Business Analyst Resume NY - Hire IT People

SUMMARY:

Created Access databases and data mapping document for data stage ETL transactions.
Experienced in performing Business Process Analysis to check the compatibility of the existing system infrastructure with the new business requirements.
Effective in executing multiple tasks and assignments ahead of schedule.
Proficient in creating Use Cases, Sequence Diagrams, Activity Diagrams, Class Diagrams etc.
I have strong technology and analytical skills in Annuity
Ability to gather business and technical requirements from both formal and informal sessions utilizing a variety of software tools to format them into formal documents.

EXPERIENCE:

Confidential, NY

Business Analyst

Responsibilities:

Documented the Traceability Matrix for tracing the Test Cases and requirements related to them.
Conducted GAP Analysis of current state for Medicare Part - D (As-Is) ICD 9 and proposed state (To-Be) ICD 10 situations and represented the same on MS Visio.
Supported development of UAT cycle test scripts, Review User Acceptance Test Plan (UATP) and attend walkthrough
Recommended changes for system design, methods, procedures, policies and workflows affecting Medicare/Medicaid claims processing in compliance with government compliant processes like HIPAA/ EDI formats and accredited standards like ANSI.
Managed the planning / test process for Medicare Part D Pharmacy Claims (PBM).
Analyzed, maintained and updated FAQ knowledge base in SharePoint for better data accuracy and better timely data availability
Performed the requirement analysis, impact analysis and documented Business Requirements Document (BRD) and Functional Specification Document (FSD) using Rational Requisite Pro.
Prioritized deliverables, identified gaps, tracked defects, defined software requirements, created artifacts for testing and development.

Confidential, NY

Business Analyst

Responsibilities:

Recommended changes for system design, methods, procedures, policies and workflows affecting Medicare/Medicaid claims processing in compliance with government compliant processes like HIPAA/ EDI formats and accredited standards like ANSI.
Managed the planning / test process for Medicare Part D Pharmacy Claims (PBM).
Analyzed, maintained and updated FAQ knowledge base in SharePoint for better data accuracy and better timely data availability
Gathered knowledge on Medicare Part- B, D HL7, HIPAA rules and regulations.
Worked with customers in resolving acute issues, fixes involving Meditech (MT) software & coordinating all activity within each assigned Meditech module.
Performed Impact analysis for readiness of ICD-10 conversion.
Mapped HIPAA compliant EDI transactions for 837: healthcare claims and 835: payment advice transactions, Captured all HIPAA-related EDI data in the repository using FACETS, Supported integrated EDI batch processing and real-time EDI using FACETS. Accepted inbound transactions from multiple sources using FACETS.
Collaborated efforts with technical staff and subject matter experts to establish the technical vision of product and analyze triple constraint tradeoffs.
Analyzed business processes, requirements, and data necessary to provide detailed logic for ETL development.

Confidential, NY

Business Analyst

Responsibilities:

Utilize SharePoint and Excel as necessary to work through daily inventory assignments.
Identifies and escalates root cause issues to supervisor for escalated review.
Reviews and responds to internal escalated provider disputes transferred by management and other associates.
Acts as liaison with other departments when additional clarification is needed about claims payment policy disputes.
Assists team members with training opportunities and coaching.
Assists with special projects as assigned or directed.
Lead analyst for AMISYS advance system migrations. Implementation of web-based Healthcare platform.
Designed and tested processes and vendor integrations supporting membership, medical management, claim adjudication, and accumulator integration.
Lead for defect resolution with vendor and implementation of patches from DST health solutions.
Responsible for interaction with Client on the technical and business issues/clarification.
Responsible for creating Web service based Interface for FACETS-MLM.
Validated PQ’S of Mass Spectroscopy, Color Chromatography.
Maintained records for lab assay data and converted them to Electronic lab notebook. Programmed SAS based Monte Carlo simulation models for real business scenarios. Also conducted statistical analysis of data to predict impact and outcome.
Conducted JAD sessions to develop an architectural solution that the application meets the business requirements, resolve open issues, and change requests