Denise Ryan Email & Phone Number

Accountable for maintaining, enhancing and supporting custom applications related to claims processing and participated in a tiger team effort to improve the stability and performance of a critical application• Analyzed the Vendor application and custom interfaces and designed a new workflow strategy resulting in a 96% reduction of data loaded into the system per day• Identified similar functioning applications and produced a high-level design to incorporate applications into the Enterprise solution. This would result in a reduction of applications, improvement of user experience and overall savings. Recommendation was presented and approved by key stakeholders in the business• Analyzed and designed new Workflow search utilizing existing Workflow Application to identify high priority work items which resulted in a 25% per day operational savings• Recommended, collaborated, applied and coordinated changes with the non-IT supported application resulting in the improvement of the claim synchronization process by 15%• Analyzed the frontend and backend of vendor application and recommended a new design to make work items visible which were previously invisible resulting in operational improvement and allowing business goals to be metAccountable for maintaining, enhancing and supporting applications related to Claim Overpayment and Recovery Systems• Demonstrated the ability to engage clients and bring individuals from various work groups together. Created detailed plan resulting in a successful implementation that exceeded expectations of the prior year implementation

Responsible for maintaining, enhancing and supporting applications related to the processing of the HIPAA X12 transactions • Studied vendor documentation, researched configuration, designed an alternate solution to the proposed vendor recommendation during HIPAA 5010 project. Resulted in a significant savings in all aspects of the development lifecycle, ongoing maintenance and daily business operations• Automated the Claim Payment (835) custom process by developing console applications in VB.net and utilizing Autosys as a job scheduler resulting in eliminating the need for a resource for at least 5 hours each weekend• Developed and documented procedures to identify unprocessed transactions and provided the team with a method to perform proactive monitoring resulting in a reduction of delayed transactions• Collaborated effectively across multiple teams and prepared detailed and explanatory implementation plans (short interval schedule) resulting in successful implementations• Mentored peers regarding the HIPAA 835 and 837 transactions.• Provided 3rd level support for troubleshooting technical / application system issues• Designed and manipulated data in Databases using Microsoft SQL Server 2012/2008/2005, involving Stored Procedures, Functions, Triggers, T-SQL, PL/SQL, cursors and indexes.• Designed and Developed User Interfaces using XML and XSLT.Technical Environment: Visual Studio .Net 2013.2012/2008/2005, VB.net, C#, XML, Windows 7/NT 4.0/2000/XP-Professional, SSIS 2012/2008, MS SQL Server 2012/2008/2005/2000, IBM Websphere MQ 6.0,

FCG Consultant at Premera Blue Cross Participated in the mandated HIPAA 4010 project o Created a utility to be used for converting data from the existing NSF format to the new NSF-THIN format. o Developed a methodology for performing comparisons to assist in the HIPAA Clearinghouse project

Consultant supporting Cruise Reservations application and created interfaces to the complex online reservations system