PROFESSIONAL SUMMARY:

• 7+ years experience in business analysis and In - depth knowledge of full Software Development life cycle experience including requirements, analysis, design, development and testing with different methodologies such as RUP, waterfall, agile methodologies.
• Analytical, enthusiastic and innovative business system analyst with information technology experience in Health Care domain, financial and marketing domain.
• Act as a liaison between stake holders business users and technical teams to clarify any questions on requirements.
• Extensive experience in creating Business Requirement Document, Functional requirement document by interviewing stakeholders, end users, and SMEs to gather business requirements.
• Heavily involved in brainstorming sessions, GAP analysis, Root Cause Analysis, Risk Analysis, walkthroughs, meetings, and JAD sessions with all stakeholders in the project.
• Specialized in creating UML Diagrams like Use Case, Activity and data flow diagrams using Rational Rose and MS-Visio and consistently translate business requirement into IT solutions.
• Strong understanding of Facets and Facets Data Model working on data model and data extracts.
• Experienced working in Facets online modules such as Billing, Provider, Claims and Membership modules.
• Involved in creating test plan for the QA team, managed system integration testing.
• Worked in close co-ordination with the software testing team in developing test plan and test cases from functional and business requirements for Quality Assurance and User Acceptance Testing.
• Extensive knowledge of reporting tools such as SQL and ACCESS for underlying database tables and resolve data issues. Expertise in RDBMS concepts and running SQL queries.
• Have experience in healthcare industry in working with various modules, which include claims processing using EDI X12 transactions like 837, 834, 835, 270/271, 276, 277 that fall under the HIPAA compliance.
• Used test management tools such as Quality Center to link requirements and tests; execute tests and report/monitor bugs until completion.
• Knowledge of European data format files.
• Creating Functional and User Acceptance Test Plans, Test Strategies Test Cases, and Test Scenarios to measure requirements.
• Proficient at adapting quickly to changing work environments with a strong desire to learn new technologies, tools and applications.
• Conducted Smoke testing, Functional testing, Regression testing, Integration testing, and User Acceptance Testing (UAT) and Data validation testing.
• Hands on experience in shell scripting to populate the data into the tables.

TECHNICAL SKILLS:

Languages: C, Java, SQL

Markup Languages: HTML

Databases: Oracle, SQL Server, Teradata

Operating Systems: Windows XP/NT/98/95/2000, UnixRequirement Management Tools ALM,JIRA

Defect Tracking Tools: Rational Clear Quest

Business Modeling Tools: MS Visio, Rational Rose

Business Analysis Methodologies: Agile, water fall

Testing Tools: ALM

Applications Programs: MS Office, MS Project

Protocols: TCP/IP, FTP, HTTP

PROFESSIONAL EXPERIENCE:

Confidential, Jacksonville, FL

Business System Analyst

Responsibilities:

• Involved in interviewing business users, SMEs, end users and gathering requirements, reviewing and then documenting them in a standard template.
• Worked on preparing mapping documents between source and target systems.
• Prepared the mapping documents capturing the rules for the source and the target systems.
• Created the BRD (Business Requirement Document) and then wrote the Functional specifications based on the high level requirements which were documented into the FRD (Functional Requirement Document).
• Worked with the Tableau developers and explained the requirements on how errors should be displayed to the users.
• Worked on FACET modules such as pricing, payer, eligibility under claims processing system.
• Participated in all phases including Analysis, Design, Coding, Testing and Documentation.
• Gathered Requirements and performed Business Analysis.
• Design documentation and its delivery management.
• Performed and documented Gap Analysis to determine deltas between existing and proposed systems.
• Gathering requirements and preparing functional documents for Facets .
• Worked with the business/functional unit to assist in the development, documentation, and analysis of functional and technical requirements within FACETS.
• Worked on wire approvals and follow up of the project implementation.
• Led the development of solutions and recommendations for business requirements, business rules.
• Maintained the requirement traceability matrix.
• Involved in gap and feasibility analysis for the design and architecture of the new application.
• Worked with FACETS Team for HIPAA Claims Validation and Verification Process.
• Worked on the following list of HIPAA-EDI Transaction Code sets: ( 834, 270/271, 276/277).
• I was responsible for providing answers to any data mapping related questions or clarification needed from the Design and / or Test teams.
• Extensively used Visio to document the work flows.
• Participated in model reviews to ensure understanding of the data model and how to manage the mapping document(s).
• Worked on creating user stories and worked with product owner in tasking out the stories.
• I was responsible for providing answers to any data mapping related questions or clarification needed from the Design and / or Test teams.
• Extensively used Visio to document the work flows.
• Participated in model reviews to ensure understanding of the data model and how to manage the mapping document(s).
• Reviewed the mapping documents with the systems involved like CIP, Diamond and SIEBEL.
• Also was involved in creating Project timeline, Team timeline, Team org chart, Process flow diagrams, Task lists etc.

Environment: MS Visio, MS Office Suite (Word, Excel, Power Point) SharePoint, Informatica, Tableau, MS SQL, Agile,XML.

Confidential, Tampa

Business System Analyst

Responsibilities:

• Managed Agile project burn-down, created the user stories, facilitated sponsor review presentations and Agile Initiative Planning Meetings.
• Performed mapping of multiple data sources to migrate data from legacy sources.
• Interpreted business needs by gathering, analyzing, documenting and validating business area user and technical requirement.
• Support the Business Configuration Team BCT for creation of FACETS Group, Subgroup and class for Individual HMO On/ Off Exchange and Individual PPO On/Off Exchange for HCR in Facets Front end.
• Worked on developing the business requirement and use cases for FACETS batch process, automating the billing entities and commission process.
• The current Encounters process was complex, expensive and prone to errors so reengineering of E2E Encounters was an integral issue. This was necessary to ensure that Encounters can be accurately reported in a timely manner without requiring “heroic” day-to-day efforts.
• Worked to improve validity of data in the Encounters repository, data that is found to be erroneous during the adjudication process which will never make it to the Encounters repository.
• HIPAA ConversionAnalysis Involved in the documentation of HIPAA5010changes to EDI 837, 834, 835, 276, 277 Transactions.
• Gathered requirements from Claims Business Area for the Auto Term project. Prepared Process Flows and Diagrams for the manual to automated conversion Project.
• Organized meetings and led JAD sessions to ensure legal and compliance deadlines of CMS (Centers for Medicare and Medicaid Services) are met.
• HIPAA ConversionAnalysis Involved in the documentation of HIPAA5010changes to EDI 837, 834, 835, 276, 277 Transactions.
• Analyze 837I, 837P and 837D compliance, 837 DB2 Repository, and flow of X12 and proprietary data.
• Worked on transition, performing Gap Analysis.
• Worked as a translator to elicit, analyze, validate and document Business, Organizational and operational requirements.
• Involved in Eliciting requirements for new line of business (Ohio, NY and Hawaii )
• Analyze the existing issue and prepare an estimation of the task based on the effort needed for this process
• Identify the Confidential code/logic responsible for issue and determine the root cause.
• Prepare high level change details to be implemented for issue correction determine if the proposed logic is going to be new or updates to existing components.
• Identifying the component impacting the process change, determined whether the solution is generic across all the states or state specific.
• Based on the type of requirement, determined the appropriate requirement document template to address the solutions like I prepared BRD in case of long term or effort intensive solution, Prepared Spring BRD in case of short term/ Emergency fix and if any changes to BRD(approved) then I implemented it as a PCR
• Worked extensively on PL/SQL Developer for analyzing the expected results to the current results.

ENVIRONMENT: UML, MS Visio, MS Project, Ms Office, C++, Java, SQL, RDBMS, XML, Microstrategy

Confidential, Atlanta

Business System Analyst

Responsibilities:

• Based on the business requirements and conceptual data model created, As a BSA I was responsible for initial creation of a data mapping document. I worked with Business SME to create the initial data mapping.
• After the Creation of Data Mapping Documents It was later updated by Data Architect to update more technical details.
• StudiedOracle11i data elements and provide a mapping from the existing legacy system
• I was responsible for the initial creation of data mapping document working with the Data Architect
• I was responsible for providing answers to any data mapping related questions or clarification needed from the Design and / or Test teams.
• Used the data dictionary to ensure all data element-level requirements are accounted for and insure that the definitions match those that were accepted and signed off by business.
• Manually performed UAT by writing numerous SQL test cases and executing them to validate the results.
• Used SQL to validate data stored and retrieved in the database.
• Wrote complex SQL queries to perform the backend testing of the database.
• Created and added tables to the SQL database when required.
• Worked with business SMEs and other planners to assess current capabilities and identify high-level customer requirements.
• Participated in model reviews to ensure understanding of the data model and how to manage the mapping document(s).
• Facilitated and Lead Mapping Meetings to insure completion of data mapping document(s).
• Translated business need and source system data to the physical model to manage the mapping document(s).
• Possessed and delivered ability to decipher and pull put relevant / key information from business subject matter experts to complete data mapping document(s).

ENVIRONMENT: SQL, MS Visio, MS Office Suite, Informatica, Teradata SQL Share Point, HTML, Oracle and Windows NT, Visio, Requisite Pro

Confidential, Horsham, PA

Business Analyst

Responsibilities:

• Analyzed AS-IS and TO-BE scenarios while performing GAP analysis, designed new process flows and documented the business processes to identify the gaps in the existing system. Performed Root cause Analysis to identify areas of problems.
• Involved in interviewing business users, SMEs, end users and gathering requirements, reviewing and then documenting them in a standard template.
• Created the BRD (Business Requirement Document) and then wrote the Functional specifications based on the high level requirements which were documented into the FRD (Functional Requirement Document) to help the developers better visualize the planned enhancements.
• Created Use Cases, Use case diagrams, Activity Diagrams to help IT and QA get a better understanding of the application.
• Created documents that incorporated both the technical and functional details.
• Involved in standardizing the documents to meet the HIPAA Compliance Standards.
• Involved in bi-weekly workgroup sessions to complete various sections in the functional specification document like Business Rules Definitions, Processing Rules, Pre-Edit Errors, etc. and weekly status meetings for updates.
• Involved in manually testing the application from the backend to carry out data validation.
• Extensively used SQL queries and PL/SQL statements for Data Validation and to check data integrity.
• Attended Joint Application Mapping (JAM) Sessions with my team to map the business needs.
• Maintained open and clear communication with the team on change requests.
• Co-authored and reviewed Operational Guidance Documents along with Design Documents and Deployment Plan Documents.
• Set-up, co-ordinate & conduct system & UAT testing.
• Provided assistance in other concurrent projects, especially in Regression Testing, in order for the team to gain time, before the clients could proceed to the system’s User Acceptance Testing (UAT)
• Created UI Documents as supporting documents for the Business Requirements Documents.
• Involved in Data Flow/Business Process Diagrams to illustrate the flow, input and output of data.

Confidential

Business Analyst

Responsibilities:

• Responsible for defining the scope and business rules of the project, gathering business requirements, and document them textually or using models.
• Interacted with cross-functional teams to facilitate gathering of business requirements.
• Responsible for writing Functional Requirement Specifications (FRS) and User Requirement Specification (URS).
• Analyzed Business Requirements, performed gap analysis and segregated them into high level and low level Use Cases, Activity Diagrams/State Chart Diagrams and Robustness Diagram using Rational Rose.
• Handling DB2 SQL query as per the requirement
• Involved in designing new DB2 tables that held new client data.
• Involved in Change Management Configuration using Rational Clear-Quest.
• Worked with the Business Users through interviews and (Joint Application Development) JAD sessions.
• Performed UAT testing of the requirements. Testing for checking the data flow of the application using SQL.