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Work Background
AflacDigital Service Delivery Manager
May. 2023 - Dec. 2024* Directed and managed the business analysis team to gather detailed information requirements and deliver actionable insights to stakeholders.
* Partnered with Legal and Compliance teams to ensure alignment with regulatory standards.
* Analyzed data to identify trends in file processing and claims adjudication, enabling effective remediation strategies.
* Designed and implemented requirements, queries, and processes for data monitoring to support operational teams.
* Served as Lead Analyst and Business Analyst Manager for two large-scale system conversion projects, overseeing the transition to new underlying platforms.
* Oversaw the complete lifecycle of business analysis projects, from requirements gathering to solution implementation, ensuring quality and timely delivery.
* Collaborated with Developers, Quality Assurance, Architects, Business Partners, and other Technology teams to ensure requirements and design specifications were met comprehensively.
Tuffree Consulting, LLCOwner
Feb. 2019Orfordville, WI* Served as an Analyst on both short-term and long-term contracts, providing expertise in data analysis and business processes.
* Acted as Interim Manager, overseeing Developers and Business Analysts until a permanent solution was implemented.
* Conducted interviews and facilitated the hiring process for new team members, ensuring alignment with organizational needs.
* Leveraged Kanban and Agile methodologies to create source-to-target mapping specifications and user stories for new API development with both internal and external customers
* Documented new APIs and services, as well as updated existing ones, based on evaluations of functional requirements, business needs, high-level design documents, and database models.
* Managed project scope, priorities, and escalations while fulfilling Project Manager and Product Owner responsibilities.
* Developed comprehensive business requirements, use cases, sequence diagrams, and other documentation to support project objectives.
* Prepared analytical reports to identify opportunities for service improvement across the organization.
Floors For LessSales and Marketing
Sep. 2017 - Feb. 2019
UnitedHealth GroupSystem Analyst
Aug. 2016 - Jul. 2017Boston, Massachusetts* Lead Analyst for Member Portal design and implementation
* Systems Analyst for new database, table and business logic
* Utilizing Agile/Sprint methodology create source to target mapping specifications
* Participate in all Agile ceremonies (standup, sprint planning, retrospective, release planning)
* Communicate design to all stakeholders and varying levels of the organization
* Work closely with business teams to strategize solutions that support long term business objectives
* Document new APIs / Services and modify existing ones after evaluating the following, user stories, business requirements, high level design documents and database models
* Prepare the detailed functional and technical specifications for the API and UI
* Create/modify JSON files for the corresponding API, UI and EDI
* Present and evaluate design solutions objectively and facilitate conflict resolution when needed
* Work closely with Developers, Quality Assurance Analysts, Architects, Business Partners and other Technology teams at UHG to ensure requirements and design are completely understood
* Act as the liaison between Business and Systems Analysts, Developers and project management groups
DentaQuestSr. Business Systems Analyst
Feb. 2014 - Jul. 2016Mequon, Wisconsin* Utilizing Agile/Sprint methodology create source to target mapping specifications to be used as the basis for development of B2B data exchanges. * Manage client data reconciliation efforts and custom data extract deliverables
* Gather requirements, design, specifications, and development mapping for new business clients.
* Design testing requirements and execute testing to validate accurate coding.
* Communicate regularly with external and internal clients on topics including: o Negotiation and expectation management o Data and system discrepancy reconciliation o Custom data extract requirement definition and delivery
* Responsible for day to day operations for 4 states + national accounts. * Identify and lead projects to implement process improvements. * Onboarding/Training of new hires.
* Primary focus on dental and vision Medicaid and Medicare data. * EDI file types: 837, 277, 835, 999, 834
WageWorksData Integration Engineer
Sep. 2013 - Feb. 2014Mequon, WisconsinResponsible for analyzing complex support issues and use independent judgment and knowledge to resolve client problems. Writes complex SQL queries, macros and scripts to support data integrity issues for large datasets. Implements complex inbound and outbound custom data feeds for clients and third party administrators. Provide migration and file level support for escalated non–repetitive data issues. Creates detailed mapping plans to implement inbound or outbound file feeds. This includes collaboration with a third party vendor, developing an implementation plan, testing files (Quality Assurance) and moving to production.
Robert Half TechnologyDatabase Consultant
Jan. 2012 - Sep. 2013Greater Milwaukee AreaUnity Health Insurance
Key Achievements:
* Data Quality Testing for new data marts
* Test new incoming data using SQL against existing data to insure validity
* Report testing and generation using SQL & Business Objects
* Generate complex SQL statements to pull data needed by other departments
* Test existing reports for accuracy after changes are made to underlying system and/or data
* ETL testing to fix known issues in system
* Test new ETL coding to fix issues reported by users.
* Manage all aspects of process from PSR, testing coordination, and change management paper.
* Streamline, document, and troubleshoot data cleanup and reporting process for aggregate HRA reporting.
* Took existing process and cut time down by 75%; document, report and create step by step process for “Process and Procedure” documentation.
* Responsible for hitting all deadlines with data cleanup, High Risk Reporting, and Aggregate Reporting. This process applies to all companies with an HRA agreement. Nelson Global Products
Key Achievements:
* Responsible for cleaning up & turning on automation for 830 & 850 EDI data on new oracle implementation
* Help implementation team understand system limitations and issues for customization and process changes.
* Create documentation and train NGP employees to manage documents going forward
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