Trinity Health, headquartered in Livonia, MI, Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation. The system initiates all the necessary procedures, standardizes and validates the data according to HIPAA regulations, and provides error-processing for the transactions that could not be fully processed through the system. The new application also allows the agents to track and manage the status of a health benefit claims. I was also involved in enhancement of the Claims application that was used for checking the eligibilities and claim processing and claim status

As a BSA, responsibility is to analyze complex business problems and assess feasibility of the propose enhancements and system automations. Collect and synthesize data, review current business processes, understand end-user needs in consultation with stakeholders and explain implications of choices to all involved. The complex search involves the FEP Bridge by using SQL, Use Cases, PRDs, FSDs, and Change Summaries, implement a separate document to show the issue background and propose the solution in manners of writing unique change summaries

The State of Maine Department of Health and Human Services (DHHS) has selected Unisys and its Maine Integrated Health Management Solution (MIHMS) for processing State of Maine Medicaid (MaineCare) Claims. In order for MIHMS to process Medicaid claims correctly it needs information about individuals eligible to receive medical insurance through MaineCare. The Data Hub will be the conduit through which eligibility data is passed from the state eligibility source systems to MIHMS. Data Hub testing scope includes testing the Data Hub requirements, documenting and testing source system records, change requests and assist SMEs with validation of MIHMS daily error files

Wells Fargo Home Mortgage utilizes a tool SLoaD (Servicing Loan Decisioning Platform) for decisioning loans from FHA, FNMA, USDA and other investors. The Home Affordability Modification Program (HAMP) and the Making Home Affordable (MHA) program are U.S. Treasury initiatives to modify loans and reduce the number of houses going through foreclosure. These programs require investors, including Wells Fargo, to modify the terms of existing mortgages to make the monthly payment affordable for borrowers. To meet the program requirement Wells Fargo uses SLoaD. Since much of the information used in mortgage origination is stored in multiple databases and evaluated by multiple applications, so one central system SLoaD was created with user-friendly UI for underwriters easily provide workout options to borrowers