SUMMARY:

• Business Analyst with a strong knowledge of Healthcare domain and determined to contribute and learn Business Analysis and Project Management Skills. Experienced over 7 years in the field of Business Analysis, having in - depth knowledge of SDLC (Software Development Life Cycle) and development practices (ranging from traditional to Agile). Spearheaded projects on Waterfall, Agile and Agile-Scrum.

• Skilled in gathering User Requirements and translating them into business requirement and functional requirements.
• Business writing skills in creating Business requirements document (BRD), Use-Case Specifications, Systems Requirements Specification (SRS), High level and Low-level documents (HLD/LLD).
• Proficiency in gathering SMART (Specific, Measurable, Attainable, Realistic, Timely) requirements and transforming them into functional specifications focusing on workflow analysis and design & user interface design.
• Collaborated with product owners to write and prioritize customer centric documents like User Stories for Product Backlogs and participated in various scrum ceremonies such as product backlog grooming session, sprint planning meetings, daily stand up scrum, sprint review and sprint retrospective meeting.
• Proven success in eliciting requirement, As-Is and To-Be analysis, GAP analysis, Cost benefit analysis, Risk assessment, and SWOT analysis
• Experience in end-to-end testing, UAT (User Acceptance Test) and user training for customers.
• Experience with HIPAA EDI Transactions 837, 835, 820, 276, 277, 278 code sets testing in Health Insurance.
• Experience in working in a Production Support role to resolve issues related to Payroll processing.
• In-Depth understanding of Healthcare from Medicare/Medicaid, Commercial Products (HMO< PPO, POS) etc.

STRENGTHS:

• Business Analysis
• SDLC
• Requirement Gathering
• SWOT Analysis
• Project Life Cycle
• BRD/FRD
• Burn Down Charts
• RTM
• Agile Methodology
• Waterfall Methodology
• Business Process Flows
• Swim Lane Diagrams

PROFESSIONAL EXPERIENCE:

Confidential

Sr Business Analyst, Sacramento, California

Responsibilities:

• Involved throughout the Software Development Life Cycle, (SCRUM) including sprint planning meetings, review meetings and backlog refinement meetings.
• Prepared business requirements documents by conducting client group interviews, JAD sessions and with other internal departments.
• Managed roles offshore and served as a liaison between development team and business team.
• Prepared detailed requirements as per USER STORIES and USE CASES to provide details of each business and functional requirement, development and implementation plan of these requirements, timelines, owners, etc.
• Worked on Claims adjudication, benefits as well as member and provider data.
• Prepared change request form to provide details of the changes requests and obtained approvals from the appropriate stakeholders.
• Implemented HEDIS reporting tool to measure the performance on critical dimensions of healthcare data, so that a best health plan can be selected.
• Assisted QA team by reviewing test plan and test cases and clarifying requirements to ensure complete coverage of requirements.
• Provided training to the users and involved in facilitating UAT sessions to gain user confidence and approval.

Environment: Agile-SCRUM, MS Office, MS Access, MS Visio, MS SQL Server, Informatica, Rally, MS Project.

Confidential, Dover, DE

Sr Business Systems Analyst/ Project Co-Ordinator, Philadelphia, PA

Responsibilities:

• Confidential is the Human Capital Management (HCM) component of the Confidential Enterprise Resource Planning (ERP) system.
• Confidential system is an integrated software application consisting of four modules within PeopleSoft Human Resources, Benefits, Payroll and Time and Labor.
• Central payroll operations for all state agencies, school districts, charters schools, and higher education institutions.
• Apply routine PeopleSoft system updates including Tax Updates and other PUM image updates.
• Analyze and provide functional and system support for Benefit and Salary Plans.
• Integrated workflow with First State Financials (FSF).
• Working on Confidential and FSF upgrade from version 9.1 to version 9.2 PeopleTools 8.55.
• Conversion of all custom Crystal reports to SQRs.
• Preparation of Technical Design document, Unit test case documents.
• Developed new Records, Online Pages, and Run Control Pages using PeopleTools for the specific needs of the company. Implemented PeopleCode for online validations and user interface.
• Extensively involved in the analysis and retrofitting the existing People code, SQL’s, SQR’s, Application Engine’s and other PeopleSoft impacted objects.
• Used STAT 5.8.0 for Change Management, Release Management and Migrations.

Environment: Waterfall, Clarity (CA PPM), MS Excel Advanced, MS office, Confluence, Gliffy, Tableau, SQL, User Acceptance Testing (UAT).

Confidential

Business Analyst/ Delivery lead, Minnetonka, Minnesota

Responsibilities:

• Gathered business requirements by driving user-group meetings and working with various global, cross-functional and virtual teams
• Prepared project deliverables through business workflow analysis, process analysis, user requirement documents (Use Cases & Use case diagrams) and managed the requirements
• Documented artifacts including, but not limited to, Functional Specifications, and the Use Case Specifications.
• Extensively worked on EDI- 837 (Claims), EDI- 834 (Enrollment), EDI- 270/271 (Eligibility enquire/response).
• Experienced in developing Data Mapping, Performance Tuning and Identifying issues of sources, targets and sessions.
• Identified all use case components including basic, alternate and exception flows.
• Used Visio to model the processes using UML to create behavioral and structural diagrams.
• Experience in Facilitating organizational change strategy development and objective setting with a cross-functional group of Business stakeholders.
• Designed and developed Use Cases, Use stories, Activity Diagrams, Sequence Diagrams, UML and Business Process Modeling

Environment: Agile- Scrum, MS SharePoint, TFS, Ad-Hoc Reporting, SQL, MS Word, Bugzilla, MS Visio.

Confidential

Business System Analyst/ Project Coordinator, Detroit, Michigan

Responsibilities:

• Worked on Waterfall Methodology and created BRD/FRD and documented user stories using Confluence.
• Researched, defined and analyzed changes to internal applications as per the CMS guidelines for Medicare and Medicaid line of businesses.
• Served as a project management analyst on multiple initiatives involving maintenance and systems changes for HIPAA guidelines.
• Researched and gathered detailed requirements and translated it into proposed system enhancements.
• Completed system documentation, researched system requirements, participated in system testing as per HIPAA implementation.
• Conducted client-side validation to study ETL operations on the involved databases and the data warehouse.
• Worked along with the development and testing team to resolve queries pertaining to business requirements.

Environment: Waterfall, MS Visio, MS Office, MS Project, MS Access, JIRA, Confluence, SQL.

Confidential

Business Analyst, Philadelphia, PA

Responsibilities:

• Extensively worked on SCRUM methodology to deliver the project.
• Drafted and released Vision documents including complete Business and Technical requirements; workflow diagrams such as flowcharts, activity diagrams, and use case diagrams; and user guides to help guide the stakeholders on how to use the tools being developed.
• Facilitated weekly stand-up and sprint meetings to identify tasks and develop project plans for each release.
• Worked on EDI transaction set codes 277/278, 835 and EDI gateway.
• Delivered updated statements of work, project schedules, and contract modifications based on changes in business needs.
• Developed functional requirements records management module to be integrated with various release schedules.

Environment: Agile -Scrum, MS SharePoint, MS Visio, MS Office, MS Project, SOA, MS Access, HP QC, Clarity.

Confidential

Data Analyst/Client Specialist

Responsibilities:

• Responsible for overall success of user acceptance testing, including results verification and release.
• Identified and documented system deficiencies.
• Ensured continuing operational quality by documenting fixes and enhancements.
• Provided ongoing assistance to software developers and testers to resolve defects during the testing process.

Environment: Waterfall, MS Excel, MS Word, MS Access, MS SharePoint.