Teresa McLaughlin

Experience

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  Micron Technology

  May 1992 - Feb 1998

  Programmer/Analyst

  Software development for benefit and stock departments. Developed online open enrollment system for insurance benefits that was used at the time. Developed interfaces between payroll and accounting departments. Worked with the following in house developed applications: insurance/benefits, 401k company contribution, employee stock purchase plan, incentive stock option plan, and annual employee benefit statements.

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  CRI Advantage, Inc

  Feb 1998 - Sept 2006

  IT

  Responsible for software applications used internally by the company. Applications included Sage MAS500, Niku, and Abra HRMS.

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  Workscape

  Sept 2006 - Oct 2009

  Business Analyst

  Defined insurance enrollment and eligibility requirements and worked with development staff to implement these in the Workscape web application. Performed internal testing and worked with client on user acceptance testing. Created requirement specifications for provider HIPAA 834 eligibility files.

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  Boise State University

  Oct 2009 - Mar 2011

  Business Analyst

  Business Analyst for the Payroll and Time & Labor modules of PeopleSoft. Responsible for daily support as well as regular updates delivered by Oracle. Worked with payroll manager to identify and implement areas for process improvement.

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  HP

  Mar 2011 - Dec 2011

  HPSX Provisioning Team

  Migrate clients from existing system to new SRA architecture for case exchange. Mapping and coding using XML, Visual Studio, and Biztalk. Project management for local exchange team.

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  UnitedHealth Group

  Dec 2011 - Oct 2017

  Sr Business Analyst and Product Owner for UHN Network Management Services team. Performed in a lead role on the initial analysis and subsequent development for a new value based company initiative. Worked on several value based payment models for the UHN area. Responsible for the development and maintenance of a SharePoint application used to forecast and estimate project demand for a team of 25 members. Businsess Analyst for UHN Network Analytics & Affordability supporting the Premium Designation program. Responsible for business analysis activities including requirements gathering, business process flow documentation, and system testing for projects related to the applications that identified member gaps in care for providers and measured/evaluated provider performance in their peer group. Collect and document business requirements. Schedule and lead collaborative discussions to obtain necessary information to document "As Is / To Be" workflows. Participate in solution analysis and design meetings for system enhancements and migrations. Support development of criteria for User Acceptance Testing and apply quality assurance measures to obtain desired results.RSA Level 3 certified.

  • Associate Director of Business Analysis

    Apr 2016 - Oct 2017

  • Network Program Manager

    Jun 2014 - Apr 2016

  • Business Analyst Consultant, Enterprise Clinical Services

    Aug 2013 - Jun 2014

  • Sr Business Analyst, OptumHealth Behavioral Solutions

    Dec 2011 - Aug 2013
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  Blue Cross of Idaho

  Oct 2017 - Dec 2019

  Manager Provider Analytics

  Lead a team of Business Analysts and Health Data Analysts responsible for developing reports and analytics to support internal provider contracting team and external provider partners. Interface with IT team to build data infrastructure, automated reports, and analytical reports to enhance the provider contracting work and effectiveness of value based payment arrangements. Develop controls and monitor processes to ensure source systems, reporting, and analysis from IT automated solutions, Business Analysts and Health Data Analysts have a high degree of accuracy and validity. Show less

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  Cigna

  Dec 2019 - Jun 2021

  Business Analytics Senior Manager

  Manage analytics team that supports network contracting in the Pacific Northwest. Our focus is to gather data, and identify areas that lead to improvements in Total Medical Cost for the organization, then share these insights with the contacting team.

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  Evernorth

  Jul 2021 - Sept 2022

  Business Analytics Senior Manager

  Product Owner for Opportunity Detection and Healthcare Trend Analysis applications.

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  Cigna

  Sept 2022 - now

  • Provider Contracting Senior Manager

    Sept 2022 - now

  • Business Analytics Senior Manager

    Sept 2022 - Sept 2024
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  FJA-US, Inc.

  Sept 2024 - now

  Product Owner