Address and phone number available on request.
Requirements gathering and tracking, Business System and Business Process Analysis, Project Management Analysis, Healthcare Insurance System Design, Managed Care System Design, UML-Object Oriented Design, Project Management Systems, Quality Assurance and Testing Processes, Training setup.
Microsoft - Access, Word, Excel, Powerpoint, Project; Experience with many systems from handheld computers to mainframes; Experience data mining in many different relational databases.
October 1999 to Present, Delta Dental of California, formerly Delta Net, Inc.
Job Description includes: Designing and specifying Delta Dental's next generation system. Analyzed processes and designed systems for Eligibility management, Group/Employer support, Provider management, Billing-Invoicing, and Claims Entry. Working with end users, executives and programmers to design, test and implement a client server solution. Mentoring other business analysts on the team and supporting all phases of the projects.
July 1997 to October 1999, Electronic Data Systems.
Job Description includes: Monitoring an electronic eligibility upload into a mainframe, responsible for 60000+ lives. Using many different processes to acquire data: FTP, BBS, E-mail, hard copy, magnetic media. Translating and re-mapping data into alternate formats. Mining data for useful information, based on customer requirements. Maintaining quality controls, upgrading and enhancing system, identifying and fixing problems with data, programs or processes and suggesting solutions. Applying knowledge of the Health Care Industry and using project management protocols to effectively manages data and procedures.
May 1995 to July 1997. Electronic Data Systems.
Job Description includes: Managing, trouble shooting and administering two databases in MS-Access. Mining data for useful information, based on customer requirements. Creating, updating and enforcing procedures to support the databases and their use. Assessing, implementing and testing upgrades and enhancements to the databases. Working with multiple operations teams and project leaders to ensure data accuracy. Creating ad hoc reports. Applying knowledge of the Health Care Industry and Project Management protocols to more effectively manage data and procedures.
University of California, Santa Cruz. Bachelor of Sciences, Sociology.
Managed Care Professional certification from HIAA
Health Insurance Associate certification from HIAA
Co-authored two books and several articles about tactical simulation games.
All images and text are copyright of Stephen Douglas 2011