ZARNA PANDYA (Sr. Business Analyst)

Richmond, TX 77407 Phone: 847-***-**** Email: adzskn@r.postjobfree.com

https://www.linkedin.com/in/zarna-pandya/

PROFESSIONAL SUMMARY

Senior level Business/Implementation Analyst with over 18 years of IT (Finance) & Healthcare Projects experience. Possess strong communications and analytical skills in developing client relations and delivering projects on time. Ability to see big picture, think strategically and apply solutions from many angles sets me apart from my peers.

SKILLS

Process development

Presentation Skills

Project Management

IT solutions

Agile

Critical thinking

User acceptance testing (UAT)

Scope and project definition

Business systems analysis

Requirements gathering

WORK HISTORY

MCKESSON, Houston, TX (Contract) March 2022 – August 2022

Sr. Business Analyst

Worked on functional requirements specifications and data models and communicated these requirements to the design and build teams.

Set up meetings and documented Meeting minutes/action items for team members and ensured those action items are assigned and completed on time.

FISERV OUTPUT SOLUTIONS, Sugar Land, TX January 2014 – December 2021

Sr. Business/Implementation Analyst

Gathered, documented and analyzed implementation requirements and projects for new and existing Healthcare clients.

Facilitate training sessions with internal and external clients to use web enabled tools offered by Fiserv.

Developed implementation plans including scope of projects/issues, due dates, checklists, resource needs, time frames, and all other essentials required for the implementation.

Performed challenging implementation tasks to ensure the clients’ needs are met in a timely, accurately and professional manner.

Provided consultation to the client before, during and after conversion including training clients on the use of on-line applications and systems.

Responsible for eliciting high-level requirements and Acceptance Criteria provided by the Product team, and assisting SQA team with testing and perform client UAT before code release and project deployment.

Gathered user feedback and analyzed usage data post-launch to inform future enhancements and updates.

Provided input on possible improvements to standards, tools and procedures for use on projects.

US FAMILY HEALTH PLAN – CHRISTUS HEALTH, Houston TX June 2013 – December 2013

Provider Relations Representative

Maintained all system provider changes in ‘TheSys’ operating system routed from Provider Relations Representatives, Claims Department, Utilization Department, and Customer Service.

Worked with accounting department to ensure W-9 integrity on all providers entered in system.

Contacted both in-network and out-of-network providers to verify information received on W-9 is correct to ensure accurate claims reimbursement.

Researched and corrected any provider errors reported by Department of Defense.

Resolved claims inquiries with out-of-network providers and in-network physicians in a timely and efficient manner.

Coordinated and oversaw the registering of providers for EDI.

WALGREENS BOOTS ALIANCE, Deerfield, IL February 2005 – April 2013

Business Analyst

Conducted internal audit investigations to monitor network pharmacy claims for fraud, waste and abuse resulting in $400K in recovery recommendations in 2012.

Worked closely with audit vendors and lawyers to review and analyze audit results in order to determine if corrective action or further investigation is needed.

Directed the accounting department to withhold payment to pharmacies when potential fraud, waste and abuse is identified.

Performed ad-hoc analysis (SQL queries) and generated Business Objects reports to identify historical financial loss, developed forecasts and took steps to improve finances by updating Pharmacy operating system.

Analyzed data in order to identify trends through the review of historical, qualitative and quantitative data and developed recommended courses of action to address adverse trends.

Compiled and reviewed complex data to assess multi-million-dollar projects.

Maintained a working knowledge and understanding of business operations in order to define new business needs, problems and issues related to pharmacy programs.

Applied analytical skills to business requests and communicated these business wants/needs in a clear and precise manner to enhance Pharmacy operating system.

Gathered and documented business process requirements, participate in new system developments/existing system enhancements, perform testing, prepare/present reports, keep up with technological changes, and act as liaison between various business units.

EDUCATION

Masters of Business Administration

Business Management/Marketing, Keller Graduate School of Management, Chicago, IL

Bachelor of Science

Business Management, DeVry University, Chicago, IL

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