Michelle W.'s Location
Indianapolis, Indiana, United States, United States
About Michelle W.
As a Technology Solutions Management Consultant at Conduent, I apply my 20 years of health insurance experience, mostly in Medicaid, to assist with system conversion from legacy to new product. I collaborate with business, architecture, and product teams to reach the end goal, update Azure DevOps user stories, reference code, configure benefits and claims information, and map documents that include business rules, crosswalks, and database mapping.Previously, I was a Senior Business At nalyst at Opteamix, where I served as a subject matter expert to help create a state-based Medicaid product. I created user stories for development and backlog using JIRA, collaborated with UX team for screen design, and worked with QA and development teams for testing. I also led backlog grooming sessions, worked with state leads for product creation, and received the Above and Beyond Award for my performance. I am currently pursuing my MBA in Healthcare Management and Business Administration at Western Governors University, where I aim to enhance my skills and knowledge in the field. I am passionate about delivering quality solutions that improve the lives of Medicaid beneficiaries and stakeholders.
Michelle W. Work Experience Details
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Senior ConsultantNetlogxIndianapolis, In, Us -
Senior Business AnalystGainwell Technologies Dec 2024 - PresentUnited States, UsWorking with the state of Indiana Medicaid program via RadCube -
Senior Business Process AnalystUnitedhealth Group Mar 2024 - Dec 2024Us• Aids with updating letters and documenting changes • Proofreads letters to ensure content is correct after codes are applied • Works with vendors to ensure content is correct, and corrects any errors • Verifies that letters are correct using Adobe Professional in the testing environment before moving to production • Ensures once print trail is live in Production that any errors in the testing environment are not shown in the Production environment • Completes hard and soft copy print tests of test letter to ensure all information is correct • Works with translation to ensure that letters in other languages are correct • Reviews and approves letters in the Production Environment so they are mailed to members • Once all letters are approved by management, then that print trail is automated and the need for review is no longer needed -
Technology Solutions Management ConsultantConduent Jun 2023 - Dec 2023Florham Park, New Jersey, Us• Assisted with system conversion from legacy system to new product• Attended Scrum meetings• Collaborated with business, architecture, and product teams to reach end goal• Updated Azure DevOps user stories • Reference Code experience• Configured benefits of claims information• Mapped documents that included business rules, crosswalks, and database mapping -
Lead Business AnalystOpteamix Mar 2023 - May 2023Littleton, Colorado, Us -
Senior Business AnalystOpteamix Nov 2021 - Mar 2023Littleton, Colorado, Us*Served as a SME to help the creation of state-based Medicaid product.• Collaborated with business and technology teams to create Medicaid product based on NASPO requirements • Created user stories for development and Backlog using JIRA• Created User Stories in JAMA• Collaborated with UX team for screen design• Collaborated with QA and Development teams for testing• Helped with creating test cases after system testing• Helped with smoke testing once system deployment is done• Led Backlog Grooming Sessions• Worked with leads from the state with product creation• First employee to receive Above and Beyond Award at Opteamix
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Senior Business AnalystOnebridge Aug 2021 - Oct 2021Indianapolis , In, UsI worked as a Senior Business Analyst with Onebridge for the Indiana Department of Health. -
Business Analyst IiiApex Systems Aug 2019 - Jul 2021Glen Allen, Va, UsServed as the liaison between the business and IT in translating complex business needs into application software. Worked with programming staff to ensure requirements will be incorporated into system design and testing. Acted as a resource to users of the software to address questions/issues• Analysed complex end user needs to determine optimal means of meeting those needs• Determined specific business application software requirements to address complex business needs• Developed project plans and identifies and coordinates resources, involving those outside the unit• Provided direction and guidance to team members and serves as an expert for the team• Used Agile methodology and creates Capabilities, Epics, User stories, and Tasks using JIRA -
Senior Business AnalystUnitedhealth Group Apr 2017 - Mar 2019Us• Analyzed, reviewed and trended complex data • Presented root cause analysis and interpretation for operational and business review and planning • Supported short and long term operational / strategic business activities through analysis • Developed recommended business solutions through research and analysis of data and business process and implement when appropriate • Strong understanding of CSP Facets and COSMOS applications • Interpreted medical claim data • Identified root cause and problem solving • Conducted and managed outcomes of various studies that include analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning• Supported short and long term operational / strategic business activities - by developing, enhancing and maintaining operational information and models • Developed and implemented effective / strategic business solutions through research and analysis of data and business processes • Worked with providers to educate them on paying claims correctly• Assisted with escalations from DOI, and urgent requests
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Clinical Administrative ManagerUnitedhealth Group Feb 2017 - Apr 2017Us• Promoted within my department• Managed 18 dialer and inbound agents• Vital Signs score for 2016 was 93% • Talked about my team’s successful vital signs in Director’s Meeting – sharing secrets• Provided leadership and support in the areas of quality, productivity, and customer service• Managed activities that include analyzing, reviewing, forecasting, trending, reporting, and presenting information for operational and business planning• Evaluated performance metrics to deliver programs to drive consumer outcomes, client return on investment and productivity improvements from better processes and technology• Supported a team of non-clinical support staff within the Medicaid channel, to ensure teams hit targets for goals• Adapted plans and priorities to address business needs• Influenced and provided input to forecasting and planning activities with Work Force Management• Evaluated performance metrics to deliver programs to drive the outcome on investment• Developed and implemented effective and strategic business solutions through research and analysis of data and business processes• Identified problem areas and works to correct
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Clinical Administrative SupervisorUnitedhealth Group Mar 2014 - Feb 2017Us• Promoted within my department• Supervised 18 dialer and inbound agents• Vital Signs score for 2014 was 91% - first year UHG Supervisor• Won over inherited team that was unhappy; turned around performance, team morale, and raised vital signs for that team 60%• Provided leadership and support in the areas of quality, productivity, and customer service•Updated and created job aids as needed• Worked on several risk management projects• Trained staff as necessary•Developed new ways to streamline processes and ideas• Multiple daily WebEx and screen sharing for meetings or training• Audited calls using Qfiniti• Reviewed fax processes• Evaluated performance metrics to deliver programs to drive consumer outcomes• Monthly 1:1 meetings with each staff member
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Associate Clinical Administrative CoordinatorUnitedhealth Group May 2011 - Mar 2014Us• Pulled faxes from Right Fax and upload to appropriate folders • Assigned work to Intake Coordinators • Ran report of work completed for Intake Coordinators daily • Notated numbers for faxes received and work processed daily on spreadsheet • Researched faxes and information as requested • Assisted with processing faxes or work for Intake Coordinators when necessary • Assisted management as needed • Other duties as assigned • Certified Mentor • Took Engagement calls and AZ PCP to PCO calls
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Training Documentation SpecialistCno Financial Group Nov 2004 - Jan 2011Carmel, Indiana, Us• Started my position in the Annuity call center before being promoted to the Training and Development team. • Met with the Subject Matter Experts (SME) to document the processes needed for training. • Documented system processes and training manuals for the training department. • Followed strict deadlines, turning documents in on a timely basis. • Helped out the training area with setting up training classes, assigning training rooms, making sure documentation was complete and ready for the training classes, ordering food if needed for training sessions. • Assisted with Training classes with syllabus type learning • Assisted upper management for approval deadlines and business rules used in the documentation. • Completed administrative duties as needed -
Customer Service ManagerArtemis Financial Oct 2003 - Sep 2004• Helped set up a call center from scratch• Responsible for processing proposals through Vanco Services, and electronically sent proposals either by fax, mail, or electronically. • Managed five service representatives, ensuring that calls were answered correctly and in a timely manner. • Updated the benefits book as needed with creditor information. • Learned three credit reports and how to read them. • Skilled at assisting clients with making arrangements with creditors and helping clean up their credit reports. • Helped clients realize the importance of good credit, making timely payments, and in turn become debt free.
Michelle W. Education Details
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Western Governors UniversityGeneral -
Indiana University IndianapolisSocial Science/Social Work/ General Studies
Frequently Asked Questions about Michelle W.
What company does Michelle W. work for?
Michelle W. works for Netlogx
What is Michelle W.'s role at the current company?
Michelle W.'s current role is Senior Consultant.
What schools did Michelle W. attend?
Michelle W. attended Western Governors University, Indiana University Indianapolis.
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