SUMMARY:

• IT professional with around 8 years of diverse experience in Project Coordination & Business Analysis in Healthcare, Finance and Insurance Industries.
• Expertise in Software Development Life Cycle (SDLC), Use Cases, Business Process Modeling Notation (BPMN), Object - oriented Analysis and Design, Rational Unified Process (RUP) and Rational tools used during all four phases of RUP: Inception, Elaboration, Construction, and Transition.
• Worked on Defined Contribution plans, 401(k), 403(b) AND 457(b), Roth IRA with strong knowledge of retirement plans and the business rules associated.
• Excellent understanding of Financial Instruments (Stocks, Corporate and Government Bonds, CDs, MBS, Derivatives) and regulatory and compliance reporting.
• Knowledge of Accounting Cycle, US GAAP, and familiarity with IFRS framework adopted by IASB.
• Experience in preparation of Deliverables, Business Requirement Documents (BRD), detailed Functional Specifications and Non-Functional Specifications, developing Use Cases and Test Cases
• Conducted GAP Analysis, SWOT Analysis, Cost Benefit Analysis, Risk Analysis, and Impact Analysis, modeling Businesses Processes, and prepared Training Manuals and Knowledge Transfer manuals.
• Expertise in creating Unified Modeling Language (UML) diagrams such as Use Case Diagrams, Activity Diagrams, Class Diagrams, Sequence Diagrams, as well as Data Flow Diagrams, Entity Relationship Diagrams, and Flow Charts using MS Visio and Rational Rose.
• Experience in working with QA Teams in defining the Test Plans and Test Cases, and conducting User Acceptance Testing.
• Functional experience in Claim life Cycle and Health Care Payer/Provider domain along with various line of health insurance system like PPO, HMO, POS and CHIP.
• In-depth knowledge of Medicaid and Medicare claims processing along with extensive knowledge on CMS, MITA, MMIS, Electronic Medical Health Record (EMR/EHR) and Pharmacy Benefit Management (PBM).
• Worked on healthcare standards such as HIPAA 4010, 5010, ICD-9 and ICD-10, HIX and EDI Transactions.
• Strong knowledge of Healthcare Reforms Patient Protection and Affordable Care Act (PPACA), Health Care and Education Reconciliation Act, Health Insurance Portability and Accountability Act, Patient Safety and Quality Improvement Act, Accountable Care Organization (ACO).
• Experience developing web-based applications, wireframes, mockups etc.
• Experience gathering business requirements for integration points including downstream/upstream interface requirements.
• Proficiency in business requirement gathering techniques, conducting JAD and RAD sessions and meetings.
• Excellent oral and written communication skills, interpersonal skills, and analytical skills.

TECHNICAL SKILLS:

Business Modeling Tools: Rational Rose, Rational Requisite Pro, MS Visio, MS Project

Defect Tracking Tools: ALM/Quality Center, Clear Quest

Testing Tools: Quick Test Pro, Win Runner, Load Runner, Quality Center, Silk Test, Silk Performer, Rational Clear Quest

Languages: C, C++, XML, Java, SQL, Visual Basic

Database: ORACLE, UDB, SQL Server, and Access 2000, Automation DB cleanup utility

Application Servers: IBM Web Sphere, BEA Web Logic and IIS

Operating Systems / Platforms: Windows XP/2000/2003/NT, Unix, Linux. Mainframes

Office Applications and other tools: MS Office, IRise Studio

PROFESSIONAL EXPERIENCE:

Confidential, Boston, MA

Sr. Business Analyst

Responsibilities:

• Interview business area experts asking detailed questions and carefully recording the requirements in a format that can be reviewed and understood by both business and technical people
• Creating input/output data requirements as well as authoring business rules of Defined Contribution (401-K / 403-B/457 B)
• Identifying and establishing retirement plan account identifiers for the Customer Profile
• Analyze Risks, documented Risk Logs and created Requirement Traceability Matrix (RTM) as a roadmap for the 'TO BE' system
• Performed GAP Analysis of business rules, business and system process flows, user administration, and requirements.
• Introduced and successfully demonstrated Object Oriented Analysis and Design (OOAD) techniques which included Domain Modeling.
• Developed SOAP based xml message interaction infrastructure, for order management.
• Evaluate technical requirements Created System Requirement Specifications (SRS), Systems Design Specifications (SDS) and System Information sheets to provide concrete inputs for the data mapping processes for Account Analysis, PayPlus & PAM systems, Signature Snippets Data Conversion
• Conducting JAD Sessions to resolve open issues, change requests so that the application meets the business requirements and dead lines
• Designed a module to rollover member refunds to qualified retirement plans such as 401(k), 403(b), IRA, Roth IRA, etc.
• Facilitating Acceptance Testing of the entire Pension Plan implementation by the Actuaries.
• Authored progress and completion reports which were then submitted to project management on a weekly basis in MS project.
• Been a part of Architecture and modeling team and have used SOA (Service Oriented Architecture)
• Worked in mainframe environment and used SQL to query various reporting databases.
• Interact and negotiate with Vendors to complete the tasks related to data conversion
• Was involved in the Test Plan document preparation.
• Responsible for creating UML modeling plans, Use cases, process flows, Wire Frames and business requirements documentation using Visio, CaliberRM and Star Team.
• Developed and designed the test cases for different modules of finance referring to the test plan document and analyzing the test rules.
• Identified, prioritized and designed various test scenarios.
• Used Quality Center/Test Director for requirement management, test planning, scheduling, executing test cases, managing and tracking defects.
• Extensive success in translating business requirements and user expectations into detailed specifications employing Unified Modeling Language (UML) in an SOA environment.
• Tracked the defects in legacy reports as per account managers and end users. Compared the results and tracked the differences in excel
• Customized the test scripts using check points, synchronization and parameterization of data.
• Automation of test scripts was done using QTP for test re-usability of different online transaction modules.
• Involved in converting User requirements into business requirements, functional and technical requirements using Rational Requisite Pro and also created business process models from the requirement specs

Environment: Windows XP/2000, Oracle, PL/SQL, SQL Server, SQL queries, MS-Project, MS-Office Suite, MS Visio, MS Visual Source Safe, Quality Center 7.6, Quick Test Pro (QTP)

Confidential, Alexandria, VA

Sr.Business System Analyst

Responsibilities:

• Used Requisite Pro for the Requirement Documents Preparation.
• Prepared Business Process Models that includes modeling of all the activities of the business from the conceptual to procedural level.
• Experience with all levels of SDLC including RUP and Agile methodology
• Involved writing SQL queries with lots of joins and set operations.
• Authored Business Requirements Document (BRD), Functional Specifications Document (FSD) and Software Requirement Specifications (SRS) and other required documents
• Coordinated bug fixing activities related to issues raised during end - User Acceptance Testing (UAT).
• Played a substantial role in the process definitions and business and functional requirements gathering, in an effort to develop a practical technology solution for automating sales methodology.
• Participated in process of preparing verification master plan to describe clearly and concisely the company's philosophy, expectations, and approach to be followed. Met with users to generate and review business test cases.
• Created Use Cases / Activity Diagrams / State Chart Diagrams, Sequence Diagrams, and Collaboration Diagrams thus defining the Data Process Model and Business Process Model.
• Competent in preparing Business requirement documents (BRD) and supported in preparing Systems requirement Documents (SRD), and Technical requirement Documents (TRD)
• Carried out queries from customer data base using SQL
• Wrote SQL queries to retrieve data from databases after data migration.
• Converted Business Requirements to the Functional Specification.
• Conducted JAD Sessions to develop an architectural solution that the application meets the business requirements, resolve open issues, and change requests. Implemented and monitored Individual Development Plans focusing on total performance, including both quality and productivity.
• Reported client readership statistics weekly to senior management and stakeholders using Microsoft Excel spreadsheets and graphs.
• Worked on billing functionality area for Claims, invoice and PRC (Payment request for commodity) processing.
• Monitored client expectations through client involvement and communication throughout the lifecycle of the project; educate clients and stakeholders on the benefits and risks associated with the project.
• Identified and evaluated new tools and processes that will have a benefit to the team.
• Worked with the Quality Management team to ensure that requirements documentation can be easily translated into test plans, and ensure that the proper testing plans have been completed.
• Helped communicate business priorities to the organization to effect business solutions.
• Coordinated testing for UAT Team.
• Created and maintained RIAD document to assist PM close basis while managing multiple projects.
• Involved in gathering clinical data and supported application development. Data includes patient's admission status, discharge details and transfers. Also tested claims and diagnosis reports of the patient.

Environment: RUP, MS Office, MS Visio, MS Outlook, ClearCase

Confidential, Chicago, IL

Business Analyst

Responsibilities:

• Analysed and understood the requirements in a Business needs and Technical specifications perspective by conducting User reviews and JAD sessions.
• Designed a module to rollover member refunds to qualified retirement plans such as 401(k), 403(b), IRA, Roth IRA, etc.
• Understood and articulated the Business requirements from the Business and then converted them into technical requirements.
• Held regular meetings with the product stakeholders, product owner, Project Manager, product architects, developers, Database architects, Quality Testers during the entire project to assure that critical as well as the minute details of the project were discussed and issues were resolved beforehand.
• Interacted with Data Modeler for Data Analysis, Data Relationships and for Integration.
• Worked closely with data warehousing team for the data integration on the Hansel and Pie systems.
• Worked closely with the User Interface team to model the Web Screens, which met User defined requirements and also company standards.
• Planned and defined system requirements to Wire Frames with Use Case, Use Case Scenario and Use Case Narrative using the UML (Unified Modeling Language) methodologies.
• Authored the product backlog for the complete project, derived User Stories for individual iterations, assigned tasks and allocated appropriate resources for completion and acceptance of individual stories
• Created the Project based Traceability Matrix for the GLTC Illustration Management system.
• Conducted training sessions for Developers and QA team to explain the development of the system.
• Conducted User Acceptance Testing (UAT) and collaborated with the Quality Testing Team to develop and review test plans, test scenarios, test cases and test data to be used for both Manual and Automation testing based on the requirements from the Business and product knowledge.
• Used MS Project to schedule and track the process to meet the deadline of the releases.

Environment: SQL Server 2005, Visual Studio 2005, Agile Methodology, VB, Rational Requisite Pro, Rational ClearQuest, MS Office Suite, MS-Project, Windows XP.

Confidential, Phoenix, AZ

Business Analyst

Responsibilities:

• Gathered requirements from business users and analyzed them using Rational RequisitePro.
• Prepared and analysed AS IS and TO BE in the existing architecture and performed Gap Analysis.
• Tested validity and integrity of the calculation engines for Deferred Annuities, Past Services Pension adjustments.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, Data Flow Diagrams, and Object-oriented Design (OOD) using Rational Rose according to the UML methodology.
• Managed the retirement of IWT strategy and execution project.
• Part of the team working to consolidate their employee’s retirement benefits package.
• Developed use cases/diagrams, conceptual model, behavior diagrams (sequence, collaboration, state chart, Activity), using MS Visio.
• Sketched diagrams of proposed and existing systems using Visio.
• Proficient in Data modeling and mapping ER diagrams and hands on experience with ERWin data modeler
• Implemented the entire RUP Methodology of application development with its various workflows, artifacts, and activities.
• Created Artifacts and defined Milestones and iteration plan for Inception and Elaboration phases.
• Acted as a liaison between business users and system development team during development process.
• Implemented a suitable Change Management process and supported the existing banking solution upgrade by coordinating multiple projects.
• Designed the process flow diagrams for flow of information and report creation process.
• Prepared test Data sets and performed data testing using the PL/SQL scripts. Also used MS excel for data mining, data cleansing, data mapping, and data dictionary and data analysis.
• Used MS Project to manage schedules, deadlines and resources and collaborate on the project.
• Conducted interviews with clients for the purpose of gathering product requirements and understanding the client workflow
• Gained thorough understanding of Cash Management, Liquidity Positions and Liquidity Ratios.
• Worked with the Quality Assurance team to create Test Plan and Test Cases and conduct unit, integration, and system testing.
• Tracked changes using Rational ClearQuest.
• Assisted QA lead in developing quality procedures, and ensuring that appropriate documentation is in place.
• Conducted User Acceptance Testing (UAT).
• Participated in developing of Training Materials for the new technology and User Training.
• Worked effectively with Project Manager in handling the whole project.

Environment: Mainframes, JCL, Db2, Oracle, Rose, Crystal Report, MS Word, MS Excel, MS Visio, SDLC, RUP, UML, UAT.