Configured and implemented new line of business using Modeler for Go Live launch January 2020 Configured rate sheets (agreements), Qualifier Groups, and Fee Schedules in Modeler system Created claim set, models, analytic reports in Modeler Import claims from Facets Prod to Modeler Import agreements, qualifier groups, and fee schedules from Facets into Modeler Published rate sheets, qualifier groups, fee schedules from Modeler environment to NetworX Created users guides and configuration guidelines for configuration in the Modeler system Created training documents (PDFs) for pricing configuration teams and trained configuration /testing/maintenance teams on Modeler Responsible for gathering, analyzing and defining business requirements for various parties within the organization and translate business requirements into technical requirements Perform system configuration analysis, design, coding, build, unit testing and documenting on medium to complex customer specific solutions for client product implementation Backend data analysis and validation (SQL queries) Identify gaps between external expectations and system limitations Proactively identify and implement process improvement opportunities to improve service and increase efficiencies Additional responsibilities include: Document internal processes and techniques Create and provide concise status reports to direct manager Tools and Technologies: Microsoft Products – Word, Excel, Access, Outlook, Lync, SharePoint, Microsoft SQL Server Data Migration Tools –Data transfer, Fee Schedule Import and Export Facets Software CF0 – UAT – DEV – TEST – PROD AGILE methodology

 Convert Facets CORE agreements to NetworX agreements  Convert Facets CORE profile ID into Carve out Fee Schedules terms on the newly converted NetworX agreement  Create new Service Definitions (SEDF) from the CORE agreements to the NetworX (AGSE)  Perform system configuration analysis, design, build, unit testing and documenting on medium to complex customer specific solutions for client product implementation  Design detailed document of configuration summary for client approval  Peer review of team members’ design documents  Create and update new and existing provider agreements terms to create, update or terminate Subsections, Qualifier Groups, and Pricing Calculations within agreement  Review and analyze proper payment methods, hierarchy, and configuration strategy according to contract Tools and Technologies:  Microsoft Products – Word, Excel, Access, Outlook, Lync, SharePoint, Microsoft SQL Server  Data Migration Tools –Data transfer, Fee Schedule Import and Export  Facets Software  CF0 – UAT – DEV – TEST - PROD  AGILE methodology

 Configuration Subject Matter Expert on TriZetto’s Healthcare Management Software (Facets) including: Clinical Editing, Claims, Benefit Mapping, Provider and Workflow  Responsible for gathering, analyzing and defining business requirements for various parties within the organization and translate business requirements into technical requirements Perform system configuration analysis, design, coding, build, unit testing and documenting on medium to complex customer specific solutions for client product implementation Data analysis and validation (SQL querires) Identify gaps between external expectations and system limitations Proactively identify and implement process improvement opportunities to improve service and increase efficiencies. Resolve escalated issues to meet client specific Service Level Agreement Additional responsibilities included:o Document internal processes and techniqueso Perform group leader responsibilities in absence of a supervisoro Create and provide concise status reports to clients and direct managero Work with optimization to review pain pointso Facilitate client calls o Train offshore resourceso Train co-workers on new processeso Lead Medical School project from beginning to end, coordinating with all parties involved. Tools and Technologies:  Microsoft SQL Server / Oracle SQL Developer Nimsoft Ticketing Software Microsoft Products – Word, Excel, Access, Outlook, Lync, SharePoint Data Migration Tools – Trizetto CMU (Configuration Migration Utility) Tool, Global Exchange, Data transfer, Import and Export Facets Software NetworX and Facets Core Pricing Waterfall and SDLC (Systems Development Life Cycle) Project Methodologies

Create new and renewing customer documents based on the analysis and interpretation of case implementation materials, knowledge of health care benefits and funding types and mechanisms. Develop materials using a specialized text generation/text editing application. Coordinate the review of customer/member deliverables against customer requirements with plan services, product configuration specialist, underwriting, and sales offices for completeness and accuracy of interpretation. Modify customer documents to comply with specific federal and/or state mandates and proactively communicate/coordinate with all matrix partners. Proactively identify and implement process improvement opportunities to improve service and increase efficiencies. Review and analyze implementation materials to create documents for new and existing business. Analyzes benefits to ensure they are in compliance with legislation. Create client specific documents and/or communications. Responds to questions from internal partners and/or external clients. Identifies process improvements for end to end installation. Handles multiple products as well as highly complex account while effectively managing inventory to meet deadlines. Thorough knowledge of matrix partner functions and how they interact along with through product knowledge.

 Implement and maintain eligibility data in the Facets system Interact with internal and/or external partners on and offshore Generate report to identify and resolve discrepancies Work with Client, Implementation, and Service Partner to resolve eligibility issues Knowledge of manual and automated eligibility requirements and procedures Communicate effectively with all levels of leadership Effectively gather and share information to multiple organizations and clients Identified training and development needs to help improve the eligibility training program

Responsible for daily maintenance of resources regarding telephone numbers, walkie talkie feature, and IPs.Resolved porting related issues. Utilize multiple systems and troubleshooting tools to enhance performance. Responsible for communicating at a technical level with software vendors, providing technical guidance, assessing cross-functional system impacts, and providing routine status reports to management.Partnered with local markets to allocate resources for new handsets to be activatedManaged projects from inception to completion, ensuring all appropriate groups are involved.Identified areas for improvement and implemented new procedures to increase efficiency.

Reviewed orders on line and activated services for Nextel/Sprint Customers.Verified credit, rate plans, features and services were accurate.Subject Matter Expert for Activations department, Sales Support, and Government/Corporate accounts Performed quality assurance and provided feedback to representatives.Informed Management of any critical areas of network issues. Performed group leader responsibilities in the absence of my Supervisor.Kept all representatives updated with the new processes and procedures.Balance team and individual responsibilities, organize daily tasks, and prioritize activities to increase efficiency.