RICHARD POLTARAK
4 Windsor Lane-Phillipsburg, NJ
908-387-8180
RPoltarak5637@aol.com
SUMMARY
INFORMATION TECHNOLOGY SYSTEMS / BUSINESS ANALYSIS PROFESSIONAL with experience in
diverse business environments optimizing corporate business and data management operations through
effective design and delivery of software and IT systems solutions. Reengineered business processes for
rapid assimilation of emerging technologies. Combined technical expertise and excellent communication
skills, driving information systems enhancements to business processes.
KEY QUALIFICATIONS
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Customer Needs
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Assessment and
Agile project
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TSO , FileAid, Quality
Center, Cobol
management
Development
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Excel / Access and SQL
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Financial business
programming skills and
implementation, Agile
development and
techniques.
methodology
reporting
Adaptable to other
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business domains
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Project planning and
EDI 835/837
Insurance healthcare
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experience
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Business requirements
gathering
NASCO claims
experience
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Process flows(critical
path)
PROFESSIONAL EXPERIENCE
Universal Universalist Church of Lehigh Valley
Nov 2014 – Oct 2015
Office support (part time)
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Solicit bids, monitor vendor performance in connection with building maintenance
Track events, locations, rooms, services, update membership data, and enter AR/AP
invoices into church windows software.
KPMG, Montvale, NJ (consultant for Rivers Consulting)
Aug 2013 – Dec 2013
GBO data support consultant
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Provided Data services development support utilizing Access VBA, Utilized Access,
forms, and queries. Created Excel pivot tables identifying vendor error types during
validation embedding them in Access reports. Worked with sales and marketing to
establish a consistent process for reviewing data and identify inconsistencies. Coded
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enhancements in Access VBA to other Global Business Operations data applications
utilizing Technical Requirement Document.
Gathered user requirements creating business documents for coding application
Maintain customer service relationships
Express Scripts in Franklin Lakes, NJ (consultant for VBeyond Corp)
Sept 2012 – Dec 2012
Analyst
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Provided production support for PBM software triaging vendor supplied medical data.
Identified data anomalies during data validation impacting Rational Med process.
Acted as the liaison between the business units, technology teams and support teams.
Proactively automated a daily manual process for team to assist in tracking vendor files
utilizing access, excel and SQL.
Horizon Blue Cross Blue Shield, Newark, NJ (consultant for MDT Technical)
Oct 2011 – July 2012
Business Analyst for NASCO
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Created high-quality Business Requirements, Process Data Flows, Technical
Requirement Documents and Requirement Traceability Matrix (RTM)
Manage several projects SDLC Utilizing HP Clear Quest management tool
Gathered requirements identifying elements on HIPAA 837 claim XML historical
Hospital claim data to assist in the development of impact analysis and trending analysis
Created source-to-target mappings for rendering, referring and attending physician data
for ETL utilizing MS SQL
Triaged testing discrepancies
Identified test scenarios created RTM document matching business functional
requirements utilizing MS/SQL.
United Health Group, Wyomissing, PA (consultant for the C&L Group)
March 2010 – Sept 2011
Business Analyst
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Provided support in the analysis and testing phase of the system development cycle.
Consulted with users to evaluate business requirements, identify operating procedures,
and evaluate existing or proposed systems.
Utilized the functional requirements to identify test cases, RTM and change requests.
Acted as a liaison between business units, development/QA teams during analysis and
testing efforts
Experience working with batch and online systems developing job process flows,
component diagrams
Documented system enhancements for reporting a balanced and accurate HIPAA 835
transaction to providers using referenced HIPAA 837 transaction.
Validated functional and non-functional business requirements
Olympus Corporation, Center Valley, PA (consultant for Kelly Services)
July 2008 - July 2009
Financial Reporting Analyst
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Designed, translated and simplified reporting request for accurate business needs.
Data mining, extracting and data analysis for Medical Systems Group. Collect, analyze,
organize and document Business Requirements
Created financial reports and databases that identified product trending, sales quote
trending product information as requested by users in the Medical/Surgical Systems
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Group, including Marketing, Sales Administration, Finance and Senior Management
utilizing Access forms, tables, reports, and queries. Provided excel pivot tables for
business owners.
Provided accurate delivery of applications utilizing Microsoft Access and Visual Basic.
Utilizing Showcase STRATEGY software provided business users extracted and
transformed data from AS/400 operational systems into meaningful reports and metrics
utilizing excel pivots and graphs and Access.
Horizon Blue Cross / Blue Shield in Newark, NJ (consultant for Apollo)
June 2006 – April 2008
Business Analyst
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Developed a process for approving customer work order requests. This prevented
“kickbacks” and improved cycle time and reduced expense.
Managed assigned projects using HP Quality Center
Reduced time and improved time to market developing an efficient process to extract
data from claims archive for customer service.
Responsible for gathering complex business and user requirements for reporting PPO and
Indemnity Lifetime Maximums for national accounts. Emphasis placed on interpreting
National Account Employer Group Summary document and interpreting group benefits
into high level requirements. Verified claim extracts using EXCEL, and creating
formulas.
Horizon Blue Cross Blue Shield in Newark, NJ
Sept 2001 – May 2005
Programmer Analyst
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Led design of customized software and IT systems solutions to enhance business
processes and operations. Designed, analyzed, programmed and tested IT systems to
expedite HIPAA 837P transaction.
Mapped and provided layout and verified dental data for claim portal
Gathered requirements, facilitated meetings, coded, tested and supported Dental System
using Cobol II, VSAM and ACCESS.
Introduced HIPAA formatted claim records into the daily batch system. Improved claims
management efficiency while improving currency of claims information.
Managed systems and software enhancements to expedite business processes and
enrollment for over 200,000 clients.
Utilized new software to create enhanced A/R reporting system for Finance department,
improving efficiency 60%. Reduced processing time required for financial reporting
systems by converting data access via multiple threading in DB2.
Created enrollment reconciliation process for Director of group enrollment eliminating
manual task.
MetLife Insurance in Bridgewater, NJ
Aug 1998 – Sept 2001
Programmer Analyst
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Managed software and application development to support high volume business
transactions and data management operations. Proactively identified business process
deficiencies, utilizing MVS and Cobol II, and realigning business practices within federal
government regulatory compliance guidelines.
Wrote new functionality to Group Universal Life and Group Variable Life products
utilizing VANTAGE software.
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Translated TAMRA/TEFRA federal government guidelines into functional code for
management and processing of life insurance policies.
Improved accessibility of policy information for field service representatives and
underwriters by adding new functionality to ILINK, a dental contract gathering system
that captured policy information used for adjudicating claims that resulted in time to
market
TECHNICAL SKILLS
Platforms: IBM Mainframe, PC, IBM Sequel Server.
Operating Systems: MVS, VSE, VM, Windows NT.
Programming Languages: Cobol II, DB2, VSAM, CICS, SPUFI, QMF. VISUAL BASIC APPLICATION,
T-SQL
Development Tools: SAS, TSO/ISPF, JCL, Xpeditor, File-Aid, Librarian, Endeavor, ChangeMan, Quality
Center, NASCO
Databases: MS SQL, MS Access, SQL Server
Academic Skills: Load Runner, WinRunner, TestDirector, C#
MILITARY SERVICE
Non-Commissioned Officer, United States Air Force, Honorable Discharged
EDUCATION
BS, Business Management, Fairleigh Dickinson University.
Certifications: Computer Programming, Chubb Institute