Management Data
Resume:
Delroy Brown
Valrico, FL, 33594
acxl7f@r.postjobfree.com
SUMMARY OF QUALIFICATIONS:
Proven professional with 24 years of diverse experience including business analyst, consulting, auditing, staffing, project management, people development, leadership, operations management, process improvement, data analysis, budget management, clinical research, medical claims processing, consumer communication, thought leader, and legal administration.
PROFESSIONAL EXPERIENCE:
Axelon Temp Service (Citi Group) 09/13/2016 to Present
Senior Business Analyst
Working with end to end global landscape and BAU process including system and process flow.
Reconcile large volume of complex data under tight timelines while ensuring adherence to process, quality, and control standards.
Perform root cause analysis and explain drivers of reconciliation differences, data quality issues, and variance analysis to key customers.
Convey, organize, package and deliver ideas to management.
Build partnerships with key stakeholders from multiple work areas by engendering trust; bring diverse perspective together to address issues.
Engage key stakeholders to explain reasons for variances/data quality issues, drive stakeholders to implement sustainable solutions.
Resolve and drive resolution of complex issues.
Recommend process re-engineering and implement where accountable.
Assess effectiveness of controls, communicate gaps to management, and enhance where required.
Develop strong knowledge of businesses/products and underlying detailed data.
Health Integrated 06/15/2015 to 07/11/2016
Business Analyst
Work with writing teams to create and update company operations manuals. Prepare standard periodic reports from data warehouse and manage distribution to stakeholders
Assist business owners in the review/interpretation of reports
Directly interface with internal and external stakeholders to gather requirements
Analyzed BRD’s and FRD’s to ensure that they are completed in a timely manner and in full compliance for Medicare and Medicaid
Prepare ad-hoc queries/reports in MS Access and/or SQL
Completed BRD’s and FRD’s for both operation and functional areas
Coordinate with IT on the automation of key standard reports and select deployment to ERP
Perform daily data management, validations, and internal audit support
Manage timeline of deliverables with stakeholders
Work cooperatively with management for recommending business process improvement and other efficiencies via automation or toolkit integration
Provide employees with resources that will help them manage these risks. Motivating employees to implement new policies and procedures
Responsible for helping other members of the organization become aware of these risks, creating training programs so that employees were train to manage these risks.
Determine potential risks in an organization and then develop appropriate responses to these risks, such as standardized policies and procedures.
Humana, Inc. 05/05/2008 to 06/14/2015
Business Analyst, MSO Tool
Collaborate with business partners to analyze and understand business problem/need within call center
Leverage thorough understanding of the business process and related information systems to create current business process models (“as – is” process map) and future business process models (“to-be” process map).
Facilitate business requirements gathering sessions with the business owners and key technical resources.
Elicit business and user requirements from business partners using a variety of Industry Standard/Best Practices techniques.
Translate the business and user requirements into system requirements.
Document, categorize and prioritize business, user and system requirements.
Validate requirements for quality attributes, such as clarity, conciseness, correctness, completeness, testability, and traceability.
Analyze impacts to application, upstream, and downstream interfacing systems.
Make recommendations and propose technical/non-technical solutions to solve business problem and meet business requirements.
Use proto-typing techniques and tools to validate and verify that the proposed solution will meet the business and user requirements.
Collaborated with different stakeholders to define acceptance criteria and success metrics for proposed solution.
Collaborate with cross-application teams to design comprehensive solution based on business and system requirements.
Create and document functional specifications, use cases, and designs.
Review and approve project documentation, including estimates, RACIs, project plans, and technical blueprints Perform testing of new applications as they relate to enhancements and system issues
Partner with the Information Technology department and business areas during the design of system enhancements and issue resolutions, and throughout the testing process
Resolve system issues as they relate to production processing, report applications and system output.
Collaborated with leaders in other business areas to define business needs and help translate those needs into system requirements.
Prioritize defects and enhancement requests from business partners
Create and monitor departmental metrics
Process Improvement Front Line Leader, MSO Support, 07/01/2011- 10/31/2013
Managed Braille, soft phone, Tool Bar projects within area of responsibility to achieve target financial benefits.
Process owned and drove implementation of standard processes.
Reviewed and updated metrics for the process to drive changes to improve the efficiency of the process
Provided guidance and leadership to associates and serve as a mentor for their day-to-day activities
Identified reasons for variation in individual performance and take appropriate actions that will result in improved performance
Analyzed data to guarantee key performance measures are met, while aiding in the removal of barriers to success
Maintained proactive communication with other departments to ensure efficient, accurate and timely responses to internal/external customer needs.
Analyzed and identified key processes that need to be improved, within the Medicare environment
Identified and resolved barriers to performance from determining root cause analysis, creating process mapping and resolution – implementation.
Coached performance.
Consulted with internal business partners to match organizational needs with the appropriate solutions;
Assessed learning needs, design, develop and deliver learning interventions.
Reviewed and analyzed audit documents and data to identify what can be used to evidence meeting operational standards.
CRU Agent, MSO Claims Processor, 12/01/2008-06/30/2011
Developed and maintained an extensive understanding of complex underwriting data and trends while attaining financial and marketing objectives.
Provided technical guidance, analyzed data and made pricing recommendations.
Reviewed/ Processed Medical claims.
Reviewed customer and partner applications, gathered data and assess risk, provided accurate case documentation and sound decisions
Evaluated financial risk
Knowledgeable of state-specific requirements and Health Insurance Portability and Accountability Act regulations
Partnered with customers, sales offices and agents to address customer needs
Benefit Specialist, MSO B & E, 05/08/2008 – 11/30/2008
Evaluated benefits data with statistical, financial, or clinical emphasis, track data trends, create custom reports, and provided sophisticated solutions to address issues.
Analyzed members’ benefits data
Loaded benefit information into Humana’s systems
Recommended process improvement activities pertaining to system enhancements or procedural changes
EDUCATION
Church Teachers College 1984-1987
Bachelors of Science degree in Teaching
University of the West Indies Mona Campus 1990-1993
Bachelors of Science degree in Business Management
SKILLS
Microsoft Office Applications
Working on Advanced Analytics technologies that include Oracle, SQL, SAS, CAS, CI, GCP/CCP, Oracle, EWM, Visio.
DIG TOOL Bar
Internal Auditing (Risk Management issues and internal controls deficiencies, Anti -Fraud programs)
Soft Phone
Claims Processing
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