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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
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.

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R.Reyes Resume

  • 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.