Responsible for guiding the development of various MAP (Market Access Performance) products and dashboards from conception to launch by collaborating with various stakeholders, including customers, development teams, and management, to ensure that the product meets business needs and provides value to the customer. Develop and maintain a product roadmap that aligns with business goals and customer needs.Collaborate with customers and stakeholders to gather and prioritize product requirements.Communicate product vision and priorities to the development team and ensure alignment with business goals.Develop and maintain the product backlog, ensuring that it is prioritized based on customer and business value.Work with the development team to refine and estimate user stories and ensure that they are delivered on time and to a high quality standard.Define and measure key performance indicators (KPIs) to track the success of the product and make data-driven decisions.Ensure that the product is aligned with regulatory and compliance requirements.Continuously gather customer feedback and iterate on the product to ensure that it meets customer needs and delivers value.

Lead and manage global and U.S. Digital projects through the project life cycle, utilizing appropriate methodologies - Agile, Waterfall, and PUMA. Execute management priorities, managing timelines, reporting, escalations, and resolving issues, as necessary. Perform detailed requirements analysis, document applicable processes, and conduct user acceptance testing to ensure that developed solutions satisfy the needs of business clients as specified in the functional requirements.

Working with business teams and the IT Department to find the best way to design new processes and solve process-related problems. Analyzing business processes and workflows with the objective of finding out how they can be improved or automated. Facilitate process workshops, and document any information elicited using process maps and business requirements documents. Documenting procedures and presenting new process designs to stakeholders for discussion, to determine how they can be improved or automated. Providing a gap analysis that would perform a crosswalk between the current state processes and procedures to future state cloud based functionality.

Determine, analyze and implement business process requirements as part of the client's ongoing SWIF Modernization project by mapping existing processes to the newly implemented Guidewire platform.By interpreting business requirements for various departments such as Claims, Billing, and Underwriting in order to provide detailed information to the IT functional team. Facilitates process workshops, documenting any information elicited using process maps and business requirements documents.Documenting procedures and presenting new process designs to stakeholders for discussion, to determine how they can be improved or automated. Provides a gap analysis that would perform a crosswalk between the current state processes and procedures to future state Guidewire functionality.

Acted as the liaison between business end users and technical teams (IVR Architecture/Development teams) in support of numerous work orders/change requests/improvements to the current menu/call flows for IVR applications. Gathered, reviewed and analyzed business partner’s operations to understand their strengths and weaknesses to determine opportunities to automate processes and functions. Created functional requirement documents, worked in conjunction with all teams to ensure accurate requirements are documented. Employed database technologies including SQL and Oracle to help with data mining, troubleshooting and development activities. Working knowledge of the Software Development Life Cycle, using both Waterfall and Agile methodologies. Proficient in Jira software, SharePoint collaboration database, SalesForce Cloud CRM, and Microsoft Office Suite (Excel, OneNote, PowerPoint, Project, Visio & Word)

Conduct statistical analysis and create metric reports across multiple data sources for a government-contracted healthcare program, the Affordable Care Act. Provide technical assistance in identifying, evaluating, and developing systems and procedures that are cost-effective and meet user requirements. Develop clear, comprehensive presentations for project stakeholders. Recommend compliant and effective business process improvements for the Health Insurance Marketplace appeal request program.

Analyzed, mapped, and configured the Facets Trizetto system to comply with business needs according to Medicare, Medicaid, federal / state policy, and Client guidelines. Maintained existing procedure code, diagnosis and ICD9 information within the Facets database.Provided mentoring to fellow Analysts.

Designed strategies to improve business operations. Adjusted workforce schedules to meet fluctuating Call Center requirements.Utilized business systems to monitor departmental productivity, investigate trends, and recommend changes to continually improve work efficiency.Acted as the primary point of contact for the creation and implementation of the corporate quality assurance program. Supported business policies, establishing operational goals and objectives. Identified, analyzed, and addressed performance-related concerns which threatened achieving goals, with corrective action plans and education.Served as the office HIPAA compliance officer.