PATRICIA LEVIS

6745 Northwest 75th Place, Parkland, Florida 33067

954.345.8921 ~ 954.621.8896
pal1345@gmail.com

SUMMARY PROFILE
Innovative and technically-sophisticated IT professional with more than 25 years
of experience in providing leading edge technologies to transform traditional b
usiness performance and impact bottom-line growth. Possess extensive background
in managing large-scale projects, which include testing, delivery and implementa
tion. Combine hands-on leadership style with well-honed interpersonal skills to
effectively drive focused teams toward performance excellence. Proven aptitude t
o effectively prioritize and execute tasks in high-pressure environment.

TECHNICAL EXPERTISE
- Hardware
AS/400, UNIX, SCOUNIX, HP3000, HP6000, Windows 95, 98, NT, 2000, XP and ME
- Languages
COBOL, AS400 Control Language (CL), HP Job Control Language, AS400 Query and Que
ry Manager, SQL, Basic, Visual Basic, FORTRAN, RPG, Informix 4GL, C, C++ and Vis
ual C++, EXTOL
- Software/Database
AS400 DFU (Data File Utility), AS400 SEU (Source Entry Utility), DFU (Data File
Utility), PFE (Physical File Editor), Hawkeye, HP Editor, Microsoft Office - Wor
d, Excel, Access, PowerPoint, Outlook and FrontPage, Lotus Notes, Lotus 123, Pro
ject Central, Project Workbench, AWD, Test Director, Informix, UNIX and Microsof
t Access
- Operating Systems
DOS, MSDOS, OS/400
- Applications
Healthcare, Medical PPO and HMO Insurance, LTD, STD, Life and Disability, Billin
g, Commissions, Accounting, General Ledger, Payroll, Manufacturing, Scheduling,
Cost Accounting, Licensing and State Mandates. Implemented HIPAA compliant 276,
277, 278, 820, 834, 835, 837I, 837P and 997 transactions

CAREER HIGHLIGHTS
- Claims Re-Pricing Module: Spearheaded team efforts engaged in the design
and integration of claims re-pricing module that enables external vendor to adj
ust pricing via an 837 transaction, returned claim is automatically updated and
auto-adjudicated in the MHS system. (Coventry Health Care)
- Hi-tech Radiological Authorizations Outsource Project: Led the entire pr
oject development that encompasses an interface with a third party vendor to pro
vide eligibility, provider and claim data that enables vendor to authorize or d
eny, apply standard and custom edits then update the 837. Oversaw the complete p
rocess integration into MHS system where the claims were automatically selected,
extracted, sent, updated by vendor, returned and applied to MHS claim in order
to enable auto-adjudication from that point. Facilitated HIPAA compliant transa
ctions. The project estimated to save the company $200K on a monthly basis. (Cov
entry Health Care)
- GIS â⠬â Group Insurance System: Developed the Group Insurance Billing Module for
leading health insurance company that allowed them to bill combined medical, lif
e and disability premiums. Initiated the complete process review as well as util
ized Microsoft Office tools to present a design proposal to stakeholders prior t
o formal design phase. Oversaw the completion of design phases, which included t
esting, delivery and implementation.
- Group Administration Module: Engineered an administration application fo
r a principal insurance company that enabled them to encode prospects as well as
facilitate the application throughout the underwriting process.
- Medical Billing and Commission Module: Performed research studies and cr
eated Billing and Commission Modules for major Claims Processing software throug
h Informix 4GL on UNIX database architecture. Worked closely with programmers to
ensure comprehension of all business requirements and project timelines.
- Inventory Tracking: Utilized expertise in RBASE Database and programming
language to create a tracking database for key manufacturing company that integ
rated parts inventory to their branches throughout the United States. Executed a
nalysis, programming, delivery and implementation of the project on a contract b
asis.
- Metallurgical Analysis: Studied, evaluated and created a Metallurgical a
pplication for a manufacturing company that projected applicable additives cruci
al for various metals, based on the current composition and the desired steel ou
tcome specifications. Drafted spreadsheet (Lotus 123) to identify and formulate
competitive estimations prior to programming specifications.

PROFESSIONAL EXPERIENCE
COVENTRY HEALTH CARE ~ Sunrise, FL
Manager, Application Development, IT 2008-Present
Provide strategic leadership and direction to a cross-functional team consisting
of five developers, six business analyst and three consultants; coordinate team
functions during the software enhancement of internal Managed Healthcare System
(MHS) in an AS400 environment. Manage teams, oversee ongoing projects and commu
nicate progress to clients and upper management. Determined employee / resource
requirements while handling the hiring and firing of staff. Adhered to SAS70 and
Sox audit criteria.
VISTA HEALTH PLANS ~ Sunrise, FL
Senior Business Analyst, IT 2006-2008
Coordinated with business owners in evaluating their requirements for developmen
t; provided recommendations on the best possible option. Identified problems and
issues and recommended the most efficient and cost-effective solution through M
HS claim processing systems, Microsoft systems, Crystal Reporting, AS400 SQL and
Query with internal data warehouse. Coordinated with all departments and third-
party vendors; synchronized the deployment of electronic solutions with clients
to automate their enrollment and claim processing through HIPAA guidelines via t
he 834 and 837 transactions. Spearheaded a highly talented team in major softwar
e upgrades; liaised with the IT department for first level testing and with the
business users for UAT testing.
CIGNA ~ Raleigh, NC
Designer, Claims IT 2005-2006
Defined business requirements to high-level and detailed specifications; conferr
ed with project management and stakeholders to determine requirements and scope
as well as to gain approval of proposed designs. Examined and confirmed correspo
nding programming specifications, test plans and scenarios prior to development.
Interacted with Quality Control in establishing test data and scripts, while ma
naging projectâ⠬⠢s development lifecycle. Collaborated with the management in assessing
r performance on projects and for yearly evaluations.
COMPUTER SCIENCES CORPORATION ~ Healthcare Group Birmingham, AL
Project Leader, CSC Application Development 1998-2004
Worked closely with stakeholders and end-users in establishing project scope and
detailed business requirements. Outlined project timelines and conveyed teamâ⠬⠢s key re
nsibilities through Microsoft Project Manager software. Coordinated the function
s of programming staff to conform to business requirements and established timel
ines. Devised test scripts and use cases, as well as collaborated with Quality A
ssurance in conducting business scenarios tests to ensure all requirements were
met. Accurately reviewed peer performance and provided them assistance in develo
ping functional and detailed designs. Employed Six Sigma methodologies to boost
design effectiveness and minimize defects; worked on IBM AS400 utilizing SEU, SQ
L, PFE, DFU and Query/Query Management utilities, with programs being both COBOL
and RPG.

EARLIER CAREER
COMPUTER SCIENCES CORPORATION, Healthcare Group Birmingham, AL
Business Analyst, Continuum 1995-1998
Contract Programmer, ProSystems 1987-1995
PRECISION METALSMITHS, INC., Euclid, OH
Business Analyst 1985-1987
Manager, Order Analysis Department 1981-1985

CREDENTIALS
Licensed Real Estate Agent in the State of Ohio
Hondros College, Mentor, OH (2005)
HIPAA and Cobra Regulations
A.E Roberts Continuing Education, Cleveland, OH (1993)
Selected coursework in Computer Science, Business Management, Cost and General A
ccounting
Lakeland Community College, Mentor OH (1980-1982)

PROFESSIONAL DEVELOPMENT
- HTML
- Object Oriented (OO) Programming
- OO Fundamentals
- Design and Development
- Java
- Visual Basic
- C++
- SQL
- Cobol SQL
- CMS
- Power Builder
- Six Sigma Basics
- Process Analysis using Six Sigma
- ProClarity
- Technical Writing
- Remedy
- STARs
- MS Project-Enterprise
- MS Excel 2005