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Skills

  • Claims Consulting
  • Health Insurance
  • Healthcare Consulting
  • Manual Testing
  • Quality Assurance and Testing
  • User Acceptance Testing
  • Business Requirements
  • Claims Auditing
  • Claims Management
  • Regression Testing
  • System Integration
  • Web Hosting
  • Agile
  • Analysis
  • Analytics

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Services

  • Health Insurance Business Analyst

    $70/hr Starting at $130K Ongoing

    Dedicated Resource

    Subject Matter Expert (SME) in Health Payer Information Technology Business Analyst. Extensive Health Insurance Operations -Billing, Claims processing and Adjudication, EDI Transactions (X12), Batch Transactions,...

    AgileAnalysisBusiness AnalystBusiness RequirementsClaim Investigation
  • Text Book Reviewer/Editor

    $40/hr Starting at $81K Ongoing

    Dedicated Resource

    Eclectic knowledge of Healthcare and Health Payer Administration versed in Health Insurance, Workers Compensation, Healthcare Customer Services, Medical Billing and Coding for Thomson-Delmar Publishing...

    Business ConsultingCompensation ManagementeLearning DevelopmentHealth InsuranceHealthcare Consulting
  • Manual Quality Assurance and Testing

    $50/hr Starting at $97K Ongoing

    Dedicated Resource

    • Uploaded Business requirements into HP ALM for Quality Assurance and Testing team’s access and analysis. • Used HP ALM to analyze testing Requirements and develop test scenarios and test scripts. •...

    AnalyticsBlack Box TestingBusiness RequirementsDefect TrackingDesign
  • US Health Insurance Advisor and Advocate

    $43/hr Starting at $85K Ongoing

    Dedicated Resource

    Advocacy to ensure Health Insurance is understood and used in the way it was designed. Healthcare is a right, not a privilege; therefore many are uninformed, and under-informed about their basic option(s)...

    Benefits AdministrationClaims AuditingClaims ConsultingHealthcare ConsultingPayment Processing
  • Data Entry and Transcription

    $30/hr Starting at $68K Ongoing

    Dedicated Resource

    Review documents to ensure they are complete and legible. Correct grammar and spelling, while checking for succinct. Entry of information on the documents including formatted, Microsoft Office Suite...

    Data EntryMicrosoftMicrosoft PowerPointMicrosoft PublisherMicrosoft Visio

About

Business Systems Analyst; Adjunct Professor

Business Systems Analysis, Quality Engineering and Assurance (Testing), Payer Product Consultant for Web and Core Solutions and Applications.

Detail oriented, proficient in Agile methodology and other project management approaches, extensive knowledge, and experience in IT solutions and applications. Knowledge of operations, information technology core solutions, and applications delivery - implementations and upgrades.

Expert in research, writing and reporting, business analysis, product and solutions assessment, and quality assurance testing - Unit, SIT, FIT, UAT, White Box/Glass Box, Agile, etc.

Textbook manuscript reviewer and Book Reviewer for Major Textbook Publishers

Successfully completed Doctorate in Organization and Management specializing in Information Technology Management. Development, research, authorship (including proofreading/editing) and defense of Dissertation - MS PowerPoint presentation - to Mentor and Committee

Comfortable working with all levels of the organization.

Work Terms

Delivery date review, planning, and assessment; flexible and willing to use various applications, tools, and methodology to provide optimal/successful deliverables. Get the job done, think outside the box approach.