SUMMARY:

• A quality - driven Business Analyst/Architect professional with 11 years of experience in providing business, technical and functional solutions. Her specialization is to investigate, design, develop and implement continuous improvement in addition to providing project development oversight and architect decisions.
• Ability to lead elaboration sessions, conduct executive interviews to capture business objectives.
• Build high performing Business Process capabilities that are capable to scale without substantial increase in operational costs.
• Develop process design patterns (discovery maps) using BPMN, prepare Business Requirement Documents (BRD) and Technical Design Documents.
• Analyze epics using the SCRUM methodology, engage in various stages of agile lifecycle implementations and validate the working technology using manual and automation techniques that ensure traceability.
• Natural collaborative skills make her a good fit in global teams and distributed agile teams Manage team of resources by providing necessary leadership and enhance team skills via mentoring, continuous improvements.

CORE COMPETENCIES:

BPM Tools: PEGA PRPC, IBM BlueworksLive (Lombardi)

Source Control: CollabnetTeam Forge

Business Modelling Software: BPM, VISIO(BPMN)

Methodologies: smartBPM, Scrum, Waterfall

Defect Management Tools: Quality Center, JIRA, SharePoint, Confluence and MS Project

BUSINESS SKILLS:

Business Process Analysis & Design, Requirement Gathering, Use Case Modeling, JADSessions, Gap Analysis, Impact analysis and Data Mapping

PROFESSIONAL EXPERIENCE:

Confidential, VIRGINIA

BUSINESS ANALYST

Responsibilities:

• Coordinate and facilitate extensive user interviews and workshops to gather and analyze requirements.
• Use Pega CRM capabilities for a customer-centric solution that lets you provide perfect customer service every time through Omni-channel service,Case management, Intelligent guidance, User interface and Knowledge management tools.
• Customize the CRP CPM Healthcare portals and leverage it to the current application.
• Use Pega’s in built API’s for Channel integration to expose assets from Pega application as resources for other applications to consume by publishing microservice APIs for case and data types.
• Conduct JAD Sessions, involve in implementation of effective requirements practices, including gathering User Requirements, and analyzing User Requirement Document (URD), and functional specification document (FSD), use and continuous improvement of a requirement gathering processes.
• Apply RUP methodology with its various workflows, artifacts and activities to manage life cycle from inspection to transition phase.
• Act as liaison between external clients and SMEs to generate and standardize product requirements specification documents such as URS/FRS/Use Cases.
• Conduct meticulous GAP analysis while successfully reengineering key business processes to increase operational efficiency and alignment of business unit objectives.
• Developed BPMN flows in Visio.
• Effectively work with the Business to deliver User Interface requirements such as wireframes or screen mock-ups.
• Responsible to ensure that the enterprise standards are adhered to include storage of artifacts, traceability, version and change control.

Confidential

BUSINESS ANALYST

Responsibilities:

• Gather requirements and identified the technical approach for implementing Medicaid and Medicare Projects for the Pharmacy Prior authorization business workflows.
• Assisted in simulation of Business Process models in BPM.
• Created detailed Use cases, BPMN flows, Functional Specifications, UML diagrams to remove ambiguity of the requirements communicated by clients or SMEs.
• Set up definitions and process for phases including Product, Integration, System and User Acceptance testing (UAT).
• Responsible for implementing entire market migration for the all lines of business which includes Medicaid, MMP and Medicare to external system.
• Work with multiple external systems and does not limit to Facets / ESI / ACMP / WMDS using API’s.
• Lead Gap analysis sessions for mapping and reporting requirements for transforming PAR IT operational reports to PA hub reports.
• Design and implement SQL queries for QA testing and report / data validation.

Confidential

BUSINESS ANALYST

Responsibilities:

• Responsible for drafting Case life cycle design/Process flows.
• Design model driven wireframes.
• Understand business process management and business requirements, translated them to BRD/ Functional spec/ Use stories.
• Collaborate with project stakeholders and sponsors in establishing the overall commitments, scope and specific requirements for the project.
• Understand and articulate complex business issues, and address them with appropriate solutions.
• Prepare and deliver product demos, presentations, and competitive positioning.
• Analyze use cases/requirements/user stories to arrive at best cost estimation for RFX and proactive opportunities.
• Manage project risk by playing the role of a trusted advisor to the presale’s ecosystem.
• Ensure a smooth transition between pre-sales work and post-sales consulting and technical support.

Confidential

BUSINESS ANALYST

Responsibilities:

• Identify, document and analyze the business rules that governed the implementation of MyDAS and ensure they are represented with agile user stories.
• Analyze the process model to determine the necessary changes for arriving at the improved state of the existing process.
• Define BPMS specification that were used by the developers for process automation.
• Monitor and measure the business process effectiveness for timely delivery.
• Document process flows and business process re-engineering.
• Demonstrate strong competency and comfort working with and analyzing large sets of data utilizing various tools like Excel, SQL.
• Perform analysis to understand the key drivers of performance (e.g. volumes, timelines, and anomalies).