SUMMARY:

• 8 years of Industry experience as a Business Systems Analyst with proven expertise in Gathering Business Requirements, Business Rules and systems, Business Process Mapping, Translating requirements into Use Cases, QA test cases & scripts, Specifications and Application Design.
• Experience in writing BRD, FRD, SRS, Scope documents, Consumer Documents, and Mapping documents etc.
• 4+ years of manual testing experience.
• Heavy experience in supporting the design and testing of IT applications supporting the business processes of HealthCare, Hospital Management, Mortgage Lending, Core Financial Banking, Credit & Liquidity Risk Management, Treasury Management, Risk Assumptions, understanding of Retail, Sales, customer services and Pharmaceutical.
• Excellent hands - on exposure to SDLC lifecycle methodology involving Waterfall, RUP, Agile Scrum & Sprint techniques and thorough understanding of Application Life Cycle Management (ALM).
• Excellent Software Quality Assurance (SQA) Life Cycle experience involving authoring of Test Plans, Test Scripts, Test Cases, Test Data Conditioning, Build Management, QA Documentation, Defect Triage Meetings, Defect Status reports, on-site - Off Shore Coordination etc.
• Experience in desktop and mobile manual testing and creating Test Plans, deconstructing requirements into Test Cases, Test Scenarios etc.
• Extensive experience in creating UI Designs/wireframes and prototypes using tools like Adobe Dreamweaver, Fireworks, Visio, and Axure designing Test cases, Wireframes, Workflow diagrams etc.
• Excellent understanding and exposure to Code Build Validation, Verification & Deployment, Test Environment Setup, Change & Release Management, Code Freeze, Test Data Conditioning etc.
• Expertise in preparing Test Artifacts, Test plans, Test Cases, Test Scenarios, Requirement & Test Traceability Matrices, Use Cases, Test Reports and Release Workbooks for CIT (Component Integrated Testing), SIT (System Integrated testing) and UAT phases.
• Involved in End-to-End Testing Life Cycles and extensively involved in important phases like Integration Testing, Progression Testing, Performance Testing, Negative testing, Black Box testing, White Box testing, GUI Testing, Smoke Testing, Build Verification, Regression Testing, Migration & UAT testing.
• Experience in various Line of business PPO, HMO, Medicare and Medicaid (CMS), claims and claims processing. Good Mixture of experience in Provider, Payer, PBM and CMS.
• Deep knowledge of Medicare- Medicaid Rules, NCPDP, HIPAA,ICD-9/ICD-10 codes, CPT, HCPCS, EMR, EHR,PHR, HL7, X12, HITECH, and EDI transactions.

TECHNICAL SKILLS:

Platforms: Android, iOS, Unix/Linux, Windows, Mac OS X

Development Methodologies: AGILE, Waterfall

Data Management Tools: TOAD, Compass, IDQ (Informatica Data Quality)

Databases: MS-Access, MySQL, Oracle

Languages: HTML5, CSS3, XML, XSD

Requirement Management Tools: Rational Requisite Pro, Confluence, HPQC

Project Management: MS Office Suite

Bug Tracking tools: Clear quest, JIRA, Bugzilla, HPQC

UI Design Tools: Adobe Dreamweaver, Fireworks, Visio, Axure 6.5 & 7

Browsers: IE, Chrome, Firefox, Safari

Data Analysis/Reporting Tools: Tableau, Google Analytic, OBIEE, Collibra, XML Spy

PROFESSIONAL EXPERIENCE:

Confidential, CA

Lead Systems Analyst

Responsibilities:

• Performs analysis for accuracy, completeness, and testing of reporting solutions.
• Manage reporting data, and define data load requirements, logical mapping, SLAs.
• Troubleshoot incidents surrounding supported solutions.
• Prepare complete, accurate and well written specifications, designs, test plans, and operations documentation

Sr. Business System Analyst

Responsibilities:

• Evaluate and analyze information to support projects.
• Develop and document business requirements/solutions solve problems and issues related to business operations.
• Drive business team members to define business needs through utilization of effective elicitation techniques.
• Evaluates data gathered from multiple sources, reconciles differences, and ensures consistent approaches, data interpretation, and results measurements are employed; develops quality assurance program.
• Responsible for effective communication to all business partners and users to ensure that critical strategic decisions are vetted and well thought out prior to implementation.
• Responsible for ensuring that project's dependencies are clearly defined and appropriately communicated in terms of time required to complete.
• Primary liaison with business partners, development team, and technology. Acts as the "Subject Matter Expert" (SME) and provides business knowledge as needed.
• Conducts impact and risk assessments and gap analysis of to compare as-is with the to-be business processes, perform analysis and offer solution recommendations.
• Develops wireframes, mock-ups, process flows, and etc. to display the visualization of front-end user designs and business processes.
• Creates different artifacts such as business requirements, data mapping documents, traceability matrix and Meta data documents.
• Support development, quality assurance and UAT and become a mediator among the teams.

Sr. Business Analyst/ Jr. Project Manager/ Manual tester

Responsibilities:

• Support the development of internal workflow of new and revised procedures and product designs, including the user interface aspect and the development of rules-based analysis for new and existing products.
• Interacting with business partners and the technical team to elicit, interview, capture, analyze, and document business processes and detailed requirements.
• Conducting JAD sessions, brainstorming sessions, workshops, and direct client interviews to gather requirements.
• Creating BRD, FRD, and Rules Documents. (Working in an Agile iterative environment)
• Write new and maintain functional specifications and creating workflows using a combination of wireframe tools such as Axure, Visio, and Word.
• Working with PII, PHI data and Clinical data. (Lab applications, Physical Report generation, Mammography reports etc.)
• Worked on data base cleaning, data mapping from PICK to EPMS.
• Participate in UI/Application design meetings to validate functional requirements.
• Function as a product owner and drive solutions as per business needs to meet end user needs.
• Analyze utilization data using SQL and Excel and creating reports based on patient and physician data.
• Developing the UAT Plan, and coordinating UAT testing, communicating the UAT feedback with the QA and the Development team.
• Project planning, making sure the project is reaching the milestones within the estimated budget as per the plan. Reporting to the senior project manager about the status of project, discussing the problems facing in completion. Working in such, a way that it gets completes in minimum cost/ within the estimated budget.
• Performed Functional, Negative, Positive, Integration, Regression, End to End and User Acceptance Testing for mobile and desktop applications.
• Creating Test Planning, Test Cases Design, Test Environment Setup, Test Data Setup, Defect Management, Test log, Test results, Test Traceability Matrix and Test Metrics.

Sr. Business System Analyst

Responsibilities:

• Conducted weekly meetings for deciding the Policies and Procedures to be followed while constructing new sites.
• Assisted JAD sessions to identify the business flows and determine whether any current or proposed systems are impacted by the EDI X12 Transaction, Code set and Identifier aspects of HIPAA.
• Conducted JAD sessions, brainstorming sessions, workshops and direct end client interviews to gather requirements.
• Developed plan for data feeds and data mappings for integration between various systems, including XML, to follow ICD 10 Code set and ANSI X12 5010 formats.
• Conducted Gap Analysis assessment, and Gathered User Requirements by Interviews, user meeting, JAD session, and Requirement Elicitation Sessions.
• Applied Healthcare Reform Rules and regulations to the order Enrollment, Re-enrollment processes.
• Utilized corporation developed Agile SDLC methodology. Used Scrum Work Pro and Microsoft Office software to perform required job functions.
• Involved in analyzing activities for a variety of major projects including Medicare Plan part D, Coordination of Benefits, New Client Implementations, Consumer driven and regularly scheduled system upgrades.
• Extensively interacted with the stakeholders and the IT Department in finalizing the requirements according to the CMS Compliances/Regulations and HIPAA Regulations.
• Assisted to develop the Test Plan, Test Cases and Test Scenarios to be used in testing based on Business Requirements, technical specifications and/or product knowledge.
• Prepared graphical depictions of Use Cases, Use Case Diagrams, State Diagrams, Activity Diagrams, Sequence Diagrams, flow charts and Business Process Diagrams to visually represent the systems.
• Experience in working with NCPDP Transactions, Title 21 CFR Part11 related to eSignatures.
• Experience in working Compliance related projects such as NPI/DEA and eSignature. Worked on the workflow of Drug dispensing, Drug verification and EMR- EHR verification through mobile apps and other devices.
• Experience in Project Management and Reengineering Processes; Creating and enhancing BA assignment; and participating for audit controls to give feedback on BRD/SRS templates.
• Training end users; Demonstrating Web Portals to the end client etc.

Sr. Business Analyst

Responsibilities:

• Worked with the business users and with different levels of management to identify requirements, use cases and to develop functional specifications. Used the Agile methodology for software development
• Developed UML Use-Cases and Use-Case diagrams after assessing the status and scope of the project and understanding the business processes using Rational Rose
• Integrated Requisite Pro with Rational Rose to provide all teams visibility and maintain traceability matrix among requirements, use cases and change requests
• Managed all the requirements effectively and made them available to all team members, Web portal assessment and feedback.
• Authored Data Flow diagrams, Sequence diagrams and Business models.
• Created wireframes, UI designing.
• Created requirements analysis and design phase artifacts using Requisite Pro, activity diagrams and Sequential diagrams
• Created Business Requirements Document, Functional Requirements Document and System Specification documents
• Generated and maintained design documents, wireframes, Business Process documents, flow charts, etc.
• Supported User Acceptance testing (UAT) and collaborated with the QA team to develop test plans, test scenarios, test cases and test data to be used in testing, based on business requirements, technical specifications and/or product knowledge.
• Prepared and presented findings using MS Office Suite (Word, Excel, PowerPoint, and MS Access)
• Interacting with the developers to report and correct bugs.
• Prepared detailed reports of the Bugs, defect report, Comparison Chart.
• Interacted diligently with client and management teams to understand the requirements and report the status of the testing efforts on their applications
• Interacted efficiently with designers and software developers to understand application functionality and navigational flow and keep them updated about business user’s specifications
• Streamlined processes and reported technical problems to the development teams
• Assisted Post-Implementation team, to support any unpredictable system failures.