Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Greg Wiley

Barto

Summary

Extensive experience in the medical insurance industry ranging from data analysis, process improvement, vendor management and training

Overview

25
25
years of professional experience
1
1
Certification

Work History

Data Analyst

United Healthcare
01.2023 - Current
  • Work with stakeholders to gather specifications and interpret into functional requirements
  • Create new reports (ad-hoc and recurring) in support of business needs
  • Analyze existing code to identify enhancements for report output and database optimization
  • Provide Management with statistical findings and conclusions from analyzing trends and root cause
  • Create and maintain procedural documentation in support of team functions

Business Analyst

United Healthcare
04.2021 - 01.2023
  • Produce reports utilizing SQL & Power BI in support of Marketing, Finance and Product teams
  • Collect, analyze, and disseminate NPS Data
  • End to End interface testing
  • Leverage Google Analytics to track and trend marketplace behaviors
  • Create Call Center data tracking reports and escalate as appropriate
  • Create and maintain process documentation

Business Analyst

United Healthcare
07.2010 - 04.2021
  • Manage projects in Agile method from inception through development release (providing updates and deliverables)
  • Work with stakeholders of Claim Processing, Billing & Enrollment, Finance and IT to define and document system change requirements, SOW's, and process flows
  • Develop test cases and work with end users on acceptance testing in UAT environment
  • Work directly with IT departments (internally & external vendors) to identify and resolve software and file transmission issues
  • Lead on presenting change details and impacts to senior leadership
  • Developed & maintained a SharePoint site for tracking and communicating issues and requests
  • Perform monthly validation of vendor invoices
  • Lead quarterly scorecard reviews with vendors

Claim Operations Trainer

AmeriHealth Administrators
05.2006 - 07.2010
  • Created curriculum and conducted training classes for company personnel on system navigation, workflow protocol, and processing procedures
  • Wrote a User Manual for a new insurance line of released by the company
  • Developed and maintained a SharePoint site designed to provide Operations with updated policies & procedures
  • Performed Supervisory role for new hires during 6-week training courses
  • Monitored production environment to identify processes not consistent with current documentation and training guidelines


Claim Processing Manager

Damage Recovery System, Inc.
06.2001 - 05.2006
  • Worked with Programmers and Data Analyst to modify/improve database applications to meet customer requests
  • Trained customer and company personnel on the use and capabilities of claims processing software
  • Participated in sales meetings and aided manufacturers in completing initial setup procedures
  • Balanced workflows and allocated claims among staff to meet accuracy and timeline goals

Programmer

WordTech, Inc.
11.1999 - 01.2001
  • Performed daily conversion/processing of EDI data
  • Designed and execute AS400 queries based on job specifications
  • Developed, tested and de-bugged RPG programs in support of sales analysis software

Education

Associates - Computer Programming

PACE Institute
Reading, PA

Diploma - Business

Daniel Boone Area High School
Birdsboro, PA

Skills

  • Microsoft 365 Suite
  • SQL Server
  • Power BI
  • Toad Data Point
  • Swift Kanban
  • Rally
  • Visio
  • SharePoint
  • Six Sigma
  • Leadership
  • Teamwork
  • Organization

Certification

Six Sigma Yellow Belt United Healthcare Foundational Quality


Technical Writing Boyertown School District

Timeline

Data Analyst

United Healthcare
01.2023 - Current

Business Analyst

United Healthcare
04.2021 - 01.2023

Business Analyst

United Healthcare
07.2010 - 04.2021

Claim Operations Trainer

AmeriHealth Administrators
05.2006 - 07.2010

Claim Processing Manager

Damage Recovery System, Inc.
06.2001 - 05.2006

Programmer

WordTech, Inc.
11.1999 - 01.2001

Associates - Computer Programming

PACE Institute

Diploma - Business

Daniel Boone Area High School
Greg Wiley