C

Christie Modi

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Iowa, United States

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work
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Jobs verified_user 0% verified
  • Hartford Healthcare
    Business Analyst
    Hartford Healthcare
    Nov 2023 - Current (2 years 11 months)
    Contribute to the development and maintenance of applications that process HIPAA X12 EDI files, including 837 enrollments and 835 payment advisories. Key role in implementing the Turnover change management application and involvement in enrollment and payment transactions. • Led test team activities, including test case creation, execution, results analysis, and traceability matrix development. • Designed reports using SQL Server Reporting Services (SSRS). • Managed full HIPAA compliance lifecycle for Medicare, Medicaid, and Tricare claims. • Collaborated with the team on Facets claims processing system to ensure HIPAA compliance. • Documented Agile Methodology procedures for integration with Waterfall projects. • Analyzed enrollment
  • T
    Business System Analyst
    Trillium Health Partners
    Apr 2021 - Oct 2023 (2 years 7 months)
    Responsible for systems analysis and design for software development projects. Led design sessions with product owners, development teams, and stakeholders to streamline system enhancements and compliance with EDI standards. • Analyzed application impacts from EDI Transaction Set and Code List changes, ensuring system compliance. • Validated EDI 837I and 837P claims output files and documented Business Requirements (BRD) and Functional Specifications (FSD). • Developed Use Cases, BPMN diagrams, and flowcharts to document system and business processes. • Facilitated JAD sessions to map business flows and determine system impacts from HIPAA EDI transactions. • Collaborated with multiple teams to improve reporting for claims and payments
  • Prime Therapeutics
    Associate EDI Business Analyst
    Prime Therapeutics
    Feb 2018 - Mar 2021 (3 years 2 months)
    Played a key role in end-to-end SDLC implementations, working across various business areas such as Enrollment, Claims, Finance, Providers, and Benefits Admin. Specialized in updating EDI transactions and gathering requirements for claims processing. • Utilized RUP methodology to configure and develop processes, standards, and procedures. • Translated stakeholder requirements into BRD, FRD, technical specifications, and workflow diagrams. • Developed dashboards and data visualizations for claims analysis. • Managed HIPAA transactions (837, 835, 276, 277) and developed test plans for EDI 5010 transactions. • Wrote complex SQL queries for backend testing and validated data integrity and business rules. • Conducted system, integration, a
Education verified_user 0% verified
  • TEXAS WOMAN'S UNIVERSITY
    Master of Business Administration (MBA)
    TEXAS WOMAN'S UNIVERSITY
  • TEXAS WOMAN'S UNIVERSITY
    Bachelor of Science (B.S.)
    TEXAS WOMAN'S UNIVERSITY