Ms
Resume:
KAREN BARKER
*************@*******.***
TECHNICAL SKILLS
Windows NT, Windows XP, Client Server Environment, Mainframe Environment, Microsoft Word, Excel, Access, Project, Cognos ReportNet, RUPP, SQL, Toad, QMF, TSO, Brio, Test Director, SCRUM, Agile, Quality Center, Mercury ITG, SQL Developer, WinRunner, Quick Test Pro and Load Runner, MS-Outlook, DB2, SAP, Rational RequisitePro, ClearQuest, Clearcase, Rose
Languages: COBOL, JCL, TSO, FOCUS, BRIO and SAS
Business Experience: Investment Products-Financial Services, Property & Casualty, HealthCare, Long and Short Term Care, Variable Annuities, Term Products, Tax/Financials, Energy Trading, -Energy Risk Mgmt
PROFESSIONAL EXPERIENCE-
CIGNA Health Services
Snr Business Analyst-------------------------------------------------------------- 05/2011- Present
Senior Business Analyst experience with -HIPAA X12 EDI transactions (837/835, 270/271, 276/277) and connectivity.
- Knowledgeable with HIPAA 4010 bill forms and EDI transactions and Implementation Guides
- Experience in working with internal stakeholders on bill form and transactional changes.
- Knowledge of the HIPAA 5010 schedule and impact in general.
- Ability to evaluate interfaces between code entry and electronic billing.
- Responsible for the assisting the SSI Trading Partner Project Manager in managing, coordinating and testing of x12 transactions (837, 835, 270, 271, 276, 277) between billing systems, clearing houses, and trading partners.
Lead the planning and communication of testing needed to ensure that the seven PRC (revenue cycle Patient Accounting Systems are able to send all of the current 4010 and 5010 transactions (837s, 835s, 270/271, 276/277) out of SSI as compliant 4010A and 5010 transactions.
Coordinate testing and cutover transitions and Trading Partner Team.
Facilitate meeting discussions between business users, business analysts and technical analysts.
Document organizational policies and procedures in the context of system requirements.
Work with technical staff and business users to problem-solve and identify workable solutions.
Develop workflows that demonstrate current and proposed business requirements.
Prioritize the individual work load that involves multiple project assignments and deadlines.
Create and execute test cases, test scripts, data sets and user procedures.
Ensure testing results correspond to Business and Functional Requirements.
Work with team leads, technical staff and key users to identify, track and manage project issues as they arise.
Answer questions and inquiries about system functionality.
Provide user support, including training, help and instructions.
CIGNA Health Services
Snr. Business Analysis Specialist------------------------------------------------------- 01/2011 - 05/2011
Assign as an Enterprise Senior Business Analysis Specialist working on PPACA Health Reform work streams such as Benefits & Coverage, Medicare, Appeals & Grievances, MLR Rebate and Broker Fee Services.
Responsible for synthesizing, drafting, reviewing and documenting business requirements for e-commerce web portal system
Serving as the primary point of contact for and facilitating requirement elicitation sessions and authoring business requirements
Actively participates in all facilitated business requirements sessions with key matrix partners
Prepare for requirements sessions (align agenda to objectives; determine outstanding requirement gaps, etc.) -design workflow and process
Separate functional tasks into complete cross functional processes
Assist the facilitator to probe and clarify business meaning/intent during live sessions
Serve as scribe for live business requirements sessions; capture both decisions and context of discussions, and synthesize the dialogue into meaningful output
Clearly and crisply enunciate and document business requirements, based on dialogue captured during live sessions
Organize requirements documentation into logical components based on program templates and input from requirements delivery team members
Develop documents/diagrams- and process flows for as is state and future state
Participate in workflow sessions to enable understanding, analysis and positive changes using Visio diagrams.i.e. inputs and outputs
Responsible for documenting scenarios to use for QA Testing
Review IBoR capabilities, requirements and business functionality necessary for supporting the 5010 837 transactions which include Institutional, Dental and Professional for health care claims transaction
Serve as a requirements subject matter expert for downstream information consumers that require additional context. i.e. process , tasks, sequence flow and association
-Interact with developers, architects, Quality Assurance team to determine and review test cases in HP Test Direct
Florida Power & Light/Next Era Energy Resources
Snr Business Analyst/Quality Assurance Analyst Lead------------ 09/2008 - 12/2010
Assign as a Senior Business Analyst/QA Assurance Analyst Lead to facilitate the replacement of an existing Nucleus Front Office Deal Entry Screens, and enhance the Mid and Back Office functionality to the new Phoenix Trading Application System. ----
- Gather functional business requirements for Renewable Energy Credit - Deal Entry, Standard Products Deal Entry (Swaps, Gas, Gas Scheduling, Emissions, Futures, Derivatives, Commodities, FX Spot, FX Forwards, FX Swaps, MTM, Power, Power Scheduling)
- Lead functional requirements sessions with business, IT teams and SunGard
- Identify initiatives that improve performance
- Interviewed Portfolio Managers and Traders to implement new Trading System
- Implement configuration to meet business requirements for Accounting/Settlements and Credit Risk
- Data Migration Testing of Front Office, Risk Management, Accounting- and Back Office Reports using Cognos Report Net
- Document Interfaces with the SAP General Ledger for invoicing
- Documented using UML cases for static and dynamic view of the Trading Application.
- Creating QA test cases, Integration Test Cases using the Mercury Tool
- Assisted with user training, defining support procedures, and implementing practical business solutions under multiple deadlines.
- Lead Financial Analysis and business case development and User Acceptance Testing
- Work with Internal Audit/Compliance on Security, Role Access and Evidence Collection
- Work with Credit Risk Business Partners and document that all Deal Types entered are captured in the Phoenix system in the release and can be reliably reported in the Daily Credit Exposure Report
Florida Power & Light, Juno Beach, FL----------------------------------------------- 08/2008- 9/2009
Quality Assurance Lead/Business Analyst
Assign as a Senior Quality Assurance Test Lead/Business Analyst for FPL Group, the largest U.S. wind and solar power generator working on a Tax Accrual System (TaxStream/Thompson Reuters) that accommodates requirements set forth by FAS 109.
Responsible for all aspects of the Software Development Lifecycle for new product development
Develop High Level Functional Requirements using Agile processes,- i.e. SCRUM
Examine and re-engineering operations and procedures, formulating policy and development strategies
Develop GAAP analysis for current and future state
Use Six Sigma Management Performance Methodology Tool
Migrate Walker /GL Systems to Tax Accrual System
Determine SOX Requirements and document Risk Assessment
Assist in documenting the Detailed Project Plan
Develop/write and execute Unit Test Plans
Develop/ write and execute- QA Test Plan, QA Test Cases/Results, Systems and Integration Test Plans, UAT Test Plan, UAT Test Cases/Results and Data Migration Plan utilizing SharePoint as Document Repository and documenting Test Results into Mercury Test Director
Developed UML use cases for tax processes
Load and Performance Testing using HP/Mercury
Worked on FPL's accounting systems (SAP, Walker, CorpTax)
Used Apache to perform testing
Developed a strong understanding of financial statements and accounting principals, i.e. Journal Entries, General Ledger
Worked with end users, developers and Vendors
Use the Mercury Quality Center tracking system to log, manage, and resolve product defects and -live site- bugs
- Tests applications, software evaluations and interfacing with end users and various IT departments to ensure effective use of the application resources.
Act as a liaison between the business functions and Information Technology.
- Coordinates the Staging/Production release activities.
- Maintains the Source control system and QA environments.
- Responsible for building the environments for future releases, ensuring overall quality and stability.
Participate in reviews and audits of IT processes to ensure IT is executing against relevant SOPs and provide corrective / preventative action recommendations.
Liberty Medical Supplies, Port St. Lucie, FL-- ---------------------------------------------------05/2007-05/2008
Snr Business Analyst/Project Manager
Assign as a Senior Business Analyst and Project Manager at Liberty Medical Supplies
Identify process improvements and best practices across projects and department objectives.
Develop and maintain project work plan status, schedules and deliverables.
Develop and produce functional and non functional requirement which included use cases
Develop and expand range of analytics and reports, leveraging data warehouse and web analytics tools, to support monitoring of key performance indicators, as well as daily, weekly, monthly and quarterly reporting.
Perform and Document Report development process for Requirements, Design, Validation, Implementation, and Completion stages utilizing SharePoint as Document Repository.
Identify user needs and suggest viable solutions. Include Company, Business Owner, Audience, Purpose, Sample Print Format, Definitions, Reporting Method, Frequency, and estimate cost before implementation and sign-off.
Manage User acceptance requirements and final sign off by business owner, followed by ongoing maintenance and revisions
Work with Director of Information Services, manage other business analysts and business users to develop and maintain tools to provide data and other information for analysis.
Review all final project deliverables including attachments, application(s) and tasks are created and identified properly.
NationsHealth / Cigna Health Services, Sunrise, FL----- ------------------- -----------------09/2006-05/2007
Senior Business Analyst /Quality Assurance Analyst-
Develop and write Statement of Work/Service Level Agreement for Cigna Health Care Medicare Part D.
Develop and write Business Requirements for Cigna Medicare Part D products which include Enrollment, Disenrollment, Member Service and Billing of the Cignature RX Application.
Develop work related to the ongoing maintenance, enhancement and regulatory compliance of the systems in general.
Assisted in software development work to support implementation of the Service Level Requirements and changes by CMS (Center of Medicare Services for the 2007 contract year.
Provide input to Project Mangers/QA Mangers with project plan updates; denoting any yellow/red flags and business impacts
Documented deliverables include production system updates and automated/manual reports, as well as system related documentation, including Requirement Analysis documents, Design Documents and Quality Assurance Testing.
Create/Execute test strategy plans and test cases for Cigna/NationsHealth system
Coordinating testing, assigning resources and working with NationsHealth IT management team to interface QA with the rest of the project team
Verify accuracy of test data, including TRR (Transaction Reply Code) from CMS, Fall out Accounts, triggered actions include mail request, submission to CMS System, Argus Claim System- updates, etc.
Tested using HIPPA Transactions 835,837 for claim submissions
Documenting- application changes quality and accuracy auditing
Documenting the Conversion testing along with the User Acceptance/ Functional, Regression and End to End testing.
Identified, tracked, documented and prioritized discrepancies using the Bugzilla Tool.-
Identifying and Documenting Reconciliation efforts
Mass Mutual Financial Services (MMLISI), Springfield, CT ----- ---------------------09/2005 - 07/2006
Senior Business Analyst-- ---- Books & Records System
Assign as a Senior Business Analyst/Quality Assurance Test Lead for a web base design system for the Books and Records system at MMLISI for direct products, including mutual funds, Variable Life & Annuities and LCM products.
Conducted internal and external specification reviews for functionality.
Develop and write test plans specifications to incorporate in all design features for the new Web UI Application System, new products, and enhancements to existing systems (Caesar) due to legal changes or system upgrades.
Research systems problems, documents and communicate findings
Evaluate and make recommendations from a business perspective, the feasibility of designing/revising new or existing computer systems.
Participate in the developing unit objectives to align with overall business plan
Provide input to Project Manager on project status - denoting any yellow/red flags and business impacts
Work with business readiness team to ensure future workflow and training are integrated with the testing and implementation phase of the project
Implemented Books and Records systems at MMLISI for direct products including mutual funds, variable life & annuities (proprietary and non-proprietary) and LCM Products
Accommodated the regularly schedule 36 month bulk mailing for all accounts and allowed subsequent updates to Books and Records data coming from data feeds form MM Lines of Business and Caesar.
Implemented a data scrubbing process to clean as many duplicate records as possible from the system prior to send the B&R mailing.
Implement and tested Trillium scrubbing to determine valid Names and Addresses
Modify Caesar screens to allow for input of all required data for Books & Records
Run SQL on MS SQL server
The Hartford Insurance Company, Hartford, CT----------------------- --------------- -----01/2005 - 08/2005
Senior Business Analyst/Quality Assurance Lead
Provide a single front end application that provides all of the end user functions leveraging integration with the policy-writing, underwriting and account management functions/data.--
Responsibilities include developing and documentation of business requirement, functional requirement, use cases, workflow analysis, business rules inventory, issue resolution, business and technical team relationship management.
Provided business analysis in support of the New Bond Claim products and advocate the simplification of existing processes and procedures where possible with a focus on shortening delivery timeframes without sacrificing quality.
Prompt Investigation and resolution of customer/business sponsor and subject matter questions, identifying automated solution to problems.-
Interacted with IT and external customers including Auditors, Banking and Finance.-
Documented all current and historical Bond Claim information stored on the Claim Automating system, which were archived and/or converted to make available for audit and research purposes.
Used UML language to write use case scenarios for Claim Handlers
Documented test plan development including writing high level test strategy, system integration, and assembly and regression test plans.-
Wrote and executed test conditions and test cases in the QA environment and documented issues in the "Sytest Builds" database.
Work with Programmers to determine severity of issues.
Coordinated the Conversion testing along with the User Acceptance and End to End testing.
Cigna Health Care Services----------------------------------------------------- ---------------------- 07/2004- 12/2004
Senior Business Analyst/Quality Assurance Test Lead
Assign as a Business Analyst/Quality Assurance Test Lead for eCommerce Business Practice web base design system area for the Employer and Consumer Portals for various projects which include Alternate Member Identifier- the ability to search by Employee ID; Open Access Plus,-a new preferred care provider screen; Claim Accuracy-the ability for the client to update COB information at the member level and CIGNA Care Network- displaying CCN indicator on claim detail screen.
Develop and update Business Requirements for various Internet Projects
Create Component level test strategy plans for my Cigna.com and CIGNA Access.com
Develop Data Requirements form for the testing team
Provide Project Manager with Project Plan updates
Ensure eCommerce Business BA-s work with eCommerce Practice BA-s to document test cases/conditions in accordance with PMO guidelines
Ensure BA-s have documented and submitted all test data requests for acceptance testing on time and in proper format
Coordinate acceptance tests execution to include all documented test cases
Coordinate Test Director tasks for acceptance testing and monitor defects
Generate Test Director execution and defect reports upon request
Coordinate Acceptance Exit/End to End Entrance Gate
Document acceptance test scenarios and responsible for submitting acceptance test list
Verify accuracy of test data and coordinate Project Level Test Scenarios with team members
Tested HIPPA Transactions 270, 271 (using the Eligibility/Benefits Inquiry Response systems i.e. CED, CDB and ePro)
Performed Data Mapping on transaction segments
Tested Claims transactions and verified all the interfaces to other systems, i.e. Proclaim, Power MHS
Worked with EDI -835, 837
Work with Programmers to document test cases/test conditions and to fix defects and retest fixes
Load verified test data into Data Tables in Test Director and analyze defects
Perform Checkouts
The Hartford Insurance Group------------------------------------------------------------- ------- 01/2004 - 06/2004-
Business Analyst/Quality Assurance Coordinator
Assigned to as a Quality Assurance Coordinator on the Property and Casualty Enterprise Data Warehouse Team including involvement in the Local Market Planning project using various data sources (Corporate Actuarial /Master Enterprise Agency Dashboard, Commercial Lines Business Objects/Hart source, Business Knowledge Facility (BKF), OMNI, Impact, local tables, Data warehouses, etc.) are gathered and a data cube created to supply market planning information to The Hartford's Claim Offices.
Coordinating and documenting prototyping sessions.
Created test strategy, test plans, test cases and defect log for a Web Intelligence /Info view web based reporting tool that provides integrated ad hoc reports, queries and analysis managed reporting.-
Analyze the quality of data in the source systems, revising the Business Requirements, coordinating the testing life cycle from Unit testing to User Acceptance Testing and executed test cases.
Utilizing skills such as Project Management (specifically, The Hartford's Framework), Business/System Analysis, Business Objects and Microsoft Access/Excel.
Cigna Healthcare--------------------------------------------------------------------------------- ------- 12/2000 - 12/2003
Sr. Business Analyst/Test Lead Coordinator
- Gather business requirements; write business specifications design for Cigna Health Care Document Generation systems for collaterals, certificates and web base design system for ecollaterals/ecommerce.-
- Develop project plan, monitor progress, and partner with the system developers on the design, development and implementation of fixes and enhancements to the existing system. Develop contingency plans or business work-around as needed.
- Develop Use Cases for Doc Gen Certificates and Collaterals, which also included ecollaterals/ecommerce web application.
- Facilitate as the key liaison between systems and business teams so that issues/questions are resolved efficiently and business requirements are fully understood.
- Research data quality issues and identify opportunities for quality improvement initiatives.-
- Analyze and recommend process improvements and solutions to business issues.-
- Participated in HIPPA Transaction Set and Privacy related sessions.
- Develop test plans and test strategy, create/develop and run test scripts using Mercury Test Director, Winrunner and Load Runner.-
- Provide ongoing communication and training to test team.-
- Ensure batch runs are on schedule and on line is available and ready.--
- Emphasis of testing is on interfaces and documents focusing on solid data from upstream systems.- Perform System, Acceptance, End to End/Regression and Field Pilot test.-
- Manage data issue resolution during test data initial entry and change events for System/Acceptances and End-to-End Phases.-
- Maintain issue log along with providing status to Management and Integrated Test Team.-
- Facilitate the cleanup of non-integrated data including shakeout accounts and interface fallout.-
- Provide ongoing communication and training to test team.
Aetna Financial Services--------------------------------------------------------- -------------------- 06/2000 - 12/2000
Quality Assurance Analyst
Developed and created test strategies for requested changes
Wrote specifications by defining, validating and translating business needs into system and data requirements
Analyzed and assess the impact of requested changes and prepare and execute test plans using Aetna LifeCad Data Model Stars System to perform various life transactions.
Perform production support and validate nightly batch cycle.-
Worked with the business area on a daily basis for any new production problems and change request.-
Perform testing in different environments and recommend changes and workarounds.-
Documented test plans and issue logs.--
Performed Crystal Report testing on financial reports i.e. Accounting Detail Report, Error Report and Financial Activity Report.
Travelers Life & Annuity---------------------------------------------------------- -------------------- 01/2000 - 06/2000
Business Analyst / Quality Assurance Analyst
Participated in the testing of the Contract Appointment License and Compensation System (CALC).-
Assisted in the design and development of CALC object model (an extension of the Enterprise Object Model).-
Assisted in the design and development of business events, supporting the producer business and user interface.-
Worked with the Conversion Team to identify creative methods for data conversion.-
Analyzed current systems (ACS and PREL) to understand interface and conversion requirements / constraints for the CALC system.-
Developed detail test plans including detail test cases and data pools to ensure that developed functionality performed as specified in the requirements.-
Developed positive and negative test conditions to test the functionality of the following:- State Authorizations, Licenses, Appointments, NASD, Background Investigations, Service Log and Security.-
Identified, tracked, documented and prioritized discrepancies using the Rational Clearquest software tool.-
Performed Check Out testing to ensure that all code was migrated to the QA environment.-
Used Microsoft Query and Java scripting tool to aid in the testing of the delivered functionality.-
Performed testing within Integration and Development environments.-
Trained employees and staff on the new CALC system.-
Performed parallel testing in production.
Aetna Financial Services--------------------------------------------------------- -------------------- 09/1999 - 12/1999
Quality Assurance Consultant
Created detailed test plans for two critical mainframe applications (Repetitive Payment Systems and Oasis) and one Visual Basic application (As Of).-
Coordinated Y2K related communications between the business systems support staff, programmers, quality assurance team and other interested parties.-
Maintained issue logs of applications.-
Actively resolved issues that impede movement of Year 2000 complaint code into production.-
Process various transactions, edits and sort them for the appropriate order to be applied to the RPS database files.- Some of the functions include payment calculator for monthly, quarterly, and annual payments.-
Used Oasis Application System and Vantage I/ACES to input various transactions to establish new settlement records, add payees, generate commissions and paid new business records, generate manual payments, federal, state, and miscellaneous withholding elections.-
Processed annuitant transaction to move their payout investment from one separate account to another using Oasis Fund transfer system.-
Processed full and partial surrender on new As of System and Vantage I/ACES with Y2K dates.
The Travelers Insurance Company------------------------------ --------------------------------- 04/1999 - 08/1999
Business Analyst/Consultant
Created test plans for the Year 2000 Project on UL System real-time screens, L/H Workstation and related processes.-
Coordinated test plans walk through with project lead and/or business partner for Year 2000 Project.-
Executed test plans, including output review and discrepancy filing/resolution for Year 2000 testing.-
Coordinated final project signoff with business partners for Year 2000 project.-
Created business specifications for New York Term Product.-
Created both the high level and detailed test plans for the New York Term Product.
UNITED HEALTHCARE ----------------------------------------------- ----------------------------------09/1998 - 04/1999
Quality Assurance Consultant/Tester
Created and executed test plans for start schema dimensional data structure and data mapping process.-
Used TSO to write Focus programs to compare against Access database.-
Ran Access queries to determine and validate dimension loads and mapping against Focus predictions.-
Created control data to validate test conditions.-
Used Redbrick data warehousing to get to the reporting IA and IQ testing tools and to connect to Access database queries.-
Utilized IA and IQ OLAP reporting testing tools to execute reports.
Aetna / US Healthcare-------------------------------------------------------------- -------------------- 03/1998 - 09/1998
Business Analyst/Consultant
Designed the Year 2000 Project test strategies for Aetna-s financial reporting area.-
Created both the high level and detailed test plans for five mission critical applications.-
Designed test strategies for mainframe, midrange and desktop applications.-
Coordinated Y2K related communications between the business customer, the Business Systems Support staff, Programmers, the Quality Assurance team, Infrastructure team, management and other interested parties.-
Developed and maintained a method to track the progress of applications from design of the test strategy (created and executed a project plan).
Actively resolved issues that impeded movement of Year 2000 compliant code into production.-
Gained consensus support for the Year 2000 Project plans from the Business Customer, Systems Support and QA.-
Submitted and ran jobs for testing using Comparex.
The Travelers Insurance Company------------------------------ --------------------------------- 09/1997 - 03/1998
Quality Assurance Consultant
Developed test strategies and test case scenarios for Clients.-
Conducted on-line testing with Client/Server and Mainframe environments.
Performed new product testing/confirmation release.-
Assisted in developing training packages.-
Trained staff in the use of new Bond Product.
Researched, evaluated and responded to system problem referrals.
The Hartford Insurance Company-------- ----- ----------------------------- ---------------------01/1996 - 09/1997
Business Analyst
Acted as a liaison between the business operations and Information Systems group.-
Developed specifications and conducted cost benefits analysis.-
Designed and tested Mutual Fund/Annuity Products.-
Trained staff in the use of new Mutual Fund/Annuity Products.-
Performed functional testing of screen flows.
Connecticut Mutual Life Insurance Company-------------------------- --------------------05/1990 - 12/1995
Business Analyst
Provided day-to-day technical support to customers and dispatching technical staff.-
Acted as a liaison between customers and imaging operations team in a high volume call center.
Responsible for ensuring the resolution of software and operating problems on assigned Disability Life (Long Term and Short Term Care), Universal and Whole Life Products.-
Tested new products in the workstation.-
Assisted in developing new products.-
Developed and designed detail test plans in mainframe and personal computer environments.
EDUCATION
Bachelor of Arts - Sociology, Business minor
Central Connecticut State University
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