1. Jeanette Barbero
Cranston, RI 02905
M: 401.263.5437
E: jenbarb@cox.net
Professional Profile
An experienced Analyst with a vast array of knowledge in the Healthcare Industry in general and Blues plans in
particular. An outstanding communicator who takes great pride in attention to detail and delivery of accurate and time-
sensitive information. Highly motivated and currently seeking a challenging new position. Although my most recent
experience is as a Facets Certified Benefit Configuration Analyst, prototyping, designing, building and testing in
support of complex business requirements, I have a wealth of past experience which includes creation of customized
subscriber certificates, drafting Consumer Disclosures to comply with RI Department of Health, preparing comparative
benefit summaries to assist Sales Force, preparing marketing releases to inform sales force of procedural changes
and interacting and negotiating with insurance regulators both state and nationwide.
Key Areas of Expertise
• Exceptional communication skills enabling interpretation of operational needs of the business at all levels.
• Keen attention to detail in product build, defect resolution and proof of concept testing
• Ability to manage diverse and deadline-oriented workflow
• Excellent organizational skills and ability to successfully prioritize multiple projects with shifting deadlines.
• Adept at mentoring and leading configuration analysts in configuration processes, methodology and solutions.
• Strong business acumen and political savvy.
Technical Skills
• Systems: MS Windows, Trizetto Facets
• Excel, Word, Lotus, ODBC, HPQC, WorkSite MP, Sharepoint
• Certifications:Facets Certified
Employment History
2012- Present
Blue Cross & Blue Shield . Providence, RI
Senior Benefit Configuration Analyst
Responsibilities:
• AnaIyze and assess complex business requirements and translate into configuration solutions.
• Document configuration designs and solutions in High Level Design documents.
• Develop prototype solutions - design, build and test.
• Worked with cross-functional team to resolve operational issue
• Participate in functional specification and design reviews validating configuration approach.
• Document core system functionality gaps and present configuration options.
• Serve as noted subject matter expert in configuration processes for multiple functional areas.
• Lead department projects and initiatives.
Achievements:
• Prototyped Dual Out of Pocket solution to solidify retention of large custom groups by enabling them to
maintain an acceptable level of risk while remaining compliant with Health Care Reform regulations.
• Succesfully led project team to resolve backlog of defects well within promised timeline.
• Mentoring resulted in two Associate Analysts achieving promotion to full Analyst level.
2006 - 2012
Blue Cross & Blue Shield . Providence, RI
Benefit Configuration Analyst
Responsibilities:
• Translate business requirements into configuration design solutions
• Collaborate with Business customers (internal and external) to develop configuration solutions
2. • Design, build and test.
• Participate in functional specification and design reviews, validating the configuration approach.
• Served as a subject matter expert in configuration processes for multiple functional areas
1991 - 2006
Blue Cross & Blue Shield . Providence, RI
Benefit Contract Analyst
• Draft and file member contracts, amendments and Consumer Disclosures to be in compliance with state and
federal regulations and requirements (DBR, DOH, DOL).
• Monitor benefit related activities and communications company-wide to ensure accurate and consistent
benefit administration and to coordinate and respond to external regulator and interplan requests for
information.
Related Employment
Metropolitan Insurance Companies Warwick, RI
Actuarial Implementation Specialist
Work with actuaries to identify needed rate, rule and program changes, prepare and present proposed changes to
State Insurance Commissioners (nationwide) for approval, institute necessary updates to company manual,
draft marketing releases and notify sales force of all changes in policy, price and procedure.
Education
Bachelor of Arts, Speech and Interpersonal Communications
Rhode Island College
Designation in General Insurance (GIA)
Insurance Institute of America
Designation of Health Insurance Associate (HIA)
Health Insurance Association of America
Individual Contributor Training
Blue Cross & Blue Shield of Rhode Island – Instructor Led 2014
Diversity and Inclusion Training
Blue Cross & Blue Shield of Rhode Island – Instructor Led 2014
Excel Pivot Tables
Blue Cross & Blue Shield of Rhode Island – Self Taught 2015