SUMMARY:

• Business Analyst actively participating in all stages of Software Development Life Cycle (SDLC) with the ability to work independently and manage business expectations with a strong customer centric approach to work.
• Experience in analysis, design and implementation of business applications in healthcare (Medicare/Medicaid/Commercial) markets.
• Experienced in Business Process Analysis focusing in User Requirement Gathering & analysis, Project Plan, User Requirement Specification, System Requirement Specification, As - Is, To - Be, Gap Analysis.
• Experience using tools such as MS-Visio for Functional Flow charts, Organizational charts, Business Process diagrams, UML diagrams, process flows, Use Case Diagrams.
• Adept at creating, editing, and coordinating extensive communication networks through the facilitation of Joint application design (JAD) sessions and Interviews. Excellent communication interpersonal skills, highly analytical, structured and results-oriented.
• Experience in project execution, project coordination, user acceptance testing, end-to-end project delivery, and enhancement change management within various iterative models like Agile and traditional methodologies like Waterfall.
• Expertise in Requirement gathering, Analysis, Functional Design, Designing Technical Specifications, Functional/Integration/User Acceptance testing; managing requirements and creating Requirements Traceability Matrices.
• Experience working closely with business partners and stakeholders to define and gather business requirements and translate these requests into software requirements.
• Experience in coordinating UAT by developing test plans, UAT test scenarios, test cases, test data to be used in testing based on business and user requirements.

PROFESSIONAL EXPERIENCE:

Sr Business Analyst

Confidential, Washington DC

Roles and Responsibilities:

• Provide Business Analysis and Project Management support to Confidential ’s PMO of Information Technology Services (ITS).
• Experience working on multiple enterprise level implementation projects, collaborating with external vendors as required.
• Analyzed, documented and managed all project requirements and any changes to requirements throughout the software development lifecycle.
• Worked closely with the Development team to validate that the technical design meets the business requirements
• Conduct requirements workshops with stakeholders to develop business processes, elicit requirements, define business priorities, develop test cases, and lead UAT sessions.
• Develop project charters that define scope, business objectives, risks, issues, dependencies, and impacted stakeholders.
• Create project plans in accordance with project management framework standards and procedures. Identify ongoing issues and gaps within project plans, in order to eliminate implementation issues.

Environment: MS SharePoint Server 2007, MS Visio 2007, MS Project 2007, MS Office Suite (PowerPoint, Excel, Word, Outlook), JIRA.

Sr Business Analyst

Confidential, Washington DC

Roles and Responsibilities:

• Elicit requirements using interviews, document analysis, requirements workshops, surveys, site visits, business process descriptions, use cases, scenarios, business analysis, and task and workflow analysis.
• Facilitate information systems project workshops for business owners regarding features and user stories for related business needs
• Create data models in XML using XML Spy to create technical requirements as deliverables. Conducts data analysis and writes business rules against the data specifications known as Mail.dat and Mail.XML which are the core of the Confidential IMb full-service program.
• Evaluate information gathered from multiple sources, reconciles conflicts, decomposes high-level information into details, abstract up from low - level information to a general understanding, and distinguishes user requests from the underlying true needs.
• Communicate and collaborate with external and internal customers to analyze information needs and functional requirements and delivers the following artifacts as needed: (Functional requirements (Business Requirements Document), Process Flow, work flow and data flow documents, Use Cases, GUI, (Screen and Interface designs), training guides and materials, user guides, technical guides while engaging in multiple initiatives simultaneously.
• Work independently with users to define concepts and under direction of project managers and drives and challenges business units on their assumptions of how they will successfully execute their plans.
• Serve as the conduit between the customer community (internal and external customers) and the software development team through requirements flow and develops requirements specifications according to standard templates, using natural language.
• Successfully collaborate with developers and subject matter experts to establish the technical vision and analyze tradeoffs between usability and performance needs.

Environment: HP ALM, UFT/QTP, SQL, Oracle, MS-Outlook, ASP.Net, Windows XP and MS Office suite.

Business Analyst

Confidential, Bowie, MD

Roles and Responsibilities:

• Extensive experience working on healthcare data analytics Confidential . Understand the new product requirements and enhancements and facilitate product development activities.
• Cater to the needs of leading health plans client base; customize prospective advantage products to suit the business needs of insurance companies.
• Experience working in agile scrum environment. Actively involved in grooming product backlog with product owner.
• Responsible for gathering requirements from various stakeholders and documenting them by creating Product Backlog Items (PBI) using Team Foundation Server (TFS), to be implemented in the sprint and linking PBIs with the roadmap items.
• Writing user stories for the assigned PBI’s and outlining the conditions of acceptance criteria.
• Actively participate in sprint review and sprint retrospective with the development team.
• Participate in project planning activities and document project plans for tasks, timeline, milestones, etc. This includes assistance with prioritizing and monitoring PBIs in the backlog, working to remove blocks and impediments to the entire team.
• Creating screen mockups/wireframes using Balsamiq tool for the new features implemented on applications.
• Creating UAT test cases and scenarios for the PBIs implemented in a sprint, maintaining them on Sharepoint, scheduling and coordinating UAT sessions, UAT kick off and checkpoint meetings during User Acceptance Testing.
• Extensively involved in Regression Testing of the mobile application, testing in QA environment and User Acceptance testing of the PBIs developed in a sprint. Validating schema changes in database tables.
• Responsible for creating and processing UAT tickets by logging UAT bugs in TFS and working with the QA team to triage those bugs. Also, sending UAT status updates to the stakeholders on a daily basis before sign-off.
• Responsible for preparing Release Notes for every release documenting the new features and enhancement and distributing them to the stakeholders after every deployment in production.
• Knowledge of HIPAA compliance and 5010 implementations and file formats for submitting claims information to CMS.
• Worked on designing the logic and layout for automation of client reports and generating those BI reports through our INDICES dashboard. Defined and documented business rules and requirements to represent complex data in an effective way so that it meets the business needs.

Environment: ASP .Net, Microsoft SQL server, TFS, Balsamic Mockups, DB2, PCIS Control center, Indices Business Intelligence Reporting System.

Business Analyst

Confidential, Baltimore, MD

Roles and Responsibilities:

• Good knowledge on different modules within healthcare related to claim adjudication, prior authorization, encounter, reference for Medicaid programs.
• Conducted Impact Analysis to specific subsystems and MMIS II system components that will require updates to become ICD-10 compliant.
• Experience working with Clinical Modification (ICD-10-CM) Procedure Coding System (ICD-10-PCS)
• Conducted MMIS system analysis of various programs, copybooks, jobs to understand the enhanced requirement.
• Developed a Functional Requirements Document describing specific areas of enhancement for online claims and batch processing.
• Competent skills in developing detailed functional specs through JAD sessions, interviews with clients, business users and development team.
• Involved in gathering, validating, analyzing and documenting the stated business requirements, and the creation of functional specifications.
• Analyzed claims workflows and procedures in order to assist in the development of new or modified systems.
• Worked with the team to develop a System Design Document to describe the key design changes to MMIS II for ICD-10 compliance.
• Worked with the team to develop an Implementation Plan.
• Developed and maintained Requirements traceability Matrix.
• Reviewed test scenarios and test cases for UAT to support post implementation of applications and production issues.
• Supported the development of test plans, test descriptions, and test procedures. Reviewed test results to ensure compliance with functional requirements and user support documentation.
• Mainframe testing skills including modifying JCLs, creating the data using SPUFI and executing JCLs for validating the data in DB2 tables.
• Good experience on application testing on IBM Mainframes using COBOL/CICS/DB2/IMS DB/DC on TSO/ISP.
• Experience in documentation such as BRD (Business Requirement Document), FRD (Functional Requirement Document) System design and Implementation plans.

Environment: COBOL, CICS, JCL, VSAM, DB2