Manager Analyst

Neil L. Fletcher

**** ******* **** ****., ***. #*305

Orlando, FL 32839

Cell Phone 803-***-****

Email- adcg6k@r.postjobfree.com

CAREER SUMMARY

Accomplished business analyst and manager in developing and leading teams with 20 plus year career defining strategies to deliver solutions, implementing and utilizing cost containment measures with a focus in the insurance field. Experience in analysis, developing, proposing, evaluating and directing the delivery of change solutions, recommended standards, and best practices.

PROFESSIONAL EXPERIENCE

January 2019 - Present - Business Analyst –Implementation PMO - AssistRx

Effectively manage client communications and expectations

Function as subject matter expert in order to complete and accurate business requirements from clients

Collaborates with Product Management to balance product vision and voice of the customer to recommend and deliver best in class solutions working with offshore developers

Develop documentation that accurately reflects client needs and is clearly defined for development and QA,teams (i.e. business requirements, VISIO workflows, user stories, wireframes, functional specifications and test plans)

Create clear and easy to follow user guides for clients and end users in the development and support for the eCommerce web development

Utilize tools such as JIRA, CRM Salesforce, Project Handling software Smartsheets

January 2018 to October 2018 -Senior Business Consultant- Florida Blue- Contractor with Experian

●Responsible for review and assisted development of the business requirements gathering for 1 year project installing third party software implementation utilizing internal contract management process tying in network provider management.

●Responsible for developing process plan for operational readiness for all areas impacted by implementation of third party software along with internal IT changes.

●Utilized project software such as Rally in an agile environment.

December 2016 to December 2017- Director of Enrollment – Allstate Benefits

●Responsible for area that receives, converts, formats and processes open enrollment and perpetual voluntary benefit files (EDI).

●Responsible for work with accounts, brokers and sales team with respect to account voluntary benefits implementations.

●Responsible for hiring, insuring proper training and development for regional teams of Technology Support Consultants, Systems Integration Analysts and Data Analysts.

●Responsible for achieving and maintaining QA goal for all employee benefit sites supporting Allstate voluntary benefits in assigned territory.

●Responsible achieving and maintaining all eligibility files received and process by contract effective date supporting Allstate voluntary benefits in assigned territory.

October 2014 to May 2016- Manager II Enrollment, Billing & Reconciliation - Anthem

●Responsible for directing a virtual team of new 20 reconciliation auditors handling assigned fall out reports from the ACA State Exchanges for New York, Connecticut and Kentucky.

●Developing process flows for accepting, assigning and delegating and performing QC as work is received from the state exchanges.

●Work closely with State assigned leads to insure proper priority is given to all work and completed timely and accurately.

●Responsible for hiring, insuring proper training is given and feedback is provided to the 20 new reconciliation auditors. All auditors were hired on or after October 2014.

May 2004 to October 2014- Manager of Electronic Enrollment - BlueCross BlueShield of South Carolina

●Responsible for the analysis, design, implementation and maintenance of the enrollment system for the Membership area as it pertains to electronic enrollment EDI (X-12, 834) for all Commercial Business- National accounts (60+ accounts- Medical, Dental & Vision products), Major Group accounts (500+ accounts Medical, Dental & Vision products) Responsible for monitoring and maintaining quality assurance standards for enrollment area as it is administered by the BlueCross BlueShield Association and internal corporate auditing department.

●Responsible for the implementing and overseeing the handling of all membership system testing with accounts, EDI vendors, brokers and agents as necessary

●Present information seminars to internal customers along with other outside commercial business entities involving membership system and implementation process

●Responsible for maintaining EDI vendor and client relationships for national and local corporate lines of business.

April 2001 to May 2004- Senior Business Analyst- BlueCross BlueShield of South Carolina

●Performed business operational review, which included developing specific observations, evaluating the impact on current procedures, evaluating performance, and developing a series of objective recommendations to improve productivity, cost effectiveness and timeliness.

●Evaluate all cost factors associated with cost/benefit analysis and prepare cross-functional analysis and reengineering studies.

●Objectively evaluate the activities, performance and systems within a specific area for standards and workflow simplification.

PROFESSIONAL SKILLS

Experienced utilizing Microsoft WORD, EXCEL, POWERPOINT, VISIO, ACCESS and PROJECT. Experienced in data mining using established SQL queries. Certified in INFORMATION MAPPING. Detailed experience working with EDI focused on X12, 5010 834. Utilized JIRA, Rally, Smartsheets, Agile, Waterfall. Experience in Call Center and HUB environments

EDUCATION

Bachelor of Science Degree in Business Administration, Concentration in Management Science - Operation and Production Management - Virginia Polytechnic Institute and State University, 1986

CERTIFICATION

PAHM- Professional designation by Academy for Healthcare Management. October 2001

Contact this candidate