ROSA H. REYES

6334 S. Kostner Ave. (W) 312.653.8707Chicago, 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 of Science 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 project completion Thorough understanding of HCSC Claims Processing System (BlueChip) Committed team player, with excellent communication skills and self-starter, capable of working independently Solving problems and meeting specific technical and business needs Proficient in 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 of Software Development Life 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 Development Life Cycle methodologies Quality Center

PROFESSIONAL EXPERIENCE:

Blue Cross Blue Shield, Chicago, Illinois07/14 to Present Business Analyst IV:

Lead in the development of new projects. Mentor other Business Analysts Train new employees Create Opportunity Documents and follow the SDM process for project acceptance and

funding. Act as a liaison between functional areas within the project to 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 document claim 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 meet the needs of

the users. Assist Quality Analyst to determine strategy and develop test cases for new projects.

1

03/14 to 07/14 Business Analyst III: Lead in the development of new projects. Analyze current system capabilities and propose new requirements to meet the needs of

the users. Create and maintains requirements in Quality Center, project plans, document

requirement on SDM artifacts, issue logs, status reports, and other project documentation as necessary.

Act as a liaison between functional areas within the project to ensure communication between areas.

Identifies critical milestones and dependencies. Schedule, coordinate, and facilitate meetings. Research, analyze, and document claim data to insure Blue Chip is adjudicating claims

properly (Retail and Group Business) Assist Quality Analyst to determine strategy and develop test cases 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 development of new projects. Create Opportunity Documents and follow the SDM process for project acceptance and

funding. Create and maintains requirements in Quality Center, project plans, document

requirement on SDM artifacts, issue logs, status reports, and other project documentation as necessary.

Act as a liaison between functional areas within the project to 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 document claim data to insure Blue Chip is adjudicating claims

properly (HMO and Cost Containment Logic) Analyze current system capabilities and propose new requirements to meet the needs of

the users. Assist Quality Analyst to determine strategy and develop test cases 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 HMO logic changes across the plans and

updates for the Blue Chip system. Attend meetings related to assigned projects.

2