SUMMARY:

• A Business Analyst with 7 years of extensive experience in business process design, streamlining and gathering requirements in fields as diverse as Healthcare, Retail (ecommerce) and Finance.
• Strong knowledge of Project Managemen t skills such as time and cost estimation, task identification and WBS, and scope management.
• Well versed in all phases of Software Development Life Cycle (SDLC) and using Agile, Rational Unified Process (RUP) and Waterfall methodologies.
• Knowledge in health care Particularly in Insurance processing, Payment, evaluation, recovery and file review.
• Expertise in identifying, developing and documenting Business and Functional Requirements Specifications (FRS), User Requirements Specification, System Requirements Specifications (SRS), nonfunctional requirements and Supplementary Specifications.
• Organized many Joint Application Development sessions (JAD) and Joint Requirement Planning sessions (JRP).
• Experience in working with relational database management system ( RDBMS )
• Worked on MS SQL Server 2008 to generate complex queries.
• Acted as a SME on Healthcare Reform (HCR)
• Worked on Clinical Trial Management System (CTMS) on various Projects.
• Conducted interviews, workshops and requirement elicitation sessions with end - users, clients, stakeholders, development groups and Subject Matter Experts (SMEs).
• Extensively worked with Data Warehouse along with reporting and analysis.
• Performed GAP analysis successfully while documenting variances and suggesting steps to overcome the gaps, besides Feasibility studies and ROI.
• Vast experience in writing test cases for the Facets applications.
• Expertise in Facets extension development, Facets Testing, Facets Interfacing.
• Familiarity with different aspects of Facets implementation lifecycle.
• Exceptional knowledge of Facets 4.x version billing and pricing modules.
• Excellent skills at creating extensive documentation on all projects.
• Designed and/or re-designed website for various clients.
• Worked with many Oracle Business Intelligence Enterprise Edition (OBIEE) Products.
• Conversant in designing and defining user interface requirements prototypes, screen mockups, story boards and defining elements and business rules around the same.
• Organized workshop to disseminate information on ICD 9/10 and HIPAA 4010/5010.
• Proficient in developing and executing test cases performing functional, usability and stress testing to ensure the product meets the system requirements.
• Experienced in training users and developing training manuals.
• Strong team building, conflict management, time management and escalation protocol skills.
• Excellent communication and interpersonal skills. Well versed in managing multiple projects simultaneously.

TECHNICAL SKILLS:

ENVIRONMENT: SDLC, Agile (SCRUM), RUP, Waterfall, Rational Products (RequisitePro, ClearQuest, ClearCase and Rose),CalibreRM, Endeca, Experience Manager, MS Project, MS Office Suite (word, outlook, Excel, MS Visio, Office communicator , MS SharePoint, IBM FileNet, Siebel systems, HP Quality Center, TestLink, Crystal Reports, Informatica, C, C++, VB, Vignette, JAVA, Oracle, MS Access, MS SQL

PROFESSIONAL EXPERIENCE:

Confidential

Sr. Business Analyst

Responsibilities:

• Worked with the business owner to understand needs, facilitated the negotiation of requirements then documented the requirements
• Provided subject matter expertise in e-Commerce
• Acted as a liaison between the business, technical analysts, information technology analysts, consultants and end users in the analysis, design, configuration, testing and maintenance of the solution to ensure optimal performance.
• Provided analysis for technology vendor evaluation and prioritized functional roadmaps.
• Prepared the functional requirement document.
• Analyzed the feasibility of, and developed requirements for, new systems and enhancements to existing systems; ensuring the system design fits the needs of the users
• Plotted process flow diagram and data flow diagram for various modules using MS Visio.
• Reviewed work of project team members and performed quality assurance reviews, as necessary
• Created and executed test scripts against developed solutions

Environment: ATG, JIRA, Endeca, Experience Manager, IBM Rational (RM) (CCM), AGILE (SAFe)

Confidential

Sr. Business Analyst

Responsibilities:

• The project was to develop an eCommerce website for GFS’s Marketplace stores.
• Planed and directed the analysis and gathering of functional requirements used in the design (e.g. use cases and process flows) or based on business requirements documents.
• Created use cases in conjunction with wire frames and designed compositions to deliver a holistic solution.
• Scheduled and conducted requirements gathering sessions and helps to coordinate the review and signoff of deliverables also helped in laying down a work plan.
• Provided expertise through interpretation and translation of business requirements throughout the development lifecycle.
• Conducted demonstrations prior to and following implementation to ensure that requestor and stakeholders’ needs are fully addressed.

Environment: ATG, JIRA, Confluence, Excel, PowerPoint, Visio, Java, HTML

Confidential, Sacramento, CA

Application Lifecycle Analyst

Responsibilities:

• Gathered Requirements by conducting a series of meeting, which included Teleconferences, WebEx meetings and conferences.
• Among the stakeholders, set up numerous meetings with Compliance and Clinical Integration department to insure proper guidelines were followed.
• Created lists of ICD9 - ICD10 CM/PCS codes, with reference to the usage percentile and provided to Stakeholders to determine if codes were best-fit or all possibilities.
• Created Data Flow Diagrams (DFDs), ER diagrams for database modeling using MS Visio for acceptance from analysts, surveyors and customers
• Conducted team meetings twice every week to insure timely completion of the project and project status.
• Created Project definition reports (Project Charter) which evolved from team meetings and interviews. worked with data mapping team for ICD 9 to ICD10 for forward mapping of the diagnosis and procedure codes
• Analyzed the processes in medical coding and transition from ICD 9 to ICD 10.
• Created and managed project templates, requirement types and traceability relationships.
• Worked on requirements by loading them into the Application Lifecycle Management tool (HPQC)

Environment: MS Outlook, MS Word, MS Excel, HIPAA, ICD-9/ICD-10, Ms Visio, MS Access, Clarity, HL7, SharePoint, ALM HPQC.

Confidential, Philadelphia, PA

Lead Business System Analyst

Responsibilities:

• Gathered Requirements through a series of meeting.
• Conducted the required GAP analysis between their AS-IS Confidential submission process and TO-BE Encounter Data Submission Process.
• Worked closely with the EDPS and CMS which included Enabling the loading of the vendors 837 professional.
• Extensive documentation done in the project in regards to BRD, FRD, use cases, UML's, User Stories and flowcharts.
• Performed project and portfolio management capabilities through CA Clarity PPM to unify and simplify PPM information and processes into a single system of record and make it available on premise.
• Designed the entire layout and different screens for the UI.
• Worked in co-ordination with the test and the developer teams to ensure the delivery on time, within budget, and with high quality (with no critical or high defects). prepared documentation thoroughly so that there were close to no chances of return errors.
• Made sure the Documentation portrays the requirement of the stakeholders to a 100%. worked with defect management team to work out all the bugs.
• Provided a Daily EOD report to the Project Manager so that there were no miscommunications, which ensured a Timely Project Delivery.
• Worked Extensively on Clarity PPM for Portfolio Management, Project Management, Resource Management, Demand Management, Management Reporting, End-User Training
• Created business process workflow diagrams using MS Visio.
• Worked closely with the claims processing, submission and Error corrections of the inbound 837.
• Shared my knowledge and helped them with claims processing electronically using the Claims Transaction set (837).
• Involved in planning and coordination with QA for SIT and Business for UAT.
• Maintained Change and Traceability Matrix throughout the project keeping track of the scope, timelines and budget of the project.

Environment: MS Outlook, MS Word, MS Excel, HIPAA, ICD-9/ICD-10, Ms Visio, MS Access, PowerMHS, Citrix, Clarity, MS SharePoint

Confidential, Hartford, Connecticut.

Lead Business Analyst

Responsibilities:

• Gathered requirements and prepared functional specifications documents.
• Conducted GAP analysis to gather differences in the AS-IS and TO-BE systems.
• Facilitated JAD sessions with stakeholders to understand the overpayment rules.
• Created data flow diagrams for enrollment, configuring different sections like Eligibility, Address and Claims data.
• Worked on every minute detail regarding the documentation of BRD's FRS, SRS and creating Use Case and Test Cases along with UML diagrams and User Stories.
• Understood and translated the requirements for payment and reporting systems.
• Provided Extensive reporting and Analysis using Data Warehouse.
• Responsible under the Facets system for Claims processing and payment.
• P repared the developmental system structure and maintained the design of the data warehouse
• Capable of maintaining the progression in the data warehouse zone.
• Developed all test processes and programs for various Facets projects.
• Prepared the on boarding documentation.
• Handled the executives and assisted in carrying the architectural works in data warehouses.
• Skillfully handling the technical support areas and supervising the internal standards of the warehouse.
• Integrated data for ODS using Extract, Transform, and Load (ETL) which allowed operational access to the data. worked closely with testers, developers and end users to ensure user satisfaction.
• Created, modified, maintained and optimized SQL server database.
• Observed all phases of network development such as prepared complex test procedures, performed troubleshoot on Facets process and analyzed each phase.
• Successfully Extracted, Transformed and Loaded data using the RDBMS.
• Followed a structured approach to organize requirements into logical groupings of essential business processes, business rules, information needs and ensured that critical requirements are incorporated.

Environment: HIPAA, ICD-9/ICD-10, Ms Visio, Oracle 10g, Office communicator , XML .Net, UNIX, MS SQL2008, MS Sharepoint, FACETS, IBM MDM, MS Office, Java, TestLink, Informatica.

Confidential, Waltham, Massachusetts

Lead Business Analyst

Responsibilities:

• Elicitation and analysis of end user requirements and information download to the development team.
• Assisted in formulation of the Project Plan and Scope and Budget estimation.
• Initiated JAD sessions with End Users using one-on-one and group interviews techniques to better understand the requirements.
• Gained experience working with Physician, Health Care Professional, Facility and Ancillary Provider Network on products specific to disability insurance and Medicaid program
• Created extensive use case, activity and sequence diagrams of the required system to enable clarity on project goals.
• Established an Excellent co-ordination between the onsite and offshore teams.
• Worked as a Windows Administrator to maintain daily operations for Windows server infrastructure and components.
• Created, modified, maintained and optimized SQL server database.
• Supervised the ongoing maintenance work and interpret the operational reports of the data warehouse
• Involved in Data Cleansing within the Data Warehouse.
• Data Mart was designed and vetted to eliminate the need to enter duplicate data and increase our ability to catch and correct inaccurate data.
• Created mock-ups on different processes like Payment processing, settling payments and claims.
• Created System Specification and Requirement Specification Documents.
• Organized workshop to disseminate information on ICD 9/10 and HIPAA 4010/5010 along with HCR and HL7.
• Worked with the EDI Health Care Claim Transaction set (837), where all the health care Claims were processed electronically.
• Updated and mentored end users throughout the Development Life Cycle with bi-weekly presentations and webinars.

Environment: MS Project, MS SQL2008, Blueprint Requirements Center, MMIS, TestLink, MS Sharepoint, Rational Rose, Clear Quest, MS Visio, XML, Windows 2000/XP, Mercury Test-Director, HTML, Dreamweaver, JAVA

Confidential, Monticello - NY

Business Analyst

Responsibilities:

• Perform “AS IS” system study to understand the business process and design “TO BE” system structure Identify GAP in various business processes. Conduct discussion sessions with various business owners and redefine business processes for the new Confidential system
• Active Directory user Windows administration. (Windows Server 2003).
• Understand the business and number of transactions per day and Design and ease the Confidential interface screen for quicker sales transaction and to print out daily X & Z reports
• Involved in setting up business process of using various tenders and till maintenance
• Involved in defining business process to in corporate Buy-downs, promotions, Mix and Match, discounts, Customer Loyalty Program for new Confidential system tobacco franchise
• Enhanced the Customer Relationship Module with the help of Siebel 7.8.
• Involved in onsite and offshore co-ordination.
• Participated in Retail merchandize, kiosk setup and product promotion activity
• Design customer loyalty program to maintain the purchase history of the customer for rewards program
• Plot process flow diagram and data flow diagram for various modules using MS Visio
• Define business process rules to help implementing SOB (Share of Business) Process for optimizing procurement process, leading 25% increase in smooth order cycle.
• Created Mock-ups to better explain how system works to the retail stores.
• Set up the rules for auto generation of Purchase Order and it can be verified by the retail store manager
• Implement new methods to replenishment inventory based on sales pattern, Min-Max, Days of Inventory, Inventory replenishment based on actual sales and manual order entry
• Prepare weekly dispatch schedule based on the order cycle and availability of product, use local transportation companies to set up XDX at warehouse for faster delivery from wholesaler to retail store
• Design & Implement suggested stock transfer functionality with days of Inventory level
• Involved with QA team to define the test plan and test cases for new application also perform Functional integration testing for the system.
• Involve in database design and write complex query to generate customize reports in SQL 2008.

Environment: MS Office (word, outlook, Excel), Siebel Systems TestLink, OBIEE, MS Project, C, MS Visio, SQL Server 2008