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Edi Business Analyst Resume

Chicago, IL

SUMMARY:

  • A certified PSM with Over 8 Years of experience in Business Analysis and Quality Assurance, with diversified experience in Insurance,Health care, Digital Marketing, Ecommerce and IT Industries.
  • Comprehensive experience in business requirement analysis, development of Business Requirement Documents (BRD), Functional Requirement documents (FRD) and project planning.
  • Strong business analysis skills and possesses in depth knowledge of the Software Development Life Cycle (SDLC)
  • Experienced working with Agile/Waterfall and Scrum methodologies.
  • Competent in creating Unified Modeling Language (UML) diagrams such as Use Case Diagrams, Activity Diagrams, Class Diagrams and Sequence Diagrams.
  • Extensive experience in developing Use Cases, creating Screen Mock - ups, conducting Gap Analysis, Impact Analysis, SWOT analysis.
  • Solid experience in documentation of User Requirements, as well as organizing interviews, User meetings, workshops, JAD sessions and requirement elicitation sessions.
  • Ability to proactively identify and recommend improvements to existing processes.
  • Team player with excellent prioritizing, organizing, time management, and verbal/written communication skills.
  • Possess strong analytical and problem solving skills with the ability to adapt to a new environment and meet stringent deadlines.
  • Knowledge on Site core CMS.
  • Have experience in python scripting.
  • Ability to work independently or in a team environment.
  • Proficient in developing Test strategies, Test procedures and Test cases for both Manual and Automated Testing using tools as Quick Test Pro (QTP), ALM,QC.
  • Performed data validation and backend testing using SQL queries.
  • Expert in Preparing Status Report, Test Plan and Traceability Matrix.
  • Proficiency in creating Test Cases, Test Plans, Test Strategies, scope document and mapping document using Enterprise Architect and MS Visio.
  • Analyzed Project Scope, Feasibility Study, GAP analysis, Risk analysis and managed Project Plan Document and Status Reports with MS - Project.
  • Strong e xperience in EDI transactions like 270, 271, 276,277,810,820,834, 835, 837, and 999.
  • Involved in writing complex SQL Queries for verifying the data in database and reports.
  • Highly capable in Risk Management Planning including Risk Identification, Assessment, Risk Analysis, Reporting and Risk response, monitor, control.

TECHNICAL SKILLS:

Middleware: IBM WebSphere Application Server 8.5/7.0, IBM HTTP Server v8.5,MQ series 6.0, Message Broker, IBM BPM suite

Database: SQL Server 2000, Oracle 11i/10g/9i, IBM DB2

Web Servers: IBM HTTP Server 8.x, Apache Tomcat

Languages: SQL,XML,HTML,CSS, PL/SQL, python

Defect Tracking Tools: JIRA, Mantis, Bugzilla

Business case tools: Rational Suite, MS Visio, MS Project, MS Office Suite, SQL Developer, Adobe Photo shop, Google Sketch up

Project Management tools: MS Visio, MS Project, libreplan, SharePoint, UML, Marvel, LMS

Industry Standards: Confidential, CMM, HIPPA, SOX

Browsers: Google Chrome, IE, Safari

Testing Tools: Manual Testing, QTP, HP ALM(Quality Center),Load Runner, Cucumber

Operating Systems: Windows (XP, 2007, 2008), Unix, Linux

PROFESSIONAL SUMMARY:

EDI Business Analyst

Confidential, Chicago, IL

Responsibilities:

  • Interacted with the product managers and gathered requirements for the business definition.
  • Implements procedures to ensure that B2B support issues are resolved in a timely and professional manner and those issues are properly recorded back to our project and issues tracking systems.
  • Coordinate with QNXT (3.8/4.2) implementation analyst on validating provider rates and reimbursement methodologies.
  • Develops an expertise in provider data, reporting, fee schedules, contracts, capitation, and vendor setup and member assignments in the QNXT claims platform.
  • Assists with the development of internal policies and procedures with regards to QNXT ensuring compliance with nationally accepted accreditation standards.
  • Coordinates issues with appropriate departments, performs accurate and timely research, verification and analysis.
  • Collects and analyses data to evaluate operations difficulties and makes recommendations to solve problems.
  • Maintain, manage and provide support for all electronic data exchange with B2B partners.
  • Ensure and track volume and quality metrics for B2B enabled customers with emphasis toward compliance
  • Strong customer services skills.
  • Support test team on Integration and User Acceptance Tests.
  • Communicate with issuer community via phone on electronic data issues to provide Tier II support relating to all EDI tickets and escalates/assigns tickets to different teams according to their expertise among others.
  • Experienced in Health Informatics and HL7 standards.
  • Involved in implementation of HIPAA EDI Transactions Implements procedures to ensure that B2B support issues are resolved in a timely and professional manner and those issues are properly recorded back to our project and issues tracking systems.
  • Worked on customizing the claim module of Confidential for reprising Nursing home claims.
  • Worked on ICD-9 to ICD-10 conversion in Confidential .
  • Data mapping on Enrollment Module (EDI 834) of Confidential .
  • Ensure and track volume and quality metrics for B2B enabled customers with emphasis toward compliance
  • Communicate with issuer community via phone on electronic data issues to provide Tier II support relating to all EDI tickets and escalates/assigns tickets to different teams according to their expertise among others.
  • Participating in QA team meeting and bug tracking meetings to see the accuracy of data going to Production.
  • In depth knowledge of Medicare/Medicaid Claims processes.
  • Worked on 820,834,837, 835, 276 and 277 Institutional and Professional EDI Gateways.
  • Validated X-12 files sent by external vendors to ensure that they are passing EDI Gateway level using Spec Builder.
  • Generated Traceability Matrices to ensure that all the requirements are covered by the test cases.
  • Worked on Remedy tickets opened by issuer on their issuer on X12 and other issues.
  • Participating in QA team meeting and bug tracking meetings to see the accuracy of data going to Production.
  • In depth knowledge of Medicare/Medicaid Claims processes.
  • Worked on 820,834,837, 835, 276 and 277 Institutional and Professional EDI Gateways.
  • Validated X-12 files sent by external vendors to ensure that they are passing EDI Gateway level using Spec Builder.
  • Generated Traceability Matrices to ensure that all the requirements are covered by the test cases.
  • Analyzed, developed, and coded programs used to retire and decommission GENTRAN; migrated functions and uses to Sterling Integrator solution. Converted COBOL programs from EDI X12 format to application file.
  • Experience working and testing mapping for X-12 transactions using Integration tools like TIBCO, EDIFECS.
  • Involved in implementation of HIPAA EDI transactions like (270,271,276,277,810)
  • Recorded, maintained & tracked defects, assigned type & priority/severity levels.
  • Worked on Remedy tickets opened by issuer on their issuer on X12 and other issues.

Environment: MS-Visio, MS Office, MS Project, Informatica power center, HP Quality Center, HIPAA/ EDI X12,Oracle 10g, UNIX, MS Outlook, SharePoint, FTP, Pega 7.1.7 MFT,Windows95/98/2000/XP. Mark logic SQL, Remedy, EDIFECS, Quick Test Pro, Transaction Management, Spec Builder, Sterling Control centre, NASCO

Sr. Business /Data Analyst

Confidential, Chicago, IL

Responsibilities:

  • Interacted with the product managers and gathered requirements for the business definition.
  • End-to-end experience in designing and deploying data visualizations using Tableau
  • Designed Project Scope & Need Analysis documents from requirements gathered through JAD and observations.
  • Performed Change Request Management by preparing System Change Request (SCR) and developing Change Schedule, and conducted steering meetings with Change Advisory Board (CAB) to obtain their approval.
  • Lead Analyst for CMS & Business Service Level Agreement (SLA).
  • Enterprise reports using SQL Server Reporting Services (SSRS) and Excel pivot tables which make use of multiple value section in parameters pick list, cascading prompts, matrix dynamic reports.
  • Perform analysis of data in LMS to establish data quality and integrity. Investigate potential errors in the system.
  • Ensure that test and production environments mirror each other. Test computer-based trainings (CBTs) in the test and production environments of the LMS.
  • Created business process workflow diagrams (Activity diagrams) in Rational Rose
  • Created Data Stage jobs to extract, transform and load data into data warehouses from various sources like relational databases, application systems, temp tables, flat files etc.
  • Created Use-Cases and Business Use-Case Model after accessing the status and scope of the project and understanding the business processes.
  • E-search, architect, implement, and maintain retail technology systems, including: Point-of-Sale, Inventory Management, Timecard Management, Customer Loyalty, and Automated purchasing and in- Areas of Expertise Depth Reporting.
  • Strong interaction with the customer service skills.
  • Responsible for configuring hardware, handling store support calls, and troubleshooting any hardware or software issues the stores have within the POS Systems.
  • Integrated RequisitePro with Clear Quest and Rose to provide all teams visibility and maintain tractability among requirements, use cases and change requests
  • Created packages using SSIS for data extraction from Flat Files, Excel Files OLEDB to SQL Server
  • Worked with SSIS to import, export and transform the data between the linked servers
  • Develop and deliver dynamic reporting solutions using SQL Server 2005 Reporting Services (SSRS)
  • Extensively used Report Wizard, Report Builder and Report Manager for developing reports and deploying reports in SSRS and Crystal Reports.
  • Wrote complex SQL statements using joins, sub queries and correlated sub queries.
  • Created SSIS Packages using Derived Columns, Condition Split, Aggregate, Execute SQL Task, Data Flow Task, Execute Package Task etc. to generate underlying data for the reports and to export cleaned data from Excel
  • Extensively used SSIS transformations such as lookup, merge, derived column, data conversion and aggregate etc. Reviewed Design Documents, Requirements Analysis Specifications with Project Lead, Business Process Owners and Cross-functional Team Leads.
  • Experience in Remote Desktop management and OS conversion in windows.
  • Worked on MetaVance platform for HIPAA Compliance.
  • Creation of tables, views, Indexes and establishing the relationships between the tables and design the star schema using SQL Server 2012.
  • Involved in creating complex table, matrix, sub reports and chart reports using SSRS.
  • Mentored offshore team for any technical aspects and test offshore deliverables on both SSIS packages and SSRS reports and published SSIS packages and SSRS reports in testing and production.
  • Involved in requirements analysis and attended requirements review meetings.
  • Designed Meeting Work Plan and facilitated virtual project meetings to validate requirements with the concerned Subject Matter Experts (SMEs) and IT Team during the entire project.

Environment: MS SQL Server 2008/R2, Oracle 10g, MS Project, MS SharePoint 2010, HP Quality Center, Crystal Reports, SSRS, SSIS, Windows XP, QTP, MS Visio, UML, RUP, Rational Clear Case, PL/SQL, Tableau, QlikView, Teradata, IBM Cognos, Rational Clear Quest.

Business Analyst/Scrum Master

Confidential, Nashville, TN

Responsibilities:

  • Acted as a liaison across business units primarily between the Project Manager, Developers, Administrators, Testers and the Stakeholders.
  • Interpreted business objectives to support the implementation of technical software application.
  • Work closely with Business Owners and Stakeholders to outline Business Requirements.
  • Actively involved throughout all steps of the Software Development Life Cycle (SDLC)
  • Gathered Business/Functional Requirements from Business/R&D Users (BRD, FRD).
  • Facilitated JAD sessions and design meetings with the Stakeholders, SME's and Leads of Interfaces.
  • Performed requirements modeling and develop analysis diagrams, activity diagrams, sequence diagrams, state diagrams, data models, and use-case realizations using RUP tools in Agile.
  • As a BA Involved in assisting the development of functional requirements FRD, static testing the applications by preparing and developing the Test Plans and Test Rules, editing and writing Test Cases, Test Scenarios and Test Scripts.
  • As a BA worked with QA team in executing test cases manually for various job submissions in batch processing by using the Test Director/Mercury Quality Center.
  • Worked with the core team to design business requirement collection approach based on the project scope and SDLC Methodology.
  • As a Business Analyst involved in facilitation of risk management workshops, recording risk and assigning risk for mitigation. Research and resolve system issues and perform application testing as necessary. Produce metrics reports from data derived from database as necessary for the project.
  • Responsible for documentation and presentation of company scrum structure and methodology.
  • Scrum Master: Facilitate Scrum Planning, Daily Scrum, Scrum Review, Scrum Retrospective, and Scrum refinement meetings and manage burn down chart and assists team in removing sprint issues.
  • Agile Coach: Coached different teams to transition from waterfall to Scrum. Coaching included understanding estimations, scrum ceremonies, different roles and responsibilities, being flexible, definition of done, velocity vs capacity, reading charts etc.
  • Identified gaps and performed gap analysis with respect to CMS requirements.

Environment: Rational Rose, Rational Requisite Pro, Agile, Waterfall, Windows 2000, MS Visio, MS Project, MS Access, MS Word, Excel, Rational Clear Case, Rational Clear Quest, Dream Waver, Quality Center.

Sr Business Analyst/QA

Confidential, San Francisco, CA

Responsibilities:

  • Involved in analyzing and writing test plan in accordance with business requirements
  • Wrote test plan, test procedures, test scenario and triggers events.
  • Responsible for running the smoke test after every code release in test environments.
  • Studied the business goals that were reflected in the requirements.
  • Performed Manual Testing of application identified the critical test scripts to be automated.
  • Involved in testing Web services and XML using SOAP UI. Verified the response received by updating the request XML.
  • Also tested the application for browser compatibility on various browsers like IE7, IE8, and Firefox.
  • Defects were raised in the HP Quality Center/HP ALM for logging, tracking and reporting bugs in the application.
  • Review of manual methods to design, develop and execute automated test cases using Win Runner
  • Configured GUI maps for the standard and custom objects.
  • Got involved in designing future state processes for HIPAA 5010 transaction processing EDI's 837, 835, 270, and 271.
  • Analyzed HIPAA 5010 related to 835, 837, 270, 271, 276 and 277 transactions (both inbound and outbound) and performed gap analysis between the 4010 and 5010.
  • Worked on ICD conversion from 9 to 10 with respect to the claims related to Medicare (Part A, Part B, Part C, Part D)
  • Gathered Requirements, Analyzed and Documented Business Requirements Document (BRD), Functional Specifications Document (FRD), SRS, FSD, Nonfunctional Specifications
  • Used agile methodology, and managed the iterative cycles through an effective project plan created.
  • Worked with Source system Subject Matter Experts (SMEs) to ensure that the extracts are properly mapped. Used SQL for data mapping and querying.
  • Tracked and maintained Stakeholder requested enhancements and changes using Requirement Traceability Matrix (RTM)
  • Good experience in customer service skills.
  • Gathered documents regarding HIPAA compliance, Local County and state compliance regulations.
  • Executed test scripts to conduct UAT and System testing using Win Runner.
  • Performed Front-End and Functionality testing using Manually
  • Participated in Weekly meeting and discussed modification request with management team.

Environment: RUP, UML, MS Visio, HP ALM, Loadrunner, HIPPA,SQL Server, Java, J2EE, HTML, XML, Windows Server 2008, Windows 2000, Windows XP.

Techno-Functional Consultant

Confidential, Lyndhurst, NJ

Responsibilities:

  • Successfully used Agile/Scrum Method for gathering requirements and facilitated user stories workshop. Documented User Stories and facilitated Story Point discussions to analyse the level of effort on project specifications
  • Provided recommendation for elimination of redundant system from Portfolio
  • Created Business Process Maps with application interaction for critical business areas using Microsoft Visio
  • Prepared detailed Business Data Definitions as well as Data Flow Diagram for the business area
  • Analysis of existing systems designs and business processes for deeper understanding of pain points, systems redundancies and inefficiencies; to recommend process improvements for ease of process execution; reduction in turnaround/ development time.
  • Experience in Remote Desktop management and OS conversion in windows.
  • Prepared application process maps and application interaction across business functions
  • Co-ordination between Various internal teams and vendors for Change Management, Scope & risk management.Involved in Salesforce.com Application Setup activities and customized the apps to match the functional needs of the organization.
  • Regular testing of web and mobile applications and Implement various plans and logic to improve the quality.
  • Responsible for planning, processing and adding new features and services to the existing products, to increase the efficiency and usage of the product.
  • Created user Roles and Profiles, security controls and shared settings.
  • Created custom objects, Visual force Pages, Triggers, Validation rules to help track internal help desk cases, customize campaign budgeting and lead qualification.
  • Managed Users, hierarchical Roles, Profiles, Security controls.
  • Responsible for leading all matters of regional delivery, like Planning the deliverables, building estimates, resource/skill planning and allocation, building delivery processes with built-in quality measures, team building, aiming and achieving milestones, setting up a testing strategy for unit, and integration testing.
  • Work closely with the Development Team, make them understand the new features and how to get the same implemented by deciding the workflows of the same.
  • Work closely with UI design team, help them finalizing the UI which should be user friendly and perfect in terms of UI for both web and mobile applications.
  • Publish periodic progress reports to Project stakeholders
  • Lead periodic review meetings with vendors for ensuring integration between teams.
  • Also Actively participated in developing various inbound Tools like V6 (Internal Communication Tool), Buzz Board (Digital media sales productivity platform), RAD MAN (Internal Dash Board) and CinCin Restaurant (IPhone App)

Environment: MS Office, HTML,CSS, Agile, Rational Rose, MS VISIO, UML, SQL, Salesforce, Business objectives, XML, HP Quality Center, Windows Server 2008, Windows 2000, Windows XP.

Project Coordinator

Confidential

Responsibilities:

  • Gathering the requirements from the client and reviewing them as per product specifications.
  • Involved in preparing the FRD (Functional Requirement Document).
  • Preparing the High Level Project Plan using MS Project and tracking the status using libre plan.
  • Coordination with the clients on clarification of the requirements and change requests.
  • Maintaining Weekly Status Reports.
  • Reviewing the deliverable and ensuring the quality.
  • Assisting project manager in day to day duties of project's administration.
  • Single point of contact between various teams/operations and client.
  • Addressing the tickets in ticketing tool (Mantis), ensuring to close them on time.
  • Used Trello - Question tracker for the smooth flow of the project.
  • Managing team activities and assigning the tasks.
  • Provide Google Analytics reporting and SEO analysis to the customer.
  • Manages and resolves any quality issues post production.
  • Supported the delivery team in creating web solution design documents which included 3rd party systems integrations i.e. Payment gateway, Inventory Management system, Order Management system, Shipping & Tracking, Single Sign On, and Customer Loyalty System.
  • Scrum Master: Facilitate daily scrum, manage burn down chart and assists team in removing sprint issues.
  • Presentations on Project Governance, status of the project.

Environment: MS Office, Agile, Rational Rose, MS VISIO, UML, SQL, Business objectives, XML, HP Quality Center, Magento.

Test Engineer

Confidential

Responsibilities:

  • Coordinated with Business Analyst's and developers regarding issues with requirements, functional/user acceptance testing.
  • Defined the QA objectives and Success Criteria for all Mortgage Projects / Applications.
  • Defined, maintained and delivered Test Prep, Test Execution and Defect Metrics for all Client Access Applications to Senior Management.
  • Created QA Project Plans for all phases of the Life Cycle for Test Resources
  • Created Test Strategy and Test Plan documents
  • Defined Entrance / Exit criteria and provided continual Risk Assessments to Senior Management
  • Defined Ambiguities with the Business and Functional Requirements. Worked with Business Analysts to clarify Ambiguities
  • Verified traceability of Test Conditions to Test Cases
  • Provided Test Estimates for various phases of the project
  • Analyzed Test Cases, Developed Test Plans based on Testing Requirements.
  • Performed extensive Automation testing using QTP 9.5/10 with VB Scripts
  • Develop test cases and identify and document expected results based on specific test conditions.
  • Data verification and data integration test was done using SQL queries.
  • Used Quality Center to store, tracking and reporting bugs.
  • Worked with developers in resolving issues in test environment and defects while application under test in Agile environment
  • Reported defects to the development team and tracked defects using QC
  • Performed end-to-end testing on the release version of the software application manually executed Test Cases for batch applications.
  • Interacted with developers to resolve the defects. Performed Regression testing to verify that bug fixes did not break some other parts of the system.
  • Implemented automated test cases and also assisted in the expansion of the automation test platform
  • Keep automation scripts up to date for each iteration, executing regression scripts on a regular basis.
  • Created and ran functional and load tests on web services prior to implementation.
  • Created Confidential for web services testing.
  • Collaborated closely with clients during testing process.
  • Worked closely with the web development team to ensure quality deliverable.
  • Created complex test cases and message flows.
  • SOAP Web Services Tester has extensive knowledge of SOAP, html, http and external data source testing.
  • Has a deep understanding of web services functionality testing.
  • Experienced with functional web services tests

Environment: Quick Test Pro 9.0, Quality Center 8.0, Java, Oracle, TOAD, VB, Unix, MS Office, HTML, Windows XP, Internet Explorer, Magento.

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