Karen Encinias

*** ***** ****** **., *******, GA 31820 l Cell: (706) 358 - 6001 l ad3u06@r.postjobfree.com

OBJECTIVE

Obtain a Business Analyst position utilizing the Business Analysis Body of Knowledge (BABOK) to promote successful project implementation outcomes.

PROFESSIONAL SUMMARY

Accomplished Consultant drives organizational improvements through leveraging expertise in research and system enhancement. Well-versed in collaborating with employees and leaders to resolve control and procedural problems negatively affecting business operations. Dedicated to cost, process, and resource optimization.

SKILLS

l Data Collection (Georgia system 27x I) l MS Office efficient (Access, PowerPoint, SharePoint)

l Improve Procedures (Alter network program) l X12 HIPAA 27x electronic transactions knowledge

l Train Staff l Certified Business Analyst Professional

l Evaluate Reports (271 benefit BCBS guidelines) l Agile Product Owner Certified

EXPERIENCE

Process Expert – 8/2016 to 8/2023

Elevance Health – Columbus, Georgia

l Evaluated current processes to develop improvement plans.

l Restructured procedures through coordination with compliance director to create and execute projects.

l Produced detailed and relevant reports for use in making business decisions.

l Created and optimized records management strategies to coordinate and protect information.

l Reviewed internal systems and organized training plans to address areas in need of improvement.

l Conducted thorough reviews of operations to devise and deploy improvement strategies.

l Skilled at working independently and collaboratively in a team environment.

l Self-motivated, with a strong sense of personal responsibility.

l Proven ability to learn quickly and adapt to new situations.

Business Analyst I, II, III – 6/2005 to 12/2015

Elevance Health – Columbus, Georgia

l Interacted with internal customers to understand business needs and translate into requirements and

project scopes.

l Collaborated with stakeholders to define project objectives and criteria.

l Performed gap analysis to identify areas of improvement between business and technical areas.

l Improved business direction by prioritizing customers and implementing changes based on collected

feedback.

l Applied honed problem-solving skills to analyze and resolve issues impacting business operations and

goal achievements.

l Managed user acceptance testing along with production testing to resolve and production issues.

Quality Auditor I, II, Sr. – 5/2000 to 6/2005

Elevance Health – Columbus, Georgia

l Reviewed customer service calls and analyzed.

l Processed medical claims to ensure both services met internal and external compliance measures.

l Distributed report of findings to management to review for corrective action plans.

Operations Associate – 01/1999 to 5/2000

Elevance Health – Columbus, Georgia

l Maintained and prioritized to-do-list and followed up to complete task on-time.

l Executed and maintained quality control processes to meet criteria and standards and increase customer

satisfaction.

l Increase customer service success rates by quickly resolving issues.

l Collaborated with other departments to establish smooth implementation of operational processes and

procedures.

EDUCATION

Certified Business Analysis Professional (CBAP), 2007

Columbus, GA

Gadsden State Community College, 1994-1996

Gadsden, Alabama

Major: History (Education)

Weaver High School, 1993

Weaver, Alabama

High School Diploma

REFERENCES: Professional references available upon request.

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