1. 1
ROSA H. REYES
6334 S. Kostner Ave. (W) 312.653.8707
Chicago, IL 60629 (H) 773.610.4591
OBJECTIVE: Supervise and motivate a team within the Health Care Service Corporation.Succeed in
high pressure and challenging environments focused on excellence.
EDUCATION:
03/11 to 07/16 DeVry University, Chicago,Illinois, Bachelor ofScience in Computer Information Systems
GPA=3.9
Dean’s List – Nine Semesters
Member, Alpha Chi National Honor Society
Professional Summary:
Over 20+ years of experience in the Health Insurance Industry
Lead high profile projects
Delegate effectively and motivate team members to achieve on-time projectcompletion
Thorough understanding ofHCSC Claims Processing System (BlueChip)
Committed team player,with excellent communication skills and self-starter,capable ofworking independently
Solving problems and meeting specific technical and business needs
Proficientin gathering and analyzing the Business Requirements,documenting System & Functional
Requirements
Iterative and Waterfall methodology,using MS Visio, MS Office Suite & MS Project
Skilled in eliciting user demands and translating,classifying them to functional,non-functional,data and other
requirements
In depth understanding ofSoftware DevelopmentLife Cycle (SDLC) methodologies
Excellent business understanding and effective at working across multiple teams within an organization
Experience in the following activities:
Requirements Management
Solution Delivery Methodology (SDM)
Health Insurance Industry
Software DevelopmentLife Cycle methodologies
Quality Center
PROFESSIONAL
EXPERIENCE:
Blue Cross Blue Shield, Chicago,Illinois
07/14 to Present Business Analyst IV:
Lead in the developmentofnew projects.
Mentor other Business Analysts
Train new employees
Create Opportunity Documents and follow the SDM process for projectacceptance and
funding.
Act as a liaison between functional areas within the projectto ensure communication
between areas.
Identifies critical milestones and dependencies.
Perform tasks such as following up with functional areas to ensure resolution to issues
and potential conflicts.
Schedule,coordinate,and facilitate meetings.
Research,analyze, and documentclaim data to insure Blue Chip is adjudicating claims
properly (Blue Chip from end to end) for all lines of business.
Analyze current system capabilities and propose new requirements to meetthe needs of
the users.
AssistQuality Analyst to determine strategyand develop testcases for new projects.
2. 2
03/14 to 07/14 Business Analyst III:
Lead in the developmentofnew projects.
Analyze current system capabilities and propose new requirements to meetthe needs of
the users.
Create and maintains requirements in QualityCenter, projectplans,document
requirementon SDM artifacts, issue logs,status reports,and other project
documentation as necessary.
Act as a liaison between functional areas within the projectto ensure communication
between areas.
Identifies critical milestones and dependencies.
Schedule,coordinate,and facilitate meetings.
Research,analyze, and documentclaim data to insure Blue Chip is adjudicating claims
properly (Retail and Group Business)
AssistQuality Analyst to determine strategyand develop testcases for new projects.
Perform Testing/Analysis for ITG on System Enhancements and New Processes.
07/06 to 03/14 Business Analyst II:
Lead in the developmentofnew projects.
Create Opportunity Documents and follow the SDM process for projectacceptance and
funding.
Create and maintains requirements in QualityCenter, projectplans,document
requirementon SDM artifacts, issue logs,status reports,and other project
documentation as necessary.
Act as a liaison between functional areas within the projectto ensure communication
between areas.
Identifies critical milestones and dependencies.
Perform tasks such as following up with functional areas to ensure resolution to issues
and potential conflicts.
Schedule,coordinate,and facilitate meetings.
Research,analyze, and documentclaim data to insure Blue Chip is adjudicating claims
properly (HMO and CostContainmentLogic)
Analyze current system capabilities and propose new requirements to meetthe needs of
the users.
AssistQuality Analyst to determine strategyand develop testcases for new projects.
Perform Testing/Analysis for ITG on System Enhancements and New Processes.
Train Quality Analyst on functionality for new projects.
07/04 to 07/06 Technical Business Specialist II:
Responsible for testing and implementing HMOlogic changes across the plans and
updates for the Blue Chip system.
Attend meetings related to assigned projects.