Sr. Business Analyst

Professional Experience

Senior Business Analyst – Clinical Applications user Experience 11/2018-Current

Radiology Partners ~ Columbus, Ohio

Understanding workflow between EHR / EMR, PACS, and voice recognition applications.

Trained support staff and end-users for Office 365 MS Teams and OneDrive usage.

Experience in data modeling with Tableau and Microsoft PowerBI.

Implementation of Agile project methodology for the IT team. Utilizing the use of Jira and Confluence as workflow management tool and artifact repository.

Implemented AIDoc deep learning software which analyzed medical imaging for the following: intracranial hemorrhage, C-spine fractures, pulmonary embolism and intra-abdominal free gas.

Redesign of ServiceNow ticketing system to stream line issues and problem tickets to departments.

Gathered business requirements and led implementation of voice recognition software.

Created wire frames and mockups for physician directory upgrade.

Gathered requirements for Salesforce integration between several teams: Implementation, Sales, and Support.

Led curriculum development for onboarding of new associates to the practice.

Business Analyst – Operations 11/2017-11/2018

Buckeye Health Plan ~ Columbus, Ohio

Identified process improvement through root cause analysis, interviews, workshops and workflow mapping.

Developed business requirement documents such as scope, processes, alternatives, and risks.

Conducted requirements gathering for Microsoft Dynamics upgrade.

Created Microsoft Dynamics dash boards for senior leaders.

Conducted reporting for senior leaders: Annual Operations Plan (AOP) and Health Benefit Ratio (HBR).

Implemented Enhanced Ambulatory Patient Grouping (EAPG) system effective October 2017-May 2018.

oMonitored and hired six vendors to complete and assess configuration for EAPG.

Collected business requirements for behavioral health carve-in and ensured compliance with State regulations.

Internal website implementation built on SharePoint/HTML/CSS and Java Script.

Implemented formal training and quality programs; successfully maintained an internal quality score of 99% or greater.

Led organizational training for Consumer Assessment of Healthcare Providers and Systems (CAHPS), a series of patient surveys rating health care experiences in the United States. Training was created and developed via a SharePoint site to promote knowledge across all campuses. Training held May 2017 and May 2018.

Project Coordinator - Operations 06/2016-11/2017

Buckeye Health Plan ~ Columbus, Ohio

Designed a workflow solution adding 25 FTE positions decreasing the overall turn-around time (TAT) by 50%. Reduced the average time for contract completion from 6 months to 45 days.

Successfully operationalized numerous process improvements including: reduced credentialing TAT from 90 days to 20 days, streamlined prospect to pay workflow from 12 steps to 4 steps, and increased directory accuracy by 30%, decreased claims denials by 10%, decreased claims projects and adjustments by 46%.

Internal payment integrity department savings realized for the 2017/2018 year $1,112,395.37 and an estimated maximum of $2,224,792.73 for pre/post payment review of Hospital claims.

Click to chat software implementation designed to create a pop up window message instead of calling into a call center. Implementation reduced the number of member calls received by 30%.

Organized team building initiatives and overall maintenance of organizational culture consisting of events, personality assessments, training, and think tank sessions.

Organized bi-monthly leadership meetings, directly collaborating with the Senior Leaders.

Contract Coordinator – Provider Data 05/2015-06/2016

Buckeye Health Plan ~ Columbus, Ohio

Executed and maintained over 500 provider contracts, from individual providers, clinics, and hospitals, while ensuring configuration set-up would adjudicate claims accurately.

Identified gaps and risks in the contracting process and coordinated with multiple departments to ensure contracting process was completed timely, accurately, and within the required standards and guidelines.

Maintained spreadsheets and databases; utilized to collect, track, prepare, compile, and distribute statistical data for daily and ad hoc reports.

Preserved panel adequacy for specialties and counties for new providers and additional product networks.

Registration Specialist - Revenue Cycle 06/2011-11/2015

Ohio Health, Patient Access ~ Columbus, Ohio

Exceeded customer service standards; contributed to healthcare site, consistently achieving 90% or higher on patient satisfaction survey scores.

Executed best practices across outpatient rehabilitation clinics, outpatient imaging centers, hospital emergency room departments, hospital inpatient, and physician practices.

Subject matter expert during transition from STAR, Relay, E-Pro to Epic electronic medical record (EMR) software.

Educated patients on medical benefits and provided assistance in applying for financial aid when necessary.

Medical office duties including: patient scheduling, charge entry, and medical claim coding.

Proficient in a multitude of computer software programs used to enhance the flow of communication and coordination of patient information.

Education

The Ohio State University – Columbus, Ohio BA History – Tentative

SP2013 and PM development- ASPE October 2018

Certified Scrum Master October 2018

Certified SAFE Scrum Master February 2019

Covid-19 Contact tracing August 2020

certified Life Coach October 2020 – In progress

Software Skills

Microsoft platforms, MS Office Suite, Microsoft Project, Microsoft Dynamics, Salesforce, PowerBI, Tableau, Smartsheet, SharePoint, SharePoint Designer, PowerApps, Jira, Confluence, EPIC, PEGA Platform, Star, RelayHealth, Clario, PACS, Powerscribe, Fluency, Portico, Amisys, Adobe Captivate, Emptoris, Notepad++, SQL 2016, Visual Studio, Workday, Peoplesoft, Taleo, and ADP

Leadership • Project Management • Process Improvement

Highly motivated business professional who thrives in high-pressure environments. Skilled in achieving operational efficiency and increasing revenue in the health care industry.

Enthusiastic problem-solver with a keen ability to rapidly assess diverse situational challenges, develop action plans, and lead teams in exceeding targeted goals.

Extensive experience with project management, vendor management, and company-wide training production.

Contact this candidate