Larry Felix
Buena Park
Summary
Talented professional offering proven skills in Business Analysis and enhancing business systems at the department and enterprise-wide level. Adept at collaborating with diverse personnel involved in testing, implementing, refining, and improving systems to address problems, meet current needs, and propel companies forward. Top-notch researcher, presenter, and diplomatic communicator with many years in the field, and market knowledge that supports strategic business objectives.
Overview
7
7
years of professional experience
Work History
Business Systems Analyst - Claims
Molina Healthcare
02.2022 - Current
- Inspect, manipulate, compile, and prioritize model data sets with the goal of discovering useful and insightful information, evaluating effectiveness, suggesting conclusions, and supporting decision-making for executive claims leadership.
- Lead, collaborated, and timely delivered on projects that saved Molina $10,000 by avoiding penalties, member loss, and 'leakage' by focusing on addressing aged and potentially late claims that were almost out of compliance.
- Assess, analyze, and research claims data for our current business model and make comparisons to the market models.
- Interprets and simplifys document analysis to conduct presentations using PowerPoint on business development and QA process improvement related to the healthcare industry.
- Generate reports on business intelligence using crystal reports, SSRS, CDP, Salesforce, and PEGA along with other reporting software.
- Write development and project timelines, business correspondence, procedure manuals SOP's, job aids, time studies, and other technical documents.
- Manage constant change through innovation and updating procedures or other organizational changes necessary, focusing on enhancements that improve efficiency and supportability.
- Implemented rigorous test plans and use cases that enhanced software quality assurance processes, resulting in a 20% decrease in bug-related costs and accelerating project delivery timelines.
- Established a robust requirements traceability matrix that streamlined communication between development and testing teams, fostering a 10% increase in project cost savings through efficient resource allocation.
- Developed comprehensive specifications for a new software implementation, resulting in a streamlined workflow analysis that enhanced project efficiency by 30%.
- Led user training sessions that empowered team members to accurately forecast project costs, achieving a 20% reduction in overall expenses through improved budget adherence.
- Implemented a workflow analysis initiative that identified key bottlenecks, ultimately generating cost savings of over $50,000 annually by optimizing resource allocation.
- Developed comprehensive training materials for medical professionals, ensuring that datasets were accurately represented and easily understood, resulting in a 30% increase in training efficiency.
- Designed and implemented structured process descriptions for the management of medical datasets, leading to improved data accuracy and a 25% reduction in processing time.
- Collaborated with cross-functional teams to create visually engaging design elements for training modules, enhancing learner engagement and retention by 40% among medical staff.
- Led comprehensive management reviews that identified key areas for business process improvements, resulting in a 30% reduction in operational costs and enhanced service delivery to internal customers.
- Developed strategic initiatives that strengthened relationships with external clients, leading to a 25% increase in client satisfaction scores and a significant boost in revenue enhancements over a fiscal year.
- Implemented innovative business processes that seamlessly integrated feedback from internal customers and external clients, driving a 15% increase in overall revenue within two quarters.
Business Analyst - Clinical Systems
SCAN health Plan
07.2018 - 01.2022
- Create detailed work plans which identify and sequence the activities needed to successfully monitor, track, and assist with completion of special projects.
- Developed comprehensive functional requirements documentation that improved clarity and alignment across project stakeholders, leading to a 15% reduction in project scope changes.
- Determine the resources (time, money, equipment, etc.) required to complete the project and ensure that all projects are delivered on-time, within scope, and within budget while coordinating with the relevant stakeholders.
- Develop forms, requirements documents, and project processes to document project activities.
- Define the scope of the project in collaboration with senior management and key business stakeholders.
- Elicitation of business requirements through requirements workshops to ensure thorough understanding among teams.
- Communicate and update project status to all involved parties internally and externally, providing regular feedback on progress.
- Follow and adhere to a defined project management framework ensuring compliance for all project deployments.
- Determine the objectives and measures upon which the project will be evaluated at its completion.
- Direct project workflow, oversee and manage day-to-day project activities while emphasizing strong interpersonal communication skills with various teams.
- Review the project schedule with senior management and all associates involved in project activities.
- Facilitate project logistics, revise the schedule, report any edits, and escalate as needed.
- Directing the project to meet our newest business initiatives and provide feedback on leadership decisions.
- Unwavering commitment to maintain patient confidentiality and adhere to HIPAA standards and guidelines while keeping compliance a priority.
Education
B.S. - Healthcare administration
California State university
01.2016
Skills
- Requirements gathering
- Excel
- Visio
- Workflow Analysis
- CDP, SSRS reports, Databricks
- Functional specifications
- Research and analysis
- QNXT
- PEGA
- Salesforce
- Root-cause analysis
- Report writing
- User access management
- Microsoft Project
Timeline
Business Systems Analyst - Claims
Molina Healthcare
02.2022 - Current
Business Analyst - Clinical Systems
SCAN health Plan
07.2018 - 01.2022
B.S. - Healthcare administration
California State university
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