Joel Prater Email & Phone Number

Oakland, California, Us

Oakland, California, Us

Manager for Business Systems Analysis Requirement and Story Management TeamManaging a team of 6 business systems analysts, focused on managing project documentation and associated processes. Led team through transition from traditional development methods to leveraging SCRUM resulting in an increase in both quality and value of improvements made to documentation processes. Focused on servant leadership, removing roadblocks and providing team members with what they need to be their best at their work. Modeling a growth mindset and continual learning, and actively working with each analyst to grow and improve. Leveraging a situational leadership approach to ensuring each person receives the level of support needed for their current development level with each task assigned. Demonstrating trust in each team member while ensuring accountability for results.

Oakland, California, Us

EDI Consultant level Analyst focusing on 834 (enrollment), 837 (claim), and 835 (electronic remittance) transactions+ Statistical process control: The EDI Analyst team was unaware of claims receipt patterns and volumes for individual trading partners leading to unidentified and unaddressed impacts to claims receipts. I built multiple control charts for the analysts to monitor the 170,000+ daily claim receipts, trained the analyst team to properly interpret and read control charts, and implemented a process for daily creation and delivery of the charts. I devised and implemented an accompanying control plan for the team to monitor the process and take action when needed. As a result, the team was able to begin identifying issues with our trading partners receipt volumes and initiate contact within 1 day of an issue occurring compared to a minimum of 2 days and up to several weeks after issues occurred.+ Team leadership: The EDI team was tasked with creating a new process to manage fallout in a claims processing platform for a specific line of business. 5 analysts were assigned to create and implement this process. As the lead analyst, I identified all tasks needed to complete the process and created a plan to track and manage the effort. I assisted the team working through the various team development phases of forming, storming, norming, and performing. I managed communication to management and the team to support the progress of the effort. This led to the team successfully implementing a process that prevented hundreds of claims from falling out of process daily.

Oakland, California, Us

+ During mandated transition to the EDI 5010 format I led a team of 10 EDI analysts through project requirements and testing, prioritizing, planning, assigning work, and handling escalations while regularly reporting to management on status. The team completed over 1000 test cases, on time, leading to a successful delivery while ensuring compliance with federally mandated deadlines.+ Acted as lead business analyst supporting multiple regular project efforts to improve the EDI systems at Blue Shield of California, including requirements writing and acceptance testing, and post release production support for an over $40million successfully delivered EDI platform replacement effort.

Oakland, California, Us

+ Supporting day to day EDI operations I worked directly with trading partners to increase EDI submission by implementing new trading partners for EDI and support technical questions from existing partners. As part of a team of EDI analysts we increase the EDI rate by over 15% points.+ As the primary data analyst for the EDI operations team I provided the team of EDI analysts with reports and custom databases to support their marketing and conversion efforts to increase the rate of EDI submissions. During this period the team increased the corporate EDI receipt date by over 15% points.

Oakland, California, Us

+ Lead Customer service representative handling customer service phone calls from provider organizations.+ Engaged all other Blue Cross Blue Shield plans on a regular basis on behalf of local providers to address customer service inquiries and issues.

Master Of Business Administration - Mba

Bachelor Of Business Administration - Bba, Business Administration And Management, General

Education record