SUMMARY OF EXPERTISE:

• Business Analyst with over 6 years industry experience in business data modelling, software requirement analysis, process modelling, process flow and quality assurance skills using different methodologies, mainly OOA, OOAD and UML
• Extensive hands - on and HealthCare management experience in a variety of projects involving the customization, design, development, implementation, and testing of automated systems to support the Medical Management Information System (MMIS) as well as day-to-day business operations.
• Experienced in testing EDI and HIPAA Transactions 837, 835, 820, 276, 277, 278 code sets testing in Health Insurance.
• Extensive knowledge of all phases of the software development life cycle (SDLC) and the iterative Rational Unified Process (RUP)
• Organized many Joint Application Developments (JAD) sessions and Joint Requirement Planning sessions (JRP), walkthrough, Interviews, Workshops and Rapid Application Development (RAD) sessions with end-user/clients/stake holders and the IT group.
• Design and review of various documents including the Software Requirement Specifications (SRS), Business requirements document (BRD), Use Case Specifications, Functional Specifications (FSD), Systems Design Specification (SDS), Requirement Traceability Matrix (RTM) and testing documents.
• Proficient in creating Risk Analysis documents, Risk Management Plan, User Requirement Specification, Functional Requirement Specification and Business Process Flows.
• Proficient in using UML in behavioural, structural and architectural modelling - in creating Use Case, State, Activity, Class and Sequence diagrams using Rational Rose.
• Used Microsoft Visio for Business Process Modelling and Data flow diagrams.
• Used ER w in 4.0 to capture data by creating Entity-Relationship and Use Case diagrams.
• Worked with Rational Suite of tools to create requirements documents (Requisite Pro), visual data models (Rose), manage and track defects (Clear Quest).
• Well versed in project management tool (MS Project) for status reporting, planning and resource allocation.
• Experience in conducting GAP analysis, User Acceptance Testing (UAT). SWOT analysis, Cost benefit analysis and ROI analysis..
• Successful as a team player to work in conjunction with other DBA’s, testers, developers and other team members in validation and testing complex scenarios and projects and in the maintenance of Quality Standards in Projects especially with Test Director.
• Expertise in Analysis of Problem Severity, Defect tracking and reporting system.
• Strong communication, problem solving, organizational, interpersonal, and presentation skills.

TECHNICAL SKILLS:

Business Tools: Rational Suite (Requisite Pro, Rose, Clear Quest, Clear Case), MS Visio, MS Project, MS Access, MS Office Suite, Visual Paradigm, Doors Erwin Data Modeller 4x, Business Object (Crystal Reports)

Business Skills: Business Definition Requirements, Business Process Analysis, Gap Analysis, Use Case Modelling & Analysis, Business Environment and Market Research Analysis.

Methodologies: RUP, OOAD, UML & Business/Data Modeling

Testing Tools: Win Runner, Load Runner, Test Director, Quick Test Pro, PR Tracker

Operating Systems: Windows XP/95/98/NT/2000, Mac OS X, DOS, UNIX, Linux

Databases: Oracle 8i/9i; SQL Server 7.0 & 2000; Access 2000, MS SQL Server, DB2

Languages: UML, C, C++, HTML, Java, SQL, PL/SQL, ASP.NET

PROFESSIONAL ACCOMPLISHMENTS:

Confidential, Bismarck, ND

Sr. Business Analyst

Responsibilities :

• Defined a complete set of metrics report requirements including a framework that will meet the needs of regional and national business leaders
• Provided analytical data to enable management to make informed decisions to drive continuous revenue cycle improvements by realizing gains in operational efficiency, cost savings and member experience
• Created drill down from the high level summary metrics to the supporting detail in the current report format
• Identified performance indicators that provide reliable daily trend information as a primary input towards the monthly executive dashboard report.
• Developed HIPAA EDI Transmissions. Work includes complete business cycle management and hands-on production as well. Create EDI Testing process, documentation, and performance matrices.
• Technical Specification Creation for EDI. Schedule meetings with technical personnel to determine technical parameters for EDI and other related processes, including communication, security, and privacy.
• Create transaction sets requirements, usually with Microsoft Excel, for transactions such as: HIPAA 270/271, 276/277, 835, 837-(I,P, &D), 835 Remittances and others.
• Drafted the existing and known requested list of metrics to the Revenue Cycle process context map
• Analyzed and drafted a functional and technical features list for each vendors, thus identifying the best to send out a RFP
• Created a prototype presentation in Visio for the SCAL region, thus showing a pictorial representation on the various drill downs from the report to the metrics to the database.
• Identified and drafted the calculations used for various regions, using their source SQL’s for standardization purpose.
• Performed Requirement Analysis and developed Use Cases, Activity Diagrams using Rational Rose
• Prepared for GAP Analysis; identified and documented improving areas to meet capital requirement regulations.
• Developed UML Use Cases using Rational Rose and developed a detailed project plan with emphasis on deliverables.
• Involved in interactions with Subject Matter Expert, Project Manager, Developers, and the end-users in more than one JAD sessions. MS Project proved useful in coordinating activities with project manager and various other team.
• Modelled the information and then came up with the requirements prioritization. Eliminated false requirements by screening out multiple versions of user input. Final prioritization was based on both, product and process requirements.
• Provided clear and concise documentation regarding requirements management plans, functional requirements, supplemental requirement
• Performed GAP analysis for the modules in production, conducted feasibility study and performed impact analysis for proposed enhancements.
• Coordinated JAD session with system analysts, development team, project manager for application development and Pre-validation specifications

Environment: Windows XP/2000, Oracle, PL/SQL, MS-Project, MS-Office Suite, MS Visio, Rational Requisite Pro, UML, Clear Case, Clear Quest, MS Visual Source Safe

Confidential

Sr. Business Analyst/Data Analyst

Responsibilities:

• Performed Requirement Analysis by gathering both functional and non functional requirements based on interactions with the process owners & stake holders and document analysis, represented them in Requirements Traceability Matrix (RTM).
• Worked with SME’s in Finance, Investment, Commercial and Personal banking to collect the Business process requirements, documented them in Business Requirement Document (BRD) and performed Business Process Re-engineering.
• Designed and development of test cases based on functional requirements for Institutional and Professional claims for EDI and HIPAA Transactions 837/835, 834, 276/277, 270/271 testing.
• Performed System testing of the Claims processing systems (Pricing Rules, Duplicate/Limits validation, Member Eligibility, Provider Enrollment, et al).
• Performed testing for Medicare, Medicaid and X-Over claims for Medicaid Management Information System (MMIS)
• Interacted with department heads to finalize business requirements, functional requirements and technical requirements and also created Business process model.
• Facilitated JRP sessions between technical and regulatory teams for meeting requirements as well as solving problems on a daily basis
• Assisted in building a Business Analysis Process Model using Rational Rose and Visio.
• Use Cases and other Process Flow Models were designed using Visio and Rational Rose.
• Involved in creation and reviewing of Functional Specifications and created a Functional Requirement Document
• Used Rational Requisite Pro to improve the communication of project goals, enhance collaborative development, reduce project risk and increase the quality of application before deployment.
• Created and maintained Narrative Use Cases (Business Use Cases, System Use Cases) and modelled Use Case Diagrams, Activity Diagrams, Data Flow Diagrams using MS Visio.
• Followed the adaptive RUP framework for the whole Project life cycle (PLC)
• Fine tuned search engines and pulled data from different databases and migrated data back and forth using SQL.
• Involved in creation and execution of manual test cases in Mercury Test Director and automated Test Cases in QTP and analyzed the Test Results.
• Involved with the QA team to conceptualize, determine and develop test approaches and methods for unit testing, integration and functional testing, load and usability testing according to the application complexity and test requirements.

Environment: Windows XP/2000, Oracle, PL/SQL, MS-Project, MS-Office Suite, MS Visio, Rational Requisite Pro, Clear Case, Clear Quest, MS Visual Source Safe, Test Director 7.6, Quick Test Pro (QTP)

Confidential, Marlton NJ

Sr. Business Analyst

Responsibilities:

• Conducted user interviews, gathered requirements, analysed the requirements using RUP methodology and documented the requirements using Rational Requisite Pro.
• Worked with the SME’s (Financial Analysts, Risk Managers, and Project Managers) to define business critical needs and analyse the possible technical solutions.
• Created Business Requirement Document (BRD), Functional Requirement Specification (FRS) document, User Requirement Specification (URS) and Change Request (CR) document for system application development.
• Conducted joint requirements planning (JRP) sessions as a facilitator to gather requirements from the business area and to discuss different critical success factors of the project like Operational Feasibility Analysis, Technical Feasibility Analysis, Cost Benefit Analysis & etc.
• Developed budget planning report & timelines of the project by conducting walk-through sessions and meetings involving various leads from Development, QA and Technical Support teams.
• Authored various Use Cases and Activity diagrams, Sequence diagrams using Rational Requisite Pro and used UML methodology to define the Data Flow Diagrams (DFD).
• Conducted user interviews, gathered requirements, analyzed the requirements by using Rational Rose, Visio and Requisite pro - RUP
• Performed GAP analysis for the modules in production, conducted feasibility study and performed impact analysis for proposed enhancements.
• Coordinated JAD session with system analysts, development team, project manager for application development and Pre-validation specifications.
• Developed and managed project plans, schedules, issues log created and business-technical conflicts.
• Coordinated various kinds of User Acceptance Testing (UAT) including regression testing, system testing, integration testing, functional testing, alpha & beta testing.
• Authored test plans, test cases for various test scenarios and helped testing team to better understand the test scripts.
• Used Test Director which is a Mercury tool to help manage defects and issues log during the testing phase..
• Involved in the creating the User Interface Specification Document and User Training Manual as per project specification with the help of development team
• Participated in Bug-Review meetings with software developers, QA engineers, managers, and suggested enhancements and solution to the existing application problem from business perspectives.
• Worked as a User/Customer advocate and negotiated with user as well as the technical team and management staff to resolve any outstanding requirement conflict during the whole SDLC process.

Environment: Rational Suite (Rose, Requisite Pro), Windows XP/2000, SQL, XML, HTTP, MS-Project, MS-Office Suite, MS Visio, Win Runner, Load Runner, Test Director (Mercury Interactive), Java, Oracle

Confidential, Montvale, NJ

Business/System Analyst

Responsibilities:

• Liaison between the client and development team to support the client’s data analysis and reporting needs.
• Proficient in discussing and defining project, Gap Analysis with the clients from both a business and technical perspective
• Provide current market, economic and technical information and updates as well as external changes impacting trading activities to customers.
• Gather requirements for the listed options risk management system, specifically for index options risk management spreadsheet. Defining requirements for product control and risk management end of day feeds.
• Wrote functional requirements and non-functional requirements based upon the approved business requirements by following UML processes and standard procedures for developing use cases, use case diagrams, and other supporting documentation.
• Engaged in analysing requirements, identifying various individual logical components, expressing the system design through UML diagrams
• Worked on Rational Rose to develop the use cases, class diagrams and sequence diagrams.
• Worked on Requirement Change Management System in Rational Requisite Pro.
• Setting up document hierarchy and standards to define different level of requirement using Rational Requisite Pro.
• Manage Scope and change throughout the SDLC process of the product.
• Analysed existing data and used tools available to successfully forecast the pricing models.
• Responsible for addressing, diagnosing, and resolving issues that arise on a day to day basis for the team. Also responsible for documenting the causes, analysis and final resolution to the issues/errors.
• Identified areas of risk exposure and loss techniques adopted.
• Developed detailed auditing and reporting of the current status and history of all components related to a product.
• Translated customer/clients needs into new features and new services.
• Develop process improvement projects by gathering and analysing data.
• Define Key Process Areas for different Projects.

Environment: Rational Suite (Rose, Requisite Pro), Rational Unified Process (RUP), Windows XP/2000, Oracle, PL/SQL, MS-Project, MS-Office Suite, MS Visio, MS Word, MS Excel