SUMMARY:

• 8+ years of diverse experience as a Business Analyst in various domains like Banking, Finance, Mortgage and HealthCare with the aptitude to work independently and in teams to meet business deliverables with a result oriented approach.
• Extensively worked on projects using COBOL, JCL, CICS, DB2, VSAM, MVS, MQ, SQL, core JAVA, Exstream Dialogue, UNIX, Oracle, Eztrieve and VSAM.
• Comprehensive knowledge in Analysis of Banking, Capital Markets, Asset Management, Wealth Management, Risk Management, Control Management, Financial Statements, Financing Structures, Derivatives, Portfolio Analysis and Budgeting.
• Worked on Fixed Income, Equities, Derivatives, Options, Futures and OTC market.
• Good exposure to Risk Management functions like Product Control, Financial Control, Market Risk, Credit Risk, and Front Office.
• Worked in projects involving various regulatory requirements including Dodd - Frank Act (DFA).
• Good Knowledge of HIPAA Compliance, HIPAA Insurance Regulations and Claims.
• Good experience on Online Banking, Retail Banking, E-Commerce, Online Transaction Processing and Electronic Fund Transfer.
• Strong knowledge of Software Development Life Cycle (SDLC) models (Agile, SCRUM, Waterfall, Rapid Prototyping, and Spiral Model)
• Effectively interacted with customers and Subject Matter Experts (SME) to gather and document business requirements across multiple business process areas.
• Strong experience in coordinating Joint Application Development (JAD) sessions and interviews.
• Extensive experience in documenting Vision and Scope Document (VSD), Business Requirement Documents (BRD), Functional Requirement Specifications (FRS), User Manuals, and Unified Modeling Language (UML) diagrams (Use Case, Use Case Stories, and Diagrams, Activity Diagrams, and Sequence Diagrams), and validation of requirements.
• Broad experience on Business Process Model and Notation (BPMN); creating Business Process Diagrams (BPD) based on flowcharting techniques.
• Exceptional Analytical skills to understand the business process and functionality, requirements and translate them to system requirement specifications.
• Expert in using Microsoft Office applications for day-to-day activities - Microsoft Word for documentation, Microsoft PowerPoint for presentation, Microsoft Visio for drawing flow diagrams, Microsoft Excel for data presentation and Microsoft Project for prioritizing and managing individual tasks.
• Encoded HEDIS 2004, 2005 Medicaid utilization rates for New Hampshire claims data using SAS,R,PL/SQL.
• Excellent understanding of Data Models and Information Architecture and sound skills in SQL.
• Hands-on experience on using IBM Rational Software integrated tools like Requisite Pro and DOORS for managing and documenting the requirements, and Rational Rose for designing UML diagrams.
• Excellent experiences in performing RTM Test Matrix, GAP analysis and SWOT analysis to check the compatibility of the existing system infrastructure with new business requirements.
• Experienced in preparing and documenting User Acceptance Test (UAT) plan and obtaining the necessary signoffs from the concerned business units.

TECHNICAL SKILLS:

Methodologies: Agile, Waterfall, UML, SDLC, SCRUM, RAD, JAD

Database/Languages: MS Access, Oracle, Structured Query Language (SQL)

Tools: Microsoft VISIO, CRM, Axure, VisualBasic, I-rise, MS Project

MS Office: Access, Word, Excel, PowerPoint, SharePoint

Operating System: Windows 95/98/2000/XP/Vista/2007

PROFESSIONAL EXPERIENCE:

Confidential

Business Analyst, Sacramento, CA

Responsibilities:

• Requisite Pro for the Requirement Documents Preparation and Prepared Business Process Models that includes modeling of all the activities of the business from the conceptual to procedural level. Followed top down, leveled technique for building Business Process Models.
• Worked on HIPAA EDI transactions such as 835(medical claim payments), 837(medical claims), 276(claim status), 277(claim status response), 278(Health care service review information), 270(eligibility inquiry), 271 (eligibility response).
• Performing Impact analysis for readiness of ICD-10 conversion.
• Produced Gap Analysis documents for HIPAA 5010 and ICD-10.
• Improved the new revenue cycle management and Electronic Medical Record (EMR) for PARTNERS.
• Strong Experience in Claims Processing and Claims Scrubbing in HMO,PPO, Medicaid and Medicare
• Extensive experience in configuring data mapping of files using Edifices Spec builder.
• Identified gaps and performed gap analysis with respect to CMS requirements.
• Performed Unit Testing and User Acceptance testing and documented detailed results. Provided input (scope, goals, risks, constraints, timelines and interfaces) to PM for project planning and control.
• Created Use Cases / Activity Diagrams / State Chart Diagrams, Sequence Diagrams, and Collaboration Diagrams thus defining the Data Process Model and Business Process Model.
• Met with various HMO, PPO, Medicaid/Medicare Representatives discussing benefits of contracts on behalf of facilities or appeals from denials and compliance issues.
• Re-architected the back-end ETL process supporting the Call Center reporting data warehouse using Microsoft SQL-Server, t-SQL, and SSIS.
• Worked in mainframe environment and used SQL to query various reporting databases.
• Used SDLC (System Development Life Cycle) methodologies like the RUP and the waterfall.
• Acted as User Acceptance Testing coordinator and monitored business testing and interfaced with the development team regarding defect status and fixes on a daily basis.

Environment: HIPAA X12 5010, RUP Methodology, Rational RequisitePro, MS Visio 2003/Rational Rose, Rational Clear Case, Rational Clear Quest, SQL Server, SDLC

Confidential

Sr. Business Analyst, Sacramento, CA

Responsibilities:

• Conducted interviews, live meetings and JAD sessions with business users and Subject Matter Experts (SME’s) to understand the As-Is system and gather requirements for the To-Be system.
• Analyzed the pre-existing documents to have a better understanding of the present system.
• Incorporated Rational Unified Process (RUP) and analyzed User Business Requirement Document (BRD), Technical Requirement Specification and Functional Requirement Specification (FRS) using Requisite Pro, Rational Rose and MS Visio.
• Did Presentations for Stakeholders explaining the gaps in the system and how the changes would affect different modules w.r.t. Medicare.
• Performed Gap analysis to understand the best way of incorporating the changes in the system with respect to POS.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams and End to End Scenarios using UML.
• Organized daily scrum calls to keep the team on track and the stakeholders updated.
• Worked on changes regarding new CMS directives and proposed changes to be made in the current system.
• Worked with Source system Subject Matter Experts (SMEs) to ensure that the extracts are properly mapped.
• Tracked and maintained Stakeholder requested enhancements and changes using Requirement Traceability Matrix (RTM).
• Integrated Requisite Pro with Rational Rose to provide all teams visibility and maintain tractability among requirements, use cases and change requests.
• Assisted in writing test case scenarios for regression testing and end-to-end testing.
• Involved with Medicaid claims testing.
• Assisted with user testing of systems and maintained quality procedures and ensured appropriate documentation is in place.
• Assist end users and IT staff in the use of data to satisfy informational and reporting requirements and implementing and using SQL and DBMS.

Environment: SQL Server, Windows XP, Rational Rose, Rational Requisite Pro, Clear Case, Clear Quest, UML, Rational Suite, MS Visio, MS Project, MS Office (MS Word, MS Excel, MS PowerPoint)

Confidential

Business Analyst, Lincoln, RI

Responsibilities:

• Elicited and gathered user and business requirements through open ended discussions, brainstorming and prototyping.
• Utilized Rational Unified Process (RUP) to configure and develop process, standards and procedures.
• Performed GAP analysis to compare the existing system with the proposed system and documented new requirements and features.
• Developed Business Requirement Document and Use Cases Specification/Document for various Use Cases.
• Responsible for converting the business requirements into functional and non-Functional requirements.
• Conducted JAD sessions for communicating with the all Project directors and stakeholders and created process Workflows, Functional Specifications and project initiation artifacts.
• Scheduled meetings with developers, System Analysts and testers to collaborate resource allocation and project completion.
• Created and managed project templates, use case templates, requirement types and tractability matrix in Requisite Pro.
• Worked on Client/Server tools like SQL Server Management Studio to administer SQL Server.
• Identified Use Cases from the requirements. Created Use Cases Diagrams, Activity Diagrams/State Chart Diagrams, and Sequence Diagrams, based on UML Methodology using Rational Rose and MS Visio.
• Monitor version control and defect tracking activities using Rational Clear Case and Rational Clear Quest.
• Created Mock-up forms in HTML for better visualization and understanding of the software solution.
• Assisted quality assurance team in testing different releases and in designing test plans and test cases. Performed User Acceptance Testing (UAT).

Environment: Windows, Oracle 9i, SQL, Microsoft Office suite, Rational Clear Quest, Rational Requisite Pro, DOORS, Test Director, MS Visio, Rational Unified Process (RUP), UML.

Confidential

Business Analyst, Richmond, VA

Responsibilities:

• Identified and validated high potential business opportunities for stakeholders and developed customized business strategies that are aligned with corporate strategic objectives.
• Provided analysis, understanding and business perspectives on many financial and operational issues.
• Used Rational Unified Process (RUP) for streamlining the team’s development activities.
• Gathered Business Requirements, analyzed data/workflows, and defined the scope, financial projections and Cost/Benefit analysis.
• Performed complex analysis of the business requirements from the end user and used UML diagrams to convert them to System Specification Requirements.
• Performed requirements gathering, design analysis, requirements management, business modeling and validation.
• As a liaison between the developers and management, was instrumental in resolving conflicts between stakeholders and technical development teams.
• Gathered Business Requirements, analyzed data/workflows. Defined the scope, financial projections and Cost/benefit analysis. Progressed from Problem Statement to well-documented Designs.
• Actively involved in validating the requirements and applying the RUP framework throughout the SDLC.
• Defined and performed the Test strategies and associated scripts for the verification and validation of all defined business requirements and associated functionality.
• Assisted in defining and designing the systems application prototype and mock ups.
• Reviewed and analyzed the Use cases and came up with System design and Test plan Templates.
• Created business process workflow diagrams (Activity diagrams) using MS Visio.
• Involved UI, requirement and data modeling sessions and developed DFD Diagrams and Followed the UML based methods using I-rise to create: Use Cases, Activity Diagrams/State Chart Diagrams, Sequence Diagrams, and Collaboration Diagrams.
• Prepared Business Process Models that includes modeling of all the activities of business from conceptual to procedural level.

Environment: RUP, UML, Access, Word, PowerPoint, Excel, MS-Visio, Visual Basic, SQL, Visio, XP, Use Cases