Business Analyst Quality Assurance

Joan Amenze Henry

678-***-****. ***********@*****.***

SUMMARY

Motivated to learn and succeed; demonstrates initiative.

Ability to drive change by organizing and facilitating scrum events, making sure all parties adhere to schedule.

Using component-based information to understand key issues and their implication to provide solutions.

Bias for autonomy and continuously meets the definition of ready and done.

Able to facilitate win-win solutions to problems and issues by shielding the cross-functional team from outside distractions and impediments.

Created a foundation of openness and respect by actively listening and communicating constantly with team members.

Achieved active engagement with the Product Owner and Developers to foster relationships and add value.

SKILLS AND COMPETENCES

Agile Values & Principles

Backlog Refinement

Burndown & Burnup Charts

Conflict Resolution

Team Empowerment

EHR System

Epic, Cerner

FHIR

Healthcare Background

Scrum/Kanban knowledge

Requirements Elicitation

Data Analysis

Process Modelling

Stakeholder Communication

Project Management

Quality Assurance

Documentation

Cross-functional Collaboration

Communication skills/ Requirements Gathering

Test Strategy/Planning

Regression Testing

Process Mapping

Analytical and problem-solving skills

Iteration/Sprint Planning

Jira, Aha, rally Expertise

Coaching/Mentoring

Relative Sizing/Story Pointing

Risk Management and Compliance

WORK EXPERIENCE

Cigna Health

Business Analyst

July 2024 –Present

•Wrote SQL queries to pull data from different data sources and compile various reports.

•Performed data mapping of source-to-target data sets.

•Engaged to input data into the processing system after interpreting medical coding and knowing terminology used in medical professions concerning procedures and diagnoses.

•Ensured to process of assigned claim forms and inspect apt allocation of co-pays, deductibles, reimbursements, and co-insurance.

•Working within the growing knowledge of HIPAA 830, 834, 835, 205, 270, 277,278, EDI and privacy, security, Medicaid, and Medicare.

•Assisted medical providers with medical claims status and patient eligibility/ benefits information.

•Audited provider contracts to ensure that they met Medicaid guidelines and that provider contracts are set up correctly in the different systems.

•Followed adjudication policies and procedures to ensure proper payment on claims.

•Assist supervisor with system procedures relating to adjustments, voids, cancellations, or reimbursements. Communicate with Accounting regarding returned claims checks - due to wrong address info; as requested by the Claims department; or as submitted due to provider correction.

Worked closely with Provider Relations to enhance Provider relationships through claims analysis and education to the providers on correct billing techniques.

•Performed Data Entry into electronic claims systems and QNXT.

•Verify and analyze data used in settling claims to ensure claims are valid and that settlements are made according to company practices and procedures.

•Resolve complex, severe exposure claims, using high service-oriented file handling.

•Respond to external and internal requests for the release of information contained in medical records, copying medical records and selective extracts by laws and regulations.

•Working with designated QA resources on any requirements clarification or test plan traceability to requirement documentation.

•Performed Functional, Integration, and Regression Testing.

•Helped in the UAT testing, test plans, and test cases and worked with the business users for UAT test execution & assisted in developing the training documentation.

•Performed defect tracking using ALM/QC and ensured issues resolution.

PwC

Business Analyst

June 2022 – June 2024

Collaborated with the finance department to implement a new financial reporting system, streamlining financial data analysis and reporting, and reducing monthly reporting time by 30%.

Conducted a market analysis to identify growth opportunities and presented strategic recommendations to the executive team, leading to the successful expansion of the company's product line into new markets.

Led a cross-functional team to develop and launch a customer relationship management (CRM) system, resulting in a 25% improvement in customer satisfaction and a 10% increase in customer retention.

Played a key role in the implementation of agile project management methodologies, improving project delivery timelines by 20% and reducing project backlog by 15%.

Collaborated with IT teams to develop and maintain a data analytics dashboard, providing real-time insights into key performance metrics and facilitating data-driven decision-making.

Conducted user acceptance testing (UAT) for software upgrades and enhancements, ensuring seamless transitions and minimal disruption to business operations.

Presented regular reports and updates to senior management, providing insights into project progress, risks, and opportunities for improvement.

Mentored junior business analysts, facilitating their professional growth and knowledge development within the organization.

Used Mural board where teams can easily collaborate, solve problems, and generate ideas by using it as a shared online space for design thinking.

Led requirements gathering efforts, conducting interviews, surveys, and workshops to elicit stakeholder needs.

Created comprehensive requirement documents, user stories, and use cases to document project requirements.

Analyzed and prioritized requirements, ensuring alignment with business goals and criticality.

Collaborated with development teams, providing clear guidance, and addressing queries to facilitate solution implementation.

Participated in testing and quality assurance activities to verify that solutions met specified requirements.

Collaborated with cross-functional teams to ensure successful project deployment and post-implementation support.

Maintained clear and regular communication with stakeholders, ensuring transparency throughout project lifecycles.

Prepared detailed reports to track project progress, outcomes, and areas for improvement.

Contributed to process improvements and optimization initiatives, enhancing overall business efficiency.

Epam

Business Analyst/ Scrum Master

April 2018 – May 2022

Manage the solution roadmap and backlog for one or more capabilities.

Participate and contribute functional work as needed.

Responsible for defining stories and prioritizing team backlog by business value or ROI to execute programs while maintaining integrity of the features.

Conducted comprehensive requirements gathering through interviews, surveys, and workshops, ensuring a deep understanding of stakeholder needs.

Developed clear and concise requirement documents, user stories, and use cases to document project requirements.

Prioritized requirements based on business impact and urgency, aligning them with strategic objectives.

Collaborated closely with development teams, providing guidance and clarifications to support the implementation of solutions.

Played a key role in testing and quality assurance activities, ensuring that solutions met defined requirements and quality standards.

Worked collaboratively with cross-functional teams to ensure seamless project deployment and provided post-implementation support.

Maintained open and effective communication channels with stakeholders, ensuring transparency throughout project lifecycles.

Generated detailed reports to monitor project progress, outcomes, and opportunities for process optimization.

Contributed valuable insights to process improvement initiatives, enhancing overall business efficiency.

AT&T

Scrum Master

March 2015 – March 2018

AT&T Inc. is an American multinational telecommunication holding company.

Responsible for planning deliverables, achieve the delivery of complex application modules that provide exceptional business value to its users.

Leading 2 agile scrum teams in using Agile methodology, SAFe framework, and Scrum practices.

Providing necessary coaching needed for implementing SAFe practices.

Managing each project's scope and timeline.

Facilitating agile ceremonies, like product backlog refinement, pre-planning, sprint planning, daily stand-ups, sprint refinements, sprint reviews, and sprint retrospectives.

Facilitating internal and external communication and effective collaboration within/across teams.

Facilitating discussion, decision making, resolve conflicts and remove obstacles that occur.

Working with product owners to maintain backlogs and handle new requests.

Helping teams implement changes effectively.

Ensure deliverables are up to quality standards at the end of each sprint.

Scheduling Sprint Demo's to ensure product fulfil the customer expectations.

Guiding development teams to higher scrum maturity.

Fully aware of Scrum, Kanban, and Jira.

Have good knowledge about team velocity, burndown metrices, and tasks.

Working knowledge of software development processes.

Managed and supported all efforts of 3 development teams to simplify and enhance the customer experience.

Supported multiple stakeholders to ensure the highest quality products to customers.

EDUCATION & CERTIFICATIONS

Certified Scrum Product Owner (CSPO)

Professional Scrum Master (PSM1)

Bachelor’s degree (Business Administration &Management)

University of Benin

Master’s degree (Business Administration & Management)

Vancouver Island University

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