Expert Business Analyst with Extensive Healthcare Experience
1. JUEDIENNE GORDON
Juedig@hotmail.com
404-552-8423
SUMMARY:
• Over 20 years of experience in Business Analysis.
• Over 12 years of experience in web based applications.
• Over 10 years of experience in healthcare industry
• Over 5 years of experience in financial industry
• Experience with eCommerce, website flow and user functionality, quote to cash, concept to
market
• Experience in Internet application development eCommerce (third-party also) in a Java
environment, data modeling, databases and quality assurance processes.
• Experience in Technical Writing, Online Help, Documentum, SharePoint, Training and User
documentation, RFP, Grant writing.
• Experience with laws, rules, regulations, bargaining agreements, and or business processes
that relate to Federal contracts.
• Experience with ERP (Enterprise Resource Planning) within several domains: healthcare,
banking, utility and pharmaceutical.
• Experience with Healthcare claims process, EDI transactions, EMR (Electronic Medical
Records), DSM (Direct Source Messaging) HiPAA (Health Insurance Portability Accountability
Act), EOB, ANSI 837 UB92, 5010, HIX.
• Familiar with ICD (International Classification of Disease codes) 9-10; CPT (Current
Procedural Terminology).
• Experience and knowledge of relational databases, SQL, Java, .NET; and working in a
WebSphere environment
• Experience in documenting infrastructure, operations, technical and system requirements.
• Ability to work with Technical and Systems personnel.
• Trained by IBM to facilitate JAD, (Joint Application Development) JRP (Joint Requirements
Planning); and interviewing, use case modeling, gap-fit analysis, process definition, and
gathering and requirements management.
• Experience with RUP, UML, and AGILE (Sprints), Waterfall, Scrum.
• Experience developing standard software documents including Discovery, SOW, Business
Requirements, Functional Specifications, Configuration Documents, Use Cases, Use Stories,
Product Logs, diagrams (class, state, activity, business model, entity, workers, actors, use
case model), storyboards.
• Experience with Microsoft Office Suite (Word, Excel, Access, Visio, and PowerPoint) and MS
Project, Dreamweaver (wireframes), Lotus Notes, SharePoint, Visio, Documentum, and
Soap UI
• Experience with gathering requirements for Service Oriented Architecture (SOA) functional
software components.
• Experience with SaaS (Software As A Service).
• Experience with PeopleSoft: Oracle SOA Suite, CRM, HR/Workforce Management
• Knowledge of extract, transform and load (ETL) a process in database usage and especially
in data warehousing that involves: extracting data from outside sources and manipulating
• Knowledge of Master Data Management (MDM) and Data Mapping.
• Exposure to Teradata (ability to understand which customers had policies on a certain date,
including those with changes made retroactively or in advance of the effective date)
• Experience in Software Development requirements as CRUD (Create, Replace, Update and
Delete).
• Experience in basic SQL to query database.
• Familiar with EDI (Electronic Data Interchange), HL7 and ActiveX interfaces.
• Experience with Quality Assurance methods and Mercury Test Tools.
• Proven ability to serve as a liaison between technical developers and product management
analytical, leadership, problem solving and decision making skills.
2. GORDON RESUME
• Experience working on Time and Attendance projects.
• Experience working with Blaze business rule software.
EDUCATION:
• College of St. Rose, 1985 - 1989
o Communication/English, BA
TRAINING:
• BellSouth Project Manager Development Course, 1999
• Oracle - Data Modeling, 1999
• Oracle - PL/SQL, 2000
• Rational Rose – Object Oriented Analysis and Design Using UML, 1999
• Medical Coding (CPT-ICD), 2002/2005
• Understanding HIPAA, 2002, 2005, 2009
EXPERIENCE:
6/14 - present
Senior Business Analyst
Ernst & Young- Information Management Technology
As a Sr. Business Analyst at E&Y my position requires me to facilitate business process improvement via the
CLEAR methodology, analysis, review and documentation of all or part of a business in terms of business
functions and processes. Manage the requirements development process through the elicitation, analysis,
specification and verification of multiple levels of requirements (business, stakeholder, solution) and support the
ongoing management of the requirements. Create viable and consumable specifications (see below) including
acceptance criteria in preparation for the construction and testing of Information Security specific IT solutions.
While at E&Y I have completed the SDLC 4 times on various projects, currently in UAT testing. Familiarity with
the Service Lines: Assurance, Advisory, and TAS. Within EY I have worked in various IT groups such as:
Performance Testing, Quality Assurance, and Development, EY Delivers, SQTT, IMT (Financial Reporting,
Engagement Reporting, and Planning & Budget) remotely and onsite.
Responsibilities
Part of responsibilities is to mentor other Business Analysts, providing guidance and assistance as needed. As of
date I have written the following artifacts:
• Vision and Scope
• Requirement Specification
• Requirement Traceability Matrix (RTM)
• Performance Questionnaire
• Use Case specification
• Supplemental Requirements
• Issue Log
• Data Dictionary
• Context Diagrams
• Non Functional Requirements
• Test plans
• Liaison with Performance and Mobile Test teams
12/13 - 3/14
Senior Business Analyst
Georgia Department of Community Health MMIS
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3. GORDON RESUME
Medicaid is a medical assistance program that helps many people who can’t afford medical care pay
for some or all of their medical bills. It is administered by the Georgia Department of Community
health (DCH) and pays medical bills with State and Federal tax money.
Responsibilities:
• Review Medicaid policy and practices, including Provider Claims, Medicaid Rules and
Regulations, ICD-10, HL7 (Health Level Seven)
• Work with Medical Policy and IT Program Administrator HP to implement work
requests.
• Research and create Provider accounts to utilize for testing
• Work with Providers to insure that HL7 standards were met and interface worked properly
• Write test case documents to be used for QA
• Work with Testing Team to initiate testing.
05/13 – 12/13
Streamline Health Inc.
Integration Consultant
Streamline Health provides solutions that help hospitals and physician groups improve efficiencies
and business processes across the enterprise to enhance and protect revenues. In this role I
worked with clients on their reporting and interface requirements.
Responsibilities:
• Work with the client and STRM project teams to document the solution, develop and test the
solution, and deliver to internal and external clients.
• Created SRS documentation that captured the “As Is”
• Create process documentation to be used by Integration team and Technical support for
installs of SAP servers and Crystal Reports.
• Install Crystal reports by dialing into client site and uploading reports.
• Load, analyze and integrates the client data and/or documents, using proven
implementation methodology.
• Worked with NYC hospital with HL7 on CDA Note Generation project.
• Utilized the HL7 International Business Analysis template 2013
• Worked with Data Analyst in MDM project to gather client data requirements.
• Insure that required reporting data was captured and reportable on client site.
• Organize, sort, and filter data in order to distinguish patterns and recognize trends.
• Validates that all functions perform according to the relevant specifications.
• Identify solutions to non-standard requests and issues.
• Create and collaborates to create custom integration solutions.
• Conduct moderately complex analysis and solves moderately complex issues.
• Follow established team standards and templates to ensure consistency and supportability
of solutions.
• Work with all team members to gain insight to the business need(s) and draw upon their
skills and the subject matter experts to ensure the solution corresponds with the team focus
and direction.
• Research and draw upon the rest of the team, department, and company as needed to
ensure the solution meets approvals as needed.
01/13 – 06/13
McCamish Systems
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4. GORDON RESUME
Sr. Business Analyst
In this role my goals are to support on-going projects T. Rowe Price and to lead new initiative
(Newport) within the Non-qualified Retirement Loan Services business.
Responsibilities:
• Participate in weekly client meetings.
• Lead and drive weekly JAD session on new initiative. Gathering requirements in BRD for new
client enhancements.
• Created BRD with process flow diagrams depicting system/UI
• Created QA Test Plan and managed offshore testing efforts
• Utilize HP Quality Center to capture defects
• Test and resolve critical issues and validate software
• Worked with offshore to implement test plan
• Wrote Functionality Overview and Use Cases
• Trained and supported QA on new enhancements and product features
• Provide leadership and mentored Jr. BA staff
• Lead the implementation of new documentation process improvement (SDLC)
• Work offsite with no supervision
• Meet all deadlines and deliverables
07/12 – 12/12
Delta Airlines, Atlanta, GA
Service Oriented Architecture (SOA) Sr. Business Analyst
The goal of this project is to maintain “enterprise wide SOA” best practices for Delta partners and
services.
• Responsibilities:
Gather, develop, coordinate, and maintain “SOA system requirements” for various
projects and/or systems from initial phase to final implementation, assuring
requirements meet standards.
• Interact with “application developers, application BAs and PMs, other portfolios, Vendors,
SOA PMs, Architects, Developers, and QA testers, for full life cycle of a project.
• Interview stakeholders, subject matter experts and facilitate 2 JAD sessions per week to
gather and document requirements.
• Analyze and model system functions, using activity and sequence diagrams.
Develop use case specifications; use case diagrams, and elaborate use cases through
design process.
• Coordinate and lead use case reviews with application development teams, SOA
architects, developers and QA teams twice weekly.
• Assist in maintenance and communication of project status reports and tracking.
• Coordinate resolution of issues to include change management, root cause analysis, and
appropriate escalation as needed.
• Assist in the development of project work plans, progress reports, and presentations.
• Work with QA to validate test cases
• Managed implementation to ST, SI and Production process
• Utilized MS Office Suite, Documentum, SharePoint, ClearCase and Soap UI
01/12 – 05/12
SUNTRUST BANK/IBM, Atlanta, GA
Lead Business Analyst
The goal of this eCommerce “short-term contract” was to gather requirements for
MasterCard product offer for STI Platform (consumer online site) in a SOA environment.
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5. GORDON RESUME
• Responsible for gathering, and writing requirements (BRD) for Check Imaging (ViewPointe)
storage project.
• Gathered requirements for Quote to Cash bank products, MasterCard, and pre-paid credit
card product and created BRD documentation.
• Used Agile methodology, SharePoint, MS Project and Access
• Attended weekly meetings with team consisting of related business areas such as:
Fulfillment, SunTrust consumer facing online systems, Web-lending, card operations, Fraud.
• Worked with Offshore resources.
• Reported to Team outcome of enterprise weekly meetings.
• Met with in-house systems to gather requirements.
• Participated in Requirement and Quality Assurance reviews.
• Data warehouse and Check Image Storage (ViewPointe).
• Gathered Requirements for Check disk storage (ViewPointe) relocation project.
• Attended meetings to represent STI Platform with Checkmate and ViewPointe.
• Researched monthly reports to derive analytical data for BI.
05/11 – 11/11
GID Atlanta, GA
Lead Business Analyst
• The goal of this eCommerce, “concept to market” merchant acquiring development project
was to develop one place where a listing of foreclosures could be maintained.
• Worked with Project Manager to created Project Plan in MS Project
• Used Agile Scrum methodology
• Created using Visio created Login authentication process.
• Report creation process, Search by zip code, address, MLS, County, and Broker.
• Established reporting requirements, for all agencies and Staff SMEs.
• Captured the business process/requirements at a high level; garnered in agreement with all
parties, broke it down into Sprints supported by Use cases.
• Created wireframe mock-ups, and Site Map.
• Facilitated weekly JAD sessions weekly.
• Worked with Data Architects and Database Administrators to develop Data BI and MDM
plans.
• Worked closely with BI Analyst (SAP BI Business Objects) to insure that maximum efficiency
was established and reporting needs were met.
• Managed UAT groups from all parties involved to insure user ability.
• Completed entire SDLC.
02/08 – 03/08
METRO ATLANTA PERMITS, Atlanta, GA
Business Analyst – part-time
• Assisted clients through the construction lifecycle, which includes: a combination of business
analysis/research within the government entities
• Reviewed project plans and designs to ensure that all city/county and state ordinances were
met
• Provide the client with an analysis of cost, time and permit restraints.
• Reviewed blueprints/plans with city engineer and planning personnel
06/06 -04/07
SAIC, Manhattan, NY
Team Lead/Business Rules Analyst
• The goal of this NYC government project was create a website where based upon the
business rules in the Collective Bargaining Agreements (CBA) of the NYC Police, Sanitation,
and Firefighters parties could “log in” and document time and attendance (Kronos).
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6. GORDON RESUME
• First we used the CBA to glean the pay rule requirements.
• Then using Visio to capture the “as is” process flow, indicated by the pay rules, we gained
consensus in JAD sessions.
• Then we broke out the requirements into Use cases, which were used for further
development and later for Testing.
• Used hybrid Agile/Waterfall and Use Case methodologies
• With FICO Blaze BRMS (business rules management system) we used requirements, process
flow diagrams and use cases to create and run business rules scenarios, based upon the
individual CBA.
• Facilitated weekly JAD sessions at the Mayor’s office with his staff and IT to validate
scenarios.
• Participated in web page design with Architects.
• Using BI to insure speed and data usage was captured.
• Worked with DBA team to gather data and create data usage and warehouse plan for ERP
• Conducted User experience testing to insure the efficiency of Web site.
• Outcome of this project was a Website where CBA members could enter and track their time
as it touched various areas within the Enterprise (City) domain. Along with the ability to
enter time via mobile phone app.
02/06 – 05/06
GUARDIAN INSURANCE, NYC, NY
RUP Specialist
• The goal of this Intranet project was to develop RUP guidelines in a SOA environment to
insure that each time a project was implemented it adhered to RUP methodology.
• My role was to assist the Project Management Office (PMO) in the development of an
Enterprise-wide, web-based guidelines for Rational Unified Process.
• Used RequisitePro to store and manage requirement documents, create traceability matrix,
and extract reports by attributes.
• The outcome of the project was to create RUP standards and template on the web.
11/05 – 02/06
MEDCO PHARMACEUTICAL, Franklin Lakes, NJ
Senior Business Analyst
Product Design Services
• The goal of the project was to insure that Medco Retail eCommerce Pharmacy adhered to
the rules and requirements set forth in HL7, Medicare B, HIPAA, and Nasco.
• Created templates using RUP/UML methodologies for project uniformity.
• Met with Technical and System Architect to determine impact to infrastructure and systems.
• Worked with DBA on data warehousing.
• Oracle ERP - eBusiness
• Identified and recruited staff necessary for the project into “Part B Implementation Team”.
• Conducted JAD sessions with: on “Part B implementation team” Business, Users, Gov’t,
Nasco and Technical staff.
• Created Use cases utilized for testing.
• Part of Quality Assurance and Testing.
11/04 – 04/05
EMPIRE BLUE CROSS AND BLUE SHIELD, Brooklyn, NY
Senior Business/Systems Analyst
• The goal of the project was to assist in the establishment of enterprise-wide web-based
eCommerce SOA platform
“concept to market” that supported and promoted the Best Practices for health care
processing as required by HIPPA.
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7. GORDON RESUME
• Assigned to capture the “as is” process flows for Search for Member, Appeals, and Create
Contact process flows.
• To insure that the IVR (Integrated Voice Response) system was updated to match the online
processes.
• Convened JAD sessions with IT staff, and BCBS SMEs, Relay Health (HIE) to gain sign off.
• All documentation was created with RequisitePro and stored in Clear Case.
• Microsoft Visio was used for process flows diagrams.
• The outcome of the project was that all business flow process diagrams and documentation
was incorporated on client website and IVR systems.
08/04 – 11/04
MEDCO PHARMACEUTICAL, Franklin Lakes, NJ
Senior Business Analyst
Sales and Marketing Programs
• The goal of this eCommerce “Quote to Cash” project was to develop an enterprise-wide
web-based sales and marketing program that would allow the sales reps the ability to login
into the system “off-site” and place pharma orders, update, create reports, review sales
targets, enter requests, establish new territories and communicate with other sales
representatives and home office.
• Service Oriented
• Provided the ability to set merchant orders for pharmaceutical products.
• Knowledge and exposure to Teradata and data warehousing.
• Created notification mechanism for mobile messaging.
• Used RequisitePro to store and manage requirement documents, create traceability, extract
reports by attributes.
• Used Mercury tools for testing.
• Worked with Medicare Analyst to integrate Part B into system.
04/04 – 08/04
CITIGROUP, Jacksonville, FL, NYC, NY
Business Analyst/Project Manager
• This project assignment was a temporary position to replace an employee that was out on
leave.
• Responsibilities in the eCommerce SOA, Wealth Management, Merchant Acquiring Credit
Products project were to manage and work with IT Staff to capture project business
requirements.
• Liaison to Merchant Advisory Board, met to collect requirements.
• Completed requirements for pre-paid, standard, gold credit card products.
• Produce status project reports and present in JAD session to client and managerial staff with
updates.
05/03 – 11/03
BLUE CROSS BLUE SHIELD OF SOUTH FLORIDA
Senior RUP Business Analyst/Mentor
• The goal of this “web services” project was to create a web-based ERP model for
implementing RUP enterprise wide.
• Using the Rational Suite of tools to demonstrate how the SDLC process was managed and
implemented.
• Used RequisitePro to store and manage requirement documents, create traceability, extract
reports by attributes.
• As a Team Lead (4) my assignment was the Duplicate Claims project.
• Worked with QMS (Quality Management System) Team to analyze data
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8. GORDON RESUME
• Worked with the Claims staff to document the “as is” claims process and make
recommendations for the “future” process which included the new HiPAA guidelines and
HL7.
• Led requirements gathering JAD session with Florida Health Insurance Exchange (FHIE)
• Used the inception, elaboration, construction and transition (UML) methodology to uncover
and document where in the system the duplication occurred.
• Led JAD session with IBM and IT System staff to include the EDI transaction sets; and quote
to cash sales process into the ERP claims process. The system upgrades were implemented.
• A SOW (Statement of Work) was updated.
• Led a training session for staff regarding new process flow.
• SDLC implemented and completed.
03/02 – 12/02
FRANKLIN TEMPLETON INVESTMENTS
Business/Systems Analyst/Project Manager/Technical Writer
• This project was to capture infrastructure and system functionality lost during the 9/11
disaster by interviewing survivors in NYC.
• Created technical/systems documentation along with functional requirements
documentation.
• Facilitated meetings between technical and business.
• Work closely with Traders (Front) and Back office to recreate the eCommerce Wealth
software that was lost.
08/01 – 12/02
COMMUNITY BLOOD BANK OF SOUTH FLORIDA, Ft. Lauderdale, FL
Senior Systems Analyst/Business Analyst
• Two Phase Project: Goal of the 1st phase of project was to meet the requirements set forth
by the FDA governing the Blood Bank Industry.
• Captured the “as-is” business process as it pertained to the collection and storage of blood
products through use case and functional requirements.
• Used RUP/UML methodology
• Worked with Technical Staff to determine changes in the current infrastructure and systems.
• Documented all business and technical requirements (system, infrastructure).
• Worked with DBA to develop Data warehouse plan and data analytics.
• Presented business, system and infrastructure requirements to client, Board of Directors
and technical staff in JAD session.
• Developed new processes to meet FDA regulations which included, updates to system and
infrastructure.
• Participated in Quality Assurance testing.
• The goal of the 2nd phase of “concept to market”, project was to create a mechanism using
PDA and mobile communications to receive real-time blood products availability and test
results.
12/00 – 05/01
BELLSOUTH, ACCENTURE, Atlanta, GA
Senior Business Analyst/Release Manager
• The goal of this project was to migrate to an Oracle environment.
• As a Release Manager, created project (Microsoft) schedule of system updates. The outcome
working with Oracle and client staff we moved systems into SOA architecture.
• Created technical systems documentation using beta Microsoft SharePoint.
10/00 – 12/00
INTERVAL INTERNATIONAL, Kendall, FL
Senior Business Analyst
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9. GORDON RESUME
• The goal of this “quote to cash” project was to create an eCommerce platform (web site) for
the owners that enabled them to search, deposit, update, and manage their timeshares.
• Interval International is a company that arranges vacation packages for timeshare owners.
• Provided owners to deposit and exchange weeks at other resorts.
03/00 – 10/00
EPIPELINE, Atlanta, GA
Senior Business Analyst
• An eCommerce “concept to market” project called ePipeline.com. Affiliated with WebMD
development resources.
• The website would provide users with an online service to help businesses: identify, qualify
and win more government contracts.
• This project was to create, develop and implement website ePipeline.com.
• Worked closely with DBA to develop Data Mapping document and data warehouse activities.
• Gathered requirements for Website page definition using Visio.
• Completed the entire SDLC utilizing RUP methodology.
12/99 – 03/00
HOMECOM, INC., Atlanta, GA/Summit Bank, NJ
Senior Business Analyst
• The goal of this eCommerce “quote to cash” project was to integrate Fortune 500 business
partners: Allstate, Morgan Stanley, and Dean Witter into the Summit Bank enterprise
website.
• Worked with the wealth management team of the “partners”, to ensure that their diversified
funding plans were captured in web-site infrastructure map equally,
• Worked with Enterprise-wide teams for integration and resource planning.
• Documented sales process flows diagrams to depict “as-is” and future partner web
presence.
• Created storyboard process flow diagrams working with partners to insuring that the
process flow.
• Facilitated User group sessions at partner sites to develop “business intelligence” flow.
09/99 – 12/99
MODCOMP, INC., Ft. Lauderdale, FL
Business Analyst
• Worked closely with development team in generating Programmer’s Guide directly from
Rational Rose.
• Produced System specification documentation including RUP process flow diagrams.
10/95 – 12/97
MATRIX, BELLSOUTH APPLIED TECHNOLOGIES, Atlanta, GA
Business Analyst/Documentation Specialist
• Developed on-line help using HTML and RoboHelp 6.5 for Service Mount Technology.
• Worked closely with Systems Engineers to define online-system requirements.
• Created electromechanical diagrams using Visio 32.
• Worked closely with eCommerce Technical Staff to document “as is” pricing structure for
Delta Airlines.
• Produced process flow diagrams, and both functional and business requirements.
• Project Manager
• The Combine Billing Project (eCommerce –Quote to Cash) goal was to bring together two
Bellsouth products (Cingular and Bellsouth landline) onto one bill and make it available
online.
12/97 – 08/98
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10. GORDON RESUME
OCWEN FEDERAL BANK, West Palm, FL
EDI Systems Analyst/Project Manager
• The company services sub-prime residential mortgage loans for third parties and itself.
• The goal of the project was to create, EDI transaction data maps with its clients and
business partners. The outcome was transaction maps were created.
• Wrote online training manual of EDI transaction maps.
09/97 – 12/97
PRECISION RESPONSE CORPORATION, Miami, FL
Business Analyst
• Precision Response was a Call Center company that created Integrated Voice Response
systems for its telemarketing clients.
• Gather requirements from clients for Telemarketing Applications.
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