- Gathered and documented detailed business requirements by conducting interviews and workshops with stakeholders, ensuring the BRDs and FRDs aligned with Medicaid policies and Cigna’s operational objectives.- Conducted gap analyses to identify inefficiencies in Medicaid claims workflows, preparing comprehensive reports that highlighted improvement areas and proposed innovative solutions.- Designed and implemented workflow diagrams and data process models using MS Visio to visualize system improvements and streamline communication with IT and business teams.- Led data migration efforts from legacy systems to the new analytics platform, establishing rigorous validation protocols that reduced migration errors by 95%.- Developed test plans and UAT scripts for Medicaid claims processing, ensuring all system changes were tested and validated against HIPAA and state-specific Medicaid standards.- Designed and implemented advanced Tableau dashboards to monitor Medicaid plan utilization, claims trends, and system performance metrics, enabling leadership to make data-driven decisions.- Partnered with compliance teams to ensure all system enhancements adhered to HIPAA and Medicaid-specific regulations, minimizing compliance risks during audits.- Conducted impact analyses to evaluate how system upgrades affected existing workflows, ensuring seamless transitions with minimal disruption to business operations.- Facilitated cross-functional team meetings to align project objectives with business priorities and addressed potential roadblocks, ensuring timely delivery of key milestones.- Collaborated with IT teams to define data pipelines and integration points, improving system interoperability and reducing data discrepancies by 20%.- Created a centralized reporting repository for Medicaid data, improving accessibility and enabling real-time reporting for business and regulatory needs.

- Conducted in-depth requirement-gathering workshops with key stakeholders, including financial analysts, risk management teams, and technical staff, to document business needs and system enhancements in detailed Business Requirement Documents (BRDs) and Functional Requirement Documents (FRDs).- Analyzed existing payment workflows, identifying inefficiencies in ACH processing, wire transfers, and reconciliation processes. Proposed and implemented optimized workflows that reduced processing delays by 25%.- Spearheaded the implementation of an automated payment validation tool that streamlined transaction review processes, reducing manual intervention and errors by 30% while improving transaction scalability.- Designed and executed comprehensive test cases and UAT scenarios for payment modules, ensuring alignment with SOX compliance and validating all functionalities before deployment.- Developed Power BI dashboards to provide real-time visibility into key payment metrics, such as processing time, error rates, and payment exceptions. This improved leadership's ability to monitor and manage operations.- Conducted gap analyses to identify discrepancies between the legacy payment systems and business objectives. Recommended solutions that aligned with regulatory requirements and addressed operational pain points.- Led the integration of third-party payment gateways, ensuring seamless functionality between external vendors and Wells Fargo's internal payment systems. Reduced reconciliation time by 20%- Conducted compliance audits of payment workflows to proactively identify and mitigate risks related to SOX and AML regulations, avoiding potential penalties.- Worked with external vendors to evaluate and integrate new reconciliation tools, improving data accuracy and minimizing manual workload.- Drafted contingency plans to handle risks associated with system downtime during major updates, minimizing potential disruptions to critical financial processes.