SUMMARY:

• 10 years of experience as a Systems Analyst in Information Technology with extensive knowledge on Healthcare Claims Data, Electronic Health Records and CDISC standard domain models SDTMIG
• 2 years of experience working in pharmaceutical and healthcare Confidential research
• Strong analytical skills with the ability to transform business user needs to functional/ technical requirements.
• Proficient in analyzing and creating Use Cases, Use Case Diagrams, Activity Visio
• Strong working experience of handing Project and Process Improvement initiatives
• Experience on project implementation using Waterfall and Agile methodologies
• Experience in capturing user stories, participating in Sprint planning and daily standup meetings.
• Experience in participating and following up on JRD and JAD sessions
• Design documents - Business Requirements Documents (BRDs), Functional Requirements Documents (FRDs), Requirement Traceability Matrix (RTM) across different project deliverables
• Provided support to Business Intelligence department initiatives and other cross-functional groups by supporting data reports
• Collaborated with project managers to define project scope based on input analysis of stakeholders and translated business requirements into detailed functional requirements.
• Expertise in Relational DBMS like Oracle and SQL Server and in writing and executing SQL Queries
• In-depth knowledge of all QA Phases that include Manual, Functional, System, Integration, End-to-End testing
• Experience working with drug discovery and Confidential trials- Laboratory Information Management System (LIMS), Confidential Trials Management System (CTMS)
• Experience in reviewing protocols, CFR, Trial Master File and detailed knowledge on Confidential trial management system, Confidential data management system and electronic data capture
• Thorough knowledge of EDI HIPAA files and strong healthcare knowledge
• Efficient in collection, data entry, data analysis and maintenance of Confidential data
• Excellent oral and written communication skills
• Excellent analytical skills, documentation skills and presentation skills
• Strong problem solving skills and good team player
• Self-starter and ability to present ideas in a concise, logical and well organized format

TECHNICAL SKILLS:

Tools: Quality center 9.0/ 9.2/ 10.0, Requisite Pro 7.1, 3.03, HP ALM, MS Visio, JIRA, RSALIMS Industry Standards HL 7 2.3, HIPAA EDI 4010 & 5010 compliance, ICD 9/10

Operating systems: Windows 98/ 2000/ NT/ XP, MS DOS

Database: SQL Server, TOAD, MS Access, Postgre SQL 9.2.14

Office tools: MS Word, Excel, PowerPoint, Google documents and Google chrome products

Web Developing: HTML, XML, CSS Scripting

Languages: JavaScript, VBScript

Bioinformatics: Arguslab

PROFESSIONAL EXPERIENCE:

Confidential

Business Analyst

Responsibilities:

• Provided Confidential trial stakeholders associated with CTMS in support of business processes to meet organizational needs
• Designed compliance report about the existing status in accordance with FDA regulations- primarily 21 CFR Part 11.
• Elicited requirements from scientists and operational support business representatives spanning multiple sites and departments during workshops, interviews and pilot settings.
• Closely worked with scientists and stakeholders to understand and gather requirements and further documents and interpret them to development and engineering teams.
• Conducted and facilitated various JAD sessions to gather requirements and perform GAP analysis.
• Utilized Oracle SQL for data analysis to query and source database
• Provided support to Business Intelligence department initiatives and other cross-functional groups by supporting data reports
• Collaborated with project managers to define project scope based on input analysis of stakeholders and translated business requirements into detailed functional requirements.
• Designed Use case diagrams, Activity diagrams and sequence diagrams using UML
• Participated in Test Cases and User Acceptance Testing (UAT) to ensure requirements are met and created multiple system iterations to increase the user friendliness for the clients.
• Mapped and reported defects in JIRA and worked closely with development team to resolve fixes
• Experience in testing and bug fixes along with associated documentation

Environment: Windows 7/2003 Server, MS Office Suite, LIMS, FDA Regulations, UML, JIRA

Confidential

Business Analyst

Responsibilities:

• Worked in QNXT Batch Process such as Eligibility Batch Process, Mass Plan Change Batch Process, and ID card batch process.
• Coordinated and conducted system requirements walkthroughs/sessions (JRDs/JADs) with business Owner/stakeholders/SMEs as well as design/development teams.
• Worked with business area SMEs/analyst to develop and finalize test plans/scripts/use cases.
• Involved in impact analysis of QNXT adjudication system because of change in EDI transactions.
• Involved in claim adjudication process of QNXT application.
• Analysis of key business requirements and develop Business Requirement (BRS), Functional Requirement (FRS).
• Work closely with EDI to ensure accuracy in data transmissions and shared processes. Transaction sets processed (837P, 835, 834).
• Worked on the EDI 834-file load to system through MMS (Membership maintenance sub­system).
• Worked on solving the errors of EDI 834 load to system through MMS.
• Conducted detailed and comprehensive Business Analysis by working with end users and other stakeholders to identify the system, operational requirements, and proposed enhancements.
• Facilitated JAD sessions to identify business rules and requirements.

Environment: Rational Unified Process, QNXT, MS Project, MS Visio, MS Word, MS Excel, SQL, PL/SQL, Windows NT/2000.

Confidential, Permanente, CA

Business Analyst

Responsibilities:

• Interacted with clients, stakeholders and developers to gather requirements and analyze objectives and scope of each stage of the project
• Experience with different iterative and modular SDLC methodologies like Agile- Scrum, and RUP and actively conducted and participated in various meetings
• Collaborated with Developers and Testers for product review and modification and specifications
• Documented business and functional requirements for HIPAA 4010 and HIPAA 5010 transactions while testing ICD 9 and ICD 10 claims
• Performed GAP Analysis for ICD 9 and ICD 10 pay or crosswalk involving job submissions and batch processing for validated data in EDI transaction
• Provided support for EDI production processes- EDI 837, 835, 270/271 and developed or modified maps for all trading partners
• Provided support for the Business Intelligence team’s data management and reporting systems by querying database
• Worked with Quality Center for Bug Life Cycle in analyzing and testing all scenarios till defects are verified and closed.
• Created Traceability matrix between requirements and test cases by collaborating with QA Lead
• Used Quality Center to do defect tracking, coordinated the defect resolution process and generated management reports
• Interacted with developers to follow up on defects and issues
• Involved in mapping data for various partners and clients transmitting EDI 837, 835, 270/271

Environment: Quality Center, ALM, QC, SQL, XML, .Net, Asp.net

Confidential, Hartford, CT

Business Systems Analyst

Responsibilities:

• Conducted and facilitated various JAD sessions to gather requirements and perform GAP analysis.
• Gathered detailed requirements from client data Clinician and Physician to perform utilization management on submitted requests by Provider
• Prepared and distributed meeting minutes, questionnaire and agenda for various meetings with stake holders, project managers and engineering team
• Collaborated with business and technical teams to create and document end-to-end business process flow diagrams
• Gathered and documented UI (visual) requirements, functional and non-functional requirements in Business Technical Requirement Document
• Operated on Agile methodology focused on Analysis and Design stages
• Created Use cases and Traceability Matrices
• Provided support to Business Intelligence department initiatives and other cross-functional groups by supporting data reports
• Collaborated with project managers to define project scope based on input analysis of stakeholders and translated business requirements into detailed functional requirements.
• Prepared detailed visual requirements for clients to perform day-to-day review and decision update process
• Prepared Use Case Models and Use Case Diagram using Rational Software Architect (RSA)
• Coordinated with Business Intelligence team to designs and develop BI solutions that supporting operational and strategic decisions
• Closely coordinated with business and IT teams to document route and integration rules between systems
• Documented and gathered business and technical requirements along with reassigning requests automatically and manually from one user/ system to another
• Prepared data dictionary for all elements involved within systems and documented data mapping documents
• Conducted walkthrough sessions with business, UX\UI designers, developers and test team.
• Worked with business team, systems analyst, developers and test team to resolve any follow up and action items

Environment: XP/2000, Microsoft Office Suite (Outlook, Access, Excel, Word), Lotus Notes, IBM Rational Software Architect 8.0.3, Requisite Pro.7.1.3.03

Confidential, Boston, MA

Business Analyst

Responsibilities:

• Utilized SDLC Methodology- Agile to configure and develop process, standards and procedures
• Participated in JAD sessions with business units and stakeholders to define project scope, identify business workflows & task analysis
• Experience in forward mapping and backward mapping analysis of ICD 9 to ICD 10 codes.
• Coordinated the upgrade of Transaction Sets 837P, 835 and 834 to HIPAA compliance.
• Collaborated and worked closely with EDI to ensure accuracy in data transmissions and shared processes (837P, 835, 834)
• Completed Data Mapping for group and product analysis and report writing
• Provided support to Business Intelligence department initiatives and other cross-functional groups by supporting data reports
• Collaborated with project managers to define project scope based on input analysis of stakeholders and translated business requirements into detailed functional requirements.
• Developed SQL queries and functions to perform the backend data testing
• Participated in designing Test plan and Test cases after analyzing requirements
• Interacted with offshore testing teams for system releases and production for User Acceptance Testing and End-to-End testing

Environment: XP/2000, Microsoft Office Suite (Outlook, Access, Excel, Word), Oracle SQL, FACETS, Test Director

Confidential, Saint Petersburg, Florida

Business Analyst

Responsibilities:

• Worked in QNXT Batch Process such as Eligibility Batch Process, Mass Plan Change Batch Process, and ID card batch process.
• Coordinated and conducted system requirements walkthroughs/sessions (JRDs/JADs) with business Owner/stakeholders/SMEs as well as design/development teams.
• Worked with business area SMEs/analyst to develop and finalize test plans/scripts/use cases.
• Worked on developing the business requirements and use cases for Facets Batch Processes, and automating the billing entity.
• Involved in impact analysis of QNXT adjudication system because of change in EDI transactions.
• Involved in claim adjudication process of QNXT application.
• Analysis of key business requirements and develop Business Requirement (BRS), Functional Requirement (FRS).
• Work closely with EDI to ensure accuracy in data transmissions and shared processes. Transaction sets processed (837P, 835, 834).
• Conducted detailed and comprehensive Business Analysis by working with end users and other stakeholders to identify the system, operational requirements, and proposed enhancements.
• Facilitated JAD sessions to identify business rules and requirements.

Environment: Rational Unified Process, QNXT, MS Project, MS Visio, MS Word, MS Excel, SQL, PL/SQL, Windows NT/2000.

Confidential, Washington, DC

Business Analyst

Responsibilities:

• Worked with key Stakeholders of the projects to identify and finalize the requirements
• Collaborated with clients, end users, and developers and ensured technical requirements are thorough using standard tools and modeling techniques
• Established solid working relationships with open communication with customer and business via meetings and interviews
• Created mockups and prototypes for the JAD sessions
• Responsible for creating the Business Requirements Specification Document (BRD) and the Functional Specifications Document (FSD)
• Designed Business Process Model (Activity diagrams, Sequence diagrams and Collaboration diagrams)
• Documented detailed analysis of end-to-end business processes, functional design, workflow mapping and action items, issues and ensured accurate and complete information
• Created the Requirement documents and traceability matrix using Requisite Pro
• Created design document with more detailed and technical information on the requirements
• Evaluated selection, develop strategies, project and implementation plans based on thorough research and input from stakeholders
• Resolved conflict with business units to overcome conflicts in requirements and arrive at common feasible solution
• Managed changed by working with business units to determine and document the business process and workflow changes
• Being the main POC for the team for the production support, provided support to the users to troubleshoot the issue within the SLA
• Used Clear Quest to maintain and track the requested enhancements and changes
• Created Project management plans for managing on time delivery using MS Project along with writing test cases, unit and systems integration test plans in Quality Center.

Environment: Water Fall, Rational Rose, Rational Requisite Pro, MS Visio, MS Office 2003, Oracle, SQL