We provide IT Staff Augmentation Services!

Business Analyst Resume

Atlanta, GA

SUMMARY:

  • Result oriented, resourceful and self - motivated IT professional. Good understanding of technology and business needs to help bridge the gap and bring value to the organization; excellent interpersonal skills with a proven track record of effective customer relationships.
  • Business Analyst with over 6 Years of IT Industry Experience - a self-starter with good interpersonal skills - experience working on cross functional, and geographically dispersed team environments.
  • Experience in interviewing Business users & SME providing recommendations to resolve issues for various business/technical groups & defining strategic solutions to business problems in a multiple project environment.
  • Extensive qualifications in all facets of information systems methodology from conceptual design through documentation, implementation, user training, quality review, and enhancement
  • Expertise in translating business requirements into functional specifications (FRD) and mapping process design, data mapping, work flows for SDLC
  • Experience working in Medicare and Medicaid projects.
  • Excellent understanding of ICD 9, ICD 10, HCPCS, HL7, MMIS and PPACA.
  • Have experience in healthcare industry in working with various modules which include claims processing using EDI X12 transactions like 837, 834, 835, 270/271, and 276 which fall under the HIPAA compliance.
  • Experience with SDLC techniques such as Rational Unified Process (RUP), Agile & Waterfall life cycle
  • Possess strong analytical and problem solving skills with the ability to adapt to a new environment and meet stringent deadlines.
  • Conducted JAD sessions, Gap analysis, and prioritized requirements using interviews, document analysis, and requirements workshops.
  • Expert in organizing and managing all phases of the application testing process using Mercury Quality Center.
  • Strong understanding of test plans, test cases, test scripts and defects tracking/reporting.
  • Performed planning and development of Test Plans, Test Cases and Test Scenarios to meet project business requirements.
  • Possess strong analytical and problem solving skills with the ability to adapt to a new environment and meet stringent deadlines.
  • Worked with various teams and updated test plans, created Use Cases from the Requirements documents for distinguished User Acceptance Test (UAT), as well as designed mockups, wireframes and prototypes according to the requirements of projects.
  • Well versed with HIPAA, Facets claim adjustments, claim processing from point of entry to finalizing, claim review, identifying claims processing problems, their source and providing corresponding solutions.
  • Professional expertise in MS Office, MS Visio and MS Project Professional.
  • Experienced with SQL and database querying - Maintenance of Test Matrix and Traceability Matrix.
  • Experienced with SQL and database querying - Maintenance of Test Matrix and Traceability Matrix.
  • Extensive experience in gathering Business/Functional user requirements, creating Use Cases as per user requirements, developing/designing diagrams such as Activity, Class, and or Sequence diagrams, and in addition to creating Business Requirements Document (BRD).

TECHNICAL SKILLS:

Methodologies: SDLC, Waterfall Model, RUP, RAD, Agile, Agile Scrum

Operating Systems: Windows, Unix

Quality Management: IBM Rational Manual Tester, HP Quality Center

ITSM Tools: ServiceNow (Helsinki, Geneva, Fuji, Eureka etc.), Crystal Reporting.

Databases: Oracle, SQL Server

Testing: Winrunner and Load Runner

Programming Languages: Basic Java, Basic .Net, HTML, XML

Collaboration Tools: SharePoint

Productivity Tools: MS Office, MS Visio, MS Projects, Balsamiq

WORK EXPERIENCE:

Confidential, Atlanta, GA

Business Analyst

Responsibilities:

  • Extracted the business requirements from the stakeholders keeping in mind their need for the application and documented them using Rational Requisite Pro.
  • Developed non-functional requirements and documented them as Business Rules, Quality attributes and constraint documents.
  • Conducted Joint Application Development (JAD) sessions with stakeholders throughout SDLC to resolve open issues.
  • Walkthrough session of Business Requirement Documents (BRD) and Technical Specification (FSD) with technical team.
  • Managed the privacy and security environments of healthcare data that was governed by HIPAA and other government mandates.
  • Excellent knowledge of HIPAA (Health Insurance Portability and Accountability Act) transaction codes such as 270/271 (inquire/response health care benefits), 276/277 (claim status), 470 (benefit codes), 835 (payment or remittance advice), 837 (health care claim) and 834 (benefit enrolment).
  • Responsible for GAP analysis of ICD9-ICD10.
  • Used HP Quality Center for tracking Defects and tracing requirement functionality performances.
  • Executed test cases manually. Compared and analysed actual with expected results and reported all deviations to the appropriate individual(s) for resolution.
  • Involved in automation testing using QTP.
  • Effective communication made possible between the developers and the end-clients to guarantee that development efforts were within the scope of the project and the development was as expected.
  • Wrote SQL Queries in MS Access to sort data and analyse the large set of data during project life cycle.
  • Developed a detailed test plan and test cases to cover all the requirements.
  • Used Rational Clear Quest for defects and bug testing.
  • Used rational Rose to create UML diagrams such as use case, activity, sequence, class and component diagrams.
  • Developed Flowchart and process diagram using Microsoft Visio.
  • Developed use cases, workflow, screen mock-ups and conversion requirements.

Environment: MS Project, SQL, Rational Unified Process (RUP), Rational Requisite Pro, Rational Rose, Microsoft Visio, Balsamiq, QTP, HP Quality center, Load Runner, Rational Clear Quest, Windows, MS Office, XML, TOAD.

Confidential, Columbus Ohio

Business Analyst (Healthcare)

Responsibilities:

  • Facilitated JAD sessions, which focused on the definition of business requirements, security access groups and third party insurance company's business process.
  • Conducted detailed walkthrough of business requirements and functional requirements with Business users, Development and QA Team
  • Created use cases that defined the role of customers, medical practitioners, clearing house Administrators and healthcare plans such as: Medicare, Medicaid insurance plan.
  • Used Data flow diagram, sequence diagrams and business process models that describe how predefined HIPAA compliant formats are used to submit a claim with EDI.
  • Created Copybook for the development team which included data length and data type.
  • Performed GAP analysis of requirements and used them to write detailed system specification requirements.
  • Developed and maintained Test Plans, test strategy, test cases to cover entire testing effort.
  • Acted as a liaison by working closely with the development and testing team for achieving milestones.
  • Performed manual testing of the functional items by checking a summary of all claims entered and submitted.
  • Created various documents such as Use Cases and Activity Diagrams in a format that can be reviewed and understood by both business and technical people.
  • Executed SQL queries to test the database for records that detect and submit functional acknowledgement and remittance advice in a claims application.
  • Produced clear user manuals & training guides for User Acceptance Testing ( UAT ) and deployment for end-clients with step-by-step instructions and created appropriate GUI screens

Environment: MS Word, Visio, UML, RUP, SQL, HTML, Windows, Oracle, Quality Center 8, MS Word, Excel.

Confidential, Boston, MA

Business Analyst

Responsibilities:

  • Leading the team consisting of 4 Business Analysts and coordinated with the Development team.
  • Acted as a liaison for UI development by conducting interviews and brainstorming sessions for the following modules: Claims Adjudication, Claims Payment, Claims Receipt, Eligibility Verification, Member Management, Provider credentialing and Third Party Liability.
  • Involved in “As-is” and “To-be” business process data gathering, documentation (i.e., use cases, process mapping), business process analysis (BPA), regulatory review and signoff.
  • Technical writing skills - including documents, charts, flows, and specifications.
  • Meeting and JAD workshop design and facilitation to define objectives; evaluate alternative software vendor solutions; define and design business processes, application functionality and interfaces; and reach consensus among cross-functional teams.
  • Involved with interviewing different groups to determine the Impact to Data warehousing migration.
  • Reviewed and analyzed the “to-be” system processes to identify potential gaps. Participated as the Process SME in the Detail System Design acceptance process.
  • Met aggressive deadlines by demonstrating strong project management skills and through building and maintaining strong stakeholder relationships.
  • Tools/Applications used: MS Visio2003, SQL, MS Office, Share point, DB2, Java.

Confidential

Junior Business Analyst

Responsibilities:

  • Implemented a structured system development methodology with emphasis on RUP Methodology that dramatically improved productivity and reduced errors.
  • Created Business Requirement Specifications using Rational Requisite Pro.
  • Walkthrough session of Business Requirement Documents (BRD) and Technical Specification (FSD) with technical team.
  • Analyzed data to generate information about clients and their attributes like institution, site, and buildings. This data was structured and were pushed into tables.
  • Responsible for meetings with users and stakeholders to identify problems, resolve issues and to improve the process to ensure a stable and accurate solution.
  • Created exceptions report which were then submitted to project lead and stakeholders on a regular basis.
  • Worked with end users to identify business requirements.
  • Experience in working on HIPAA EDI Transactions and X12 Transactions.
  • Actively involved in Data Modeling thereby making sure all the data elements were covered that would be required in future reporting. Ensured accuracy of data sent down-stream, and maintained documentation of the process.
  • Conducted workflow, process diagram and gap analysis to derive requirements for existing systems enhancements.
  • Performed testing using mercury products (Win runner and test director).
  • Worked extensively with the QA team for designing Test Plan and Test Cases for the User Acceptance testing (UAT).

Environment: Quality Centre, Rational Rose, UML, XML, RUP, MS Office, MS Visio, MS Project, Oracle, DWH, SQL, Test Director.

Hire Now