1. Product Manager/BusinessAnalyst
 ProductManager for twodifferentfrontendapplications;aReportingapplicationanda
Financial Cycle application;bothapplicationsusedbyclientbase andinternallyaswell.
 ProductManager for ePrescribingprocess; Eligibility(270/271) and MedicationHistory
transactions(requiredbyMedicare PartD).
o WorkedwithSurescriptsthroughCertificationtestingandImplementation.
 Participatedintwolengthyprojectsthatusedthe SCRUMsoftware developmentmethodology
o One role wasSCRUM Master; projectwas a rewrite of the applicationfromVisualBasic
to .NET
o One role wasProduct Owner;projectwascreatingandimplementinganew switchto
route transactions
 Responsible forfrontendapplicationdemonstrations
 AttendedNCPDPWorkGroup11 for ePrescribingandrelatedtransactions.AttendedNCPDP
Work Group 45 for DocumentRevision(835files).
 BusinessAnalyst:
o Responsible forenhancementstoapplications.Includeddeterminingcustomers’
requests,writingrequirementsfor frontendandback endchanges(i.e.coding),UAT
testing,documentingchanges,Versionrelease,andcommunicatingchangesinternally
and externally.
o Responsible forenhancementstoDrugUtilizationReview,andchangesfromNCPDP
versionD.0.
o Executedcustomers’financial cycleswhichincludesmanual processingof jobs,review
of outputfiles,creatingfinancialreportsandfinancial balancing.
1. 14 differentclientswhichall have uniquesetups
2. Producedpaymentstopharmaciesand/ormembers;physical checks orEFT file
3. ProducedASCX12 835 files(Remittance Advice),EFT/ACHfiles(ElectronicFund
Transfer) inCCD+Addendaformat,andfilesforprintingandmailingof physical
checksand EOBs.
4. ResearchedandresolvedissueswithASCX12 835 files(ElectronicRemittance
Advice files);communicate withclientandpharmaciesregardingthe 835 files
 CreatedcustomerreportsusingCrystal ReportsXI
 Createddocumentationanddiagrams/flowchartstohelpexplainprocessestoexternal and
internal participants
 Experience withMediSpandrugdatafilesandFirstData Bankdrug data files
 Heavyuserof MicrosoftExcel andMicrosoft Queryto view tablesandfields
 FamiliarwithTOADapplicationwhenresearchingtablesandfields
 Experience withsettingupdrugbenefitplans whichincludesCopaytiers,Formulary,Deductible,
Pharmacynetworks,DrugCoverage,Pricing,PriorAuthorizations,etc.
 RespondtoquestionsfromRFPs(RequestforProposal),regardingsystemfeatures,functionality
and output
 Conductconference calls/WebEx meetingswhennecessary
 Complete all mandatoryindustrytrainingclassesandcompliance classes(HIPAA/PHI)