Business Analyst
Current-Serve as the process expert for Medicare Advantage late enrollment penalty (LEP) billing and consult with system developers to determine systematic solutions-Gather information and analyze data to identify potential system defects and ensure Medicare Advantage operations are completed within federal compliance regulations-Perform system testing in order to interpret system requirements, conduct impact analyses, and promote continuous improvement-Develop training procedures and implement contingency plans in order to support business unit needs-Created Access database to improve annual LEP reconciliation between enrollment, demographics, and premium data received via CMS payment file for 12,000+ Medicare Advantage members and data loaded to backend DB2 tables