SUMMARY:

• Over Eight years of experience as Business Analyst managing multiple concurrent projects primarily in the Health Care and E - Commerce Domain.
• Has worked in all the phases of the SDLC from Inception to Post Implementation.
• Expertise in different methodologies like Waterfall cycle, Agile and Rational Unified Process (RUP).
• Experienced in Claims Adjudication, Provider, Eligibility, Billing and Prior Authorization for Medicaid and Medicare programs.
• Have mapping experience in Healthcare EDI transaction sets for 834, 270/271, 837 (I and P), 276/277, 835 and 999.
• Experienced in developing detailed functional specs through JAD sessions, Interviews, Brainstorming sessions, onsite meetings with business users & development team.
• Authored multiple documents like Business Requirement Documents (BRD), Functional Requirement Documents (FRD), Use Cases Document, Test case Document and UAT.
• Experienced in creating and maintaining Requirement Traceability Matrix (RTM) and RAID log.
• Well versed in translating business requirements and user expectations into detailed specifications employing Unified Modeling Language (UML).
• Created Use Case Diagrams, Activity Diagrams, Swim Lane Diagrams, Sequence Diagrams, Process Flow Diagrams, Data Flow Diagrams, Wireframe Diagrams, and Data Flow Diagrams.
• Experienced in interviewing Business users & SME, providing recommendations to resolve issues for various business/technical groups & defining strategic solutions to business problems in a multiple project environment.
• Have working experience with teams at different geographical locations (offshore).
• Have assisted QA team in developing Test plans and Test cases.
• Assisted QA team in performing Unit testing, System Integration Testing (SIT), End to End testing (E2E) and User Acceptance Testing (UAT).
• Very strong written and oral communication skills with the ability to interact effectively with both business and technical resources.
• Self-starter, highly independent and motivated worker requiring minimal guidance.

TECHNICAL SKILLS:

Operating Systems: Windows and Unix.

Languages: C/C++, HTML, DHTML, VB script, Java, XML, SQL, .NET Platform.

Tools: MS Office, MS Visio, MS SharePoint, Rational Rose, Rational Requisite Pro, Caliber RM, PeopleSoft, JIRA, SNOW and TopTeam.

Database: DB2, MS SQL Server, MS Access and Oracle.

Testing Software: HP Quality Center.

PROFESSIONAL EXPERIENCE:

Confidential, Brentwood, TN

Sr. Business Analyst

Job Responsibilities

• Gathered requirements from the Product Owners in form of User Stories and broke them down in tasks in coordination with the scrum team.
• Attended daily stand up meeting to discuss about the daily task and issues if any.
• Created Process flow diagrams to give overall understanding of the process and system changes to Business and Technical team.
• Created System Requirement Specification.
• Coordinated with testing team to develop test cases and perform Unit testing and SIT.
• Coordinated with the offshore technical and testing team to resolve the incidents and defects.

Environment:: Agile/Waterfall, MS Office, MS Visio, SNOW, TopTeam, Star point, PeopleSoft.

Sr. Business Analyst

Job Responsibilities

• Researched Medicare and Medicaid Services (CMS) website to understand ACA mandates.
• Met with the business teams to give them an understanding of the federal mandate and changes required under the Affordable Care Act.
• Facilitated JAD sessions and Requirement Gathering sessions with various teams to understand the system changes and capture requirements.
• Created a RAID log and managed Risks, Issues and Decisions captured at various stages of the project life cycle.
• Created Business Requirement Document capturing detailed business requirements.
• Created Process flow diagrams to give overall understanding of the process and system changes to Business and Technical team.
• Coordinated with the technical and testing team to address their issues.
• Coordinated with testing team to develop test cases and perform Unit testing, SIT and E2E testing.

Environment:: Waterfall, MS Office, MS Visio, MS SharePoint, DB2 and HP QC

Sr. Business Analyst

Job Responsibilities

• Gathered, analyzed and created Functional Requirement Document (FRD)
• Created wireframe diagrams and business process models using MS Visio.
• Created and maintained use cases and traceability matrix.
• Conducted interviews with client to ensure developed functionality complied with user requirements.
• Collected and documented business processes as well as business rules.
• Assisted offshore QA team in creating Test Cases, Test Plans and strategies to ensure that business requirements were being addressed and tested.
• Coordinated user acceptance testing (UAT) and provided biweekly updates to management on progress, issues and actions.

Environment: Waterfall, MS Office, MS Visio, SNOW, Topteam, Star point.

Sr. Business System Analyst

Job Responsibilities

• Worked on Member Management, Eligibility, Claims, Billing and Provider modules within FACETS
• Facilitated JAD sessions and captured meeting minutes.
• Conducted extensive analysis on migration and conversion of Provider and Member data, Group configurations and Claims Adjudication process from Legacy system to FACETS.
• Facilitated Joint Application Development (JAD) sessions with business teams to capture business requirements and rules to migrate data.
• Created Activity diagrams, process flow and data flow diagrams to capture business process and rules.
• Created Business Requirement Document and updated it based on the feedback received from the team.
• Created mapping document for EDI 834, 270/271, 837 (I and P), 276/277, 835 and 999 as per HIPAA 5010 standards.
• Defined inclusion and exclusion logic for Data Extracting Strategies (ETL) for data migration.
• Analyzed the business needs for generating reports and documented business and functional requirements.
• Clarified QA team issues and reviewed test plans and test scripts developed by QA team to make sure all requirements have been covered in scripts and tested properly.

Environment:: RUP, Facets 4.8, MS Visio, Word Excel, PowerPoint, Rational Rose and Requisite Pro

Business Analyst

Job Responsibilities:

• Created Use case diagrams, Process flow diagrams and Wireframe diagrams to describe system behavior and GUI.
• Distilled functional requirements and created FRDs.
• Supported design team in the development of product catalogs.
• Conducted JAD sessions with management, SME, vendors and other stakeholders for open, pending and critical issues.
• Conducted daily Scrum meeting, as well as sprint planning and sprint review meeting.
• Built strong relationships with clients as well as internal and external resources and managed all phases of campaign development from concept through to reporting.
• Gathered requirements from the Product Owners in form of User Stories broke them down in tasks in coordination with the scrum team.
• Assisted QA team in developing test cases and test scenarios to be used in testing based on business requirements.
• Assigned bugs to appropriate software development team and tracked resolution.

Environment: Agile, CaliberRM, MS Visio, MS Project, HP QC and MS Office.

Sr. Business Analyst

Job Responsibilities

• Conducted one-to-one interviews and group meetings with the Subject Matter Experts (SME’s) to gather the business requirements.
• Facilitated requirement sessions with Business team to capture requirements on customization screens/reports related to Member, Enrollments, and Providers.
• Translated the business needs, wants and objectives in the form of user stories, created Use Case Document and Functional Requirements Document (FRD).
• Was responsible for tracking issues and decisions through all phase of the project life cycle from inception through post-implementation.
• Created wireframe and process flow using Microsoft Visio to clearly communicate the business requirements.
• Was responsible for updating Sprint and Product backlogs
• Developed Requirements Traceability Matrix (RTM) to track requirements against test cases during the QA Phase.
• Facilitated formal defect review meetings with project teams and developers to report, demonstrate, prioritized and suggest resolution of issues discovered during testing.
• Played a key role in the planning, testing, and implementation of system enhancements and conversions.

Environment:: Agile, MS Suite, Oracle, Caliber RM, HP QC and JIRA

Business Analyst

Job Responsibilities

• Conducted feasibility study and performed GAP analyses for the proposed enhancements.
• Closely interacted with web designers and developers to understand application functionality and navigational flow.
• Developed application mock ups for presentation of product configurations capabilities and enhancements.
• Performed Gap analysis for new functionality requirements, as well as prioritized them based on actual business needs to align them with the product release roadmap.
• Created Use Case Diagrams, Wireframe Diagrams and Activity Diagrams for an interactive web portals and streamline processes.
• Worked with User Interface (UI) team to create web mockups from wireframes to ensure functionalities were captured and presented on the front end.
• Created Functional Requirement document (FRD) and Use Case Specifications.
• Assisted the QA team in developing test plan and test case documents based on business use cases and functional requirements.

Environment: Waterfall, MS Office, SharePoint, MS Visio, SharePoint and Quality Center