Theresa Kearse Fleming
Atlanta, Ga 30316
404-***-**** ********@*****.***
PROFESSIONAL SUMMARY
Healthcare industry professional with 10+ years’ experience as a Scrum Master, Business Analyst and Quality Assurance Analyst adept at utilizing industry standard methodologies to produce quality Software products. Critical thinker who consistently resolves customer support issues efficiently and timely to meet SLA and exceed customer expectations.
Areas of Expertise
Implementation, Requirements Gathering & Analysis, and User Acceptance Test (UAT)
Technology: Agile Methodologies, Rally, JIRA/Confluence
Eat Right Atlanta (Wellness Company) June 2023 - Current ● Market Healthy Food Access to Fresh Fruit and Vegetables to hospital clients, insurance wellness plans, various health organizations and the Public ● Provide Farmers Market Reconciliation Reports of receipts daily for End of Day Reconciliation of ● Monitor and Update Market contact’s Listings for existing and new participants to ensure Online Notifications and Orders are accurately processed
Aflac (Randstad contractor) Solutions Analyst July 2022 - June 2023
● Collaborate with Business Operations and IT teams to translate Medicare Advantage and Commercial Plans Dental and Vision Plan Requirements into structured Rules for OpenL Tables
● Configure OpenL Tables with requirements to ensure they align with the business rules
● Ensure all processing rules are captured for EIS claims adjudication
● Perform Post Go Live Review and Updates to maintain processing requirements in EIS
Krucial Staffing Overland Park, Kansas Krucial On-site Representative Aug 2021 – Mar 2022
● Liaison for medical providers (CNAs, RTs, and RNs) travel to Texas hospitals for Covid-19 Emergency Management mission
● Scheduled hospital onboarding and orientation for fresh staff assignments
● Maintained daily rosters and submitted necessary reports
● Provided support for HR/Administration duties; I-9s documents completion, verified Timesheets for weekly payroll submission. Processed discharging/demobilizing of staff as needed
Krucial Staffing Overland Park, Kansas Krucial On-site Representative Jan 2021 – Apr 2021
● Liaison for medical providers (CNAs, RTs, and RNs) travel to Texas hospitals for Covid-19 Emergency Management mission
● Scheduled hospital onboarding and orientation for fresh staff assignments
● Maintained daily rosters and submitted necessary reports
● Provided support for HR/Administration duties; I-9s documents completion, verified Timesheets for weekly payroll submission. Processed discharging/demobilizing of staff as needed
Integraconnect West Palm Beach, Fl-Remote Scrum Master/Assistant Product Owner
Dec 2020 – Jan 2021
● Facilitated daily stand-ups, backlog refinement, and team retrospectives for two teams (remote)
● Lead Agile Online discussions to estimate Development and QA efforts for Jira tasks and sub tasks
● Tracked and reported project status on (Team Velocity and Burndown charts)
● Guided the team in removing Impediments by finding the right individuals to remove impediments
● Provided Metrics that provide visibility to management on the team level progress and quality
● Compiled data for teams to use to for Sprint Review/Demos
● Assisted in release planning and product backlog
Anthem Atlanta, GA-Remote Business Analyst III Aug 2018 – Oct 2020
● Liaison between the business and IT in translating complex business needs into application
● Analyzes complex end user needs to determine optimal means of meeting those needs
● Determines specific business application software requirements to address business needs.
● Develop project plans and identifies resources involving those outside the unit
● Coordinated with development team to ensure requirements will be released design
● Resource to end users for UAT testing and questions/issues
● Provide direction and guidance to team members
State Board of Workers’ Compensation Atlanta, GA EDI Claims Integration Business Analyst Dec 2017-May 2018
● Performed Analysis on EDI Requirements data to ensure business and technology specifications needs were aligned for successful implementations and processing
● Discussed defect severity and priority with Business Team
● Performed quality assurance, systems integration and user acceptance testing
● Onboarding of new EDI Vendors (communicated EDI requirements, set up new accounts, create FTP folder and testing)
● EDI Vendor support
● Reviewed and resolved issues in the EDI email queue and Call Center escalation issues
Change Healthcare Alpharetta, GA Business System Analyst Oct 2014 - May 2017
● Generated Agile Stories, participated in meetings and gather requirements
● Participated in the development process of the product life cycle
● Validated test plans to ensure the results meet the specified business requirements
● Collaborated with technical and solutions engineering teams to setup port assignments and validate Real Time and Batch interface successful file delivery
● Conducted business requirement reviews with stakeholders and documented acceptance
● Implemented and supported Applications for HL7 standard interface protocol
● Performed Cloverleaf mapping to convert data to acceptable format for non-standard data
● Monitored Cloverleaf Interface Engine on a regular basis for file transfer issues
McKesson Technology Product Support Representative/Quality Assurance Analyst Mar 2011 - Apr 2013
● Processed and triaged an average of 70+ inbound and outbound application support calls daily
● Reduced Service Level Agreement escalations and failures by 80%
● Monitored Unicenter Service Desk Manager and SAP/CRM support issues ● Audited tickets to ensure updates were adequately maintained
● Conducted training for end-users, internal and external employees on new features ● Created tickets for issues and change order tickets for programming
EDUCATION
Lean Six Sigma – Yellow Belt Certification McKesson Corporation
University of South Carolina, Columbia, South Carolina
B. S. Public Health Education