SUMMARY:

• Results - driven professional with more than 4 years of experience as a Business Analyst with solid understanding of Business Requirement gathering and GAP analysis.
• Ability to work with all levels of cross-functional team, responsible for improving business processes and providing value to the functions they support.
• Strong organizational and time-management skills with ability to manage multiple priorities.
• Exposure to all phases of the System Development Life Cycle. Has repeatedly demonstrated the ability to learn and apply new concepts and quickly contribute to engagement outcomes.
• Extensive experience in writing functional specs, use cases, gap analysis, process flow diagrams, policy & procedures and UAT for system / application updates or implementations.
• Expertise in understanding the business needs, defining a creative and useful software solution to the management, implementing and training the application to the user community.
• Good Knowledge of HIPAA Compliance, CMS Regulations, Enrollment and Claims Processing.
• Expertise in Requirement Analysis, requirement modeling using Unified Modeling Language (UML) and Object Oriented Analysis.
• Hands on experience in Project Management while assisting Senior Project Manager.
• Experience in Functionality Testing, User Acceptance Testing, Database Testing, Regression testing and Risk Based Testing
• Highly effective communicator and team leader, with proven ability to build lasting relationships with internal and external customers by establishing a high degree of confidence and trust.
• Possess great analysis and problem solving abilities to help identify innovative solutions to business problems.

KEY STRENGTHS:

Business Skills: Business Analysis, Business Operations, Relationship Management, Process Engineering, Process Analysis/Improvement, Client Engagement, Risk/Change Management, Data Management, Waterfall and Agile Methodology, UAT, Mobile Applications, Electronic health Records, Healthcare Administrations, CMS Compliance

Technical Skills: HL7, JIRA, Microsoft Office, MS SharePoint, MS Project, MS Visio, HP Quality Center, IBM Rational RequisitePro, ClearQuest, and more professional software and computer programs

PROFESSIONAL EXPERIENCE:

Confidential, Irvine, CA

Business Analyst

Responsibilities:

• As a Business Analyst and HL7 Specialist, collaborated with clinical labs and health providers to gather requirements, perform interface analysis and conduct testing to maintain provider data in Confidential EHR software.
• Managed HL7 System Integrations by coordinating development, implementation, and maintenance of interfaces with various electronic medical record vendors.
• Monitored tests, and conducted audits on incoming data on a daily basis from health plans or other data sources to ensure data integrity.
• Performed GAP analysis to update operational processes and information workflow diagrams.
• Provided SME support to help implementation and training of new software installations, upgrades, and integration.
• Created UML artifacts such as Use Cases, Activity Diagrams, recommended by RUP (Rational Unified Process) for Requirements using Rational Rose
• Involved in preparing Test Plans based on User Requirements Document (URD) and prepared the Test Cases using Test Director/Quality Center
• Maintained Traceability Matrices to help resolve issues related to requirements during testing
• Performed test data analysis and ensure data requirements are met prior to start of various testing phases.

Confidential, Manchester, CT

Business Analyst

Responsibilities:

• Led business analysis efforts for Confidential - Electronic Health Records application implementation project to help maintain patient records that are complied with CMS and HIPAA Regulations
• Responsible for defining the analysis scope, gathering business requirements, and document them textually or using models
• Worked with the Business Users through interviews and JAD (Joint Application Development) sessions to gather business requirements
• Created business process workflow diagrams to improve stakeholder engagement and expedite requirements gathering process
• Configured SharePoint team sites.
• Implemented company's business standards in SharePoint.
• Managed risk catalogs using IRAD tools on SharePoint and provided mitigation.
• Responsible for scheduling meetings with business users, SME’s and stakeholders to identify problems, resolve issues and improve the process to ensure a stable and accurate solution
• Analyzed Business Requirements and segregated them into high level and low level Use Cases, Activity Diagrams (UML), workflow, and screen mock-ups
• Prioritized business and systems problems; analyzed legislation and conducted impact analysis
• Led sessions to document Functional Requirement Specifications (FRS) and User Requirement Specification (URS)
• Involved in preparing Test Plans based on User Requirements Document (URD) and prepared the Test Cases and Test Procedures using Clear Case
• Actively involved in User Acceptance testing (UAT) and Training of the end users

Confidential, Windsor, CT

Business Analyst

Responsibilities:

• Worked as a Business Analyst / Test Specialist on a Claims Processing Manager implementation project impacting more than 500 patients.
• Extensively interacted with the stakeholders and the IT Department in finalizing the requirements according to the CMS Compliances/Regulations and HIPAA Regulations.
• Facilitated JAD sessions to document Claims, Payments and Enrollment related process flows and business requirements
• Created and implemented communications plan and outreach strategy for communicating governance changes, business efficiencies, and other SharePoint features.
• Proposed SharePoint-based solutions to improve existing business challenges.
• Compiled reports in-order to highlight the effects of risk and the proposed solutions.
• Involved in meeting with Business Process Owners, SME (Subject Matter Experts) and process users for Requirement gathering in Definition Stage
• Conducted FRS and SRS reviews and walkthroughs with designers, developers and stakeholders
• Performed GAP Analysis to analyze the current process and help define system requirements