Business System Sr. Advisor at UnitedHealth Group-Optum

Pearland, Texas

- 15+ years as a healthcare professional, including 10 years in IT.
- 10 configuration and testing, including extensive experience Medicare products.
- Expertise in configuration and testing in claims, benefits, and pricing.
- Updated configuration for all application Groups in Facets utilized for client and internal training.
- Knowledgeable of government programs Medicare and Medicaid
- Excellent leadership and organizational skills, including extensive training and management experience.
- Outstanding interpersonal and communication skills, including both written and verbal.

Dell

Business Advisor

UnitedHealth Group

Sr. Consultant Payor Systems

Dell, Inc. - EMEA

Business Analyst

- Performed Organizational current state analysis to determine opportunities Claims and Finance/Accounts Payable Lead for implementation project	
- Responsible for identifying and documenting Business and Functional requirements to ensure clients business goals met and regulatory standard met compliance standards for enhancements or changes impacted by system implementation
- Performed Organizational current state analysis to determine opportunities Claims and Finance/Accounts Payable Lead for implementation project	
- Responsible for identifying and documenting Business and Functional requirements to ensure clients business goals met and regulatory standard met compliance standards for enhancements or changes impacted by system implementation

IkaSystems

Configuratin Analyst

- Formulated business solutions and defined requirements for technical teams.
- Provided project status updates and escalated issues to management.
- Assisted with the implementation of improved standards, processes or procedures and assisted managing expectations of internal and external clients.
- Involved with the Trizetto team and Universal American to implement the upgrades to Facets and Care Advance systems for initiatives in 2011.
- Configured system components, customized the design of queues, letters, templates and forms specific for Universal American
- Participated on the development team responsible for creating Health Risk Assessments (HRA) for “new member welcome calls” to survey new enrollment applicants.
- Acted as a team member for core design of system upgrades and implementation that assured that the systems configuration was adequate for daily work processes for end-users.

Universal American

TriZetto Provider Solutions

Christina Burke