Mandy Bank Email & Phone Number

Downers Grove, Il, Us

Managed an 8 member team consisting of Business Analysts, Production Support Analysts, and Consultants in the Health Plan Services division of Valence Health. Served as a SME and Product Owner for 40 Accumulator Interfaces. The Accumulator Interfaces are files exchanged between Valence and Carve Out vendors containing accumulator data for cost sharing plans.• Exposed and defined 60 issues with the interfaces• Designed solutions to address root causes of issues• Implemented… Show more Managed an 8 member team consisting of Business Analysts, Production Support Analysts, and Consultants in the Health Plan Services division of Valence Health. Served as a SME and Product Owner for 40 Accumulator Interfaces. The Accumulator Interfaces are files exchanged between Valence and Carve Out vendors containing accumulator data for cost sharing plans.• Exposed and defined 60 issues with the interfaces• Designed solutions to address root causes of issues• Implemented Kanban methodology for working all production support, implementations, and business analysis tasks for the Accumulator Interfaces.• Provided constant executive updates with impact and estimates for justification to continue solutionsManaged the Vendor relationship with Valence’s core claims administration system Aldera.• Prioritized and monitored all issues, defects, and enhancements reported to the Vendor• Determined business impact and kept communication clear between the Vendor and issue owners• Worked with 8 functional area department leads to streamline their issue reporting and prioritization• Served as the escalation point for urgent issues• Coordinated product releases and upgrades Show less

Naperville, Il

Served as a liaison between user community and software development team through which requirements flow. Conducted business process analysis and needs analysis to specify technology solutions, modification or enhancements using both structured iterative and agile development methodologies. Involved at some level throughout entire software enhancement development life cycle; writing, communicating and validating system processing, customer UI usability, and reviewing QA test plans and technical… Show more Served as a liaison between user community and software development team through which requirements flow. Conducted business process analysis and needs analysis to specify technology solutions, modification or enhancements using both structured iterative and agile development methodologies. Involved at some level throughout entire software enhancement development life cycle; writing, communicating and validating system processing, customer UI usability, and reviewing QA test plans and technical documentation to ensure accuracy and completeness. • Responsible for the maintenance and enhancements of 2 or more versions each in the NetworX product suite including Facets Pricer, Stand-Alone Pricer, Modeler, and Modeler Analytics.• Designed and delivered new UI to replace legacy, serving 68 Health Plans. Performed usability studies to determine business needs and impact of UI changes. Created wireframes for UI designs and process flows. Successfully delivered a new application using agile principles in four 2 week sprints.• Subject Matter Expert for third party integration with Optum Insight, used by 60% of NetworX customers, enabling Medicare and Medicaid compliance with Prospective Payment Systems. • Created and maintained a standard tracking tool for over 300 pricing calculation methods and over 125 qualifier methods, including an approval process, to ensure accuracy of information. Used by 100 + development associates and consultants. • Initiated and completed re-write of client-facing documentation on pricing calculations and qualifiers to reduce both the frequency and duration of support calls.• Lead Designer on UI scrum team for the TriZetto Enrollment Gateway solution, connecting Health Insurance Exchanges with a Qualified Health Plan Issuer’s Core System. Led off shore designers and implemented effective agile processes that resulted in an efficiently running scrum team. Show less

Naperville, Il

Managed client relationships with responsibility for project management and application support. Served as the point of escalation, held regular status calls, prioritized client concerns and facilitated problem resolution. Identified revenue generating opportunities, project managed implementation of any new products or vendors for client companies, and provided operations and application support on ClaimsExchange and Metavante Debit Card systems.

Naperville, Il

Provided onsite consulting to administer and optimize the use of TriZetto’s BPO’s ClaimsExchange system. Identified problem areas and implemented solutions. Provided training and documentation on all processes identified and corrected.

Naperville, Il

Chosen to participate in the creation of an EDI application linking Payers to PPO’s and facilitating electronically pricing claims. Contributions included active participation in various roles including Application Support, Technical Support, Product Management, Quality Assurance, Training and Sales Support Demonstrations. Played a pivotal role as team’s resource in the development of training and documentation content and material.

Naperville, Il

Naperville, Il