Tested front and back-end within the primary claims processing system for enhancements, defects and upgrades as well as other integrated systems including dashboards, auditing applications and the Blue Cross and Blue Shield Association’s Inter-Plan claims posting system. • Executed baseline SQL queries prior to testing for comparison for post testing. • Application of Test Driven Development (TDD).• Achieved a foundational knowledge of the Facets, the main claims process system and other integrative software systems related to claims processing. • Executed demonstrations of system changes to the stake holder or business owners prior to the changes being implemented into a production environment.

Worked as a liaison between the business and a vendor development team to initially install the JIVA system as the inhouse Medical Management system for Utilization Management, Case Management and Disease Management.• Elicited, analyzed, and validated the needed requirements for establishing a new Medical Management System that had previously been contracted to an outside vendor. • Created the initial Use Cases for User Acceptance Testing.• Created a production validation plan for the initial implementation of the Utilization Management system process.

Oversaw a wide variety of business-oriented tasks associated with the analysis, design, testing, and implementation of projects to maintain and enhance processing systems and integrative software programs for the company and its customers.• Subject matter expert in the Local (MetaVance) and Inter-Plan (Blue Cross Blue Shield Association system) claims processing and posting systems.• Lead requirement gathering for major system upgrades and enhancements.• Advance experience in requirement analysis, as well as working with stake holders, project managers, multiple departments to ensure that the scope of the requested system changes were captured, documented and executable before the development team was engaged.• 5 years of experience as a Customer Service Supervisor, with a staff of 17-22.