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Work Background
Blue Cross Blue Shield of MassachusettsLead Business System Analyst
May. 2017Quincy, MA• Acted as a key liaison between IT, external partners, and business operations for the Enrollment Modernization initiative. • Managed the development of comprehensive system requirement documents, ensuring alignment with business needs. • Conducted risk assessments for new technologies, enhancing project success rates. • Developed and maintained project plans, achieving on-time delivery for critical milestones.
Blue Cross Blue Shield of MassachusettsSenior Organizational Readiness Advisor
Jun. 2016 - May. 2017Liaison between BCBSMA IT, External Business Partners, and BCBSMA Business Operations teams to manage the implementation for key portfolio projects Coordinate the delivery of training, process mapping/documentation(Workflow mapping/workarounds/jobaids), risk/issue mitigation activities, change management/human performance management and post production support Manage measurement processes to assess and track organizational adoption of process change and system changes Develop and manage targeted organizational readiness plans to achieve business outcomes (as defined by business partners) which includes communications plans, sponsor engagement, training and documentation plans and post production support plans.
Blue Cross Blue Shield of MassachusettsManager - Electronic Enrollment and PSA Operations– Enrollment Operations
May. 2009 - Jun. 2016MassachusettsLead team of 12 Associates responsible for establishing direct data feed of enrollment data from Accounts or TPAs into BCBSMA enrollment system and Manage team responsible for establishing data feeds with Consumer driven health vendors for accounts that elect Personal spending products. Establish and maintain staffing models in order to ensure business area could meet the business needs during open enrollment and other peek periods Managed relationship including budget with consulting firm responsible for mapping enrollment data received from accounts into the format required by our internal enrollment systems Continuously indentify ways to improve processes with other business areas with a focus on the January Open Enrollment period Provided Leadership for a Proof of Concept within the Enrollment Modernization initiative focused on automating the Account Electronic Enrollment File intake process. Worked against aggressive deadlines and was on point and Presented findings to CIO and SVP of Operations. Successfully secured funding for the project to move forward
Blue Cross Blue Shield of MassachusettsRequirements Team Lead
May. 2008 - May. 2009MassachusettsLead team responsible for gathering requirements for the new Membership system. Responsible for ensuring all team deliverables are released accurately and within the project schedule Responsible for supporting the development of the Detail Design and Physical Design documents as well as reviewing these documents with the business stakeholders ensuring the information is correct. Responsible for supporting the construction efforts and the development of Test cases. In addition responsible for reviewing the test plans and the test results. Facilitated requirement gathering and feedback sessions conducted with business stakeholders and technical team members. Presented project updates related to improved system functionality or improved b
usiness processes to senior leaders
Blue Cross Blue Shield of MassachusettsSenior Business Analyst
Oct. 2007 - May. 2008MassachusettsCaptured business requirements related to the new Membership and Billing system in the System Development Life Cycle process and responsible for gathering and documenting the business processes related to Electronic Enrollment Coordinated the training of team members on how to develop the requirement documentation in the new SDLC process and developed project dashboard to track and plan the activities related to the development of requirement documentation Assisted in the facilitation of feedback sessions held to review requirement documentation
Collaborated with technical vendor, Consulting firm and Business stakeholders to review the SDLC process developing the best process to develop comprehensive requirement documentation.
IBMIT Specialist / Business Analyst
Oct. 2001 - Oct. 2007MasachusettsProvided onsite technical system support for the NASCO claims processing system to Blue Cross and Blue Shield of Massachusetts. Was direct point of contact for all production support issues related to the NASCO system at Blue Cross and Blue Shield of Massachusetts.
Subject matter expert for the following areas of the NASCO system; Membership/Eligibility, Provider Administration data, and Referral Authorization processing. Researched Claim related system discrepancies with a solid understanding of Benefit coding and eligibility issues and Developed database to track system discrepancies and research requests. Trained users throughout Blue Cross and Blue Shield on how to use this new tool. Validated user accepted test plans as well as executed test results as well as coordinated and participated in system upgrade events. This included ensuring resources were aligned, test plans developed, communication plans setup. Consulted with system engineers to review detailed system requirements and ensure all requirements could be met.
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