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ตัวอย่าง Resume นักวิเคราะห์ธุรกิจ (Business Analyst) ฉบับที่ 222

Resume Example Business Analyst #0222 ประมาณ 1921 คำ

เรซูเม่ฉบับนี้เป็นตัวอย่างสำหรับตำแหน่ง Business Analyst ระดับมืออาชีพ มีประสบการณ์รวมประมาณ 5 ปี เรานำมาวิเคราะห์เพื่อให้เห็นว่า โครงสร้างมีจุดเด่นอย่างไร และส่วนใดนำไปปรับใช้กับข้อมูลของคุณได้

จุดเด่นของฉบับนี้ แสดงประสบการณ์ทำงาน 3 ตำแหน่ง พร้อมหน้าที่และผลงานของแต่ละช่วงอย่างเป็นลำดับ

สิ่งที่ควรสังเกตในตัวอย่างนี้

เนื้อหาในเรซูเม่ฉบับนี้

JESSICA CLAIRE
Business Analyst
100 Montgomery St. 10th Floor- (555) 432-1000-

Professional Summary

5 years of experience in Business Requirements Modeling, Business Process Analysis, Data Analysis, and Client/Server applications for enhancing the business processes in diverse business domains. SUMMARY OF EXPERTISE Strong analytical aptitude, and an ability to structure complex or undefined business problems. Business writing skills and creating Business requirements document ( BRD), Use-Case Specifications, Systems Requirements Specification (SRS), High level and Low-level documents (HLD/LLD). Proficiency in gathering SMART (Specific, Measurable, Attainable, Realistic, Timely) requirements and transforming them into functional specifications focusing on workflow analysis and design & user interface design. Experience with health care systems: QNXT, FACETS, Medicare Part A, B, C, D, Medicaid systems, and validating General Equivalency Mappings (GEMS), Technical Report Type 3 (TR3) Implementation Guide, and Companion Guide. Ensure timely escalation of customer problems by documenting the impact to the customer by assigning an appropriate priority and resolution target. Initiate escalation, as appropriate, to ensure management awareness of problems that are severe in nature or that are exceeding documented targets. Knowledge of EDI Transactions such as 837 (Claims), 834 (enrollment),2701/271 (Eligibility Enquiry & Response) Experience with ANSI X12 Healthcare EDI transaction sets (837, 999, 277CA, 276/277, 835) Proven success in eliciting requirement, As-Is and To-Be analysis, GAP analysis, Cost benefit analysis, Risk assessment, SWOT Analysis. Experience in end-to-end testing, UAT (User Acceptance Test) and user training for customers Proficiency in SDLC life cycle, ability to gather and document Business Requirements, experienced in writing Use Cases. Used Rally and TFS for updating the status of all the Test Cases & Test Scripts that are executed during testing process. Data mapping, logical data modeling, created class diagrams and ER diagrams using SQL queries to filter data. Experience using SQL for data extraction. Working knowledge of MS office programs (Word, Excel, Power Point, etc) Experienced in Analyzing and documenting business rules, client needs and user stories to produce an accurate designed feature set to reflect business needs. Working HIPAA EDI, 5010 with ICD-10, analysis & compliance experience from payers, providers, and exchanges perspective, with primary focus on Coordination of benefits (COB). Working knowledge of ICD-9 and ICD-10 structures and formats. Experience in EDI and HIPAA Testing Privacy with multiple transactions exposure such as Inbound Claims 834-Membership Enrollment, 837- Institutional, 837-Professional, 835-Claim Payment/Remittance Advise, 270/271-Eligibility Benefit Inquiry/Response, 276/277-Claim Status Inquiry/Response Transactions. Apply knowledge of business process modelling to document processes. Gather critical information from Scrum ceremonies with various stakeholders and producing useful reports. Worked closely with product owners, clients, and technical and managerial staff and using strong analytical aptitude, and an ability to structure complex or undefined business problems/Understanding of change management practices Using FACETS for various health insurance areas such as enrollment, member, Products, and other FACETS related modules. Experience with data extracts reports and data validation activities. Experience with data warehousing. Experienced Business Analyst with over 5 years of experience in Healthcare. Excellent reputation for resolving problems and improving customer satisfaction.

Experience

Business Analyst02/2018 - Current
  • Project Description: Scope of the project was to Implement a secure HIPAA compliance cloud based application to improve and enhance the Healthcare experience that allows Healthcare professionals to send real time text, photo & video updates to family & friends of patients and their loved ones.
  • Roles and Responsibilities:.
  • Submit and gain approval of EDI encounter transactions with State of IL.
  • Worked on QNXT including Claim processing (online and batch adjudication), Case management, Customer service,.
  • Member/subscriber administration, Provider network management and reporting.
  • Responsible for organizing and submitting roster, vendor file on any applicable data worthy of upload into the eVIPS system.
  • Tasked with working non par provider edits in the QXNT system as well as linking participating providers to their appropriate pay-to and contract configuration in the QXNT system based on updates received from provider specialist or NDM within the eVIPS platform.
  • Involved in the implementation of DIU, Altrex and eVIPS system.
  • Worked closely with IT attending weekly meetings.
  • Coming up with innovative ideas that were implemented.
  • Integration testing the system weekly making sure there are no major issues or claims impact.
  • Research and update all provider NPI, Pay-to and associated logic linking in the QXNT application as applicable.
  • Worked within the Configuration and support department to ensure all new and existing sponsor and provider information is entered into the QXNT system and all other related databases in a timely and accurate manner.
  • Also ensures all Sponsor related materials are created and sent to appropriate membership and based off the materials configures the appropriate benefits within the PCS application.
  • Works to ensure that all error, data integrity and various reports are processed effectively pertaining to all system applications used.
  • Configuration work responsible for impact the end result of our health plans as well as the quality of our claims operations, customer care operations, and cost containment and recovery operations with a strong dedication to excellent quality of work, ensures that our members and providers have a positive experience and that we pay claims correctly and on time, avoiding fines and extra costs.
  • Process complex claims and ensure correct payment of authorized claims following established protocols.
  • Complied with all department and company guidelines including all HIPAA applicable laws and regulations.
  • Worked on claims, Claim adjudication Membership, Eligibility, Accumulators.
  • Responsible for system integration testing of 837 claim files, 834 eligibility files and 270/271 interface files to ensure required interactions are met during the SDLC process.
  • Validated Inbound and outbound 837 transactions, including but not limited to the loading and correcting any errors with the process of EDI inbound and outbound files.
  • Validated outbound 835 transactions including but not limited with vendor on QNXT mapping and system configuration.
  • Business Process Analysis/End User Education/Business Requirements Documentation.
  • Validated System configuration, including enrollment, provider and benefits modules.
  • Creation of queries and reports to assist Health Plan Operations with the analysis of data relating to claims, members and providers.
  • Planned the entire Data Warehousing initiative from requirements gathering, analysis, design, identifying and analyzing the source systems, to data quality, to ETL, and to the end user data access.
  • Provided release management strategy checklists and change management techniques.
  • Presented and assisted end users for education and training about the new system.
  • Generated reports using SQL Server Reporting Services (SSRS), and MS Excel spreadsheets.
  • Involved in Source Data Analysis, analysis and design mappings for data extraction.
  • Also responsible for Design and Development of SSIS Packages to load the Data from various Databases and Files.
  • Design, deploy, and maintain various SSRS Reports in SQL Server.
  • Environment: QNXT, MS Visio, MS Project, SQL, Oracle, ETL, SAS, MS Access, MS Excel and MS Word.
Business Analyst / Rakuten - San Mateo, CA01/2017 - 02/2018
  • Project Description: The scope of the project was to make enhancements of the new AI Health systems to automate their revenue cycles to recognize vulnerabilities in their current system creating technology solutions for revenue cycle, operations, risk analytics & data management and to analyze the key areas of revenue loss to seal the gaps.
  • Roles and Responsibilities:.
  • The process included importing claims into Facets that had been adjudicated and setting them in a & quot; PAY" status so that a payment cycle could be run to create checks on Facets.
  • Defined Data Maps to validate and customize Claims daily load into FACETS for processing the transactions.
  • Reviewed Stored Procedures for reports and wrote test SQL queries for Joins, Unions, Group By functions against the source system (SQL Server) to match the results with the actual report against the Data mart (Oracle 10g).
  • Implemented SDLC, agile (SCRUM) methodology for the developing life cycle and followed the standards process in the application and elicited requirements from Business users and stakeholders by interacting with them and asking them detailed questions, and through JAD sessions, Focus Groups, Brainstorming, Prototyping and carefully recording and documenting the requirements in a format easily understood and reviewed by both business and technical people.
  • Resolved high volume of claims edits for all lines of business.
  • Evaluated all Customer Service cases related to pended claims.
  • Reviewed and validated requests for claims review and other claim documents.
  • Thorough understanding of authorizations, benefits, contracts, enrollment and fee schedules.
  • Worked with various departments on any identified discrepancies.
  • Fully supported internal audits and responded timely to any resulting action plans.
  • Quality control on all implemented data and ensured that all provider is entered into the core processing system within 30 days of receipt.
  • Used JIRA for issue tracking, User Story management and requirement traceability and created, managed, tracked and analyzed sprint Burn Down Chart and Product Burn Down chart to estimate sprint velocity, Development team's capacity and release planning respectively, to improve and maximize value while focusing to achieve the Sprint Goal.
  • Ensured that the team is following coding standards and is adhering to Definition of done to avoid/reduce technical debt and focused on resolving and shielding the team from impediments to keep them working in a group flow.
  • Conducted Impact Analysis and Gap Analysis to derive and document requirements for Web based Claim Processing System
  • (CPS) and identified AS-IS and TO-BE business processes based on which created business process models.
  • Defined Data Maps to validate and customize Claims daily load into FACETS for processing the transactions.
  • Reviewed and audited of E.O.B.
  • To validate accumulations, payment and provider checks.
  • Worked on FACETS (TM), QNXT(TM) front and backend data & many proprietary subrogation to Check benefits, (EOB), (COBS)Subscriber GROUP/CLASS, Benefit Levels, Provider Network, National Drug Coded (NDC), NCPDP Codes
  • EXCLUSIONS, Prior Authorization/Utilization, CLINICAL Editing, Accumulators, Determine payment Levels and determine Coordination Of Benefits.
  • Environment: Agile Methodology, JIRA 5.0, JAVA, MS Visio 2013, UML, Oracle, Tableau 9.0, MS outlook 2013, MS office Suite (Excel, Word, Power point).
Business Analyst / Rakuten - San Francisco, CA08/2016 - 01/2017
  • Project Description: The scope of the project was to implement an online platform to connect prescription cards on the mobile
  • app by using the barcode and a scanner at the pharmacy to get coupons and discounts.
  • Roles and Responsibilities:.
  • Reviewed, processed and adjusted Managed Care Claims including PCP Capitation using QCare.
  • Assisted co-workers with medical policy coding issues.
  • Processed Facility claims and validated pricing.
  • National Account grievances and appeals to Medical Director for review and approvals to adjust claims.
  • Monitored that claims were paid according to contract limits.
  • Ensured that deductible and out of pockets expenses were calculated accurately.
  • Claims processing, appeals for claim denials, claim adjustments performed after configuration was corrected and updated.
  • Facilitated stakeholder meetings for JAD sessions, gathering and writing requirements, Technical Design Review (TDR) walkthroughs that included 837 mapping,.
  • Successfully met all deadlines and updates as requested.
  • Incident management tracking to ensure defect triaged correctly and resolved timely.

Education

  • Bachelor's: Computer Science
  • College of Digital Sciences

Skills

Strategic PlanningData analysisProduct developmentGap analysisWeb-Based Reporting ToolsCustomer targetingRevenue DevelopmentSQL and databasesBusiness Process MappingProject ManagementBusiness Artifacts DocumentationCompetitive analysisConflict ResolutionRelease planningQuality assuranceTest case scenariosData MappingBusiness planningTechnical WritingWorkflow AnalysisNegotiation

สรุปว่าจะได้อะไรจากตัวอย่างนี้

ตัวอย่างนี้ช่วยให้เห็นแนวทางการเขียนเรซูเม่สำหรับตำแหน่ง Business Analyst ประสบการณ์ 5 ปี โดยเปิดด้วยบทสรุปที่บอกจุดเด่นของผู้สมัคร ตามด้วยประสบการณ์ทำงาน 3 ตำแหน่ง และข้อมูลการศึกษาที่จำเป็น พร้อมทักษะที่เกี่ยวข้องกับงาน คุณสามารถนำลำดับและวิธีนำเสนอไปปรับใช้ โดยเปลี่ยนรายละเอียดให้ตรงกับประสบการณ์จริงของคุณ

อย่างไรก็ตาม เรซูเม่ที่ชนะต้องเขียนให้ตรงตำแหน่งที่คุณสมัครโดยเฉพาะ ตัวอย่างนี้คือต้นแบบ ไม่ใช่สำเนา ทีมเรซูเม่ของเรารับเขียน Resume และ Cover Letter ภาษาอังกฤษให้โดดเด่นจากคู่แข่ง ส่งงานใน 2 วัน รับประกันความพึงพอใจ

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