• Lead BSA and Product Owner on development of two web-based applications developed in-house: one for testing benefit configuration changes using claim adjudication, and another for entering and adjudicating direct member reimbursement and subrogation claims.• Lead BSA and Product Owner on web-based application that performs Part D and Commercial True-Ups, claim reversals, re-adjudication, and adjustment claims.• Assist with wire-framing, UI / UX design, database design, and integration with existing services and claims adjudication systems for new and existing applications.• Perform business analysis and requirements gathering.• Produce user stories and user acceptance criteria, including visio flow charts, report mock ups, and detailed scenario examples.• Provide production support and training to users.• Run stand-ups, sprint planning, sprint reviews, and sprint retrospectives.• Create complex SQL queries to perform research and analysis.• Assist with test plan development, QA and perform user acceptance testing.• Manage product roadmaps and backlog.• Experience in Agile and Waterfall Software Development Lifecycle methodologies.

• Managed IT relationship between MedImpact and existing MCO (Managed Care Organization) and Self-Insured clients.• Integrated new clients with our IT systems, with a focus on data exchange via a variety of file formats and data feeds.• Produced ad-hoc reports using complex SQL queries to support the account management team and client requests.• Implemented effective IT solutions for clients’ unique business needs.• Experienced in guiding data changes, file management, and enterprise reporting service tasks from inception to deployment.• Clients included Medicare, Medicaid, Exchange, Commercial, and Self-Insured health plans.

• Performed QC of configuration changes• Produced variance reports by calculating the financial impact of discrepancies in benefits and carrier coding.• Performed a wide variety of ad-hoc SQL queries for the operations teams, client teams, and clinical program managers.

• Performed QC of benefits configuration for a variety of clients.• Created SQL and Access queries to support research and testing of new configurations.• Subject matter expert on MedImpact's claims processing system.

• Performed pre-assessment, design, configuration and testing of benefit change requests for key clients.• Collaborated with external clients, client team and other internal business partners to ensure that configuration design meets business needs.

Reconciliation of suspense accounts.