PROFESSIONAL SUMMARY:

• 9+ years of experience acting as a liaison between clients and development teams providing business and functional requirements for various domains such as Health Insurance, Property and Casualty, Commercial Insurance and Point of Sale system
• Strong understanding of project life cycle and SDLC methodologies including RAD, Waterfall and Agile.
• Efficient in conducting workshops and JAD/JAR sessions involving company employees and end users.
• Excellent work experience in creating Business Requirement Documents, Functional Requirement Documents, Gap Analysis, Use Cases, Activity Diagram, Sequence Diagram, RAID logs, Requirement Traceability Matrix and Test Plans.
• Experience with Data Management, Data Visualization, Data Migration and, Data Transformation (ETL - extract, transform, load).
• Experience in conducting User Acceptance Testing, SWOT Analysis, Cost Benefit and ROI analysis.
• Experience in Healthcare Industry with strong operational knowledge of HIPAA, EDI, Claims, HITECH, Healthcare Compliance Reporting, Facets and SSAE
• Extensive knowledge on the various types of health insurance programs such as: Medicare (Part A, B, C and D), PPO, HMO, Dental claim and POS, Health Insurance
• Experience in writing SQL queries such as Select, Insert, Left Join, Right Join etc.

TECHNICAL SKILLS:

Business Planning & Work Flow Tools: UML, MS Visio, Rational Rose, Rational Requisite Pro, MS Office, One Note

Processes: RUP, RAD, Agile, Spiral JAD, Waterfall SDLC models

Databases: MS Access, MS SQL Server, OPMS, E-workflow, IPR

Testing/Defect Tools: Rational Test Manager, Quality Center, ServiceNow, Clear Quest, HP ALM

Operating Systems: Windows, Unix, Linux

Management Tools: MS Office, MS Outlook

PROFESSIONAL EXPERIENCE:

Confidential, Chicago, IL

Business Systems Analyst

• Analyzed the end to end workflow of the business process across various LOBs to create User Stories
• Contributed as a secondary ServiceNow Process Analyst to effectively integrate, create and deliver business modules for AGCS.
• Worked with the IT team to evaluate current and future changes to the environment and develop process solutions to ensure operational effectiveness and compliance
• Validated test cases with the QA team for a smooth transition from SIT to acceptance testing
• Analyzed the design for implementation of SSU service catalog within the current ServiceNow application to provide the metrics needed for demand management, data quality analysis
• Experience working on LOBs like Marine, Aviation, Entertainment, Corporate Lines, etc.
• Assisted / trained the end users and various stakeholders during User Acceptance Testing

Environment: Agile / Waterfall, ServiceNow, HP ALM, SharePoint (2010), ServiceNow, Rational ReqPro, Microsoft Office, OPMS, MS-Visio, MS SharePoint, UAT Testing

Confidential, Northbrook, IL

Business Analyst

• Analyzed and optimized the process, prepared Business Requirement Document (BRD) and Functional Specifications
• Performed GAP analysis of business rules and system process flows to define current processes and determine future business requirements, creating As Is/To Be mapping for all new enhancements
• Performed Data Migration including data extraction, data cleansing, data transformation and data load.
• Hands on experience with collaborative tools such as SharePoint and Confluence
• Designed and developed Use Cases , Activity Diagrams, and Sequence Diagrams using Unified Modeling Language ( UML ), and with MS Visio .
• Knowledge of Insurance types, key elements of a quote, and process for generating a quote.
• Experience with ServiceNow for tracking and managing all IT services.

Environment: Waterfall, Clear quest, SharePoint (2010), ServiceNow, Rational ReqPro, Microsoft Office, SQL Server, MS-Visio, MS SharePoint, Confluence, UML, UAT Testing

Confidential, Grand Rapids, MI

Business Analyst

• Participated in creation of Business Process Workflow Diagrams with Stakeholders.
• Utilized agile methodology to configure and develop process, standards, and procedures to create a Business Requirement Document (BRD) and conducted GAP analysis.
• Working with Medicare operational management to monitor, trend and report on operational metrics such as timeliness, workload, and staff trending, customer satisfaction and other key measures to facilitate performance excellence.
• Involved in managing the Daily Standup meetings and ensured that quality standards were enforced as per the build-release schedule.
• Extensive understanding on EDI-837 Institutional and Professional Claims.
• Analyzed corporate healthcare business processes to develop customized solutions.
• Created artifacts such as Use Cases, Wireframes, Activity Diagrams, and Sequence Diagrams using MS Visio.

Environment: JIRA, ServiceNow, Middleware, Rational ReqPro, Confluence, MS Office (MS Word, MS Excel, MS PowerPoint, MS Visio), Microsoft OneNote, Salesforce, MS-Project, Windows 2000 server

Confidential, Louisville - KY

Business Analyst

• Experienced in retail operations, point-of-sale systems, designing and implementation, business analysis and design analysis
• Reviewed, analyzed and evaluated business process systems and user needs right from the inception phase.
• Responsible for Data capture in right segments of the EDI transmissions ( Inbound and Outbound)
• Worked on fraud prevention strategies and security and security from end-to-end on the POS.
• Added Sales channels and third party organizations including UBER eats and enhanced the home delivery sales channel.
• Conduct JAD sessions to finalize the Billing system design, re-architect and streamline existing design changes impacting other BSS projects for Middleware services
• Familiar with credit card settlement and merchant processing services provided by ADS and First-Data systems.

Environment: Jira, Agile-SCRUM, Clear Quest, Visio, MS Office, Publisher, ServiceNow, Rational ReqPro, Confluence, SharePoint, Microsoft OneNote, Confluence, Middleware, Rational Rose

Confidential, Hartford, CT

Business Systems Analyst

Responsibilities:

• Conducted the JAD Sessions with stakeholders and developers to have a clear picture of a project.
• Used the Rational Unified Process (RUP) to build the different phases of Software Development Life Cycle (SDLC).
• Worked on improvement of Claims Reimbursement User Interface for a better experience and in corporate changes as per HIPAA guidelines using the Gap Analysis.
• Responsible for architecting integrated HIPAA, Medicare solutions, Facets.
• Developed test cases and test plans on the basis of requirements and also did manual testing of the functionality of the application to ensure that the application is able to handle a lot of data.
• Used UML to create use case diagrams, sequence diagrams and activity diagrams.
• Performed Backend testing by using PL/SQL queries to test the integrity of the application.

Environment: RUP, SQL, Middleware, Wireframe, MS Visio, MS Office, UML, Rational ReqPro, Confluence, Windows XP, Salesforce, Waterfall