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EDI Data Analyst
18 years experience W2 Cranberry Township, PA
Actively seeking
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EDI Data Analyst
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EDI HIPAA 837 Analysis Business Analysis Edifecs SQL 834 RAMP System Analysis
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Recent Experience
HIPAA Eligibility Data Analyst (Oracle PL/SQL Development) 02/20 - 06/20
834 Data Analysis Data Integrity HIPAA Logistic Regression Microsoft Excel Oracle SQL Statistical Analysis Stored Procedure Triggers Analysis Stakeholder Engagement
Encounters Claims Data Analyst 08/19 - 02/20
Compliance Data Analysis SQL Billing Root Cause Analysis Analysis
EDI Data Analyst/Systems Analyst 08/15 - 08/19
834 837 Compliance Data Analysis Data Mapping EDI ERP ETL FTP HIPAA SQL Stored Procedure System Analysis Medicare Quality Control Database Upgrades Business Requirements Stakeholder Engagement

EDI Systems/Healthcare Data Analyst experienced working in fast-paced environments demanding strong organizational, technical, and interpersonal skills. Detail-oriented and resourceful in completing projects: able to multi-task effectively.

Professional Development & Training: SAS Education, SQL Server Developer/T-SQL Programming, Certified Scrum Master, SAFe (Scaled Agile Framework)/Product Owner

  • Healthcare Systems: EDIFECS, Facets, EXTOL, Power-MHS, PEGA Application Testing, BizTalk Admin
  • Methodologies: SDLC (Waterfall Method, Agile Methodology). Completed a two-day workshop Sponsored by Harvard Pilgrim Health Care.
  • HIPAA Tools: Claredi, EDIFECS SpecBuilder, MapBuilder, & Edifecs Transaction Management
  • Worked directly with other product owners, system engineers, program managers, developers, testers, and customers to define features and technical user stories.
  • Supported an Agile Software Development process, working in conjunction with end-users/stakeholders and technical delivery teams.
  • Worked closely with counterparts in Product Management to align on the vision, program backlog, and roadmap.
  • Acted as a stakeholder of specific product backlog items, work closely with development teams to ensure the output to be aligned with expectations.
  • Implemented EDIFECS products including Ramp Manager & Transaction Manager.
  • Designed and tested programs in Ramp as per business requirements for all HIPAA transactions.
  • Conducted regular grooming sessions with the scrum teams.
  • Managed backlog of user stories for 2 products simultaneously.
  • Established user story acceptance criteria and refined stories with Scrum teams.
  • Certified Advanced Scrum Master (CASM). Completed and passed a two-day training of Scrum Master provided by Scaled Agile Framework (SAFe).
  • Developed an 835-map using Edifecs MapBuilder to convert a positional flat file into X12 HIPAA compliant format using JavaScript.
  • Reviewed 834 HIPAA transactions for data integrity, accuracy, and validity. Created HIPAA 834 specification documents for Coding and Development.
  • Complete knowledge of “MHS” Healthcare System.
  • Gathered requirements for CMS mandated project for: “Medicare Beneficiary ID” number to protect the patient's PHI.
  • Used Agile systems and strategies to provide quick and feasible solutions, based on the Agile system, to the organization.
  • Designed “Ramp Manager” using Agile methodology to a group of trading partners based on iterative development and presented tutorials on using agile development techniques to trading partners and billing agencies and software vendors.
  • Directed the skills enhancement efforts of Business System Analysts, Designers, and Developers to adopt processes based on Agile/Scrum development techniques. Introduced techniques such as Domain Modeling, Executable Requirements, Test Driven Development, and Continuous Integration for SIT and UAT testing.
  • Successfully completed an 80 hours’ crash course for SQL Server Developer/T-SQL Programming.
  • Enforced Kanban principles as a scrum master that resulted in a reduction of Cycle time by 20% thus increasing the team's throughput in less than 8 weeks.
  • Enabled improvement in team delivery commitments and capacity planning for sprints by identifying & tracking hidden tasks that increased customer satisfaction.
  • Facilitated Agile adoption Retrospective for the organization with the leadership and guided teams with the outcome resulting in enhanced performance.
  • Removed obstacle for the team by escalating an issue to leadership resulting in early delivery of customer issue solution. The customer provided positive feedback.

Top 5 Skills
SkillsProficiencyLast Used
Business Analysis
Education and Certifications
Attended in Computer Information Systems
DeVry University 2002
Bachelor's in Accounting & Management
University of Karachi 1995
Willing to relocate?:Yes
Relocation preference
Any location
Prepared to Travel:No travel (0%)
Employment Type:Any
Security Clearance:No clearance
Citizenship:U.S. Citizen