SKILLS: Proficient with Microsoft Products, Word, Excel (Vlookups & Pivot tables), PowerPoint, SharePoint, VISIO, IBM Rational Suite of Tools, Read code (JSON, Cobol), SQL Query, JIRA, Confluence, FHIR, CCDA, EDI (837, 834, 835, 277, 270 & 271), 508 Compliance Testing, Red Hat BRE, Gherkin Syntax, SOAP UI, Postman, APIs & Chrome Developer Tools

PROFESSIONAL EXPERIENCE

IntePros – Philadelphia, PA March 2023 – March 2024

Business Systems Analyst

Collaborated with Stakeholder’s to identify and prioritize business needs for a new Coordination of Benefits (COB) Automated Primacy System at a healthcare client

Completed a Business Requirements Document based on the elicitation findings

Developed business flows for the new system.

Worked with the Technical Solutions Architect to identify and create a new data model for the new system

Created Mapping Documents of data elements for the new system

Created a Traceability Requirements Document for testing of all requirements

Change Healthcare – Nashville, TN June 2021 – Present

Business Systems Analyst II

Create User Stories in Confluence based on API requirements

Create Acceptance Criteria for user stories using Gherkin syntax

Host Daily Standups using JIRA Kanban board and assign work for developers

Create SAFe Program Increment Planning Session template in Confluence

Host the SAFe Program Increment Planning Sessions using a MURAL board for distributing work within Iterations

Data Mapping FHIR Specifications for an application

Create Acceptance Criteria, using Gherkin, for Sequence Diagrams

Highmark Health Solutions – Pittsburgh, PA March 2015 – November 2020

Business Systems Analyst

Created a process to estimate test efforts for new projects and established ISO documentation for the estimate process

Assisted with the creation of User Stories based on the analysis

Performed business requirement documents

Led a team of 4 employees who estimated test efforts across various lines of business

Gained familiarity with testing all browsers and various mobile devices

Gained experience testing logic in various program languages

Analyzed and worked with large sets of data to ensure that the data integrity

Troubleshot technical issues and resolutions for various applications

Created a highly complex test script for claims processing to reduce test execution time by 50%, using Microsoft Excel and SOAP UI.

Reviewed code to ensure the applications and infrastructure ran smoothly, daily

Created and presented PowerPoints for senior management and stakeholders

Gained familiarity with RED HAT BRE & API Services

Worked in an Agile environment and assisted in daily scrum stand ups along with estimating projects

Assisted testing with Chrome Developer Tools

Led defect resolution activities for portal-related projects, using Rational ClearQuest to log, define, manage, and pass potential program defects identified in data analysis efforts

Resolved 50 defects within a three-month period

Worked closely and communicated with customers and developers to determine new enhancements/features

Communicated with other teams to ensure that features aligned with those areas

Developed test plans & test cases for multiple projects and applications

Executed test cases using Chrome, Internet Explorer, Firefox, Safari and Mobile browser

Highmark Health Solutions November 2008 – March 2015 IT Testing & Quality Analyst

SDLC Partners – Pittsburgh, PA October 2006 – November 2008

IT Testing & Quality Analyst

Compared, trended, analyzed and justified adjudicated claims discrepancies using an inhouse developed Parallel process, i.e., past processing results of production volume claims files to the test environment processing results

Created, and escalated defects for all erroneous processing results, retested coding corrections

Created a process for comparing production volume claims of other Blue Cross plans, adjudicating claims in the Highmark environment, and assisted with VISIO in FlowCharts

Developed test and integrated enhanced parallel processes into existing legacy health claim production modules using Rational Suite of Testing Tools and SQL query language

Edited COBOL programs to identify and define fields impacted by programs within the claim’s validation process

University of Pittsburgh Medical Center 1997 – 2006

Training Specialist II

Provided customers with initial, advanced, and specialized software training

Wrote documentation and coordinated testing for software product new releases

Allegheny General Hospital Prior to 1997

Senior Systems Analyst, Systems Analyst, Programmer Analyst and Data Entry

EDUCATION

Point Park College – Pittsburgh, PA

Bachelor of Science in Computer Science 1990

Certifications

SAFe Agile for Product Owner/Product Manager

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