My work history includes business analysis, requirements analysis, technical writing, and software testing.As an IT professional, I focus on interviewing clients and application end users to determine their business needs, to ensure quality standards and compliance with company processes and guidelines, and to develop documentation, training or instructional aides as needed.I’ve worked with a wide variety of software and I am comfortable with many different types of desktop publishing, graphics, design and modeling applications. I also have a great deal of experience using shared applications, document repositories and version control systems. My specialty is working with projects that are having trouble getting off the ground.
Jul 1999 - Feb 2010
Corporate Business Analyst
PRO Behavioral Health
ØWorked on multiple projects involving the transition of business operations from several legacy systems to an integrated provider network and medical management system.The new system (a software package named PRO) allowed vendor’s to integrate provider network administration, claims processing, medical case review, and customer service functions.Performed analysis for writing business requirements and functional design documents for the following projects: data conversions from the legacy systems to PRO; medical management reports for the vendor’s clients; an automated process for generating and mailing medical management letters to providers and members; producing a medical claims interface for the vendor’s clients.
ØAnalyzed the workflow for receiving and tracking customer requests for vendor’s product information or customer requests for changes to a provider’s profile.The analysis involved documenting the workflow for thirteen regional centers for the purpose of understanding the similarities and differences among the regions and to identify areas where automated solutions could be provided to standardize the workflow and improve worker productivity.
ØDemonstrated depth of knowledge of common corporate business functions, (financials, operations, customer relationship management, etc).Provided business functions relevant to insurance, (claims, financial management, billable, heath management organizations.Competent in identifying risk areas and proactively determining appropriate mitigation strategies.Experienced working with internal and external auditors and regulatory examiners.
ØResponsible for performing the complete range of duties involved in the budget examination, formulation, presentation, and execution process; performing revenue and rate analysis; comprehensive program review involving multi-faceted elements extending over a long-range period; development of program definitions, goals and quantifiable measuring devices.
ØApplied advanced principles of fiscal analysis to the study of various health care revenues, particularly rate structures and related fiscal problems.Work involves developing and conducting rate studies; monitoring and long-range projections for health funds.
ØExecuted special projects with limited supervision, including shareholder value analysis, expense allocations, market analyst questions, benchmarking, etc.
Sep 1998 - Jun 1999
ØProcess design, programming, presentations, demonstrations, and support.
ØProgrammed fraud application for the reporting of rail-car movements via PBX.
ØEvaluated technologies for predictive dialers, hacking, and voice mail.
ØTracked fraudulent budgets; Produced spreadsheets and ad-hoc costing reports.
ØDeveloped corporate tracking database system. Produced user-training materials.
Sep 1997 - May 1999
Masters of Science
University of Colorado
GPA: 3.875 • Deans List 09/97 – 05/99
Aug 1992 - May 1997
University of Colorado
Minor: Information Systems, Russian School of Business • GPA: 4.000 • University Overall GPA: 3.845
Graduated Top 5% of Class • Deans Honor List 12/92 – 05/97