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, Provider Service and Networks, Managed Care (Utilization Management - AUTHs and Referrals). Knowledge of business processes and system development life cycle (SDLC) and Product life cycle (PLC). Knowledge and experience with Health Payer software implementations and Upgrades/Enhancements. Agile approach to interpersonal communication, research and delivery solutions and processes. Adept at training end users as well as university students/scholars; guidance and subject matter expertise in Health Insurance operations and IT delivery. Extensive knowledge of business requirements gathering, analysis, documentation, publication and archiving. Extensive experience with software tools and applications.