Sample Template Example of Beautiful Excellent Professional Curriculum Vitae / Resume / CV Format with Career Objective, Job Description, Skills & Work Experience for Freshers & Experienced in Word / Doc / Pdf Free Download
Professional Summary
Career Experience
Education Saint Lawrence
University , BS 1975
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Payton
Stack
309 Thorn St
Sewickley
PA 15001
Payton.stack@gmail.com
954.579.9876
Professional Summary
Proven specialist in IT
business applications. Recruited throughout career to translate client needs
into tangible products. Involved in all
aspects of application life cycle: client interview, analysis, spec writing,
programming, testing, and promotion to production. Recognized for expertise in health insurance
IT.
Formed S Corp in 1996. Retained for over a decade by Blue Cross Blue
Shield of Minnesota. Sole developer of
Financial Division’s Provider Negotiation System. Subsequently deployed by the Blue’s
Government Program Division to support their Medicaid product rollout. Collaborated with the State to build Medicaid
data exchanges. Served as the Blue’s
technical representative with Minnesota ’s
Department of Human Services.
Responsible for maintaining technical compliance with State Medicaid
contract mandates.
An experienced problem solver with a deep analytical focus.
Career Experience
Forty Stacks, Inc Consultant 1996
– 2008
●
Contracted by the Blue’s Financial Division to design, code and
support an online Facility Provider Negotiation system. Interviewed senior management and negotiation
team. Application allowed negotiators to
generate claim experience based reports and files of prospective and current
facility network providers. Inpatient
output dynamically categorized by desired DRG Grouper Versions; Outpatient
output categorized by contractually determined CPT Procedure codes.
●
Hired by Government Programs Division to build State Medicaid data
transmissions in HCFA 1500 and UB82 format; later, recalled to upgrade programs
to generate HIPAA compliant data streams (837, 835 protocols).
●
Served as Subject Matter Expert and Financial Division advocate
for platform conversion of Provider Negotiation and Settlement system. Worked closely with in-house project team to
upgrade and expand my original application.
●
Provided Y2K programming support to company’s IT Division.
Blue Cross Blue Shield of Minnesota Senior Programmer Analyst 1989 –
1996
●
Key developer of the Blue’s first Managed Care Application. Worked closely with management and staff RN’s
to design online application that facilitated health care coordination. Case Management spanned pre-admission
notification through after care placement.
Approvals for inpatient stays and outpatient visits and
procedures generated authorization records; such files served as input to
company claim system.
Computer Horizons, Inc Contract
Programmer Analyst 1986
– 1988
●
Provided batch programming services to the International Paper Co.
Citibank, NA System
Officer 1983
– 1986
●
Recruited by the International Private Banking division to convert
company’s Time Deposit application from a Honeywell platform to an IBM based
platform.
Metropolitan Life Insurance Co Programmer Analyst 1976
– 1983
●
Key member of programming team that built the company’s first
online payroll system.
●
Provided operational services to General Motors. Deployed manual controls on plant floors to
rein in short term disability costs.
Installed proprietary claim payment system and trained back office
staff.
Technicals JCL COBOL
DB2 IMS CICS
VSAM EZTRIEVE
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