Senior business analyst implementing Medicare Advantage (MA), Affordable Care Act (ACA), and Prescription Drug Plan (PDP) health care plans for assigned clients in Missouri (Blue Cross - Kansas City) and Tennessee (Farm Bureau Health Plans)

Business Analyst implementing Prescription Drug Plan (PDP) and Medicare Advantage (MA) health insurance plans. Participated in business modeling and product strategy sessions. Requirements review, verification and traceability sessions using the 'teach to fish' model for setting up a new call center (including scripting and staffing), in addition to sessions for enrollment/member maintenance, billing and invoicing, payment receipts, reconciliation and delinquency. Also facilitated sessions to review process flows and procedural documents for the same. Engaged QA for test scenario discussions and verification.

Business Analyst for implementation of Medicare Advantage (MA) and Affordable Care Act (ACA) Health Insurance Plans. Led sessions for requirements gathering, verification, traceability, mapping to scope, and compliance. Also led sessions identifying, creating, reviewing process flows and procedural documents for enrollment, billing/invoicing, payment receipt, reconciliation and delinquency for both individual and employer group plans. Participated in reconciliation exercises to verify correctness of 3rd party, financial, and membership data.

Industries: Airline (Delta Airlines, Navitaire) * Government Security Messaging Product Management for multiple airline customers worldwide * eCommerce - Branded Fares; B2B Loyalty site for corporate and customer accounts; Best in Class Notifications sent to customers, employees vendors and other stakeholders Health Care (Blue Cross Blue Shield of Minnesota) * Sales Analytics and Enablement Projects; Pharmacy (Prime Therapeutics) * Order Entry System Replacement State Government (MN OET) * MINIT Consolidation While on assignments, also served as a principal consultant for Hollstadt Consulting, providing coaching and mentoring to 100 + management and technology consultants.

Group Enrollment and Maintenance Program to create new portal replacing two other existing platforms. An Agile project, the objective is to provide a fully integrated portal allowing both Agents and Clients to use the same portal.Define and document current state and future state process flows, data flows, and integration (including identification of existing or new APIs from existing vendor) to support Quote, new to Blue, Renewal, Enrollment and Member Maintenance Activities, extending integration to ancillary dental, vision, and HRA/HSA partners for both Small and Large Group customers.Identified, documented and mapped 70 different current APIs by reviewing XML files received collaborating with both old and new vendors.

Navitaire Government Security Messaging Product Management Team - worked with existing and potential airline customers to solve business problems, identify business requirements, provide sales and implementation support, and identify business process in a highly collaborative environment.Represented the Navitaire Government Security Messaging Team during customer implementation and upgrade projects including data or configuration collection.Provided on-going collaboration with Navitaire Development, QA, and Customer Support teams. Performed business system and root cause analysis including testing of the Government Security product offerings and validating system settings. Performed systems analysis for new messaging product initiatives.Addressed and responded to customer inquiries and issues in various production or test environments.Supported sales pursuits involving existing and new customers.Documented and clarified business requirements and produced detailed use cases for messaging development efforts.Created a tool to help track Government Security mandates and related implementation status across impacted customers for internal use. This significantly reduced the number of information requests to the Government Security Messaging Team by roughly 1 FTE.

Led requirements gathering sessions for projects estimated at < 500 hours. Identified and documented functional, technical, reporting, and testing requirements. Developed current and future state process flows, web page specifications, interface specifications and use cases. Conducted requirements identification, review and approval sessions with business owners, subject matter experts, development leads, and QA/Testing leads.Projects included: Billing Document Generation Processing and File Transfer Notifications - project was to provide the ability to track progress through the process and provide summary control reporting at various processing points in order to prevent potential processing delays; Phase 1 identified process steps and developed requirements for Member and Agent Billing Process Notifications via email; Phase 2 was to design a dashboard to mimic Phase 1 notifications. HEDIS Anual Letters Automatic Generation and Retention: led team to identify and document requirements for developing a process to automatically generate and retain letters sent to Clinics and Providers for the annual request of HEDIS audit information, and to process and retain the documents and information received in response (approx 30K letters sent). Select Account Portal to Claims System: project to identify requirements to receive into the internal claims processing system those claims submitted via the Select Account Portal.Additional requirements identification projects for New Product Interfaces, New Customer Interfaces, Terminating Old Networks and Products, Data Extract Performance Enhancements, EDI 271 Response, EDI 835/837P Mapping Updates, Contract Migration from Calligo to UCM data retention tool.

eCommerce - Branded Fares Program: Lead BA/PM for branded fares program within eCommerce division. There were 4 major concurrent projects active as part of the branded fares program, with several more proposed.Served as communication conduit between eCommerce IT team and eComerce IT & Business leadership.Led multiple weekly meetings with program leadership and team for status, project updates, investigation, discussion, risk/issue identification and resolution. Provided weekly status for IT/Business Leadership.Collected, consolidated, and reported effort estimates for various project requests.Tracked task deliverables semi-weekly with business and IT pertaining to release schedules.Identified resources for project resource assignment.Mercury Notifications Program: Lead BA. This program was designed to provide best in class notifications to be sent to customers, employees, vendors, and other stakeholders.Coordinated gathering, organizing, and disseminating of docs during investigation and working sessions.Led discussion sessions with corporate leadership and management to relay the intent of the program, identify areas impacted within each business unit and identify various opportunities for proof of concept projects.Led multiple interview sessions with all identified business unit executive leadership (Sales, Marketing, IT, Reservations, Airport Customer Service, In-Flight, Flight Ops, Tech Ops Center, Cargo, HR)Identified and reviewed requirements, collected work estimates for project resource and budget forecasting.Lead BA for SLS Executive Partner Program project to create a B2B website for Loyalty corporate and customer accounts to manage their relationship with Delta.Led team of 3 BAs to elicit and review requirements related to site look and feel and user experience, working with external vendors (Okta, SalesForce.com) as part of the SDLC.Oversight of risk/issues log, weekly defect review, and status.Developed BAU and Ops plan.

Project objective was to consolidate core IT functions for 78 executive agencies and 30+ boards.The billing project was a piece of the overall consolidation effort.Led discovery and discussion sessions attended by multiple Business Analysts, Business Systems Analysts, and IT Managers, as well as multiple finance and accounting Subject Matter Experts.Documented system and process dependencies and gaps, working with internal Business Analysts, Business Systems Analysts, and Accounting Supervisors to provide solutions and recommendations to resolve known issues.Reviewed various documents produced by other Business Analysts on the project, providing recommendations and guidance as necessary.Mapped workflow to enable integration between multiple legacy procurement and requisitioning systems.Identified gaps between billing processing systems, then proposed interim and future state solutions.Successfully laid out processes for 'procure to pay' and 'order to cash' cycles, translating the processes language into a universal language understood by the team

Project objective was to replace current Mail Order Pharmacy Order Entry System serving approximately 48M eligible members. Mail Order Pharmacy Order Entry was central part of the solution to which 44 other applications and systems were attached. Project included implementing new order entry system functionality as it became available from the vendor, then insuring all other applications, processes and interfaces worked as expected.Led discovery sessions and discussions attended by Business Analysts, Business Systems Analysts, IT leadership, project leadership, and Subject Matter Experts.Provided users a better understanding of system processes and how they work in conjunction with one another, ultimately reducing the number of manual errors made and making the user community more self sufficient.Reviewed various documents for 7-8 Business Analysts, providing feedback, recommendations and other mentoring / guidance as necessary.Performed investigation, analysis, and documentation of a new, undocumented and untested system.Identified bugs and wrote test cases to verify fixes. Built use cases to enable QA to automate their processes.Mapped data from old system to new system to identify gaps and missing or regrouped data.Wrote system requirement specs and source-to-target mappings for adjudication and other required system interfaces.Designed and updated process flow diagrams.Trained 3-4 new team members on using and troubleshooting the application as they joined the work group.

Site Focal - Oracle Financial Business Applications site focal(11.5.10 AR, AP, GL, iPayment/iReceivables , Oracle Loans).Foreign Site Application Upgrades - testing/troubleshooting financial processes for Oracle AP, AR, GL upgrades to 11.5.10 for UK, Germany, and France.Oracle Order Management IT and UAT regression testing.

Project Manager - ISC Aero Decommission - led multi-functional team in re-hosting/archiving/retention of the decommissioning of 8 site applications post SAP go-live.Project Manager - Aero IT Disaster Recovery Project Test - led joint AERO/GTS team to rebuild and recover from tape back-up, the infrastructure, business application and business data environments utilizing a newly constructed DRP test plan and cold infrastructure drop strategySarbanes Compliance testing for corporate Sarbanes testing inside U.S. and Canada. Also, DRP planning & related business impact analysis. Developed and implemented current SOX compliance model for site core financial apps.Transition of support tasks to co-source partners; Management of support tasks once transitioned. Site focal for multiple sites supporting all financial applications; Oracle 11.5.9, Oracle 10.7, other legacy systems and custom applications

Oracle Financials Functional Implementations - AP, GL, PO Oracle 11i, 10.7 Functional LeadOracle Technical Resouce - Conversions, dataloads using established tools - dataloader, SQLSAP R/3 Technical resource - ABAP; conversions, dataloads, interfaces

Supported & developed applications (including DBA and system administration) pertaining to Global General Ledger and other best of breed financial applications/systems (AP, AR, FA) for corporate sites in US, UK, FR, Germany, Japan.Corporate Compliance - assisted in retrieval of financial data from corporate financial applications and system as requested and approved by autitors for annual corporate auditsManaged creation and release of corporate financial from corporate financial to state and federal taxation agenciesStandardized the consolidation of year end tax informationCoordinated year end projects between tax and fixed assets departmentsData conversions (FI/CO) from legacy systems for SAP R/3 implementation. Also developed data conversions (FI/CO) from SAP R/3 to Oracle 10.7 as part of corporate merger/acquisition.PeopleSoft reports development using SQR/SQL creating custom reports using data from PeopleSoft and Oracle tables

Support and develop applications on all corporate financial applications/systems (GL, AP, AR, Payroll, Benefits) and custom in-house systems (WIP, telephone billing and reporting).Assisted in financial data retrieval from corporate financial systems and databases as requested by auditors for compliance with annual corporate audits.