Apply advanced subject matter knowledge to complex business issues.Functions as a subject matter expert. Contributes to the development of new ideas and methods. Works on complex problems / projects where analysis of situations or data requires an in depth evaluation of multiple factors. Exercises significant independent judgment within broadly defined policies and practices to determine best method for accomplishing work and achieving objectives. Leads and / or provides expertise to functional project teams and may participate in cross-functional initiatives. Mentors and guides to lower level employees. Acts as an expert providing direction and guidance to process improvements and establishing policies. Represents the organization to external customers/clients.

Create business requirements for to support both the Commercial and Public health care industry and defines system scope and objectives based on information technology, business processes and industry requirements.Apply extensive knowledge of the customer's business and industry to develop project specifications.Analyze business and user needs, documents requirements, and translates into proper system requirements specifications. Advise on methods to improve business processes.Coordinate and participate in proposals, feasibility studies, implementations, and new business development. Consider the business implications of the application of technology to the current and future business environment. Support Sales proposals, RFI's and demos.Reviewed, and built test cases and performed Release testing sessions in environments such as NT, UNIX and WINTEL.Training of customers and peers.Significant AccomplishmentsMade significant contributions to the HPS Pricing business area in the definition of business requirements and process flow through I5.Worked on the Business Acquisition and Renewal business area of HPS to lay the groundwork for the required client business functionality.Identified issues and areas impacting the HPS project and worked with team members to a resolution of issues to maintain forward motion on project development.Defined Requirements, designed process flow and obtained client approvals for implementation of the ICD-10 enhancements to Release 2.10 of the MetaVance system in the areas of Claims, Precertification, Benefits and Pricing

Create and review for approval business requirements and specification documentation for new business processes and system enhancements.Reviewed and approved test cases for UAT (User Acceptance Testing), Partner, Stress, Volume and Release Testing sessionsPerform walkthroughs with MetaVance clients on scope, requirements, process workflow and window and system design to obtain client signoff.Resolve issues and suggested alternate functionality and resolutions to support all client needs.Team Lead for the MetaVance Product development of the Claims, Benefits and Pricing business areas. Mentor and Train new employees on lifecycle development, process and procedures and MetaVance.Facilitate customer meetings to further define Change Order requirements.Quantify the amount of time required to complete Change Orders/Defects.Assist team members with meeting the organization's target dates.Support Sales propoasals, demos as requested.Significant Accomplishments:Made significant contributions to the MetaVance Product with numerious projects from the initial release 1.0 and continued delivery through release 2.10. Some of the large or significant projects were: Claims UI Rewrite and process flow improvements - this reduced the clients time to navigate the Claims UI by 33% Benefits Template processing - which significantly reduce the speed to market of benefit offerings to allow the commercial clients to remain competitive while retaining the flexibility of a client configurable system. Purge and Archive of the data within the MetaVance system. Automation of batch load of benefit counters which assist in clients bringing on new business and winning business from competitors. Batch Fee Schedule load processing which allows for update of fee schedules to be automated. Supported numerous client implementations. Piloted the remote training classes which successfully save the company over 200,000.00 a year in travel expenses..

Create and review for approval business requirements and specification documentation for new business processes and system enhancements.Created TestPlans and approved test cases for UAT (User Acceptance Testing), Partner, Stress, Volume and Release Testing sessionsPerform walkthroughs with HMO claims area and AIH/EDS product vendor on scope, requirements, process workflow and window and system design to obtain signoff.Install product releases of Topps as received by JBL/AIH/EDS vendor and apply coding changes to vanilla code to support processing specific to BCBSO.Team Lead for the Topps system processing of Claims, Benefits, Pricing and Precertification business areas. Defined, Constructed and Documented an experience rating system for the Underwriting and Acturial department.

Defined, Constructed, Documented and Supported the creation and subsequent enhancements to a Freight Transpayment System.Defined, Constructed, Documented and Supported enhancements to a Commercial loan system.