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3915 Golfe Links Drive Home 770.978.

0621
Snellville GA 30039 Cell 614.325.4599
SpartaFam@yahoo.com

Tobie Famusipe
Professional Objective: Seeking a career in a major corporation that offers both a challenge and an opportunity for
growth and development. My ultimate goal is to work in a company where I can expand my strengths in
Healthcare, Systems Analyst, and Project Management.

Career
Highlights

• Member of the HIPAA team that put in place current federal HIPAA guidelines for the Wellpoint
Blue Cross and Blue Shield Plan.
• Provided business requirements for the HIPAA Privacy project and configured into
Anthem/Wellpoint systems.
• Account Delinquency Project - entailed the system maintenance of delinquent accounts.
• HIPAA Security Project - This project consisted of codes used to protect customer’s sensitive
information and configuring these codes into the system.
• Worked on various EDI Transactions 837, 834, 835, 276, 270 and 271 During Anthems/Wellpoint
HIPAA guideline configurations
• Account Implementations Project – This project consisted of implementing new accounts ensuring
that their business needs is configured into Anthem/Wellpoint systems and consolidated as one.
• Benefit Verification Project – This project consisted of loading and testing codes and configurations to
ensure benefits are processed on claims correctly.
• Obtained certification in maximizing team effectiveness.

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• Received awards for perfect attendance 2 years in a row 2001 and 2002.
• Member of the MetaVance migration, conversion and testing team for NASCO and Carefirst Blue
Cross and Blue Shield.
• Lead the Medicare data cleanup team that put together ideas on loading Medicare information onto
the NASCO system before conversion and configuration.
• ITS Inventory reduction project; this was a project I lead, where we had to reduce the ITS
correspondence (mail) that came in from out of state providers.
• Team member and Lead in the Operation Excellence Program Project for Horizon Blue Cross and
Blue Shield.
• Team Lead in ICM Crisis Management when all Oncology applications are down.
• Provided Server and Network Support for the Oncology department, and provided analytical support
for the application Engineers.
• Studied HL7 (Health Level 7) Specifications for EDI and messaging exchange between health
Applications for healthcare information companies.

Professional Experience

Alere (Formerly Matria HealthCare) February 2008-Present


Atlanta, GA
Senior Application Systems Analyst

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• Gathering of Business Requirements and writing requirements for the developers
• Perform Liaison duties between offshore developers and clients within the Oncology department.
• Performs SDLC duties from Implementation to completion for projects initiated by the business unit
or operations management.
• Performs analysis on web based applications with the Oncology department.
• Reviews all requirements written in preparation for signoff with the clients.
• Performs testing on requirements once developers complete development in preparation for
deployment to production by creating test cases or use cases from the scratch.
• Provided analysis and support for portal development and application development.
• Log defects during testing using Test Director and testing defects once fixed in model office.
• Provide web application support to offshore developers and oncology nurses that work the ICM (Integrated
Care Management Systems) application.
• Provided Server and Network Support for the Oncology department, and provided analytical support
for the application Engineers.
• Trained new developers on how to use the web based application in the Oncology department.
• Complete weekly status reports and submitting to application development Director.
• Attend Meetings with clients and developer and perform interpretation when necessary.
• Perform presentations to clients and train clients once enhancements and changes are complete.
• Performs redesign activities on the QO (Quality Oncology) systems, and providing recommendations
on possible enhancements and changes.
• Utilizing Clients methodologies in writing business requirements for developers.
• Reports progress to Client Manager and Application Director.
• Writing of both High Level and detail level requirements for new clients that want system customization.
• Performs Conversion of Helpdesk tickets to Test Director using Mercury Quality Center.

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• Performing System Administration duties and supporting over 300 hundred nurses across the 4 time
zones in addition to performing IT analysis for the users when they have application issues.
• Performed and assisted deployments of updates to all Oncology applications and websites in the
Oncology Department.
• Team lead on Crisis management when Oncology applications are down, and providing solutions to the ICM
business team when issues are resolved.

Jawood Consulting

June 2007-February-08
Atlanta, GA
Senior Systems Consultant.

• Performs work as assigned by NASCO Senior Business Analyst/Lead or Kaizen Project Manager.
• Reports progress of work to Senior Program Manager.
• Reviews all work deliverables with Senior Program Manager prior to submission to Kaizen Project
Manager for publication to Horizon (and prior to any scheduled tasks marked completed)
• Completes weekly status report, using the customer’s status report template, each week.
• Provide weekly updates to changes in vacation requests and on-site schedule
• Participates in Core Team Meetings
• Follows Customers Redesign Program Management Approach and prepares deliverables in
accordance with Horizon process templates unless otherwise directed by Project Manager

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• Performs Development of Business requirements and documents in addition to leading project
initiatives.
• Utilize clients Project Methodologies to write business cases and requirements.
• Performs development of test strategies, test plans, and test grids.
• Performs executions of test using appropriate applications related to the client.
• Conduct post implementation once changes, updates are made or migrations are performed, e.g.
quality check to ensure updates or corrections.
• Responsible for all project deliverables within contractually mandated timeframe.
• Skillfully identify and pursue testing objectives in a challenging environment under minimal
supervision.
• Performed analysis with client to investigate why the NASCO system was not processing claims
correctly.
• Performed research with claims analyst, and customer service reps on how the claims were processing
for provider and how errors codes were stopping claims from making payments to the providers.
• After analysis and research, I provided recommendations on how to get these issues fixed, this was
done by having meetings with the NASCO leadership team.
• Recommend system enhancements to suppress the suspends that happens on the claims.
• Participated in the implementation of the changes once approved by senior level directors. I also was
the team lead in testing the changes in different testing environments, before it's deployed to
production.
• I then performed a regression testing for the clients to ensure there is no in production problem and
monitor the enhancements for 90 days.

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• Created release notes to the clients or managers using PowerPoint and all Microsoft tools to explain
the enhancements or changes that were done.
• Gathering of reports for different edits in the NASCO system and documentation of project updates.
• Prepared Technical Documents or modified existing documents for the development team.

Keane Inc, April 2006-May 2007


Atlanta, GA
Senior Consultant, Quality Management

• Responsible for all project deliverables within contractually mandated timeframe.


• Skillfully identify and pursue testing objectives in a challenging environment under minimal
supervision.
• Interpret and understand system requirements for new and existing applications for both production
and model office environments.
• Execute test using predefined business cases against a test environment.
• Participate in UVT, Migration, Regression, and parallel testing via manual and automated tests.
• Identify, manage and document defects to closure using IBM clearquest and RUP.
• Trained and lead new testers on new procedures and existing applications and testing tools.
• Performed Installations of the MetaVance Software on desktops for operations and performed
technical support when issues and defects occur in addition to troubleshooting escalations.

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• Trained other Analyst on the NPS (NASCO Processing System) and provided technical support for
the operations department.
• Performed liaison issues between operations and the technical unit when production and testing issues
occur.
• Performed functional expertise in regard to product, application and services.
• Maintained project management documentation for assigned projects.
• Performed testing on web based conversions in addition to software application products.
• Created test scripts for Manual and Automated testing.
• Performed whitebox testing in a web based environment (MetaVance Systems), testing were
performed in model office, production staging, and production

Anthem Blue Cross & Blue Shield April 2000–October 2005


Worthington, OH

Business Systems Analyst

• Research and provide analysis on health claims such as UB92 and HCFA claims.
• Provide technical support for operations by creating work flow processes, flow charts and developing
ideas on enhancing current and future workflows for the operations department.

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• Troubleshoot and provide data analysis to operations, such as detecting defects, and creating
automated reports for the operations team and researching of specs to identify possible defects from
either membership or claims department.
• Coding of benefits into the system and testing the benefits to ensure efficiency.
• Worked on HIPAA projects and implementation of policies
• Implementation of groups, conversion of business requirements into systems and testing of
applications.
• Configuration of codes and testing of applications
• Creating test scenarios for new groups once implemented into the system
• Train new and current analyst on the NPS System and developing training documents to enhance the
efficiency of the team.
• Performed claim adjudications, account implementations, claim analysis and provided technical
support for Anthem’s operation department using NASCO mainframe system.
• Document and reviewed current process flows for business and vendor requirements.
• Verified environmental readiness for testing for multiple vendors between the NPS modules.
• Performed testing in various environments, model office, production staging, production, and .NET
environments.

North American Van Lines/Customized Logistics August 1998–April 2000


Princeton NJ,

Operations Manager

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• Managed Xerox $9 million distribution parts center
• Maintained daily computer inventory for Xerox business accounts
• Provided logistical solutions for Xerox service engineers
• Made administrative decisions regarding employees

Team Lead
• Processed shipments and orders from technical representatives
• Supported technical representatives from Xerox Corp
• Resolved complaints from technical representatives

Technical Skills

• Fundamentals of Networking, Internet Protocol Systems Network Architecture, Lotus Notes, IBM
Mainframe Systems A/S 400, Windows NT 2000, Windows XP, Microsoft Office Onenote, Test
Director.
• Rational ClearQuest, Rational Test Manager, Requisite Pro, and RUP, Mercury Quality Center, Test
Director.
• Health Care Systems (NASCO) MetaVance Systems, ICM systems (Integrated Care Management
Systems), QO Administration (Quality Oncology Administration)

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• All Microsoft Products Windows XP, Word, Excel, PowerPoint, Outlook, Access, Microsoft Office
One note.
• Microsoft Project and Visio.

Education
Seton Hall University – South Orange, NJ Sept.1992 – May 1996
• Criminal Justice & Political Science
• Played basketball for Seton Hall for 2 years

Professional References
• Provided upon request

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