Sr. Business Analyst
• Gathered business requirements using a variety of elicitation techniques (interviews, meetings, workshops, and research) and wrote dozens of business requirements documents over a three year period for a major migration from an in-house claims processing system (CAPS) to a remote hosted system (CoreLink). Requirements covered Claims, Adjustments, Co-Pay, Coinsurance, COB/OPL, Medicaid, Medicare, Refunds, Dental, Pricing, Letters/Correspondence, Benefits, Health Reimbursement Accounts, Accumulators, internal data feeds, vendor interfaces, work flows, reporting and many others. • Gathered and documented business requirements for government regulatory projects including Health Care Reform and ICD-10 as well as for multiple Blue Cross Blue Shield Association (BCA) mandated Inter-Plan communication system releases (ITS and BlueSquared). Project managed BCA ITS Release 10.1, Release 10.2 and BlueSquared Releases 2.0 and 3.0.• Gathered and documented business requirements for many other projects including the migration of multiple applications from a DEC Alpha system, Accumulator Synchronization, a Benefit Quality database, and a CSC data mart.• Wrote and presented Business Cases, Vision-Scope documents and Qualified Ideas to senior managers. Was instrumental in revamping Business Case content and associated Cost-Benefit Worksheets. Participated in governance meetings, workgroups and coordinated activities among multiple teams • Led or co-led multiple Six Sigma process improvement efforts including PreAuths, Pre-Existing Waits, Membership Quality Assurance, Appeals, Grievance Panel Reviews and DEC Alpha Shutdown Planning. Modeled business processes using Visio and EA Sparx. Earned both Six Sigma Green and Black Belts. • Trained in Agile methodologies including Scrum Master, Product Owner, Facilitation, Agile Requirements Gathering, writing user stories and backlog grooming.