SUMMARY OF QUALIFICATIONS:

• 14 years of progressive experience in business analysis, reporting, and process development/improvement
• Strong written, verbal and negotiation skills. Excellent planner, organizer, and decision maker. Experienced in systems analysis, accountability, initiative, multitasking, tracking, testing, resolving issues/conflicts, risk assessment, and cost savings. Outstanding skills in communicating with all management levels. Exceptional ability to interface with various levels of IT groups, business units, vendors and end-users
• Process Improvement specialist to ensuring results in the most efficient manner
• Efficient user of Microsoft Office, J.D. Edwards, Claris Works, ORACLE, Access, Hyperion Essbase, File-Aid, Crystal Reports, Visio, Data Analyzer, TOAD, Cognos, SharePoint
• HIPAA trained
• Project Management training
• eCollege Certified

WORK EXPERIENCE: 

Confidential, Atlanta GA 05/06 – 07/08
Project Manager/Senior Consultant (Contractor)

• Lead analysis and design sessions and facilitate JAD sessions for Balanced Scorecard Initiative
• Evaluated existing processes to ensure consistency in all dashboards
• Define, document, and manage requirements and scope analysis through the approval of the documents that convey management needs and ensure quality assurance
• Develop use cases, data and process models
• Work with business and technical users
• Ensure business satisfaction with IS services and products
• Understand, communicate, and manage user expectations
• Provide support to staff for Object Oriented Analysis and Design and Structured Analysis and Design techniques as needed
• Translation of business requirements into use cases and data and process models. Ability to develop work products in support of project work , e.g., use cases, activity diagrams, context diagrams, process decomposition diagrams, work flow diagrams, data flow diagrams
• Gather requirements through the planning, analysis, engineering, and testing phases.
• Translate stakeholder requirements into various documentation deliverables such as functional specifications, use cases, workflow process diagrams, data flow / data model diagrams.
• Design BI Balanced Scorecards, charts, and graphs using Business Objects, an Oracle database
• Responsible for analyzing information requirements and designing the required performance indicators and queries for dashboards.
• Liaison to IT department in the development of Enterprise Data Warehouse
  
  

Confidential, Atlanta GA 07/05 – 01/06
Senior Consultant (Contractor)

• Documented processes utilized to test overall computer transition
• Documented strategy documents to assist NASCO with their efforts to transition BCBSM from Prism to MediVance
• Created “Booklet 4” a document that outlined the overall strategy for moving direct Billed customers to the new system
• Learned the overall membership processes to enroll members in Prism using the NASCO system (NPS) for national accounts
• Developed charts and graphs using Excel in data presentation explanation
  

Confidential Alpharetta, GA 02/04 – 04/05 Project Manager, Opportunity Management/Process Improvement and Development (Contractor)

• Lead efforts to develop and foster an environment of continuous procurement process improvement
• Instrumental in designing, coding, testing, and documentation of Accounts Payable Reconciliation project
• Evaluated proposed changes to processes/equipment/procedures and complete trial work where required
• Lead and managed the design and rollout of efficient processes for the procurement of goods and services across the company
• Developed charts and graphs using Excel when engaged in JAD sessions
• Integrated the uniform procurement process across all firm functions
• Developed appropriate implementation strategies and lead implementation activities for new business
• Selected appropriate tools aimed at improving procurement process efficiencies and captured data that lead to improving the ability to identify and target strategic procurement initiatives
• Analyzed trends and pricing considerations for procurement purposes

Confidential, Atlanta, GA09/03 – 01/04
Senior Business Analyst, (Contractor)

• Provided analysis and verification of functionality for the State of Georgia Healthcare Data Warehouse utilizing software Development Life Cycle approach
• Defined, analyzed, and documented customer requirements and developed customer deliverables
• Developed GAP Analyses, Mapping Documents and Data Element descriptions
• Developed and executed test plans and test cases
• Managed and documented defects, coordinate defect resolution with developers and retested fixes
• Assisted with development of system documentation
• Developed test script execution and training for end users
• Resolved gaps between the functionality of the Accounts Payable software application and requirements of the customer
• Developed and fostered continuous procurement process improvement
• Demonstrated issue resolution skills to resolve gaps between the functionality of the application and requirements of the customer
• Designed, coded, tested, and documented numerous projects
• Wrote and performed application test scripts to ensure the application is performing according to the designer’s specifications and meets customer needs
• Evaluated proposed changes to processes/equipment/procedures and complete trial work where required
• Lead and managed the design and rollout of efficient processes
• Analyzed trends and pricing considerations
• Developed business process models

Confidential, Atlanta, GA 12/00 – 07/03
Manager, Actuarial Systems

• Developed actuarial trends and rating considerations for reporting purposes for Blue Cross enrollment as well as NASCO
• Provided data for requests for information/proposals for underwriting
• Explored methods to enhance the efficiency and effectiveness of pricing
• Performed verification of paid claims data
• Balanced actuarial claims and enrollment data with corresponding Finance data in order to facilitate the corporate forecasting process
• Analyzed paid claims, enrollment, and renewal data to assist with corporate decision-making using Hyperion Essbase
• Utilized NASCO NPS to calculate enrollment for Georgia membership
• Collaborated with programmers to develop appropriate business rules and case uses to determine NASCO enrollment and claims information to coincide with Wellpoint processing system
• Developed process improvement tactics in transferring NASCO business to the Wellpoint business world
• Developed charts and graphs using Excel when conducting JAD sessions
• Completed ad hoc requests for corporate actuaries from the corporate data warehouse
• Performed data quality on information obtained from the Enterprise Data Warehouse
• Verified accuracy of programming logic relating to the Enterprise Data Warehouse, and communicate logic changes as necessary
• Prepared reports for management reporting and underwriting

Confidential, Nashville, TN 08/96 – 12/99 
Mathematics Instructor

• Implemented a mathematics curriculum for an at-risk program for over-aged high school students
• Instructor for Algebra, Geometry, Trigonometry and Calculus
• Created programs to increase graduation rate and reduced the dropout rate for at-risk students
• 1997-1998 Sponsor of Math/Science Engineering Club
• 1997-1998 Freshmen girls’ Basketball Coach

Confidential, Nashville, TN 08/93 – 08/96
Manager, Data Analyst

• Conducted in-depth analysis of actuarial/financial ratios of hospital facilities
• Designed statistical models to evaluate and project performance with IBNR and PMPM reporting
• Conducted internal audits on medical and dental operations
• Developed strategic business cases to assist in improving market share
• Researched and prepared various surveys
• Successfully formulated a lag methodology in accrual of claims payment
• Created policies and procedures to enhance the effectiveness of operational controls and evaluate internal policies and procedures
• Performed all due diligence in the credentialing of providers

EDUCATION: 
Masters of Science in Mathematics Education 
Bachelor of Science in Actuarial Science/Mathematics