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Business Analyst Resume

PROFESSIONAL SUMMARY:

  • Business Analyst with 8+ years of experience in health insurance services, especially Medicare in various aspects such as Requirements Gathering, Specification documentation with active involvement in Business Process flows and Business Analysis.
  • Strong knowledge in SDLC methodologies such as Agile and waterfall and experienced in multiple lifecycle software projects.
  • Efficient in using tools such as MS Visio for business process modeling and DOORs for requirements management.
  • Experienced in data warehouse and have effectively employed Business Intelligence (BI) tools like Business Objects Modules (Reporter, Supervisor, Designer, and Web Intelligence) and other reporting tools like Crystal Reports.
  • Expertise in handling SQL queries and optimizing them in Oracle, Teradata, SQL Server and MS Access
  • Experienced in provider reimbursement analysis and prepared spreadsheets for fee for service methodologies, and other techniques using the federal register.
  • Conducted User Acceptance Testing and documented Test Cases. Involved in preparation of Test Plans and Test Scripts.
  • Capable of coordinating with Business Users and the Technical teams to conduct JAD and conflict management sessions.
  • Competent in using the testing tools such as HP Quality Center (QC), HP ALM, Win Runner, Load Runner and Test Director.
  • Prepared and reviewed documents such as the Software Requirement Specifications (SRS), Business requirements document (BRD), Use Case Specifications, Functional Specifications (FSD), Systems Design Specification (SDS) and Requirement Traceability Matrix (RTM)
  • Ability to deal with various teams and can effectively communicate for effective functioning and performance of the team.
  • Supported and facilitated Change Management processes
  • Proficient in Microsoft tools like MS Project, MS Word, MS PowerPoint, MS Excel, MS Outlook
  • Used analytical solutions like SAS, UCINET, PAJEK and SPSS.
  • Well versed in ANSI 5010 and ICD 9/10 implementation.
  • Experienced in working with various modules which include claims processing using EDI X12 transactions like 837 and 835 which fall under the HIPAA compliance

PROFESSIONAL EXPERIENCE:

Confidential

Business Analyst

Responsibilities:

  • Business process analysis of Medicare Fee for Service system modifications including independent analysis of CMS Change Requests (CR), participation in POC review, and analysis of system developer requirements to ensure CMS CR requirements are met.
  • Responsible for developing test plans and test cases detailing expected results to validate correctness of system modifications and maintaining them in HP Quality center, including performing file maintenance set up to allow test cases to execute successfully.
  • Coordination with Testers to ensure test cases are executed, documentation (Microsoft Office) is present and accurate, expected results are obtained, and defect reporting and resolution is performed.
  • Creating functional specifications and detailed test plans.
  • Requirements gathering and analysis.
  • Participate in walkthrough calls, core workgroup calls, functional and technical workgroup calls with the maintainer.
  • Assist in application testing activities.
  • Integrating work with other business analysts on project.
  • Maintain documentation of project and application.
  • Pricing claims along with the preparation of calculators using macros and pivot tables of Microsoft Excel for different type of bills and making sure that they adhere to the methods and indices mentioned in the provider reimbursement manual, the federal register and the CR in concern.
  • Proficient in using 855A forms using internet based PECOS tool for setting up providers.
  • Using Mainframe TSO, CICS, JCL, MAX VSAM and File - AID to retrieve files that are transferred from the host system. Experienced in file transfer and creating xml scripts.
  • Business process analysis of Medicare Fee for Service system modifications including independent analysis of CMS Change Requests (CR)
  • Participation in POC review and analysis of system developer requirements to ensure CMS CR requirements are met. Attending POC calls, FWG calls, Early involvement calls and walkthrough calls and providing feedback and analysis to yield precise business requirements for efficient product build.
  • Maintenance and tracking of CR (test cases, defects, etc…) in Quality Center and resolution build
  • Early involvement in development of requirements and requirement analysis
  • D evelop ing test plans and test cases detailing expected results to validate correctness of system modifications u sing 3270 Mainframe emulator software to execute the test cases
  • To gather and maintaining them in HP Quality center, including performing file maintenance set up to allow test cases to execute successfully.
  • Participation in regression testing activities, analysis of results and root cause analysis.
  • Day to day management of change requests. Requirements gathering and analysis.
  • Pricing claims along with the preparation of calculators using macros and pivot tables of Microsoft Excel for different type of bills and making sure that they adhere to the methods and indices mentioned in the provider reimbursement manual, the federal register and the CR in concern.
  • Using internet based PECOS tool for setting up providers, and creating test data for ensuring that the test data created are adequate and meet the testing requirements.
  • Strong knowledge of Electronic health records systems.
  • Subject Matter Expert in different pricing methodologies such as APC, fee, reasonable cost, DRG etc.

Confidential

Market Analyst

Responsibilities:

  • Helped project teams to design and develop products in Internet Banking.
  • Developed strategies for product roll.
  • Involved in Data Analysis and development of various Reports using SQL .
  • Analysis of systems and data and design the application as per the requirements.
  • Evaluating reports and code for performance optimization.
  • Creating Business and System Requirements.
  • Performing Data Analysis and taking care of Data Quality Checks.
  • Using SQL, developing and testing the GUI of the application.
  • Based on the review comments retesting and regression testing the application.
  • Applied Predictive Modeling methods like Linear Regression and Logistic Regression and other Multivariate Techniques for projects successfully
  • Experienced in handling issues that deal with increasing customer loyalty, forecasting demand, market analysis and customer segmentation for various firms.

Confidential

Analyst

Responsibilities:

  • Analyzed marketing data such as sales, suppliers, market report and economic indicators with SAS and SPSS.
  • Analyzing the requirement and assigning it to team members.
  • Developing standards for testing the code, and validation of the requirements.
  • Involved in performance optimization of internal reports and participated in requirement review sessions.
  • Defect fixing and trouble shooting.
  • Used Teradata Utilities like BTEQ,SQL Query manager to maintain database.
  • Developed Interface using Excel,VBA and Teradata to generate mailed and response sheets for given data.
  • Data collected were from sources such as the CMIE database and was used to develop strategies for product launch.

Confidential

Analyst

Responsibilities:

  • Analyzed data using SAS and SPSS and the results were put to use modify the product.
  • Established and acted as customer interface for gathering customer requirements and product improvements.
  • Contributed to sales and marketing by helping in product walk through.
  • Analyzing the requirements and interaction/assignment to various team members for design/development.
  • Participating in Business Analysis and creating Business Requirement Document.
  • Participating in technical Analysis sessions, and creating SRS document, analyzing and providing feedback to the design and requirements specifications.

Confidential

Operations Analyst

Responsibilities:

  • Developed effective strategies for improving the cost efficiency of the firm.
  • Developed strategies for ensuring that the processes were in adherence to environmental standards.

Confidential

Analyst

Responsibilities:

  • Analyzed the Water and Effluent Treatment (WET) Industry and reported the market scenario from data gathered using Prowess and Capex.
  • Reported new avenues for development for the WET business unit.
  • Analysis of opportunities and challenges in investing in the water treatment sector in India

Confidential

Programmer Analyst

Responsibilities:

  • Worked extensively with DTS Tool at the time of Migration from SQL Server 2000 to Oracle9i.
  • Was responsible for improving the performance of the entire Reporting system including the interfaces and reports.
  • Held the responsibility of doing a thorough regression testing of the existing reporter system to check the impact of upgrading the CSX system according to the new business functionality
  • Implemented new Reports for the Online Inquiry Manager (OIM)
  • Gathered reporting related requirements and change controls for all the major releases and was preparing the Requirement Documents, Functional Design Documents and Technical Design Documents
  • Coordinated with the Quality Assurance Team so that they could test the new functionality without any difficulty.
  • Created Multiset and SET tables in Teradata database.
  • Worked with TERADATA BTEQ, MLOAD, FLOAD, TPUMP and ORACLE (SQL, PLSQL).
  • Monitoring the existing code performance and to change the code for better performance.
  • Performing in-depth quantitative analysis or data analysis.
  • Extensive system study, development and testing were carried out in the Oracle environment with external data sources to meet requirements.
  • Extracted data from existing data source and performed ad-hoc queries by using SQL in Teradata
  • Developed the functional document for data migration from Business Objects to Crystal Reports.

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