SUMMARY:

• Around 8 of experience as a Business Analyst and considerable Healthcare, Insurance, Banking, Pharmaceutical and Aviation/Aircraft domains.
• Diverse experience in Information Technology with focus on Business Analysis, Business Modeling, Requirement Gathering, Documenting Requirements (BRDs/FRDs/Use Cases), and Software Validation.
• Strong knowledge of Software Development Life Cycles (SDLC) including Waterfall, Spiral, RUP, AD&S, and Agile/SCRUM methodologies.
• Thorough understanding of consistently developing and maintaining health care industry database, health care insurance, and health care industry related aspects. Experienced in HIPPA compliance as well as strong knowledge of Medicare (Parts A, B, C, D) & Medicaid, NCPDP Version D.0, FACETS, EDI, HL - 7, CPT and ICD-10 codes.
• Experience and deep knowledge of EDI transitions like 837 P, I or D 1 7, ERN 835, 820, 834, 275 /11.
• Strong experience working with ICD -9 or ICD- 10 coding with overall ability to analyze issues, understand findings and present to management.
• Worked with data mapping of transactions from FACETS database and sourced procedure codes and medications from the data store of FACETS claims.
• Extensive experience with Capital Market, Portfolio Management, Asset Management, Commodities, Credit investments, Middle Market lending, Credit Risk, Market Risk, Operational Risk, Cash Correspondent Banking, Cost/Profit analysis, Budget, and forecasting.
• Conducted Requirement Gathering Sessions such as Joint Application Development (JAD), Rapid Application Development (RAD) interviewed Subject Matter Experts (SMEs), Stakeholders for deriving detailed functionality aspects of business process and carefully updated the requirements information in an easily understandable format.
• Thorough understanding of Application Lifecycle Management (ALM) which ensures that team members know Who, What, When and Why changes occur throughout the Software Development Lifecycle (SDLC).
• Worked with cross-functional teams that included PMs, SMEs, BAs, QAs, Developers and End Users to strategize basic concepts of Application Lifecycle Management (ALM) process: Requirements Gathering, System Design, Implementation, Testing, Deployment, and Maintenance.
• Utilized JIRA as #1 tool when conducting iterative projects like Agile and RUP to offer flexibility and it is software that assists in project tracking to stay within project scope in on-schedule with agreed upon requirements given throughout meetings/sessions.
• Strong knowledge of Business Process Modeling assessing AS- IS and TO-BE scenarios and Business Re-Engineering (Re-Design) research, implementation methodologies, diagramming data process mapping, applying Unified Modeling Language (UML).
• Extensive knowledge of UML modeling, Drawing Sequence Diagrams, Flow diagram and Activity diagram using tools such as Microsoft Visio and Rational Rose.
• Experience with SQL Server reporting, strong experience with developing Use Cases, Test Cases and Requirement Traceability Matrix (RTM).
• Worked with BI teams like ETL team and reporting team to manage defects via Oracle Informatica and SAP BO .
• Excellent knowledge of software testing tools such as Win Runner and HP Quality Center/HP ALM.
• Involved in meetings with the QA team for Test Planning, Test Preparation, Test Execution, Issue Resolution and Report Generation to ensure that all aspects of a project are in compliance with the Business Requirements.
• Expertise in a broad range of technologies, including business process tools such as MS Word, MS Excel, MS Access, MS PowerPoint, MS Visio and Rational Suite.

TECHNICAL SKILLS:

Operating Systems: Microsoft Windows 10/8/7/Vista/XP, Unix, Linux (Ubuntu), Windows Server 2003/2008, Mac OS X, iOS

SDLC Methodologies: Agile/SCRUM, Waterfall, Application Development & Sustaining (AD&S), Spiral, RUP Process and Prototyping

Internet Languages/ Web Applications: UML, HTML, CSS, XML

Databases and Tools: SQL Server 2005/2008/2012, My SQL, Distributed DB, Oracle 9i/10/11g, MS Access, My SQL, PL/SQL, TOAD

Quality Management: IBM Rational Manual Tester, HP Quality Center, QTP, JIRA, JIRA Confluence

Project Management: Microsoft Project Professional, Steelray Project Viewer

Change Management: Rational Clear Quest 7.1, Requisite Pro v7.1

Languages: C/C++, Java/ J2EE, Shell Scripting, Python, VB.Net, JavaScript, VB6, PHP, Perl, ASP.NET, C#.NET

Version Control: Rational Clear Case, Rational Rose, Rational Requisite Pro

Business Intelligence / Reporting: SQL Server Reporting Services (SSRS), Performance Point Services, Business Objects (BO)

Others: MS Office Suite (Word, Excel, OneNote, PowerPoint, Publisher, SharePoint, Visio)

PROFESSIONAL EXPERIENCE:

Confidential, Bellevue, WA

Functional Analyst/Test Lead

Responsibilities:

• Composed test plans, test scripts, and test results for three projects: IFS, CAM, and Fed Proxy
• Facilitated numerous meetings about releases, results, arising issues, user interface (UI) designs and wireframes, etc.
• Utilized defect tracking and requirements gathering tools, in concert with Exostar, like JIRA and JIRA Confluence
• Trained and provided knowledge transfer to internal project members performing integration testing between the systems and offshore testers
• Led various meetings with both onshore and offshore team of stakeholders, analysts, testers, product managers, project managers, architects, and subject matter experts (SMEs) on Cisco software called WebEx.
• Perform daily manual testing of test applications to spot any defects, including any enhancements that need to be implemented during the current releases or for future releases.
• Second-in-command on the Change Board responsible for conducting Change Management Process meetings, gathering requirements, and changing requirements in the absence of Originator.
• Submitted CRs (change requests) while documenting any perceived problems or issues.
• Verified the CR solution(s) per the CR specifications.
• Documented non-conformances while also categorized in-scope and out-of-scope requirements within tool called VersionOne.
• Acted as Release Train Engineer (RTE) to review incoming requests and requirements to determine if they should be worked, if so, they were added to the Unified Backlog, as appropriate for future releases.
• Met with application development vendors daily to discuss potential defects, requirements for next release, deployment dates and times, contractual obligations, and developmental findings.
• Tested and created documentation for the Identity Federation Service (IFS/Aviation ID) application that identified who a user, company administrator, service provider administration, enterprise portal administrator (EPA), and customer support representative (CSR) were.
• Responsible for testing basic authentication (username and password) along with multi-factor authentication (MFA) (hardware token, interactive voice response (IVR), short message service (SMS), and the Authy app that can be downloaded via Google Play or the Apple App Store.
• Utilized the Common Authorization Management (CAM) tool to identify what users and administrators could do as it related to authorization in the application.
• Operated Federation Proxy (Fed Proxy) to grant or deny access to users and company administrators within the application.
• Consistently sent status report via email every week to those in charge to communicate my tasks and responsibilities just in case I would be needed to allocate my SOW elsewhere in the foreseeable future.
• Responsible for editing the user and administrator help guide for the Identity Federation Service (IFS/Aviation ID) and working alongside the technical writer to submit PDF and HTML formats to the team for review and posting on the application.
• Migrated over 3,000 test cases from one application (Exostar’s JIRA) to another (Boeing’s HP ALM) both manually and automatically via the HP ALM Upload Add-in functionality in Microsoft Excel.
• Created a training checklist for functional analysts, testers, and software users to use for knowledge transferring purposes and learning the Aviation ID application.

Environment: Application Development & Sustaining (AD&S), Agile/SCRUM, Windows 7/8/10, SQL Server 2012, PL/SQL, MY SQL, Business Objects, C#.Net, HP Quality Center/HP ALM, QTP, SharePoint, Exostar Carpathia, Microsoft Azure, JIRA, JIRA Confluence, MS Office Suite (Word, Excel, OneNote, Outlook, PowerPoint, Visio), CSS, SSRS, JavaScript, SAML Assertion, Postman, jQuery, Microsoft Project Professional, UML, WebEx, Snipping Tool, Steelray Project Viewer, VersionOne

Confidential, Harleysville, PA

Requirements Analyst

Responsibilities:

• Lead daily requirements stand up meeting where RAs and UE Designers discussed story cards and wireframes
• Apart of daily team stand up meeting with entire Gaston team including RAs, Dev Team, Testers, UE Designers and UI Developers where we all discuss current tasks for the day, blockers and what was completed on yesterday
• Occasionally apart from detailed requirements sessions on Tues-Thurs to discuss epics with the BAOs (Business Application Owners) and PRL (Project Requirement Lead) to assist me in understanding how to approach story writing
• Utilized IBM software tools: RRC (Rational Requirements Composer)-visual and textual tool strictly for RAs only to write stories, epics and attached wireframes created by UE Designers and RTC (Rational Team Concert)-all in one agile environment tool that allows for the entire team to be a part of any created card and keep track of each step in a given iteration from epic elaboration to story writing to test scenario to development design
• Utilized Nationwide SPOT site to update Excel spreadsheet which included a track of every single epic, its RRC and RTC number and every single user story, its RRC and RTC number when each of these documents was completed, peer-reviewed, BAO approved, 3-Amigo completed and estimated by Dev and Testers
• Conducted daily 3-Amigo meeting which is similar to the popular JAD sessions and included the 3 “Amigos” (at least one RA, one Developer and one Tester unless a UI card was discussed in which a UI developer was required to estimate on a Fibonacci number point system), a Requirements Lead and one or two BAOs
• During the daily 3-Amigo meeting, cards were estimated by Testers and Developers on a Fibonacci number point system (for example, 1 2 3 5 ). When a card was estimated at 13 points, per the team, the card was required to be broken down into two stories and resend back to analysis to be rewritten
• Trained new analysts that joined the team and testers who were converting to analysts to assist with story writing
• Led meetings, attended meetings and chatted with fellow team members on IBM’s Sametime software
• Utilized SnagIt software to convert images created by UE designers and placed them within user stories written within RRC software
• Utilized Nationwide’s custom-made software entitled Taskboard as an online board to track and move user stories, technical cards, QA cards, tasks, defects and blockers accordingly
• Created user stories utilizing the Gherkin verbiage: GIVEN, WHEN, THEN which assisted Testers in creating their test scenarios and test cases

Environment: Agile/SCRUM, Windows 8, SQL Server 2012, PL/SQL, MY SQL, Business Objects, C#.Net, HP Quality Center, QTP, JIRA, Oracle 11g, MS Office Suite (Word, Excel, Outlook, PowerPoint, Visio), CSS, SSRS, JavaScript, jQuery, Microsoft Project Professional, UML, TOAD, RRC, RTC, Sametime, SnagIt, GPA, Guidewire Policy Center, Gherkin (Acceptance Criteria)

Confidential, Marietta, GA

Sr. Business Analyst

Responsibilities:

• Conducted weekly meetings for deciding the Policies and Procedures to be followed while constructing new sites.
• Utilized corporation developed Agile SDLC methodology. Used SCRUM Work Pro and Microsoft Office software to perform required job functions.
• Prepared documents for business requirements document (BRD), systems requirements specification (SRS), high-level design documents (HLDD), and traceability mapping/matrix with the assistance from the business group, and the IT team members.
• Conducted Gap Analysis, and Gathered User Requirements by Interviews, user meeting, JAD session, and Requirement Elicitation Sessions
• Prepared graphical depictions of Use Cases, Use Case Diagrams, State Diagrams, Activity Diagrams, Sequence Diagrams, Component-Based Diagrams, and Collateral Diagrams and creation of technical design (UI screen) using Microsoft Visio.
• Conduct complex documentation and user needs analysis. Interface with team and staff to develop HL7 integration.
• Interacted with the business users in knowing the business views and gathered the reporting requirements to design the universes and business objects.
• Developed the strategy for developing and implementing new EDI (HL7 and X12) interfaces and converting historical clinical and data.
• Conducted business-impact assessment and the results were compared with the new HIPAA 5010 standards to determine the current level of compliance and developed an action plan for approval by the project steering committee
• 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.
• 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.
• Designed and development of test cases based on functional requirements for Institutional and Professional claims for EDI and HIPPA Transactions 837/835, 834, 276/277, 270/271 testing.
• Performed System testing of the Claims processing systems (Pricing Rules, Duplicate/Limits validation, Member Eligibility, Provider Enrollment, et al).
• Performed testing for Medicare, Medicaid, and X-Over claims for Medicaid Management Information System (MMIS).
• Worked on following applications Business Objects, Enterprise Architect, Toad, Plan View (project management), Microsoft Suite (Word, Excel, PowerPoint, Visio, Access, Project)
• 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.

Environment: Agile/SCRUM, Windows 8, SQL Server 2012, PL/SQL, MY SQL, Business Objects, C#.Net, HP Quality Center, QTP, JIRA, Oracle 11g, MS Office Suite (Word, Excel, PowerPoint, Visio), SSRS, Microsoft Project Professional, UML, TOAD

Confidential, Webster, MA

Sr. Business Analyst

Responsibilities:

• Lead end to end mapping process of commercial umbrella line of business for client product
• Mapped source to target: Developed data maps to track transformation of data elements from source to target
• Gathered business requirements from Business and SMEs from the Underwriting (Property & Casualty), Product in auto insurance.
• Reviewed business requirements: Understand and translate Business Requirements from business uses into Business Requirement Specifications (BRS)
• Coordinated with business analysts and developers: Conducted JAD with SMEs, Developers, Project Managers and Quality Analysts to discuss business requirements, test planning, and defect tracking sessions.
• Worked with PM to prepare Project charter, Project plans, daily, weekly and monthly team deliverables for each phase, drafting WBS and RBS systematically using MS Project.
• Coordinated with third-party vendors: Liaison with third-party vendors to identify data elements for product mapping requirement such as IVANS and ISO.
• Followed up on Defect Triage: the impact of the defect raised and for resolution.
• Performed User Acceptance Testing. Developed a traceability matrix to map where each Business Req. is mapped to Functional Req. and where each functional Req. is captured
• Also enhanced and redesigned the HR Payroll System utilizing an eight-step process which included employer/employee payroll, compensation, benefits, legal compliance information among many, many others.
• Participated in interactive JAD sessions with project stakeholders, subject matter experts SMEs, Business users, QA test lead and the project management team.
• Experience in implementation and testing of ISO rate and rule changes and ISO updates.
• Documented business processes for Auto insurance into the Business Requirement Document (BRD).
• Coordinated with the QA team in using HP Quality Center for defect tracking for issue and rating module.
• Executed test cases: Ensured all high-priority defects are fixed prior to deployment. Executed Functional and Regression Testing

Environment: Agile/SCRUM, Windows 7, SQL Server 2008, PL/SQL, MY SQL, Java, J2EE, C#.Net, SSRS, HP Quality Center, Oracle 11g, Microsoft Project Professional, JIRA, UML, MS Office Suite (Word, Excel, PowerPoint, Visio), UAT

Confidential, San Francisco, CA

Sr. Business Analyst

Responsibilities:

• Gathered requirements from Business Owners, stakeholders, Data Governance Team and the subject matter experts through meetings to understand needs of the system.
• Created business workflows on the claims module for the client to get a better understanding of the software and prepared a detailed BRD including all functional and non-functional requirements.
• Performed the Gap analyses of the earlier systems, generated a detailed Requirements document describing new system architecture through Use Cases and Activity diagrams.
• Used the guidelines and artifacts of the Rational Unified Process (RUP) to strategize the Implementation of Rational Unified Process effort in different iterations and phases (Inception, Elaboration, Construction, and Transition) of the Systems Life Cycle methodologies. Prepared various artifacts for all the phases of RUP.
• Lead JAD sessions with stakeholders to analyze system needs and integrate requirement to develop a consistent navigation structure
• Used documented to store and manage documents in a single repository using a secure web-based system.
• Conducted brainstorming sessions to analyze provider contracts, provider reimbursement, benefit rules, medical policies and medical management rules to see the impact of ICD 10 diagnosis codes.
• Gathered and validated inventory of applications, interfaces, and reports that will need to be modified to comply with ICD-10 requirements.
• Worked with different teams such as HIPAA 4010 to identify any project dependencies or initiatives competing against ICD 10 schedules.
• Involved in up-gradation of HIPAA X12 4010 transaction to HIPAA X12 5010
• Responsible for business analysis, requirement specifications, project planning and identifying the resources and implementation of the project.
• Created functional flow diagrams, context diagrams and other high-level diagrams for documenting the functionality of separate modules using MS-Visio and UML.
• Implemented Traceability Matrix and Business Requirement Specification Document verified the functionality coverage.
• Involved in Validation of HIPAA for 837, 270/271, 276/277, 835, 834 EDI transactions. Worked with the QA (Quality Assurance) team for designing Test Plan and Test Cases for the User Acceptance testing - Defined test cases, creating test scripts, analyzing bugs, interacting with QA / development teams in fixing errors and User Acceptance Testing (UAT).
• Used MS Project to maintain the project schedule and track projects status.
• Interfaced with end-users, obtaining approval, identifying information, procedures, and decision flows, evaluating existing procedures, methods, and technical documentation.
• Process all submit table and RFI’s to share file folder using Adobe PDF and logged all hard copies to file.
• Created ANSI X12 HIPAA Transactions Implementation documentation for end-client ( Confidential )

Environment: RUP, SQL Server 2008, MY SQL, PL/SQL, Oracle 10g, Rational Clear Quest 7.1, Requisite Pro v7.1, Microsoft Project Professional, JIRA, UAT, Rational Clear Case, Rational Requisite Pro, Java, J2EE, C#.Net, SSRS, MS Office Suite (Word, Excel, PowerPoint, Visio)

Confidential, Parsippany, NJ

Business System/Analyst

Responsibilities:

• Coordinated with the Project Manager to prioritize outstanding defects in Quality Center or enhancement/system requests based on business requirements and available human resources, allowing sufficient time to ensure accuracy and consider deadlines.
• Successfully gathered, documented business requirements and obtained sign off from business users/sponsors.
• Prepared use case models based on Business Requirement Document (BRD) gathered through interaction with users and the stakeholders.
• Implemented RUP, which included requirements, specifications, design and analysis.
• Documented project plans, process flow, timelines and other requirements.
• Facilitated meetings and Joint Application Development (JAD) sessions with business stakeholders and technical units.
• Implemented best practices, facilitated meetings between business users and third-party application vendors.
• Created and maintained the Requirements Traceability Matrix (RTM).
• Worked with the Project Manager on various Application Lifecycle Management (ALM) activities like keeping track of Project Status, Deadlines, Environment Request, and Compliance Issues.
• Identified and analyzed the data requirements for the various site teams and made sure that the required data is available in the testing environment.
• Worked directly with software engineers to ensure clear communications on requirements and defect reports.
• Was involved in Functional System Testing, Integration Testing, Regression Testing, and User Acceptance Testing before releasing the application.
• Validated the scripts to make sure they have been executed correctly and meets the scenario description.
• Involved in project status meetings, QA review meeting, and System Test meeting.
• Performed requirements traceability and manage changes to requirements for the MARS application.
• Developed test scenarios based on business requirements and technical specifications.

Environment: RUP, SQL Server 2008, MY SQL, PL/SQL, Oracle 10g, Rational Clear Quest 7.1, Requisite Pro v7.1, Microsoft Project Professional, UAT, Rational Clear Case, Rational Requisite Pro, JIRA, Java, J2EE, C#.Net, SSRS, MS Office Suite (Word, Excel, PowerPoint, Visio)