For the given job description <<Our client is looking for experienced professional with a strong background in healthcare, including Pharmacy Benefit Manager (PBM) expertise. Proficient in SQL for data management and analysis. Skilled in working with messaging and event-based systems, facilitating seamless communication. Knowledgeable in optimizing prescription drug programs and navigating the complexities of healthcare dynamics for enhanced patient outcomes.
QualificationsBachelor's degree or equivalent experience10+ years of progressive experience in requirements gathering and management using both Waterfall and Agile SDLC methodologies.Extensive Healthcare experience is mandatoryPBM (Pharmacy Benefit Management) experience is mandatory Process development and implementation experience.Proficient in using SQL, Visio and Office Suite, including Word, Excel, and PowerPoint.Experience working with messaging or event-based systems
ResponsibilitiesAssists andor leads in requirements management practices and principles.Participates andor provides product ownership.Creates business requirement documents, user stories, use cases, and supporting diagrams including sequence diagrams as needed.Contributes to the planning process with the Scrum Master andor project manager to plan activities including requirements gatheringrefinement, design reviews, SOPwork instruction development, training, and go-live.>> the resume: <<Professional SummaryExperienced healthcare operation Analyst with broad understanding of hospital operation, supply chain, clinical data,  CPT/HCPCS, ICD-9, DRG, APC, and Medicare and Medicaid procedures. Support necessary analytic data requirements and expert  in development of custom stastical benchmarks and reports to support member as well as company-driven performance improvement.
Education and TrainingPost Graduate Diploma:Marketing Management and Market Research,Expected inOctober 2006-Maharaja Sayajirao University-Baroda,GujaratGPA:Status-Marketing Management and Market ResearchMaster of Science:Operation Management and Information Technology,Expected inMay 2011-Northern Illinois University-Dekalb,ILGPA:Status-Operation Management and Information TechnologyMasters of Commerce (M.com):Financial accounting and Management,Expected inMay 2005-Maharaja Sayajirao University-Baroda,GujaratGPA:Status-Financial accounting and ManagementBachelors of Commerce (B.Com):Financial Accountancy and Managerial Accounting,Expected inMay 2003-Maharaja Sayajirao University-Baroda,GujaratGPA:Status-Financial Accountancy and Managerial Accounting
Skill HighlightsMicrosoft Office, SAS, SQL, Access, .Net, Sales force.Certified in Visual basic and .NetFamiliar with hospital department cost, financial  and claims data, clinical quality measurement like mortality, LOS,SCIP Composite,HCAHPS Rating etc.
Professional ExperienceOperation Data Analyst,04/2011-CurrentWsp–Lansing,MI,UHC (https://www.uhc.edu) Analytics and Problem Solving Support member efforts to utilize Operational Data Base Program (ODB) data to manage their operations.I facilitates the use of key information to help members evaluate their market competitiveness from a staffing and cost perspective and provides services to help them identify opportunities to improve performance.Prepare and analyze data for ODB data quality initiatives including the data quality audits, conduct system wide data quality analyses, and support other quality related initiatives.Manipulate and extract cost, utilization, and other data to develop reports and trends including benchmarks data.I convert data into a usable form, construct and/or lead data analysis by ensuring efficient data collection, instructing on analytical choices and prepare documentation and analytical reports that effectively summarize findings of analysis.Responsible for the linking of multiple databases to find  which meet major priorities.Serve as lead designer for new Report Builder reports and enhancements by collecting requirements and defining scope in conjunction with business stakeholders including  data integrity, relevance and consistency by validating new data loads Work directly with both members and UHC staff to support improvements in the breadth, depth, and quality of ODB data.I also facilitate the use of key information to help members evaluate their market competitiveness from a staffing and cost perspective and provide services to help them identify opportunities to improve performance.Work to remedy data deficiencies through operational data knowledge, research, member engagement.Prepare design and development of analyses by using various SAS and SQL will enable UHC to better determine member needs for comparative information, to convert data into information and to enable members to effectively meet their needs with customized, actionable solutions to member problems.Intern,11/2010-04/2011Five Star Quality Care, Inc.–Raleigh,NC,Smart E-vision International.Building a set of BI-Dashboard templates using company's software for Microsoft Dynamic GP®.Accountant Assistant,07/2009-04/2010John Stroger Cook County Hospital–City,STATE,Prepared MS Access database with vendor information to transform the manual process to fully automated process Prepared a detailed analysis of accounts receivable for AR manager using the database Processing bills for multiple clients like Northwestern, Granger, Ekla etc.Handle billing queries Operations Co-coordinator (Consumer Goods, Retail Measurement Science.FMCG operation data analyst,09/2005-11/2007AC Nielsen–City,STATE,INDIAhttp://www.in.nielsen.com) New Product Development: Understanding needs of industry and client, exploration of secondary resources, research area identification, communicating with field and conducting research, Formulating and testing hypothesis Modeling and data analysis, Crystallizing deliverables Quality Control: Database Maintenance to generate MIS reports.Client Management: Responsible for Client complaints handling due to data quality, point of contact for high level analysis on Retail Audit.Monthly product category reports processing and analysis: Data coding, analysis and providing detail reports for retailers, modern format and private label clients.Prepared a project report on "Consumer Awareness and Views regarding Detergent Cakes/Powders available in Super Stores/Malls" - A C Nielsen ORG Marg.Class work for MS-MIS Prepared project on the implementation of Radiology Information System (RIS) for an academic medical center in Chicago.RIS integrates all the aspects of the department operations.Used MS Project Management software and used other tools such as Brain Storming, Critical Path Analysis, Use cases and Gant charts Prepared live demonstration on implementation of Radio Frequency Identification (RFID) system for the public library by using Microsoft Visio, Visual Basic and MS access database as a part of system analysis and design course work.Prepared project report as well as presentation on supply chain management at Sara Lee Inc.and learned all the supply chain management drivers, demand and supply forecasting in detail as a part of Operation Analysis course.Projects work for AC Nielsen Frito Lay festival promotion offer analysis: Project and objective understanding, data requirement analysis, structuring statistical analysis (Measures of Central Tendencies, Cross Tabulation, outlier detection) using Excel, model building, interpretation of output.Preparing monthly, quarterly and annual reports and category snapshots for champion category traditional and modern format stores for national and global clients including Indian Tobacco Corporation (ITC), Proctor & Gamble (P&G), Hindustan Uniliver (HUL), Reckitt Benckiser (RB), Johnson & Johnson (J&J) Generating management information reports, conducting analysis and presenting the results to senior management to facilitate quality initiatives.Analyzing the Consumer Goods market in the Indian sub-continent, on behalf of national and multinational clients and preparing reports & databases for the global deliverable team.Inspection of item master database, price scrutiny Catering needs of Global Client -J&J, RB, Unilever, P&G.Customized report processing and generation.
Skills.Net, academic, accounts receivable, AR, billing, BI, C, charts, com, Client Management, Client, clients, data analysis, data collection, databases, Data Base, Database, documentation, drivers, senior management, forecasting, http, instructing, interpretation, market, Access, MS Access, Excel, Microsoft Office, MS Project, Microsoft Visio, MIS, Modeling, New Product Development, presenting, Problem Solving, coding, promotion, quality, Quality Control, Radio, requirement, research, Retail, RIS, SAS, SQL, staffing, statistical analysis, supply chain management, system analysis and design, vision, Visual Basic, annual reports>>. The result is, 

Fit assessment: Potential Fit