SUMMARY:

• 5+ years of experience working as a Business Analyst with a track record of managing complex IT projects in the healthcare domain.
• Proficient in technical and business writing, business process flow, business process modeling, business analysis and testing various methodologies.
• An in - depth understanding of all the phases of Software Development Life Cycle (SDLC), Software Testing Life Cycle (STLC) Quality Assurance standards and Testing Strategies.
• Experience in facilitating Joint Requirement Planning (JRP) sessions with business user groups, conducting Joint Application Development (JAD) sessions with it groups and conflict management with project team members.
• Extensively interacted with stakeholders, developers and business analysts.
• Competent in Creating Unified Modeling Language (UML) diagrams such as Use Case Diagrams, Activity Diagrams, Class Diagrams, navigational flows, UI specifications and Sequence Diagrams.
• Extensive experience in conducting Market Research, Feasibility Studies, Data Analysis, Data Mapping and Gap Analyses.
• Use of the Bug tracking tool Bugzilla, Jira and HP ALM to manage the Software testing process.
• Worked closely with users and business analysts, Project Managers, Developers to understand requirements, business processes for testing and attended regular walkthroughs.
• Experienced in writing test plan and test cases for applications for client/web by using different automation tool and manually.
• Experience in ETL (Extract, Transport and Load).
• Excellent knowledge system study of various Health Care and Insurance applications.
• Clear understanding of Medicare (Part A, Part B and Part D) and Medicaid benefits.
• Good organizational and communication skills, both verbal and written of HIPAA standards, EDI (Electronic data interchange).
• Strong Analytical and problem solving skills, along with proven interpersonal and customer relational skills.

TECHNICAL SKILLS:

Development Methodologies: Waterfall, Agile (SCRUM)

Business Modeling Tools: MS Visio, MS Office

Requirement Management Tools: Caliber RM

Operating Systems: Microsoft Windows Xp, Vista, Mac OS X

Databases: Oracle (8i), MS SQL Server, MS Access, MySQL

Utility Tools: MS Project, SQL, SharePoint, MS Office, MS Excel, Adobe Photoshop

Reporting Tools: SQL Server Reporting Services (SSRS)

Defect Tracking Tools: JIRA, HP ALM, BugZilla

PROFESSIONAL EXPERIENCE:

Confidential, New York, NY

Business Analyst

• Prepared and analyzed AS IS and TO BE (GAP Analysis) workflow scenarios.
• Designed new process flows and documented the business process and various business scenarios and activities of the business from the conceptual to procedural level and prepared Business Workflow models.
• Interviewed SMEs and Managers in Investment, Trading, Equity and Financial Analysts conducting JAD sessions.
• Conducted thorough questioning to understand and record the requirements as user stories and created visual models or wire-frames that can be reviewed and understood by both business and technical personnel.
• Primary Intermediary between the Subject Matter Experts such as Portfolio Managers and Relationship Managers to understand and identify the Business needs, Rules, Processes & Interface Specifications.
• Documented Business Overview and Business Requirement Document (BRD) using Agile Methodology.
• Created Use Case Scenarios and maintained the Textual Use Cases (Business User stories) and modeled Use Case Diagrams, Activity Diagrams, Sequence Diagrams and Business Flow Diagrams.
• Revised functional specifications and other core materials throughout the SDLC, making all necessary revisions for defect correction and requirement clarification /refinement.
• Performed GAP Analysis for the modules in production, conducted feasibility study and performed impact analysis for proposed enhancements.
• Collaborated with the QA team to perform UAT, develop the test plan, test conditions and test cases to be used in testing based on business requirements, technical specifications and/or product knowledge.

Environment: - Windows XP/2000, SQL, MS Office, MS Visio, Java/J2EE, HTML, XML, ASP, Win Runner, Load Runner, HP ALM

Confidential, Philadelphia, PA

Sr. Business analyst

• Performed Gap Analysis and created the 'as is' document and the 'to be' document for ICD-9 to ICD 10.
• Performed Impact Analysis on the system and identified the parties/individuals most affected by the proposed changes.
• Participated in ICD-9 to ICD 10 codes conversion requirement gathering sessions with business users, stakeholders, and clients to discuss the requirements.
• Facilitated joint application design (JAD) sessions with subject matter experts (SMEs) from various business areas and created the product backlog.
• Drafted the business requirements document (BRD), system requirements specifications (SRS), and the functional requirements document (FRD) for the new record tracking system.
• Performed process flow analysis on ICD 10 conversions.
• Created use case diagrams, activity diagrams, sequence diagrams in MS Visio, organized and led the Project Status and Task Review meetings.
• Effectively used the Traceability Matrix to trace the test cases and the features and requirements related to them using the HP ALM.
• Involved with the Testing Process from building test plans, executing them and following up.
• Created a custom mapping between ICD-9 and ICD-10 codes using General Equivalency Mappings (GEMs).
• Conducted UATs for the SMEs and Stakeholders.
• Assisted in documenting the System Manual and User Manual for the new application.

Environment: - Agile, Caliber RM, HP ALM, MS Office, GEMs

Confidential, Quincy, MA

Business Analyst

• Performed feasibility analysis to identify the new interface application for member application intake in the Medicaid platform and their integration with MMIS.
• Assisted in developing and outlining business requirements for the MMIS integration development based of the schema requirements of MMIS.
• Performed data mapping for the application intake file elements for MMIS to initiate the application process for the members applying through Medicaid.
• Assisted in developing new process for the complex PD (Program Determination) transactions as a change in functionality in the requirements and translating in to technical team.
• Developed new requirements with the business for the batch process jobs to transfer applicant data in batches to MMIS, translated the rules to the business for developing ICD documentations.
• Performed user training for both the vendor and UDT testing team on the business process, application rules for developing test cases and verified the test cases with the functionality of the system.
• Assisted in hosting network environments for MMIS application integration testing in DEV, QA, INT and PROD environments. Tested the traffic with the testing team to verify the connection with MMIS and other environments.
• Developed test cases and test scenarios for the tool UAT testing to cover the full functionality of the tool.
• Identified issues during testing and mitigated the problems by capturing the changes needed and translating to the development team using ALM tool and performed further retest for future releases.
• Supporting initiatives after 11/15 go-live by identifying production member issues, performing root cause analysis based on rules and mitigating with the customer service desk team
• Participated and analyzed reports for Medicaid member applications and captured critical member errors, reported to the member management team for resolution on a weekly basis.
• Communicated status of efforts to the team management and business partners on a regular basis to ensure that all stakeholders have accurate and current information throughout the process.

Environment - JIRA, Service desk, WebEx, Outlook, ALM