Jamie York

ad414x@r.postjobfree.com

Pittsburgh, PA

Professional Summary:

·Accomplished Business Systems Analyst with over 8 years of experience in HealthCare and Financial Enterprises

·Specializing in Legacy Systems Migrations, Implementations, Software Development and Change Management

·Highly proficient in gathering, writing / documenting, and communicating business requirements.

·Skilled in end-to-end process / policy improvement, testing, root cause analysis and creative problem solving.

·Possesses the ability to assess benefits, risks, vulnerabilities, and success factors of IT projects.

·In-depth knowledge of CMS clinical data metrics and Healthcare data management solutions

·Experienced with communicating and presenting with all levels of business and stakeholders.

Management Skills:

·SAFe Agile Methodology / Scrum / Waterfall

·Medical Coding – ICD 10, CPT and HCPCS

·Revenue Cycle Management

·User Acceptance Testing (UAT) and Data Validation

·Microsoft Visio Azure DevOps and PowerPoint

·ServiceNow, SharePoint, Jira, J-Query and Confluence

·EHR / EMR Management

Education:

·Seton Hill University bachelor’s degree of Accounting in Progress

·The Western School of Health and Business Careers associate degree in Heath Information Technology

Professional Experience:

US Tech Solutions

Business Systems Analyst Consultant October 2023 - Present

lGathers system requirements and documents acceptance criteria/ use cases

lCoordinates scheduled testing validations at each level before release date

lWorks with Change Management to resolve any incidents or vulnerabilities

Intellinet Remote Feb 2022 - Sept 2023

Principal Consultant. - Product Management

·Creates and maintains Azure DevOps Backlog and Sprint board.

·Writes all Product Initiative, Epic, Features and User Stories descriptions.

·Facilitates all Client Work Sessions and coordinates knowledge, artifacts and actions list transfers.

FNB contracted through All Lines Technology Remote Jun 2021 – Aug 2021

I.T. Business Analyst

·Gathered Business systems requirements to document both current state and future state of processes.

·Created MS Visios of each internal process.

·Documented each agile requirement and formed Epics, Features and User Stories in Rally.

·Wrote use cases for UAT.

EQT contracted through Vision IT Remote Jun 2020 – Dec 2020

Data Validation Specialist

·Validates and tests the EQT Accounting data for a major system implementation.

·Identifies system errors, process / workflow issues and logs Salesforce Case Support Tickets.

·Performs Test Allocation runs and Revenue distributions for Journal Entries, System Values, Check Input and Reporting.

·Facilitates Vendor Knowledge Transfer meetings and organizes thorough follow-up.

·Provides project management support with vendor testing documentation and feedback via traceability matrix.

·Worked with vendor team to execute User Acceptance Testing (UAT) test strategies to meet business needs.

Pittsburgh, PA Covid-19 Shut Down Mar 2020 – May 2020)

PNC Bank contracted through Mastech Digital Pittsburgh PA Aug 2019 – Feb 2020

Lead Business Systems Analyst

·Develops Agile project documentation that includes writing requirements, use cases and IT system specifications.

·Serves as the technical contact point of contact between Product Management and Scrum Development teams.

·Simplifies and standardizes complex concepts and processes into workflow diagrams and visual presentations.

·Writes Backlog user stories for Pre-Grooming, 3 Amigos, Grooming and Sprint Planning ceremonies.

·Facilitates Vendor Knowledge Transfer meetings and organizes thorough follow-up.

·Assisted Project Manager and Product Owner with meeting minutes, agendas and presentations.

UPMC POWRR Program Pittsburgh PA Jun 2019 – Jul 2019

Program Participant

·Hand selected to attend and review UPMC’s newest community resource program.

Highmark Health contracted through Celerity IT LLC. Pittsburgh PA Apr 2019 – May 2019

Senior Business Analyst

·Learned the official Agile Methodology and attended Agile Bootcamp.

·Wrote user stories using the formal Agile method: As a; I would like; So that.

·Wrote acceptance criteria using the formal Agile method: Given; When; Then.

·Familiar with MoSoCow, CRUD and Design Thinking sessions.

·Understood the SCRUM process and SCRUM roles.

·Understood Sprints, Product Backlog, Sprint Backlog, Product Owner, and Deliver Owner roles.

·Assisted with writing Project Epics and Features.

Kroger Technologies contracted through Staffmark Cincinnati OH Feb 2019 – Mar 2019

IT Support Analyst

·Provided remote technical support for hardware and software applications across the enterprise.

·Completed and documented all calls in the form of Service Tickets through resolution.

·Escalated and monitored tickets through Technology support layers to issue resolution.

·Dispatched vendors or division contacts as required for on-site repairs.

·Analyzed and determined magnitude of incident and escalate to management any identified trends.

·Clearly communicated technical analysis and resolution through written documentation.

PNC Bank contracted through Meridian Technologies Pittsburgh PA Nov 2018 – Jan 2019

Business Analyst III

·Learned PNC Risk Management, Agile and Scrum.

·Provided BA / Project Management Methodology processes.

·Performed requirements elicitation and documented business requirements.

·Performed user acceptance testing and enhancements and change management.

·Demonstrated strong technical proficiency with SharePoint, UAT, OBIEE, Tableau and HP ALM.

·Reviewed and documented Risk Vulnerabilities reports and Standard Operating Procedures (SOP) in Archer GRC.

PCI—Pittsburgh Career Institute Pittsburgh PA Aug 2016 - Dec 2018

Medical Coding and Billing Lead Instructor

·Provided in-class instruction / lectures and hands-on training as required by course content.

·Developed class work and evaluations in accordance with course textbooks, syllabi, and outlines.

·Maintained accurate records of performance, evaluation, and attendance on each class taught.

·Documented and gave feedback at least once a week including tests, assignments, and projects.

PNC Bank contracted through CompuGain LLC Pittsburgh PA Jan 2017 – Jan 2018

PNC Healthcare Operations Business Analyst II

·Performed PNC client managed file transmissions Data Validation for the EFX Migrations Project – TAG to EFX. Platforms (Sterling File Gateway) in an Agile / Scrum team.

·Gathered PNC client 835 (Remittance) and 837 (Claim) data to form file requirements.

·Analyzed, verified, and updated PNC client file names compiled on the MIS SharePoint project site.

·Created the HCA EFX Migration Process to streamline migration activities.

·Built Excel spreadsheets from MIS SQL queries with PNC client file data for UAT.

·Submitted and coordinates various reports from Production Support through Service Now.

·Troubleshoots any HCA file failures (both TEST and PRODUCTION) and coordinates with EFX Product Support.

·Attended MFT project, HCA testing, GLBA applications and Implementations Skype meetings weekly.

·Served as the HCA main contact that communicates with the Sales Ambassadors, Enterprise Project Management and MIS teams concerning any duplicate, closed or inactive files.

·Provided strategic consultative support between the MFT Project and HCA Implementations teams.

·Ensured compliance with each PNC client's Go Live on new platform (Including UPMC, VA and Highmark).

Gateway Health Plan Pittsburgh PA Mar 2016 – Jun 2016

Medical Coding Analyst *Transferred from AHN*

·Reviewed, abstracted and coded according to Medicare’s Risk Adjustment (MRA) model for Medicare Advantage Organizations, Medicaid and HEDIS (Perspective and Retrospective).

·Developed a network ICD-10 Code Mapping database - Mapped to CPT, HCPCS Codes and RxNorm based on CMS HCC and CDPS categories for strategic Revenue Management.

·Responsible for Risk Adjustment Data Validation (RADV) audit Medical records and Coversheets for early submission.

Allegheny Health Network Pittsburgh PA Nov 2015 – Feb 2016

Senior Inpatient Coder

·Reviewed and abstracted West Penn Hospital inpatient medical records

·Worked as Lead contact for the Athena to EPIC Migration.

·Coded diagnosis and procedures to ensure correct DRG assignment.

·Wrote and reviewed Medical Director coding queries.

Maxim Healthcare Pittsburgh PA Jun 2015 – Oct 2015

Allegheny Health Network O.R Audit Technician (Contractor)

·Audited operating room daily charges using G.E. Centricity software.

·Reviewed and verified all procedures, diagnosis codes and materials quantities amount.

·Utilized OSA Gold, O.R. Manager and Report Tree to abstract EPIC medical records for daily counts.

·Compiled monthly budgets and daily volume reports for department directors and senior management.

CECity.com now Premier Healthcare Pittsburgh PA Nov 2014 – Mar 2015

Business Analyst (Technical Writer for Software Content)

·Hand selected for major Short-term CMS (Centers for Medicare and Medicaid) Agile / Scrum project.

·Built and designed workflows and requirements for PQRS Software PQRS Wizard

·Translated technical data into business cases that were then used for questionnaires.

·Abstracted documentation, guidelines, and medical codes from CMS PQRS specification manuals

·Provided support to technical professionals with regard to a variety of systems and business operations problems.

·Created basic reports, and pivot tables within the Excel software tool.

·Created questions, counters, data fields and calculations for software managed control for Development.

Highmark Health contracted through Staffmark Pittsburgh PA Oct 2013 – Oct 2014

Human Resources Coordinator

·Effectively supported Highmark’s Human Resources Administrative department during the implementation of Highmark’s acquirement of the Allegheny Health Network.

·Provided PeopleSoft coverage by coordinating and processing employee transfers, terminations, and leaves of absences.

·Demonstrated the ability to learn and understand complex pension and benefits plans.

·Updated employee benefits (e.g., medical, dental, vision, disability, and life insurance).

·Determined and defined system specifications, process improvement, quality assurance interaction with PeopleSoft technical staff and emphasis on problem resolution.

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