)

oPayment Reconciliation System (PRS)

oMBD, Low Income (LIS)

oCMS Identity Access Management System

Gathered level of effort estimates, build/managed project plans, build/managed issues log

Perot Systems – Plano, TX

Implementation Business Analyst Jun 2004 – Oct 2008

Provided on-site support for system configuration, installation, data migration and post implementation for web-based “ECHO” credentialing application modules for Tenet Healthcare Inc.

Facilitated customer kickoff meetings

Developed implementation project plans appropriate for each site

Managed resources, ongoing status meetings and communication with internal/external clients

Worked collaboratively with the project manager to estimate, plan, schedule, monitor, evaluate, document, and direct the project so that a complete business solution was implemented

Primary contributor during UAT/unit testing and knowledge transfer activities

Managed ETL process

Monthly onsite and/or web based training of “ECHO” credentialing application modules

Post implementation support which consisted of analyzing, resolving and tracking Tier II helpdesk tickets.

EDS (Texas Medicaid MMIS project) – Plano, TX

Provider Relations Training Specialist/Business Analyst Aug 1998 – Jun 2004

Planned and designed MMIS business processes; facilitated workgroup sessions; assisted in formulating recommendations to improve and support business activities for HHSC

Key personnel on validation and testing team for OCR document imaging implementation

Researched, processed and adjudicated HCFA 1500 and UB04 claims

Designed, edited, and produced marketing materials for provider education workshops and recruitment efforts

Conducted Medicaid policy training and workshops throughout Texas for new and existing providers on a monthly/quarterly basis to include: billing procedures, policy interpretation, provider enrollment

Attended quarterly Dallas County Medical Society meetings to resolve Medicaid payment issues

Medicare/Medicaid managed care provider enrollment electronic funds transfer processes.


A.T. Still University of Health - Kirksville, MO

Masters of Public Health, 2006

University of North Texas – Denton, TX

Bachelors of Art, 1992


PMI, Project Management Institute

Member, May 2008 – Present

iiBA, International Institute of Business Analyst

Member, May 2010 – Present

AHIMA, American Health Information Management Association

Member, March 2010 - Present

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