Healthcare Business Analyst
Current• Conducted comprehensive gap analysis for HIPAA 5010 compliance, developing action plans for migration processes.• Served as liaison between business clients and development teams, ensuring seamless 5010 transition.• Generated and executed SQL queries to analyze pharmacy department processes.• Managed HEDIS project lifecycle, including budget preparation, onsite visit arrangements, and data submissions.• Developed HL7 messaging for bi-directional case and disease report exchange in HTML and XML formats.• Implemented and maintained EDI payer files for private, Medicaid, and Medicare insurance plans.• Designed and implemented a Pharmacy Medical Administration Record (MAR).• Gathered requirements and use case scenarios for all HIPAA X12 transactions to be upgraded to a new platform for compliance, validation, and routing that included process flows.