May 2013 - Feb 2015Business Analyst - CA MMIS System Replacement Project Served as a key member of the Medi-Cal System Replacement Project Team for the Department of Healthcare Services (DHCS) for the State of CA and worked cross-functionally with various departments/ teams on large complex process improvement projects.▪ Supported the Drug Rebate Team with requirement gathering for elicitation sessions - SMARTing requirements, Business Rule linking, document preparation, and participation sessions for state approval.▪ Created and maintained process flows, use cases, report specification documents, handled change requests, and completed benefit mapping for Medi-Cal program.Sept 2008 - May 2013Business Analyst on VIP Eligibility System Design Team and Training and Implementation Team, BA Lead for Report Design and Quality Review. Gained extensive knowledge of eligiblity programs including Food Stamps, Family Assistance, Child Care and TennCare Medicaid. Work closely with State counterparts to analyze and gather requirements, complete design documents, manage review and approval meetings with the client, work closely with development team and testers, identify and define issues, identify solutions, open and resolve defects, created test scripts/cases, executed medicaid test cases, analyzed results, created and retested defects. Designed classroom modules for use during training and assisted with online help materials.

Member of the Quality Assurance and Reporting Group within Testing Services. Provided daily, weekly, monthly and other various report to management, testing analysts, developers and business units regarding migrations, incident reports, statistics, and statuses. Gained extensive knowledge of the Software Development Life Cycle (SDLC). Assisted with various testing of main frame, web based testing and IVR testing projects. Gathered requirements, created master and detailed test plans for System, Desktop Integration and UAT testing, executed test cases, documented and retested defects,regression testing.

Selected by leadership to participate in a management training program which included rotations throughout various departments within the corporation. Partipated in a mentor program with corporate leaders. Worked on various projects during each rotation, interacted with managers from different business areas, and attended many training programs.

Assisted shareholders regarding account activity: redemption's, exchanges, transfers, purchases, AIP plans and SWIP plans, balances, nav prices, and maintenance changes in a call center and walk in cients to an onsite office. Assisted Team Supervisors and Associates with inquiries regarding complex problems, completed research and resolved difficult account and system issues. Trained and assisted Associates with new procedures. Obtained Series 6 license.

Claims Supervisor over Claims Examiners for self funded groups. Accountable for weekly reports to management, supervising, auditing and reviews of claims examiners, and all reinsurance filings.

Community Health Purchasing Alliances (CHPAs) were established to help increase access toaffordable health care in Florida. Started as a Community Health Purchasing Alliance (CHPA) Specialist when the program was established. Maintained contact with agents, small business owners and employees, insurance companies and district offices. Give proposals, setup clients, complete maintenance. Setup as a 'cradle to grave' approach. Also was the Billing Specialist maintaining all the billing for the CHPA accounts and accounts receivables.

Gained thorough knowledge and understanding of all claims administration policies and procedures (medical and dental) including coordination of benefits, COBRA, subrogation, pre-existing, appeals process, reinsurance, utiization review.