Michele Hunter Email & Phone Number

United States

Georgia/Medicaid• Technical Functional Area Lead (TFAL) for Performance Measures.• Liaison with vendor for Risk Navigator Clinical (RNC) – Coordinate monthly and annual upgrades.

Plano, Tx

Georgia/Medicaid• Technical Functional Area Lead (TFAL) for Performance Measures.• Implements customer changes for annual HEDIS Season – including population changes, custom measures, and hybrid measures.• Project management of HEDIS season – Liaison with multiple vendors/auditors. Uses SQL to query the Oracle Ad Hoc data warehouse to research questions from auditors and customers.• Liaison with vendor for Risk Navigator Clinical (RNC) – Coordinate monthly and annual upgrades.• Back-up Project Manager.• Lead testing effort for Ad Hoc, Management and Administrative Reporting (MAR), and Surveillance and Utilization Review (SUR) functional areas.• Created and presented training materials to customer.• Lead Centers for Medicare and Medicaid Services (CMS) certification documentation efforts for MAR and SUR functional areas.• Program in C and SQL on Sun/UNIX environment.

Florida/Medicaid• Technical Functional Area Lead for the FL MMIS Data Warehouse.• Participated in the Requirement Analysis sessions with the customer.• Created Technical Design Documentation and Business Design Documentation including Use Cases and diagrams.• Worked with customer to migrate existing queries into the new system using BusinessObjects.• Coordinated the purchasing of several software packages needed for the Data Warehouse.• Maintained the Business Intelligence and Analytical Reporting (BIAR) data models using Erwin Data Modeler tool.• Attended design and technical walk-throughs with other System Engineers (SEs).• Mentored other SEs in Medicaid, with testing changes, and with understanding the BIAR areas in general.• Created training documents, presented training materials to peers and customers.• Worked through issues with customer, system administrators, and Database Administrators (DBAs) in User Acceptance Testing (UAT) and Production environments.• Worked with customer over conversion claims issues and balancing between the old MMIS, the new MMIS, and the new Data Warehouse.

Connecticut/Medicaid 07/2004 – 03/2006• Lead SE in development of the DSSProfiler system, along with Fraud and Abuse queries using BusinessObjects (BO), to meet CMS certification requirements. • Requirement confirmation, data model design, business design documentation, data model proof of concept, technical design documentation, query development within BO. Wrote random sample application using internal BO language.• Programmed in COBOL, C, and SQL in Sun/UNIX environment.Oklahoma/Medicaid 03/2001 – 07/2004• Lead SE for development of the SUR and SUR Case Tracking subsystems. • Requirements gathering, business design, technical design, preparation and participation in the Joint Application Design (JAD) sessions. Creation of Detail System Design documents. Created and maintained project plan for both subsystems. Created and estimated changes to the subsystems. Mentored other SEs.• Researched requirements, provided problem resolution, and system demonstrations to the customer.• Window/panel updates and development using Visual Basic, VBScript, javascript, and ASP pages.• Programmed in COBOL, C, and SQL on Sun/UNIX environment.• Tested and reviewed change order requirements.

Texas NHIC/Medicaid 06/1998 – 03/2001• Requirements gathering, business design, technical design, and estimating. Developed project plan for SE team. Testing of converted and enhanced programs.• Programmed in COBOL, C, and SQL in Tandem environment.• Created program to run on PC environment to write 1,000’s of pages of report images from Tandem onto multiple CDs.• Created and led training sessions with account personnel.• Participated as writer on the Delaware EW/DSS proposal. Created the project work plan for the proposal. • Participated in oral presentations to Delaware customers by demonstrating the SURSProfiler system.Idaho/Medicaid 06/1995 – 01/1999• Lead SE in SUR Subsystem. Participated in JAD sessions. Project management. Assignment of tasks to other SEs.• Researched and estimated problem correction and enhancements.• Preparation and participation in the Health Care Finance Administration (HCFA) certification.• Screen changes using CA-OpenRoad.• Developed other SEs as backup and eventual takeover of subsystem responsibilities.• Created and led training sessions with account personnel and customers.• Programmed in COBOL, C, and SQL on Sun/UNIX environment.• Scheduling jobs and supporting cycles using CA-Unicenter.

• Lead SE for Rhode Island SURS maintenance. Responsibilities included assigning tasks to different SE's; primary contact for the account; supported account with Health Care Financing Administration (HCFA) certification tasks; migration tasks to move SURS between different SUN/UNIX platforms; Mentored other SE’s and technical associates with production support, training in C and COBOL programming, debugging, solving abends, estimating, writing scripts, understanding cycle flows, monitoring and balancing cycles.• Participated on the Rhode Island and New Hampshire SURS implementations. Responsibilities included converting three subsystems from the IBM mainframe to the SUN/UNIX environment; converting ALC programs to C; customer and account training; system and user acceptance testing; script development and standardization; estimating; documentation updates; developed and shared knowledge of UNIX utilities; ran production cycles using Autosys.• Participated on the Pennsylvania MMIS implementation on the Tandem environment. Used the change management and promotion system CONTROL; wrote implementation procedures for using CONTROL; wrote many embedded SQL report programs; used TACL and TEDIT along with the debugging tool INSPECT.• Supported Kentucky MMIS account with production support and cycle monitoring activities; research and estimates for system wide changes in medical policy, provider, and other subsystems; implementation of the Drug Rebate Program and Targeted Case Management projects.• Supported Indiana MMIS implementation with the EPSDT and SUR Subsystems.• Implemented the Nursing Home subsystem into the Kansas MMIS RAMS-II SUR Subsystem, including converting the ALC programs to table driven COBOL programs.• Participated in the transition of all support of the SUR Subsystem accounts from Texas to Virginia.• Participated as a technical writer or assisted other writers on the Kentucky, Rhode Island, Mississippi, and Connecticut MMIS proposals.

• Lead SE for the Delaware implementation of the SURS-II subsystem. Coordinated implementation work schedule including Gantt chart for tasks, division of work between SE's, and research and coding changes for the subsystem.• Provided production support, coding changes, enhancements, and testing to several states for their SUR Subsystems.• Successfully completed intense programming training (Phase II) using JCL, COBOL, and ALC.• Selected and served as an assistant instructor for Phase II classes.• Participated in federal HCFA certification of the Colorado MMIS.• Acted as account liaison (Phase I) for Colorado MMIS with responsibilities covering the Advanced SUR Subsystem. Responsibilities included writing customer service requests; testing and coordinating customer sign-off to system specifications; Developed and updated user manuals, detail design manuals, and customer training materials.• Participated as a technical writer for the Colorado MMIS, Massachusetts MMIS, and Medicare Catastrophic proposals.