Giselle Martinez

About Giselle Martinez

20 Years in Healthcare: Extensive experience in healthcare with a focus on Business System Analytics, Systems Configuration, Software Quality Assurance, and Data Reporting.• Specialized Expertise: Expertise in Implementations and system enhancements in systems like QNXT, Salesforce Health Cloud. Optum CES, HL7, and quality assurance across infrastructure, reporting/data warehouse, and SSIS/BizTalk interfacing.• Leadership and Improvement: Proven ability to lead process improvement, policy development, and cost reduction initiatives. Skilled in project coordination and working with PMO and department managers.• Technical Skills: Strong troubleshooting, problem-solving, and application integration skills. Adept at defining system enhancements and conducting process audits.• Transition and Service Improvement: Experienced in managing customer transitions, designing improvement plans, and expanding services. Effective in ensuring adherence to master plans and directing personnel.Able to integrate applications across interrelated IT operations. Strong troubleshooting and problem solving skills. Excellent communication and ability to interact with cross-functional teams and deliver diagnostic solutions. Define and recommend system enhancements. Process auditing and quality assurance.I have knowledge in planning and managing the preparations and details to ensure a smooth transition for the customer moving into production; designing and leading an improvement plan to continually increase the information technology service deliver model for transformation and maturity. Developed new business with the department and expands services when available. I have ensured adherence to master plans, schedules, and developed solutions to program problems, and directed work of personnel assigned to the program from various departments and or sub-contractors.

Experience

1. IT Salesforce Business Analyst

   CareCentrix

   Feb 2021 — Present · US

   Business Analysis: Conduct in-depth analysis to assess client needs and identify opportunities for system enhancements within Salesforce Health Cloud.• Requirements Management: Spearhead the gathering and documentation of requirements for new implementations and product enhancements, utilizing both Waterfall and Agile methodologies.• Client Implementations: Oversee the end-to-end implementation process for new clients across Commercial, Medicare, and Medicaid sectors.• Quality Assurance Coordination: Collaborate with QA teams to design and execute test cases, ensuring the quality and reliability of deliverables.• Agile Leadership: Drive the adoption of Agile methodologies within the team, facilitating daily stand-ups, sprint planning, and retrospectives.• Salesforce Solution Design: Design and deploy Salesforce solutions, including custom objects, workflows, and process automation, within an Agile framework.• Requirements Documentation: Develop rapid and comprehensive requirements documentation to support project needs.• JIRA Utilization: Utilize JIRA for effective requirements gathering, documentation, and defect management throughout the SDLC process.• QNXT: Configuration and integration; EDI integration; system upgrades• EDI Issue Resolution: Address and resolve inquiries related to EDI issues, including enrollment, claims, payments, and clearinghouse activities, providing solutions and guidance to stakeholders.• Miro Board: Utilize Miro for Rapid Requirements sessions. • Stakeholder Collaboration: Engage with stakeholders to gather requirements, define project scope, and produce detailed documentation.• Project Management: Manage project timelines and ensure deliverables are achieved in accordance with specifications and deadlines.• Salesforce Service Cloud Implementation: Successfully led the implementation of Salesforce Service Cloud, enhancing customer support response time by 30%.

Education

• Nova Southeastern University

  Master's degree, Information Technology

  2013 — 2014

• Florida International University - College of Business

  BA, Marketing

  2003 — 2007

• Barry University

  BA, Healthcare Administration

  2009 — 2010

Skills

• Marketing
• Customer Service
• Insurance
• Medical Billing
• Healthcare Management
• Account Management
• Organizational Development
• Strategic Planning
• Employee Relations
• Public Speaking
• Higher Education
• Software Documentation
• Sdlc
• Practice Management
• Strategy
• Training
• New Business Development
• Medicaid
• Invoicing
• Coaching
• Quality Assurance
• Emr
• Hipaa
• Health Insurance
• Project Planning
• Recruiting
• Healthcare Industry
• Managed Care
• Staff Development
• Project Management
• Program Management
• Process Scheduler
• Risk Management
• Policy
• Employee Benefits
• Process Improvement
• Healthcare Consulting
• Business Analysis
• Healthcare Information Technology
• Healthcare