N EFESA W ALKER

3904 Glencoe Dr. Memphis, TN 38115 (901) 596-7897 nefesa@hotmail.com

Senior Facets Consultant experience including benefits, membership/billing, pricing, testing and auditing

Ability to analyze, interpret and configure business requirements based upon clients design documents

Ability to analyze data and understand relationships

Re-engineering business processes and process mapping

Proven ability to learn new applications across diverse organizational structures

Effective communication skills (written, verbal, and listening)

Knowledge of provider contracts (Institutional and Professional)

Knowledge of lines of businesses including (EPO, HMO, PPO, Medicaid, and Medicare)

ACCOMPLISHED
Facets/Diamond/Cosmos
SQL Queries
Database table structure
Visual Basic
Java
SAS
SPSS

SKILLS

Implementation and Configuration

Requirements Documentation
Client Interface Experience
Microsoft SharePoint
Microsoft Visio
Microsoft Suite
Application Troubleshooting

Report Generation
Report Maintenance
Excel Reports
Pivot Tables
Data Validation
Workforce Negotiation
Workforce Planning

PROFESSIONAL EXPERIENCE
Slait

(August 2012-Present)

Facets Configuration/Business Analyst

Accountable for NetworX configuration of Provider contracts for medical, ancillary and ASC entities.
Created Agreements, Qualifier Groups, and Fee Schedules.
Performed Quality Assurance of new or existing contracts and configuration to ensure appropriate or correct
payment was made via unit testing.
Participated in Claims Configurations; building and testing members
Troubleshooting and problem resolution of provider reimbursement utilizing reimbursement policies,
methodologies and standards.
Analyzed configuration across Medicaid lines of business
Created and modified queries utilizing Facets data tables

UPP Technology

(February 2008-August 2012)

Facets Systems Analyst

Provide and recommend solutions, processes and procedures for enhancements, additions and modifications to
improve existing system

1 of 4

PROFESSIONAL EXPERIENCE (CONTINUED)

Analysis configuration across commercial and government lines of business

Researched/planned products and plans for new markets
Networx: Modify/update Medical Agreements via Medical Agreement Configurator
Manually price claims by modifying agreements in Networx
Updated/Modified Facets Fee Schedules
Utilized Facets Data Model to document, map and query data required for the 271 benefit response
Held, Facilitated and Moderated JAD sessions and meetings with SMEs, Program and Project Managers,
Directors and executives related to all areas of Core Facets
Built Medicaid products for new markets. Assisted configuration team in building SEPYs-modifying service
rules-, creating modifying LTLTs and attaching those to the variable components rows.

PRG SCHULTZ

(January 2005- March 2008)

Product Engineer

Planned and executed client-facing solution implementations, supported customers on complex technical
issues, identified solutions to resolve problems or improve efficiencies, reviewed and tested configuration of
application products (revisions, updates, and critical fixes prior to distribution), coordinated product
administration and release, and developed utilities (SQL scripting/DTS packages) to automate processes.

Migration and system conversion team member for PRGS client (Special Projects): Participated in the planning
and implementation of Facets installations and/or upgrades. Also upgraded legacy systems, Amysis to Facets
Assisted in the creation of queries, tables, stored procedures, and reports

Maintained and updated applications using the Citrix platform for remote users

Assisted in writing technical training manual for new workflow tracking system

Migrated databases and log files into production environment, established user permissions, scheduled database
tasks for maintenance, and performed database back-ups

Insured regular and stable operation of critical systems as a team-leader, project coordinator, principal contact
and chief liaison with essential I.T. partners and vendors.

HEIDELBERG

(October 2002-December 2004)

IT Support Specialist

One of five support specialist to support more than 2000 remote and onsite users in a Wintel
environment. Organized scheduling and prioritized workload within the Magic ticketing system.
Provided and recommended solutions, processes and procedures for enhancements, additions and
modification to improve existing systems.

Setup virtual machines using Microsoft Virtual PC

Administered user accounts within Active Directory

Provided a combination of hardware and software break/fix service request, data migration, and system
updates

Setup each user on the Microsoft Exchange Server and verified LAN connectivity

2 of 4

GEORGIA PACIFIC

(January 2000-October 2002)

Technical Support Analyst

Provided senior level support for Georgia Pacifics 230 member law team. Consistently exceeded business
expectations with 95% or better success rate within a given timeline. Worked closely with the software
development team investigating and correcting software bugs and deficiencies based on testing results.

Implemented software upgrades and maintenance

Administered user accounts within Active Directory

Setup Avaya communications software between MS Outlook and the voicemail system

Contributed to the knowledge database by documenting technical solutions to technical issues.

Participated in special projects for alpha and beta testing
Assessed functional needs to determine specifications for purchases

EDUCATION & CERTIFICATIONS

LONG ISLAND UNIVERSITY Brooklyn, NY
Master of Science in Bioinformatics 2010

LEMOYNE OWEN COLLEGE, Memphis, TN

Bachelor of Science Information Systems 2007

STATE TECHNICAL INSTITUE AT MEMPHIS Memphis, TN

Associate of Applied Science in Computer Engineering 1995
Certifications:

Certificate of Completion for Implementing and Maintaining SQL Server 2008, August 2010
A+ Certified

3 of 4