Cindy Moore

Background

About Cindy Moore

35 years in Health and Welfare Benefits administration, using 15 years of business experience and an analytical nature to later move into IT positions. Began with Cigna Jul 2006. Participate in new project intake estimating, discovery, elicit and clarify business requirements, business rules. Transitioning to Agile project approach, assist with EPIC verbiage, writing Features, User Stories, work with consumers to assist defining Feature and User Story acceptance criteria. Create and publish Functional Requirements, Analysis Documents, Data Mapping specifications with complex transformation rules. Propose new table data models, existing table changes to support project requirements. Support development unit, system, integration & PVS testing. Analyze and query with SQL relational table data using Toad. Previous employers: Proficient with Facets data, application upgrade impact analysis & implementation Version 2.4.2. and beyond. Proprietary extracts for other internal company assets. Proprietary Automated Enrollment programs. Analysis and Configuration of Provider Capitation Contracts including Delegated, Non Delegated, financial responsibility, proprietary program. Analysis and data mapping of large new Health Plans (Group, Enrollment, Benefits) for electronic enrollment into claims systems using company's proprietary program. Manage Claims Department / Third Party Administrator / 17 employees. Audit/release high dollar claims. File Aggregate & Specific Stop Loss claims. Analysis, interpretation, configuration of benefits from Summary Plan Descriptions into Proprietary and off-the-shelf Claims systems such as Rims, Facets. Deposed as company witness when unsuccessfully sued by clients/customers. Benefits Manager for a 500 employee Steel Manufacturer, including administration of Health & Welfare Benefits, 401K, Unemployment Claims response, Open-enrollment, wind-down activities under Chapter 7, create daily cash-flow reports, accounts receivable & payable, etc.