Support definition, scoping, and prioritization of efforts for solution strategy and analysis withinworkstreams. Provide and support periodic reporting to leadership on assigned project activities.Currently supporting the Holistic Member Onboarding and Seamless ACA to MA projects. Drive andmaintain strong working relationships across matrixed teams and stakeholder groups, working withareas such as Health Plan Operations, Privacy, Compliance, Sales, Marketing. Participate and applymethods in Human-Centered Design, along with core business analysis frameworks, to help identifyimpacts to people, process, and technology solutions that are required to achieve solution objectivesand support business case development. Identify root causes of problems and demonstrate the ability todevelopment and make recommendations for solutions to mitigate root cause. Develop documentation,presentations, and communications that detail findings, articulate strategies, provide justification andmake the case for solution approaches and priorities. Help develop standard solution strategy andanalysis processes to use in leading various initiatives.

Supported the Claims Transformation Project moving the Medicaid business from the Enterprise HealthSystem Platform (EHS) to HealthRules Payor. Participated in requirement gathering sessionscollaborating with other internal business areas. Reviewed requirements and test cases in the JIRAapplication ensuring that business needs are being met. Acted as the Bluecard Subject Matter expertworking to resolve current Bluecard production issues while accounting for future state. Providedguidance and Bluecard knowledge in collaboration sessions with Highmark Wholecare as we planned tomove Bluecard from EHS to PlanConnexion. Mentored Medicaid staff on Bluecard. Support ISCA audits.

Supported the COVID Project, managing Operational reporting and Aged inventory daily to ensure thatMTM and Bluecard Scores were not negatively impacted. Looked for areas of opportunity tosystemically release work as opposed to distributing for manual intervention. Worked with FIPR toidentify any Fraudulent activity pertaining to COVID claims. Acted as Bluecard Home Subject MatterExpert. Researched all issues submitted via Arrow and the MAS ticket process. Identified trends andworkarounds to system issues. Worked closely with the customer and HMHS to resolve issues with littleimpact to the Bluecard Scorecard. Identify and Implement Process improvements. Facilitated Prioritycalls between Operations and HMHS to ensure issue resolution. Pulled data for the IPP Scorecard,identifying causes for missed points, and distribute to Operations on a Weekly and Monthly Basis.Monitored Bluecard High Volume Adjustments (HVA) to determine impacts to the IPP Scorecard.Approved HVA and alert Bluecard Executives of adjustments. Coached and Mentored New Analysts onteam. Supported CRs and Projects including Bluecard National Program Releases (NPR) reviewing allrequirements and test cases. Reported Top 5 bi-weekly ensuring management is aware of anyaccomplishments or issues/risks impacting projects.

Supported the COVID Project, managing Operational reporting and Aged inventory daily to ensure thatMTM and Bluecard Scores were not negatively impacted. Looked for areas of opportunity tosystemically release work as opposed to distributing for manual intervention. Worked with FIPR toidentify any Fraudulent activity pertaining to COVID claims. Acted as Bluecard Home Subject MatterExpert. Researched all issues submitted via Arrow and the MAS ticket process. Identified trends andworkarounds to system issues. Worked closely with the customer and HMHS to resolve issues with littleimpact to the Bluecard Scorecard. Identify and Implement Process improvements. Facilitated Prioritycalls between Operations and HMHS to ensure issue resolution. Pulled data for the IPP Scorecard,identifying causes for missed points, and distribute to Operations on a Weekly and Monthly Basis.Monitored Bluecard High Volume Adjustments (HVA) to determine impacts to the IPP Scorecard.Approved HVA and alert Bluecard Executives of adjustments. Coached and Mentored New Analysts onteam. Supported CRs and Projects including Bluecard National Program Releases (NPR) reviewing allrequirements and test cases. Reported Top 5 bi-weekly ensuring management is aware of anyaccomplishments or issues/risks impacting projects.

Provided support to a team comprised of Business Analysts and Technical Writers. Assisted team withany questions or issues encountered through Health Plan Partners or Strategic Initiatives. Mentoredteam to assist with career development, including recommending classes to expand on knowledge.Assigned work to Technical Writers and manage workloads to ensure deliverable dates are being met.Assisted team when deliverable dates were at risk and implemented contingency plans. Facilitatedmeetings with Health Plan Partners to discuss issues occurring and work toward resolution for the client.Managed inventory of daily incidents from client, trending increases in volume. Coordinated ReleaseImpacts communicated to the Health Plan Partners on a monthly basis, keeping the client apprised ofdocumentation and/or training impacts for a rolling quarter. Worked with Release Management toidentify process improvement for Release Impacts Communication. Supported Manager with handlinghigh priority requests. Reported Top 5 ensuring management is aware of any accomplishments orissues/risks impacting projects. Approved Clarity Timesheets: ensuring team is reporting time accurateand consistent. Worked with internal business areas to resolve issues that arise with desk levelprocedures.