PROFESSIONAL SUMMARY:

• 9+ years of business / system analysis experience with domain knowledge of healthcare, finance and real estate industries
• Proficient in gathering requirements and developing Business and Functional Requirement Documents (BRD and FRD).
• Experienced in facilitating Joint and Rapid Application Development (JAD and RAD) Sessions, workshops and requirement elicitation sessions. Organizing project meetings, reviews, walkthroughs, and customer interviews.
• Experienced with all the phases of SDLC throughout the project life cycle in Waterfall and Agile methodology.
• Experience with Responsive Web Design and Mobile Applications development. Created functional and nonfunctional specification for web based applications (Web Services, API requirements), documented Interface Control Document (WSDL/XML/SOAP/DTD)
• Good experience in documenting existing process, analyzing business requirements, working with requirements traceability matrix and re - engineering business processes.
• Proficient in creating Use Case diagrams, Class diagrams, State Transition Diagrams and Activity Diagrams using UML methodology in MS Visio.
• Ability to act as a liaison between product owners and development team.
• Outstanding communication skills and the ability to work effectively with technical teammates in order to translate business requirements into an effective technical solution and serve as an effective communication channels between the key IT and business contacts.
• Experience in performing end-to-end User Acceptance Testing (UAT).
• Suggested & implemented processes within the project along with Business Process Management & Modeling using BPMN & Six Sigma - DMAIC & RACI Matrix.
• Experience with Data Warehouse (DWH) system including OLTP/OLAP concepts, Concepts around Facts & Dimensional tables and how reporting tools work in DWH environment.
• Experienced in development and design of reports and dashboards for supporting the business analysis in a corporate wide reporting using Business Objects XI 3.1 and Tableau.
• Strong knowledge of managed claims management process, Knowledge of Medicaid and Medicare Services. CMS, Health Assessment Systems, Hl7 Standards, HIPAA, Compliance issues, LO INC and SNOMED Mapping, HL7 Message Validation, IHE/XCA transactions, Electronic Health Records, Electronic Medical Records.
• Extensive knowledge Health Level Seven (HL7) message experience including:
• V2.x messages: ADT, OUL, ORU, MDM, QRY/DOC, VXU, VXQ/VXR/VXX, QBP/RSP.
• V3 (ITI) request/response transactions for Cross Enterprise Document (XDS) sharing.
• Extensive knowledge of the HIPAA 4010/5010 implementation guidelines, ICD-9 and ICD-10 code sets.
• Knowledge of HIPAA compliance, HIPAA Insurance Regulations and Claims Processing in EDI X12 transaction sets, including 276/277 (claim status), 835(payment/remittance advice / explanation of benefits) and 837 (health care claims).
• Experience with US and International hospital information systems (HIS), health information technology (HIT), health information exchange (HIE), electronic health records (EHR), and clinical interoperability and healthcare standards application and development.
• HIE Interoperability & Product- XDS.b, XDS.i, XCA, XCPD, HL7 v2.x, HL7 v3.0, NwHIN, Direct Project, IHE Profiles, HITSP, all relevant coded vocabularies - LO INC, ICD-9/10, Snomed, CPT.
• Consolidated CDA (CCDA) - MU Stage 2, Transitions of Care, CCDA R1.1 and R2
• CCDA Interoperability support - all documents; Continuity of Care Document - HITSP C32 v2.1 - 2.5
• Meaningful Use - CCD, Lab reporting - HL7 v2.5.1, Immunizations, public health, Cancer registries, NEDSS, Syndromic Surveillance.

TECHNICAL SKILLS:

Operating system: Windows 2000/XP/7

Technologies/Languages: OLAP, OLTP, SQL, HTML

Project/Business Process Management Tools: HP ALM 11.0

Requirement Management Tools: IBM Rational Requisite Pro, Rally, Quick base, TFS

Methodologies: Agile, Waterfall

Browser: Internet explorer, Firefox, Google Chrome and Safari

Modeling & Designing Tool: MS Visio, Business Objects XI 3.1, Tableau.

RDBMS & Databases: MS SQL Server 2005/2000, Oracle 10g, Mainframe, .NET, BizTalk, MultiVue

Miscellaneous: MS Office; project; Adobe Photoshop, Autocad Revit, Google Sketchup

PROFESSIONAL EXPERIENCE:

Confidential, Richmond, VA

Business Analyst

Environment:: MS SQL Server 2005, MS Office Suite, TFS, SharePoint, MultiVue, Biztalk, .NET

Responsibilities:

• Gather requirements from business owners, perform system analysis & create business and technical requirement documents.
• Work with user-experience leads in the development of interactive design deliverables (i.e. wireframes, prototyping, visual design)
• Analyze the website accessibility, usability impacts and performance needs for every business requirement.
• Gave requirement document walkthroughs to developers.
• Contribute in defining timelines and project plans; monitored estimates, feasibility, effort, time and compatibility with Project managers,
• Organized JAD/JAR Sessions to collect requirements from system users and prepared business requirement that provided appropriate scope of work for technical team to develop prototype and overall system.
• Identified end to end requirements for all systems and business units that may be impacted by the project.
• Ensured Use-Cases were consistent and covered all aspects of the Requirements document.
• Involved in project status meetings, QA review meeting, and System Test meeting.
• Created use cases, acceptance test cases, defect log in TFS & provided testing support in QA, staging & production.
• Developed a Business Acceptance testing strategy and plan.
• Coordinated and facilitated the execution of User Acceptance testing.

Confidential, Kentucky

Business Analyst

Environment:: iOS, Android, MS SQL Server 2005, HPQC 10.0, Rally, MS Office Suite

Responsibilities:

• Gather requirements from business owners, perform system analysis & create business and functional requirement documents /user stories in Rally for the Change Request/Enhancements. Created around 20 BRD/FSD & 110 User stories so far. Currently working on Responsive Web Design/ Mobile Web for Find a Doctor.
• Analyze SQL Server databases, Query database to extract a set of data for the required condition to support analysis and manipulate using excel to arrive at a conclusion
• Work with user-experience leads in the development of interactive design deliverables (i.e. wireframes, prototyping, visual design)
• Analyze the website accessibility, usability impacts and performance needs for every business requirement.
• Conduct bi-weekly iteration planning meeting with the team and maintain requirements status update log
• Give requirement document walkthroughs to developers during story time.
• Contribute in defining timelines and project plans; monitored estimates, feasibility, effort, time and compatibility
• Create Release Notes for every production release.
• Organized JAD/JAR Sessions to collect requirements from system users and prepared business requirement that provided appropriate scope of work for technical team to develop prototype and overall system.
• Identified end to end requirements for all systems and business units that may be impacted by the project.
• Ensured Use-Cases were consistent and covered all aspects of the Requirements document.
• Established and maintained traceability matrix until business requirements were signed off.
• Owned issues resolution and worked as a liaison between Business and IT for clarification of the project business requirements and change controls.
• Involved in project status meetings, QA review meeting, and System Test meeting.
• Created use cases, acceptance test cases, defect log in HP Quality Center & provided testing support in QA, staging & production.
• Developed a Business Acceptance testing strategy and plan.
• Coordinated and facilitated the execution of User Acceptance testing.

Confidential

Business Analyst

Environment: Windows 7, HP QualityCenter, MS Office / Visio / Access / SharePoint, XML, Mainframe.

Responsibilities:

• Worked on day-to-day claim processing and wrote the change summary for claim processing errors.
• Gathered requirements for HIPAA 4010 to 5010 conversion.
• Performed analysis, mapping, implementation, and testing for HIPAA 4010 to 5010 conversion.
• Identified policies and procedures impacted by the ICD-10 implementation.
• Conducted Joint Requirement Gathering Session to capture ICD-9 to ICD-10 Code conversion rules.
• Created project requirement document and change summary document to replace ICD-9 with ICD-10 code sets.
• Used HIPAA 4010 transactions to support the analysis of current business processes and work with management to improve and implement enterprise solutions to ensure compliance and got involved in designing future state processes for HIPAA 5010 transaction processing EDI’s 837, 835, and 834 and ICD-10 Code sets.
• Developed non-functional requirements and documented them as Business Rules, Quality attributes and constraint documents. Documented the Business Requirement Documents (BRDs), Functional Requirement Documents (FRDs) using Rational Requisite Pro.
• Created Use Cases diagram and Activity diagram to depict the interaction between the various actors and the system for the Business Use Case and System Use Case.
• Performed GAP analysis of 4010 and 5010 EDI transaction using implementation guide to identify the changes in the segments and data elements.
• Analyzed HIPAA 5010 related to 837,835, 834. Transactions and performed gap analysis between the 4010 and 5010.
• Discussed successfully ICD-10 Codes in compliance with HIPAA 5010 regulation and their impact on other related information
• Analyzed the mainframe reports for member/eligibility/claims and mapped the fields with FACETS batch jobs and reports.
• Conducted GAP Analysis of AS IS and TO BE business processes.
• Developed Data Flow, Work Flow and Process Flow in MS Visio.
• Assisted with data analysis by generating reports in MS Access.
• Conducted validation sessions / walkthroughs with technical and business SME to identify and resolve open issues in the existing design document for technical logic additions / changes based on the dynamics of desired business flow.
• Worked closely with senior management, business and technical SME to facilitate impact analysis, business process and technical design decisions and created baseline documentation on the same.
• Created test cases for components and identified the test data needed to execute the test cases.

Confidential, NJ

Business Analyst

Environment: Windows XP, MS Office, MS Project, Visio, Requisite Pro, MS SQLserver

Responsibilities:

• Facilitated process movement to standards and procedures that involved implementation of MASC codec for IVR systems.
• The process involved in gathering information from the stake holders about their existing IVR based system, and then implementing the compression speech technology to enhance storage and quality of speech.
• Analyzed trends and design phases in the industry and applied the knowledge gained to creating comparisons, and tradeoff summaries.
• Created Business process Workflow Diagrams.
• Held several JAD and JAR sessions to facilitate interaction with Business Users.
• Modeled the detail design of the system using Use case diagrams.
• Provided Business Requirement Documentation (BRD and FRD) for the customers after thorough market and technology research and by analyzing current market trends.
• Conducted GAP Analysis between the legacy reports and the New Built report to in corporate all the necessary information in the new report.
• Facilitated collection of requirements from system users using Rational Requisite Pro.
• Used Iterative Software Process for the development of the Reports.
• Involved in Configuration Management and Requirement management.
• Created a Traceability Matrix to maintain the Traceability of the requirements.
• Used MS Project Gantt charts create the different modules of the project.
• Performed regression and user acceptance testing during various stages of the development
• Held weekly meetings with developers and QA/testers to ensure project deadlines were being met.
• Provided weekly, monthly and quarterly reports to supervisors on the progress being made on the project.

Confidential, NJ

Business Analyst

Environment: Windows XP, MS Office, MS Project, MS Visio,, UML, Requisite Pro,, Business Objects XI 3.1 for reporting

Responsibilities:

• Participated in the research and development of business opportunities and ideas within the scope of the project.
• Conducted interviews with key product owners to collect requirements and business process information.
• Performed extensive requirement analysis including data analysis and GAP analysis.
• Developed business requirement specification documents as well as high level project plan.
• Designed and developed project document templates based on Agile methodology.
• Set up definitions and process for test phases including product test, integration test, system test and User Acceptance Test (UAT).
• Worked on the impact of changing requirements on the mainframe application during change management procedure.
• Analyzed operational procedures and methods to recommend changes for improvement, with an emphasis on automation and efficiency.
• Prepared project reports for management, assisted project managers in the development of weekly and monthly status reports, documented process flows, policies and procedures.
• Created Traceability Matrix to reflect how the Business Requirements, at a high level, will be satisfied throughout the lifecycles (Requirements, Design, Build and Testing) of the project.
• Understood core processes of the department to provide input on reverse - engineering and to develop new blueprints for the process flow
• Closely worked with development team to make sure whether the software application fits within the architecture and has the required behavior
• Overseen change control to ensure that all system revisions, upgrades, and enhancements are thoroughly tested and documented to ensure business as usual.
• Translated insurance analysts and surveyors requirements into functional specifications for the development of insurance online system & managed changes to those specifications.

Confidential

Project Coordinator/ Assistant PM

Environment: AutoCAD REVIT, Google Sketch-up, MS VISIO, Photoshop, MS office Suite, MS Project, etc.

Responsibilities:

• Detailed role included to translate the business requirements into business requirement document that delivery teams (such as architects and designers) can interpret.
• Initiate and run meetings as part of requirements gathering activities
• Document the requirements in an objective, clear and meaningful format
• Raise any risks that may impact the requirements on a project
• Facilitate the requirements review and approval process
• Clarify any requirements to designers and Quality assurance team assigned to the project
• Establish a requirements traceability approach and matrix to be utilized by the project
• Manage any requirements change requests from a requirements point of view
• Contribute to the project management plan in terms of requirements approach, risks, constraints, assumptions and planning.
• Provide delivery time based estimates to the project management team for requirements deliverables