SUMMARY:

• Over 7+ years of professional experience as a Business Analyst in developing, programming and supporting system in various domains like Healthcare and Finance.
• Expertise in Software Development Life Cycle (SDLC), Use Cases, Business Process Modeling Notation (BPMN), Object - oriented Analysis and Design, Rational Unified Process (RUP) and Rational tools used during all four phases of RUP: Inception, Elaboration, Construction, and Transition.
• Experience in preparation of Deliverables, Business Requirement Documents (BRD), detailed Functional Specifications and Non-Functional Specifications, developing Use Cases and Test Cases.
• Proficient in understanding, analyzing, and documenting Business Requirements, Functional Specifications, Business Process Flow, Business Process Mapping, and Modeling.
• Conducted GAP Analysis, SWOT Analysis, Cost Benefit Analysis, Risk Analysis, and Impact Analysis, modeling Businesses Processes, and prepared Training Manuals and Knowledge Transfer manuals.
• Expertise in creating Unified Modeling Language (UML) diagrams such as Use Case Diagrams, Activity Diagrams, Class Diagrams, Sequence Diagrams, as well as Data Flow Diagrams, Entity Relationship Diagrams, and Flow Charts using MS Visio and Rational Rose.
• Expertise in creating Test plans, Test Strategy documents, Test data and use Cases.
• Connoisseur in documenting Business Requirements Document (BRDs), Functional Requirements Document (FRDs), Non-Functional Requirements Documents, Use Cases, Test Cases and User Interface Prototypes.
• Experienced developing web-based applications, wireframes, mockups etc.
• Collected, reviewed and monitored market intelligence from various sources that helped increase sales.
• Experienced gathering business requirements for integration points including downstream/upstream interface requirements.
• Adequate knowledge in Health Administration - Claims processing (auto adjudication), Claims pricing and testing, HIPAA, enrollment, EDI, Medicare, Medicaid.
• Proficient in Creating and Transforming Business Requirements into software requirement specification (SRS) using MS Word and Rational Requisite Pro.
• Strong background with Jira & Confluence demonstrated ability to apply critical thinking skills and logic based approach to problem solving.
• Possess excellent interpersonal and communication skills and has proven to be a goal-oriented and resourceful professional.
• Proficiency in business requirement gathering techniques, conducting JAD and RAD sessions and meetings.
• Excellent oral and written communication skills, interpersonal skills, and analytical skills.
• Creative and aggressive self-starter attitude with the ability to maintain positive relationships with stakeholders

TECHNICAL SKILLS:

Business Modeling Tools: Rational Rose, Rational Requisite Pro, MS Visio, MS Project

Defect Tracking Tools: Quality Center, JIRA, Confluence

Languages: C, C++, XML, Java, SQL, Visual Basic

Database: ORACLE, UDB, SQL Server, and Access, Automation DB cleanup utility

Application Servers: IBM Web Sphere, BEA Web Logic, and IIS

Operating Systems / Platforms: Windows XP/2000/2003/NT, Unix, Linux.Mainframes

Office Applications and other tools: MS Office

PROFESSIONAL EXPERIENCE:

Confidential, Brooklyn, NY

Sr. Business Analyst

Responsibilities:

• Interviewed business area experts asking detailed questions and carefully recording the requirements in a format that can be reviewed and understood by both business and technical people.
• Performed GAP Analysis of business rules, business and system process flows, user administration, and requirements.
• Expert in Object Oriented Analysis and Design, Waterfall, Agile Methodology, Jira, Confluence, JAD Sessions, Live Meetings and Interviews.
• Conducting JAD Sessions to resolve open issues, change requests so that the application meets the business requirements and deadlines.
• Authored progress and completion reports which were then submitted to project management on a weekly basis in MS project.
• Involved in GAP analysis, mapping, implementation, and testing for processing of Medicaid Claims. Responsible for the full HIPAA compliance lifecycle from gap analysis, mapping, implementation and testing for Medicaid Claims.
• Interacted with the end-users of the application and setting up sessions with them to monitor their existing application usage and process flow.
• Developed Test Summary Report, Test Strategies, Test Plans, Test Cases, Test Scripts and Test Data.
• Provide hands-on best practices related to web analytics, website measurement, and experience satisfaction tracking.
• Analyzed user and data issues related to Medicaid eligibility determination system.
• Test scripts for test cases, use cases to cover the requirements and business Scenarios.
• Coordinated with other analyst teams, key business management and senior management in keeping abreast of key industry and regulatory developments.
• Responsible for Business, Functional, and Data Requirements for the customization and integration of the application.
• Performed extensive verification in Facets subscriber/member, tested groups, eligibility and enrollment and validated outbound 834 Extracts to the different vendors. Responsible for integrating HIPAA, Medicare solutions and Facets.
• Worked in mainframe environment and used SQL to query various reporting databases.
• Responsible for creating UML modeling plans, Use cases, process flows, Wire Frames and business requirements documentation using Visio.
• Identified the scenario based on business requirement and HIPAA compliance for each transaction such as 837 and 276/277
• Collected and analyzed requirements from business stakeholders to write detailed test plan and test cases.
• Work with data tables and resources, using SQL and web analytics solutions, to make recommendations.
• Conducted JAD Sessions, interviewed Subject Matter Expert (SMEs) and stakeholders, asking detailed functionality aspects of business process.
• Actively analyzed current business processes (Claims, Recipient eligibility and enrollment etc.) and worked with management to improve and implement enterprise solutions to ensure compliance
• Analyzed project scope, gather requirements, writes business and functional specifications, create user documentation.
• Checked the data flow through front-end and backend and used SQL queries to extract the data from the database.
• Documented and gathered functional specification for 837(claims), 278(Authorizations), 276/277(Claim status/response), 834(enrollment) and 835(claim adjustment).
• Interacted with the Business Team and arranged client workshops for effective requirement gathering. Performed GAP Analysis (As Is - To Be), facilitated JAD sessions.
• Identified, prioritized and designed various test scenarios.
• Used Quality Center for requirement management, test planning, scheduling, executing test cases, managing and tracking defects.
• Customized the Test Case and Test Plans in Quality Center according to the requirements of the project
• Communicated analysis to business and clients in clear and concise written and verbal format.
• Developed reports to analyze web based analytics utilizing statistics from web based advertising media.
• Maintained the RTM (Requirements Traceability Matrix) across the deliverables of a project. Frequently updated requirements and defects management tool Rational Clear Quest as change control tool
• Extensive success in translating business requirements and user expectations into detailed specifications employing Unified Modeling Language (UML).
• Tracked the defects in legacy reports as per account managers and end users. Compared the results and tracked the differences in excel
• Customized the test scripts using check points, synchronization and parameterization of data.
• Involved in converting User requirements into business requirements, functional and technical requirements using Rational Requisite Pro and also created business process models from the requirement specs

Environment: Windows, Oracle, PL/SQL, SQL Server, SQL queries, MS-Project, MS-Office Suite, MS Visio, Quality Center.

Confidential, Dallas, TX

Business Analyst

Responsibilities:

• Prepared Business Requirement Document (BRD) and Functional Requirement Document (FRD) by gathering requirements through detailed discussions with business users and Subject Matter Experts (SMEs).
• Prepared and analyzed AS IS and TO BE in the existing architecture and performed Gap Analysis.
• Tested validity and integrity of the calculation engines for Deferred Annuities, Past Services Pension adjustments.
• Identified Member, Provider, Coverage, Medicare, and Medicaid.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, Data Flow Diagrams, Object-oriented Design (OOD) using Rational Rose according to the UML methodology.
• Part of the team working to consolidate their employee’s retirement benefits package.
• Sketched diagrams of proposed and existing systems using Visio.
• Implemented the entire RUP Methodology of application development with its various workflows, artifacts, and activities.
• Worked on EDI transactions: 270, 271, 835, and 837 to identify key data set elements for designated record set.
• Extensive experience in developing Use Cases, creating Screen Mockups, conducting Gap Analysis and Impact, Analysis, SWOT analysis, Cost Benefit Analysis, Risk Analysis.
• Converted Business requirements to the Functional Specification from UML. Managed changes with the help of Requirement Traceability Matrix and impact analysis.
• Performed GAP ANALYSIS between the "AS-IS" model of the legacy system and "TO-BE" model to identify the project gaps.
• Involved in Member Enrollment, Eligibility Enquiry, Medicaid, Claim Status Enquiry, Claim Status Response and conversion of Financial Claims.
• Gathered requirements, writing business and functional documentation, and presenting/reviewing documents with various business, development, testing (create test plans, coordinate testing), and training teams.
• Performed testing for Medicare, Medicaid for Medicaid Management Information System (MMIS).
• Created Use Cases, Activity Diagrams, and Sequence Diagrams thus defining the Data Process Model and Business Process Model.
• Acted as a liaison between Product and System in analysis, design, testing and maintenance of business
• Created Artifacts and defined Milestones and iteration plan for Inception and Elaboration phases.
• Acted as a liaison between business users and system development team during development process.
• Designed the process flow diagrams for flow of information and report creation process.
• Proactively managed systems development, implementation and risk via the use of SDLC.
• Prepared test Data sets and performed data testing using the PL/SQL scripts. Also used MS excel for data mining, data cleansing, data mapping, and data dictionary and data analysis.
• Used MS Project to manage schedules, deadlines and resources and collaborate on the project.
• Conducted interviews with clients for the purpose of gathering product requirements and understanding the client workflow
• Worked with the Quality Assurance team to create Test Plan and Test Cases and conduct unit, integration, and system testing.
• Participated in developing of Training Materials for the new technology and User Training.

Environment: RUP, MS Office, MS Project, SQL, Oracle, Windows, MS Visio, JIRA, MS Project, JAD, SQL.

Confidential, Radnor, PA

Business Analyst

Responsibilities:

• Analyzed and understood the requirements in a Business needs and Technical specifications perspective by conducting User reviews and JAD sessions.
• Understood and articulated the Business requirements from the Business and then converted them into technical requirements.
• Worked closely with the User Interface team to model the Web Screens, which met User defined requirements and also company standards.
• Planned and defined system requirements to Wire Frames with Use Case, Use Case Scenario and Use Case Narrative using the UML (Unified Modeling Language) methodologies.
• Developed a thorough and repeatable software requirements methodology utilizing the Rational Unified Process (RUP) and Unified Modeling language (UML).
• Employed document management tool "Confluence" to ensure efficient cross-functional collaboration
• Identified actors, paths and steps leading to an output and prepared Use Cases, Use Case Narratives and Use Case Diagrams to define actors, interactions and steps to achieve functionality.
• Authored the product backlog for the complete project, derived User Stories for individual iterations, assigned tasks and allocated appropriate resources for completion and acceptance of individual stories.
• Conducted training sessions for Developers and QA team to explain the development of the system.
• Created Business Process specifications, application designing using RUP, database schema design and implementation methodology.
• Participated in JAD sessions / conducted interviews for analyzing business requirements and reviewing them with business and technical teams.
• Used the JIRA Confluence for the general requirements gathering and project discussion on the Confluence page and utilized Confluence and JIRA's integration to create issues from the requirements pages.
• Documented the Business Requirements Document (BRD) and the Functional Specification Document (FSD).
• Conducted User Acceptance Testing (UAT) and collaborated with the Quality Testing Team to develop and review test plans, test scenarios, test cases and test data to be used for both Manual and Automation testing based on the requirements from the Business and product knowledge.
• Used MS Project to schedule and track the process to meet the deadline of the releases.

Environment: SQL Server, Visual Studio, Jira, Confluence VB, Rational Requisite Pro, Rational ClearQuest, MS Office Suite, MS-Project, Windows XP.

Confidential, Reston, VA

Business Analyst

Responsibilities:

• Acted as a liaison between the developers and management staff and was instrumental in resolving conflicts between the management and technical teams.
• Conducted meetings/interviews and JAD sessions with stakeholders to collect business requirements. This information along with the vision document was used to transform business requirements into System Requirement Specifications.
• Prepared business workflow models that cover "How" business processes are accomplished.
• Conducted milestones planning of the project through walkthroughs and meetings involving various leads from development, QA and technical support teams.
• Created business process model for loan origination system for loan initiation to closing.
• Created and managed project templates, use case project templates, requirement types and traceability relationships in Rational Requisite Pro.
• Created Analysis Model and Data Model and used these artifacts to develop the Design Model: Class Diagrams, Collaboration, and Sequence Diagrams.
• Created Use Case Model and detailed use cases in conjunction with the project team to define the features of the application and to be used by the development team.
• Helped the QA team to devise the test plan for the application by explaining the vision document and the business case.
• Attended change request meetings to document corresponding changes and implemented procedures for enforcing changes through defect tracking using Rational Clear Quest.

Environment: MS Visio, MS Office Suite, Crystal Reports, SQL, SSIS, Mercury Quality Centre, Waterfall, MS Word, MS Excel, MS Power Point, Etc