I am a client-focused professional with experience managing relationships with five key clients. My responsibilities included organizing and leading client calls, and ensuring clear communication and proactive resolution of concerns, all meticulously tracked in JIRA tickets. I've adeptly coordinated system enhancements using Agile methodologies, working closely with scrum teams to prioritize tasks. Regular discussions with clients, management, and product owners allowed me to effectively convey needs and expectations, playing a pivotal role in sprint planning sessions. I have a keen aptitude for gathering requirements and translating them into comprehensive documents, setting the stage for client plan implementations and document configurations. My hands-on approach extends to rigorous testing at various stages of the development cycle, culminating in my active participation in deploying system updates, patches, and hotfixes to maintain optimal system performance and client satisfaction.

At The Office of Administrative and Technology Services, I was a dedicated Business Analyst deeply involved in the Kentucky HEALTH Waiver (1115) Initiative. I provided extensive functional and technical analysis, supporting the project's scope and objectives with a focus on application deployment and testing. I took charge in coordinating with users and monitoring the efforts of vendors during the development and modification of computer systems, always ensuring alignment with business needs.My tenure was characterized by my capacity to thrive under pressure, handling significant workloads and making autonomous decisions guided by a clear set of objectives and deadlines. I led the approval of specifications and testing throughout the systems development life cycle, offering strategic recommendations to optimize operations and resolve system-related issues.Additionally, I played a pivotal role in troubleshooting application and report issues, collaborated with user communities and vendors to meet project timelines, and supported key application releases and go-lives. My comprehensive knowledge of IS methodologies and processes allowed me to gather detailed project requirements effectively and facilitate crucial requirement review, approval, and sign-off sessions.Communication was a forte, as I successfully administered end-user training activities, ensuring smooth system implementations and seamless transitions for all stakeholders involved.

As a Manager of Claims at a leading medical insurance company, I oversaw a dedicated team responsible for the timely and accurate processing of insurance claims. My role entailed managing the end-to-end claims handling process, from initial receipt through to adjudication and payment. I ensured compliance with policy provisions and legal requirements, constantly striving to enhance claimant satisfaction through efficient service delivery. My responsibilities included developing and implementing claims policies and procedures, auditing claims for accuracy, and managing the resolution of any disputes or appeals. By leveraging data analytics, I monitored claims trends to inform risk management and cost control strategies, while also leading initiatives to minimize fraud and waste. My focus on continuous improvement drove the adoption of innovative claims processing technologies and methodologies, aligning with the company’s strategic objectives. A key part of my role was to nurture the professional growth of my team, fostering an environment of learning and operational excellence within the claims department.