Virginia Premier Health Plan, Inc.Senior Business Systems Anaylst - Claims Administration
Feb. 2015 - Apr. 2021Greater Richmond Region, Virginia, United StatesNote: VPHP was acquired by Sentara Health Plan April 2020. Led cross-functional teams to reach project milestones, enhancing collaboration and motivation, which accelerated project completion and increased team productivity. Developed and maintained comprehensive business analysis documents, including requirements, process diagrams, use cases, SharePoint and Confluence pages, and data dictionaries, which reduced rework and improved project clarity. Designed and executed test plans for ad-hoc, functional, and regression testing, identifying and resolving issues that reduced system defects and ensured a seamless project rollout for Medicare and Medicaid plans. Leveraged Microsoft SQL Server to develop queries for data, impact, and cost analysis, driving data-informed decisions that resulted in annual savings through process optimization. Proactively identified and tracked risks, issues, assumptions, dependencies, and constraints related to QNXT system upgrades, while implementing optimizations to improve data processing speed and efficiency. Skilled in identifying data trends, clearly articulating findings, and translating insights into strategic, actionable recommendations.