Systems Analyst/Developer
Resume:
Kimberly Brunson
Green Bay, WI ****3
Phone: 920-***-****
b46fpb@r.postjobfree.com
Green Bay, WI 54303
Summary of Qualifications
Highly motivated with the ability to think creatively. Strong leadership and able to work cooperatively with others. Excellent organizational, planning, and communication skills.
Strong knowledge of Microsoft Office Word, Excel, and PowerPoint. Strong skills with PC's. Very detail-oriented and able to quickly adapt to new environments and situations.
Strong interpersonal skills with the ability to work effectively with all people. Dependable and responsible. Thrive in challenging situations requiring ability to learn new skills.
Five years in Health Insurance with Provider Demographics data entry and internal customer service, Innovations & Automation, and Business Systems Support.
17 years in Information Technology - 11 as a computer operator, 3 in Production Control, and 3 in Data Security. 5 years medical insurance.
Work Experience
Innovations/Automation & MetaVance Business Systems Support
Dates: 10/06 to 12/09
Employer: Humana Insurance
De Pere, WI
USA
Duties:
Member Accums updates, create and update general tables, investigate problems with claims.
System Enhancements and 1st pass initiatives – system changes to allow claims to go through the system the first time with no associate intervention.
Worked with MetaVance, CCP (Customer Claims Portal), EMPI, EHUB, CIS (Contract Information System), Microsoft Word, Excel, PowerPoint, CA Service Desk.
Investigate why some claims do not go through the system without associate intervention and see if there is a way to add more automation to achieve this. DRG validation.
Worked with Certify (an automated testing tool), I developed the processes for the testing team for adding Membership, Adding Claims, Voiding service lines on claims, adding General Pend and Prepay Audit Criteria.
Provider File Maintenance
Dates: 02/05 to 10/06
Employer: Humana Insurance
De Pere, WI
USA
Duties:
Using Badger on mainframe, Web Based, MetaVance, Macess and Macess.exp and other Web Based software. Demographic updates, Claims processing - investigate and correct Medical Claims kicked out by the system. Making sure contract provider information is correct.
Mentoring other teammates in MS Word, MS Excel and with the above software.
Temp
Dates: 10/04 to 02/05
Employer: Landmark Staffing
Green Bay, WI
United States
Duties:
Temporary Provider Affairs, Provider Network Operations position at Humana.
Using Badger on mainframe, Web Based, MetaVance, Macess and Macess.exp and other Web Based software. Demographic updates, Claims processing - investigate and correct Medical Claims kicked out by the system. Making sure contract provider information is correct.
Computer Operator/Production Control/Data Security
Dates: 06/89 to 06/04
Employer: ShopKo Stores Inc
Green Bay, WI
United States
Duties:
Computer Operator - Monitor System Activities, IPL the mainframe, Tape mounts and Print, Investigate Abends, Create and Edit Standard Operations Manual, Monitor Schedule Scan, Intervention Messages, IML Control units, Handle Peripheral equipment, monitor Profs/office vision on IBM 4381.
Production Control - View/Deliver Administrator, worked with Endevor, PVCS, NDM, Netview, Expert Advisor, Infoman, TSO, VPS, Exceed, Microsoft Word, Microsoft Excel, Store Event Downloads, Inventory reports. Job Scheduling with Jobtrac, and worked with Jobtext.
Security Administration Services - provided support and maintenance services for 1,000 General Office teammates as well as 800 users in 141 store locations. As a member of the team, I cross trained in and provided support to the ShopKo environments. Systems and software used:
- Unix (AIX) UserID administration - root password administration, and ran periodic UserID audits.
- MVS OS/390 UserID administration with RACF, SDSF, NDM, Netview, TSO, GAFE, Integral, Vanguard, Endevor and ran periodic audits.
- View/Deliver System Administrator – create reports, UserID administration, report audits using JCL Batch Jobs.
- Security Administration using Base24, ACE Server, AppWorx job scheduler, Celarix, Crystal Info, Double Check, Merchandise Data Warehouse, MSM Allocation, MMS Open PeopleSoft, Promo Planner, PVCS, Retek, Tivoli, UNICRU, WinPay (ACI).
- Windows 2000 Active Directory Service, Microsoft Outlook user administration, Microsoft Access, Microsoft Excel, Microsoft Word, Microsoft Project, Oracle, Websense.
- Completed periodic audits on various systems.
- Security project lead on a project which created GroupID’s based on the department and reports needed for View/Deliver.
- Security project lead on AppWorx upgrade project and AutoSys to AppWorx project.
- Worked with Pagers and Cell Phones.
Education Experiences
Northeast Wisconsin Technical College
Attendance: 08/86 to 06/87
Green Bay, WI
United States
Degree obtained: Technical Degree
Date obtained: 06/87
Major: Data Entry/Operations
Northeast Wisconsin Technical College
Attendance: 08/85 to 06/86
Green Bay, WI
United States
Degree obtained: Technical Degree
Date obtained: 06/86
Major: Account Clerk
Bay Port High School
Attendance: 09/74 to 06/76
Howard, WI
United States
Degree obtained: High School Diploma
Date obtained: 06/76
Shawano High School
Attendance: 09/72 to 06/74
Shawano, WI
United States
Military Service
United Stated Marine Corps May 1977 – May 1978. Honorable Discharge
References
Kimberly Smithson
2260 Samantha St
De Pere WI 54115
b46fpb@r.postjobfree.com
Lori Marcotte
2110 Old Country Cir
Kaukana WI 54130
b46fpb@r.postjobfree.com
Darrell Hawley
455 Cross Point Ct
Oneida WI 54155
b46fpb@r.postjobfree.com
Thomas Hoy
1120 Cass St
Green Bay WI 54301
b46fpb@r.postjobfree.com
b46fpb@r.postjobfree.com
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