804 389-8052 cxrdracr@hotmail.com

C A T H Y W H I T E 1525 Meade Point Drive Powhatan, VA 23139

SENIOR BUSINESS ANALYS T & PROJECT LEAD

Hands-On IT Leader specializing in healthcare information services to improve care delivery, efficiency, and business processes. Supports software development life cycle (SDLC) by driving projects for business analysis, requirements and technical specification gathering, product enhancements, and application releases. Combines technical expertise with background in quality assurance and testing to control costs, minimize risks, optimize processes, and eliminate project barriers. Offers knowledge in ANSI X12, test planning/cases, contingency/mitigation planning, and Agile methodologies.

Headed 25 projects simultaneously from concept to design for development of software for clients in healthcare services. Project Lead for New Hampshire Medicaid Expansion project including FAMP reporting. Implemented of Medicaid Management Information System (MMIS) for State of Alaska Delivered $65K savings to client on first project by uncovering cost-efficient check printing solution alternatives. Turned around client relationship by driving business analyst team to complete requirements gathering initiatives ahead of

time despite tight time constraints for seven major product enhancement projects in two months. Revamped SDLC standards by formalizing process and expanding business analyst team to meet project needs.

TECHNICAL SKILLS

Analyst/Project Tools: JIRA BlueWorks Rational ReqPro/CQ MS Office MS Team Foundation Server SharePoint

Testing Platforms: Windows 8 UNIX Linux Sybase SQL 7 Oracle 8 Citrix

Code Languages Tested: Java Progress UNIFY ACCEL Visual Basic .Net

Code Management Tools: Visual Source Save Round Table Microsoft TFS SharePoint

Testing Tools: Soffront MS Excel MS Word SilkTest Defect Tracking Tools: MS RAID Support Tracking Quality Center SDLC: Waterfall Agile Scrum JAD

Subject Matter Expert (SME): Medicaid Claims, HIPAA 5010, EDI X12 Transactions 270/271, 276/277, 837 Professional, 837 Institutional, 837 Dental, 999, OCR Claim forms CMS1500, UB04, ADA-J430, ICD10 Pharmacy Interventions & Immunizations

Prior Authorizations for Medical, Pharmacy, Inpatient, Imaging, Home Health, Psychology, Home/Community Services

PROFESSIONAL OVERVIEW

COGNIZANT SOLUTIONS – GOVERNMENT HEALTHCARE (RE-BADGED FROM XEROX TO COGNIZANT ) 2013 - 2015 SR BUSINESS ANALYST CLAIMS FRONT END LEAD, FOR MONTANA MMIS. (2015)SERVED AS LEAD SR BUSINESS ANALYST FOR MONTANA MMIS CLAIMS FUNCTIONAL AREA. LEAD BA RESOURCES IN SOLUTIONING GAPS FROM RFP REQUIREMENTS AND XEROX PLATFORM MMIS SYSTEM

Served as Claims Front End team Lead (onshore/offshore resources) in Gap solutioning of State RFP requirements for enterprise MMIS system including State approval of all screen mockup changes, database and system list changes, and development and testing solutions. Performed gap analysis and identified missing 5010/ICD10 requirements

Led Client (Xerox/State) sessions for approval of gap requirements including UI screen changes and database changes, business rules, system list, and valid value changes. Led State SMEs approval sessions of gap solutions

Mentored team members and trained them on Xerox and State processes. Worked with PMO team to create missing procedures/processes as identified by my team

Volunteered to lead cross functional team requirement gathering sessions for State requested Medicaid programs (Temp Service Increase (TSI) and Personal Transportation claim)

PROJECT LEAD FOR MEDICAID EXPANSION NEW HAMPSHIRE MMIS SYSTEM. (2014)SERVED AS PROJECT LEAD ON NEW HAMPSHIRE MEDICAID EXPANSION PROJECT. COORDINATED ON-SHORE/OFFSHORE DEV, SME AND QA RESOURCES. MANAGED PLANNED RELEASES AND DEFECT RESOLUTION THROUGH IMPLEMENTATION OF THE PROJECT IN NH MMIS SYSTEM.

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Served as Cognizant Project Lead for on-shore/offshore team in aggressive short timeline for implementation of NH Health Protection Program

Managed on-shore/offshore Dev, QA and SME resources for the project in conjunction with client Project Manager Managed Change Requests and defects through release implementation using Agile methodology Set State client expectations and timeline of the project. Setup JAD sessions and Scrum reviews. Kept State apprised of any

setbacks and plan to mitigate issue to get back on implementation schedule Performed as SME asset for Medicaid Expansion AVR requirements/testing and working with third party vendor to deliver

on time implementation PROJECT LEAD FOR EDMS/OCR ALASKA MMIS. (2013)SERVED AS LEAD SR BUSINESS ANALYST FOR ALASKA OCR. RESOLVED ISSUES BETWEEN SPECS AND ACTUAL FUNCTION

Served as Project Lead for AK OCR/EDMS functional area. Managed team of business analysts and change requests through release implementation using Agile methodology.

Reconciled the OCR documentation to the actual functionality in the code by updating the documentation to match SunGards OCR funtionality

Led requirements gathering, UI changes, data changes and testing MMIS and third-party SunGard's code changes. Manually processed 80k claims that failed to enter the AK MMIS system. Created wireframes to communicate UI changes to State. Led State sessions for requirements review and UI changes Led project implementation for new CMS paper forms (CMS1500 and ADA-J430) with State approval of requirements,

business rules, database, stub files and UI changes Led transition of OCR activities to Client Operations team

XEROX, ALASKA MMIS 2011 – 20135010 LEAD, SR BUSINESS ANALYST

SERVED AS LEAD SR BUSINESS ANALYST FOR ALASKA MEDICAID DEPLOYING HIPAA 5010 MANDATED CHANGES WITH RESPONSIBILITY FOR COORDINATING BA RESOURCES TO COMPLETE THE DELIVERABLES TO THE STATE OF ALASKA.

Served as HIPAA 5010 Project Lead. Managed team of business analysts and change requests for 5010 requirements system lists, business rules and data model changes along with manual data setup

Created EDI X12 transaction mapping documents for 5010. Reviewed with State for approval then tested and implemented EDI transactions

Created technical requirements for the HIPAA 5010 changes across all functional areas of MMIS system Created wireframe/screen mockups and made changes during State requirement reviews as directed by State Created ICD-9 to ICD-10 mapping documents Led all requirement Peer reviews, State requirement reviews, JAD and Scrum sessions. Led project to setup/create a separate environment for Trading Partner testing/certification to transmit EDI transactions

with the State of Alaska MMIS system. Project delivered on time for start date Trading Partner certification. All TPs certified prior to Alaska MMIS Go-Live date of new system

Supported testing and requirements of AVR system, worked with third party Vendors Assisted Team Project Manager for Alaska Go-Live project plan. Worked on logistics for all resources traveling for go-live

and assisted as backup in control center. Lead all functional areas in readiness walkthrough of teams activities setup and test of MMIS cutover to production servers

ACS, A XEROX COMPANY 2007-2010MANAGER – BUSINESS ANALYSTS, ACS INFORMED HEALTH SOLUTIONS (2008-2010)Promoted to management role after six months of joining ACS. Headed product enhancement and new business roll-out projects from concept to design stages. Oversaw up to 15 business analysts through requirements gathering to support SDLC process. Monitored Agile development projects with business requirements and wire frames via HTML pages and .Net code for weekly release into test environment. Maintained cross-functional communication with project leaders, development team, and quality assurance personnel to achieve deadlines and project goals.

Interfaced with .Net programming team to develop three-tier web applications in Microsoft shop environment and defined business requirements and technical specifications for Medicaid clients within tight time constraints.

Appointed as technical lead in developing HIE requirements and ANSI X12 transactions through data mapping for incoming transactions; participated in HIPAA 5010 and IDC10 changes to coincide with ACS enterprise needs.

Instituted daily project meetings to report progress and address team questions/concerns. Member on Steering Committee and CCB for release management of software initiatives; assessed deployment procedures

and approved emergency CCB releases.

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SENIOR LEAD BUSINESS ANALYST, ACS INFORMED HEALTH SOLUTIONS (2007-2008)Assumed control of Florida Medicaid project after one month in position, led business/functional requirements gathering as well as formulated test plans and test cases for new business application and program launch; drove release management to production team.

Prepared documentation; project was recognized as best-in-class and presented to upper management.

HEALTHCARE INFORMATICS INTERNATIONAL, INC. (HIII) 2002-2007QUALITY ASSURANCE ANALYST TEAM LEAD

Led team through application testing for product development, patch, and build projects to identify, assess, document, and report errors in functionality, accuracy, performance, appearance, outputs, online screens, and content. Managed testing for ANSI X12 837 for Medicaid, Medicare, and private healthcare insurance transactions. Devised test plans and schedules, defined test requirements, and created test cases for client-server applications.

Directed testing for overhaul of TIME System to Progress software. Authored and updated quality assurance standards and policies for product evaluations to contain costs and ensure high-

quality with efficiency. Prepared ISO-9000 procedure documentation to reflect accountabilities of quality assurance team.

ENVERA, A DIVISION OF CHEMCONNECT 2000-2002QUALITY ASSURANCE ANALYST & CUSTOMER SUPPORT REPRESENTATIVE

Facilitated regression, functional, application, and user acceptance testing for company’s full line of products. Tested products prior to upgrades and coordinated global testing with customers. Collaborated with Web Methods business communication application developers to sustain connectivity and reverse problems. Validated documents via Map DTD 1.5 to DTD 2.0.1.

Developed manual scripts for client-server main application testing as well as created automated scripts via SilkTest to test web-based applications.

Wrote technical training manual for company’s applications including call tracking system (Tightlink), customer self service (CSS) site, and web-based application (Envera Direct).

Installed and managed WebEx to provide training to sales force on Envera Direct as well as deliver product demonstrations to potential customers.

ELLIPTUS TECHNOLOGIES, INC., A LAND AMERICA SUBSIDIARY 2000QUALITY ASSURANCE REPRESENTATIVE

Led testing for alpha/beta product versions, including functional, application, regression, and performance testing, to identify errors and shortfalls in appearance, function, and accuracy Formulated module test cases, creating test systems, and automating tools. Monitored and logged all testing issues, developing reports and interfacing with development, release management, and implementation teams to meet product launch milestones.

Contributed to two proprietary software upgrades for applications written in Visual Basic on Windows NT 4.0 platform; later updated to Windows 2000.

Partnered with development team in resolving obstacles during conversion from web-based application to Citrix environment; ensured functionality of XTML forms, HTML web pages, Sequel 7 database, and Visual Basic code.

HCA HOPSITALS 1996 – 2000 RADIOLOGY TECHNOLOGIST

Performed X-Ray examinations in all departments including OR. Lead Tech on Fluoroscopy routines. Performed many roles in department.

13 YEARS' EXPERIENCE AS CULINARY CHEF INCLUDING WORKING IN LONDON ENGLAND FINER RESTAURANTS

CREDENTIALS

VIRGINIA COMMONWEALTH UNIVERSITY-MEDICAL COLLEGE OF VIRGINIAPost-Baccalaureate Certificate in Information Systems, magna cum laude

Bachelor of Science in Clinical Radiation Science, minor in Business, magna cum laude

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Associate in Science in Radiology Technology, summa cum laudeRegistered Radiology Technologist-AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS (ARRT) 1996

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