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@johnuser4
Business systems analyst driving healthcare compliance, analytics, and EDI improvements.
I am a Business Systems Analyst with 6+ years of experience delivering scalable solutions across healthcare, insurance, and revenue cycle systems, with focused expertise in Medicare, Medicaid, managed care, HEDIS reporting, and HIPAA-compliant EDI transactions. I translate regulatory and business needs into technical specifications, author BRDs/FRDs, manage user stories in Azure DevOps, and create SQL and Power BI reporting that improves compliance accuracy and operational performance.
I have led cross-functional initiatives that reduced reporting delays by 20%, cut claim rejection rates by 18%, increased leadership adoption of data insights by 30%, and boosted provider satisfaction by 25%. My background includes FACETS, QNXT, Wynsure, ServiceNow, JIRA, and Agile/SAFe delivery, plus prior logistics and leadership experience in the U.S. Army supporting operational readiness and process improvements.
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Work history, roles, and key accomplishments
Delta Dental
Feb 2022 - Present (3 years 9 months)
Partnered with CalAIM and Medi-Cal teams to define requirements for ECM and Community Supports, reducing reporting delays by 20% and improving compliance accuracy while increasing leadership adoption of data insights by 30%. Authored 150+ user stories in Azure DevOps and designed EDI 835/837 integrations that cut claim rejection rates by 18%.
Ardent Health Services
Dec 2019 - Feb 2022 (2 years 2 months)
Directed data migration into Wynsure with 99% data accuracy and configured Medicare/Medicaid contracts to reduce enrollment corrections by 15%, while building SQL and Power BI dashboards to reduce denial rates and improve revenue integrity.
Change Healthcare
Jan 2018 - Dec 2019 (1 year 11 months)
Translated payer requirements into BRDs and testable acceptance criteria, implemented EDI transaction checks that improved clean-claim rates and reduced post-deployment defects by 25% through rigorous UAT in Azure DevOps.
United States Army
Nov 2013 - Nov 2017 (4 years)
Managed inventory and supply chain operations, improving accuracy by 30% and on-time delivery rates by 25% through workflow enhancements and SOPs while training personnel and supporting logistics application deployments.
Degrees, certifications, and relevant coursework
Bachelor of Science, Economics
Bachelor of Science in Economics from Olabisi Onabanjo University.
Software and tools used professionally
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