Project Manager / Senior Business Analyst
Drive Project Effectiveness Pilot New Processes
Translate Business Requirements into Scalable, Resilient System Solutions
High-energy, motivated professional with demonstrated experience in the health insurance industry. Use process improvement, project management, and training strengths to identify the root cause of issues and translate complex processes into clear, understandable, and actionable steps.
Enthusiastic leader, consistently meeting commitments with integrity. Proven data collection and analysis skills with a focus on improving customer's experience. Solution-oriented leader adept at working across business units and functions to achieve revenue targets by coordinating all aspects of product development from concept to delivery, consistently meeting/exceeding schedule, budget, scope requirements, and business objectives.
Areas of Expertise
- PMP Certified
Microsoft Office Suite
Strategic Planning and Partnerships
Senior Business Analyst, Thousand Oaks, CA 2008 - 2018
Contributed proactively to several implementation projects; leveraged communication skills to establish and maintain successful client relationships.
Planned and directed analysis of complex business problems and solved with automated systems. Provided technical assistance in identifying, evaluating, and developing systems and procedures that were cost-effective and met user requirements. Assisted in planning and testing changes.
Developed more efficient business processes by identifying issue during a training session and performing further research to implement a new function which eliminated three steps in the process and increased productivity and reduced costs.
Facilitated optimal internal communications by serving as a liaison between services organization, product development, product management, business operations, and technical teams.
Collaborated with cross-functional teams during all stages of system development life cycles, from requirements gathering, end-user testing and production releases, keeping projects on task while meeting deadlines.
Kathleen Chiappini firstname.lastname@example.org Page Two
Conducted ongoing knowledge sharing sessions monthly to capture “Lessons Learned” and streamline end-user system experience.
Staffed projects, as project manager, by delegating tasks to appropriate associates, tracking progress and updating managers, partners and clients as necessary, ensuring the project was done timely, accurately and within budget.
Selected to provide system update for new provider non-network contract not formally recognized within the system. Created workaround to allow the system to process claims, satisfying sales team while keeping a very high-profile client.
Implemented new software for loading internal business issue intakes. Later tasked with creating requirements, testing and training additional departments.
Senior Reimbursement Specialist, Thousand Oaks, CA 2006 - 2008
Developed and implemented improvements to a processing system, maximizing efficiency and increasing accuracy.
Reviewed and entered provider contracts on to company database, ensuring HIPPA compliance and all proper procedures were followed.
Performed ongoing system implementations of new provider contracts, including research, the creation of test documents, training end users, creating monthly reports for leadership review which resulted in accurate payment processing and high client retention.
Coordinated with network management and information technology to identify and resolve provider contract rate issues, maximizing the system automation rate.
Associate Business Analyst, Risk Management, Newbury Park, CA
Medical Claims Processor, Woodland Hills, CA
Associate of Arts (AA), Business Management,
Southern New Hampshire University, Hooksett, NH, 2018
Bachelor of Arts (BA), Management, Concentration in Logistics and Operations,
Southern New Hampshire University, Hooksett NH - 2018 - In progress
Franklin Covey Project Management, Certificate Program
Systemmation Business Systems Analyst, Certificate Program
Execu Train Excel, Certificate Program