Business Analyst/Project Manager Resume
|Desired Industry: Business/Management
|Desired Job Location: Newbury Park, California
||Date Posted: 3/10/2018
|Type of Position: Full-Time Permanent
||Availability Date: March 26, 2018
|Desired Wage: $110,000
||U.S. Work Authorization: Yes
|Job Level: Experienced with over 2 years experience
||Willing to Travel:
|Highest Degree Attained: Bachelors
||Willing to Relocate: No
Dear Hiring Manager:
For you I will:
ascertain your needs and fill them
Respond to you promptly
Thoroughly research answers to your questions
Flex to your needs
Apply keen foresight to assignments
Do, not just talk
provide innovative solutions
thoroughly document processes and procedures
Awaiting you is my vast 20 years experience in:
Business analysis, project management
I.T. programming & operations
Vendor relations, negotiation
I look forward to discussing more with you in person! (805) 551-9115.
Thank you for your time and consideration.
ANTHEM INC. Telecommute, Southern California 10/2008 Present
Health Insurance Plan Provider
Business Information Analyst Senior / Care Management, Operational Compliance Oversight
Perform regulatory compliance audits, develop and work Corrective Action Plans. Establish policies and procedures, create workflow processes. Prepare quick reference guides, training, lead conference calls, and coordinate operations. Collaborate with IT, Finance, Product, Operations, Legal, and outside vendors on projects. Streamlined WorkNet intranet site utilizing Stellent, Oracle, and Java. Served as Cultural and Linguistic Subject Matter Expert. Evaluated language vendors in response to Request for Pricing for Service Level Agreements. Self-initiated: created and lead work groups for Enterprise Document Naming Conventions and Translation Best Practices. Collaborated with Industry Collaborative Effort committees to capitalize on industry best practices.
Improved Utilization Management approval case regulatory time frame compliance with DMHC and CDI in California, Colorado and Nevada by 23
Improved Language Assistance Program compliance for SB853, Limited English Proficient, and Health Care Reform by 36o enhance operational efficiency 62
Slashed language vendor prices by 41hile increasing operational efficiency by 63
Recognized with promotion to Senior Business Information Analyst.
Increasing communication integrity by 27hile served on UM Rules Management Team.
ANTHEM INC. / WELLPOINT Telecommute, Southern California 11/2014-12/2016
Health Insurance Plan Provider.
Chief of Staff and Interim Chairperson (2 year term)
Led Working @ Anthem in a Virtual Environment (W@VE) Associate Resource Group for virtual employees across 3 time zones. Managed projects, events, budget, membership, publicity, resource and tool creation, and technical support. Managed development of Community Health Charities website widely emulated by other industries.
Increased memberships by 76member satisfaction by 94and improved communication by 85
Key member of Enterprise Return on Investment Scorecard Committees to develop Key Performance Indicators to evaluate ARG leader performance.
WELLPOINT DENTAL AND VISION Camarillo, California, 40elecommute 5/2007 10/2008
Company formed by merging of Anthem Insurance Company and WellPoint Health Networks Inc.
Provider Network Analyst
Subject matter expert for Dental and Vision Provider Network reporting. Provided Geo Access, Disruption and Fee research and reports for Sales RFPs, Clinical Quality/Compliance Administration, Product Management and Development. Wrote Operations manual and provided on site and remote training.
Promoted to Business Analyst III
Auto Claims Management / Trainer / Representative, Platinum Claims, Camarillo, California
Auto Claims Specialist, State Farm, Insurance Westlake Village, California
Senior Agency Field Specialist (executive management), State Farm Insurance, Woodland Hills AFO, California
Managed Insurance agents, licensing, training, and marketing.
Auto Bodily Injury Claim Specialist, State Farm Insurance, Mission Hills Service Center, California
Investigated, evaluated, negotiated and settled auto bodily injury and property damage claims; trained management on computers, created operation manual.
Promoted to Claim Specialist then to Senior Agency Field Specialist
Supervisor, Data Processing, State Farm Insurance, Westlake Village, California
Regional Office Data Processing Management Trainee, State Farm Insurance, Westlake Village, California. Relocated for company.
Business Systems Analyst, Service and Systems Office Automation, State Farm Insurance, Bloomington, Illinois
Programmer/Analyst, State Farm Insurance Corporate Headquarters, Bloomington, Illinois
Self-Employed, Managed small businesses including real estate rentals
Bachelor of Science in Applied Computer Science, Business Administration Minor
Illinois State University, Normal, Illinois
Associates of Arts in Data Processing and Business Administration
Parkland College, Champaign, Illinois
Fire and Casualty and Life Insurance Licenses #OB72438, California Department of Insurance (Current)
Certified Computer Professional #36573, Institute for Certification of Computer Professionals (Current)
Project Management Professional (Certification in Process)
Business Analysis, Audits, Budgeting, Cost/Benefit Analysis, Expense Control, Internet Marketing, Reporting, Cost Reduction, Web Design, Negotiations, Presentations, Product Marketing, Event Planning, Branding, Legal, Change Management, Strategic Planning, Team Leadership/Motivation, Process Improvement, Organizing, QC/QA, Social Media, Public Relations, Ecommerce, Distribution, Procurement/Purchasing, Vendor Relations, IT Strategy, Telecommuting, Research, Claims, Sales, IT, Management, Remote Operation, Data Reporting, Start Ups/Turnarounds, IT Infrastructure / Design, Training / Development, Technical Writing, Problem Resolution, Policy Development, Regulations, Performance Management, Employee Engagement, Client Relations, Needs Assessment, Customer Service, Project Management, Business Development, Communication
Ready to put to work for you:
Over 20 years of business analysis, sales, management, and IT experience, 10 in virtual environments across 3 time zones.
Project management expertise involving internal teams and external stakeholders in multiple cross-functional areas.
Innovative business solutions to increase communications and operational efficiency, slash costs.
Proficient at handling multiple assignments, meeting tight deadlines, and managing competing priorities.
Proven knowledge of insurance products, sales support, staff training, claims, agent training, regulatory compliance and audits.
Launch newly created positions, drive expectations beyond those initially set forth, require multiple positions to fill the role after promotion.
Available upon request.
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