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Sr. Business Analyst Resume

Bethesda, MD

SUMMARY:

  • A Business Analyst with 7+ years of experience working with various companies who are industry leaders in their fields. Successfully communicated with the business users and stakeholders as well as the technical teams to come up with the Business Requirements and the Technical Requirements. Career has been focused towards the Healthcare industry.
  • Extensive experience working in all stages of Software development Life Cycle.
  • Automation Regression test execution performed using HP QTP and HP UFT automation tools.
  • Worked on design and implementation for the Participant Management module of IBM Curam and Data migration from an existing system.
  • Monitor and maintain Market Data feed in the Informatica based MDM platforms.
  • Extensive experience in leading, facilitating and conducting Joint Application Development (JAD) sessions among user community, Stake holders and technical teams, creating project plans and schedules and managing changes.
  • Experienced working in Medicare and Medicaid projects.
  • Preparing graphical depictions of Use Cases including State Diagrams, Activity Diagrams, Sequence Diagrams, Use Case Diagrams, Component - Based Diagrams, Collaboration Diagrams, Activity diagram, Sequence Diagram, Data-flow Diagram and the Entity Relationship Diagram.
  • Experienced in developing Object Oriented Analysis and Design Models; Use Case Model and UML.
  • Well versed in Process Narratives, Flow charting Techniques using UML, and Good Documentation.
  • Performed the data profiling and finding data patterns using Informatica Data Explorer (IDE)
  • Broad Knowledge in reviewing Test Procedures, creating Test plans and detailed test plans for UAT, Test scenario, defining Test cases.
  • Basic understanding of SQL components. Knowledge and/or experience in data analysis, data validation, data cleansing.
  • Familiarity with cloud computing functionality and services. Knowledge of cloud computing platforms (SaaS / PaaS)
  • Experience in implementation of EDI standards such as ANSI X12 and EDIFACT.
  • Extract pharmacy claims, benefit and eligibility data for studies. Gather any necessary enrolment, formulary, pricing, benefit and trend information from internal departments and the PBM.

TECHNICAL SKILLS:

Programming Languages: C++, C, Java, HTML, XML, PHP, SQL

Database: MS Access, MA Office, MS SQL Server, Server Reporting Services

Operating Systems: Linux, MS-DOS, UNIX, Windows

Software: MS Office, MS Word, MS Excel, MS Access, MS PowerPoint, MS Outlook, MS Visio, Adobe CQ5, Rational Rose, RRP, Adobe Acrobat, Adobe Fireworks, MS Office FrontPage, Clear Case, Clear Quest

Performance Testing Tools: LR, QTP, Virtual User Generator

Processes/Technologies: Agile, JAD, Waterfall, UML, Microsoft Office, JRD, SharePoint, RTM

Testing Tools: Requisite Pro, Confluence, QTP, Test Director, Quality Center, ALM, HTTP Unit, Ascential Test, Win runner

PROFESSIONAL EXPERIENCE:

Sr. Business Analyst

Confidential, Bethesda, MD

Responsibilities:

  • Conducted weekly meetings for deciding the Policies and Procedures to be followed while constructing new sites.
  • Gathered high-level requirement for all the external projects in a release.
  • Performed the requirement analysis, impact analysis and documented the requirements.
  • Involved in the full HIPAA compliance lifecycle from GAP analysis, mapping, implementation, and testing for processing of Medicaid Claims.
  • Developing a single application to process data from multiple integration points, convert the data for reporting purposes and feed data into mainframe system to be compliant to reporting requirements.
  • Performed Analysis on Data mapping between different data models.
  • Involved in the full HIPAA compliance lifecycle from GAP analysis, mapping, implementation, and testing for processing of Medicaid Claims.
  • Used different ad-hoc analysis, the Reports assist in defining strategy for each customer category. Informatics was used for ETL process and Business Objects.
  • Created ICD-9-CM/ICD-10-PCS comparison document and dealt with DRGs.shift through CMS files.
  • Documented ICD9 to ICD 10 mappings one to one/one to Many according to the GEM files from CMS with the functional and structural changes related to the conversion
  • Involved in order to understand and implement Processing ICD-9 ICD-10
  • Worked on EDI transactions: X12,835, and 837 P.I to identify key data set elements for designated record set. Interacted with Claims, Payments and Enrollment hence analyzing and documenting related business processes
  • Executed the test cases and test scenarios using HP Quality center QC.
  • As Scrum Master maintained the capacity plan, iteration board, sprint backlog, velocity charts and burn down charts.
  • As Scrum Master facilitated all aspects of the scrum framework, including sprint-planning sessions, backlog-grooming session, daily scrums product demos, sprint reviews and sprint retrospectives.
  • Prepared Business Requirement Documents BRD's after the collection of Functional Requirements from System Users that provided appropriate scope of work for technical team to develop prototype and overall system.
  • Facilitated and led JAD sessions aimed at functional requirement walkthroughs for all the impacting projects and updated the documents based on recommendations if any.
  • Created various reports such as billing payment reports, Billing Grouping Payment and discount reports
  • Use HP Quality Center to house all test documentation and report/track all issues and defects Defect Management.

Environment: Rally, MS Visio, HP QC, UML, MS Office, Agile Scrum, SSRS

Business Analyst

Confidential - San Diego, CA

Responsibilities:

  • Extensively interacted with the stakeholders and the IT Department in finalizing the requirements according to the Center for Medicare and Medicaid Services (CMS) Compliances/Regulations.
  • Scan Medicaid documents such as: applications, reviews, and supporting documents into CURAM/ACCESS Systems.
  • Working within a growing knowledge of ANSI 834 (Benefit Enrollment), 820 (Premium Payment), EDI, Privacy, and Security.
  • Actively involved in Training on HPQC, Curam Workflow and Medicaid, Food Stamps and Cash Assistance programs
  • Performed Gap Analysis of the processes to identify and validate requirements.
  • Involved in business requirements (BRD/High Level Document (HLD) / Low Level Document (LLD)), Functional Requirement Document (FRD), Project Specifications Document (PSD).
  • Prepared Unified Modeling Language (UML) diagrams, Business Process and Data Process Model using MS Visio.
  • Created wireframes and developed a prototype of the GUI using Axure and demonstrated it to the stakeholders and business users and noted feedback from them.
  • Tracked defects in HP ALM and worked with QA team to resolve defects.
  • Assisted in the UAT and in the preparation of the Test Plan, Test cases with the testing team as well as ensuring testability, reliability, usability, maintainability and performance of the application.
  • Worked on JIRA for continuous update with project schedules, quality, issues/defects and managing resources.

Environment: Agile - Scrum, SQL Server 2012, Curam, MS Office (Word, PowerPoint, Excel), UFT, MS Visio, SharePoint, Spot fire, HP ALM/QC, QTP, Axure, JIRA.

Business Analyst

Confidential - Warwick, RI

Responsibilities:

  • Conduct JAD sessions with stakeholders throughout SDLC to identify business rules, functional requirements and non-functional requirements.
  • Develop business requirement and specification documents as well as high-level project plan and translated business requirements into data and process models.
  • Designed and executed modularized re-usable automated scripts using- QTP/UFT, VBScript.
  • Assist quality analysts in preparing Test Plans and Test Cases.
  • Set up work flowcharts using UML and worked in close conjunction with business process modeling tools for users for the procedures in claims with the help of SMEs.
  • Worked with business owners (SME) in creating legacy data in MDM through IDD (Interface data dictionary).
  • Perform relational database design and modeling and conducted multiple SQL querying.
  • Analyzed the various steps in claim processing lifecycle and Created Business Requirement Document and Functional Requirement Document in such a way that developers could construct the system to identify and monitor the riskier claims.
  • Prepared Test scripts using QTP tool for the modules Reports, Document Manager, Notional Payments and Bonus Accrual.
  • Drafted User Stories, uses cases, assign story points and assign to team members.
  • Create detailed level test scenarios on HIPAA compliance testing.
  • Experience on FACET modules such as payer, pricing and eligibility under claims processing system.
  • Conduct detailed rules analysis to document rules for Medicaid, ICD -10 code set programs utilizing Curam platform and integrate all the provider facilities.
  • Gather business requirements from business users such as insurance policy Managers and drafted business requirement document (BRD).
  • Participate in meetings with developers, project managers and quality analyst to discuss business requirements, test planning, resource utilization and defect tracking.

Environment: RUP, Rational Requisite Pro, UML Use Cases, IBM Curam professional v3, UFT, VB.NET, SQL Server, Rational Rose, QTP, XML, Use Case Documentation.

Business Analyst

Confidential - Philadelphia, PA

Responsibilities:

  • Performed Gap Analysis and created the 'as is' document and the 'to be' document,
  • Performed Impact Analysis on the system and identified the parties/individuals most affected by the proposed changes.
  • Met with Business Users, Stakeholders, and clients to discuss the requirements and Facilitated Joint Application Design (JAD) sessions with Subject Matter Experts (SMEs) from various business areas.
  • Assisted in developing online application portal using Curam technology. Also assisted in developing business layers into Curam framework.
  • Drafted the Business Requirements Document (BRD), System Requirements Specifications (SRS), and the Functional Requirements Document (FRD) for the new Record Tracking System.
  • Created Use Case Diagrams, Activity Diagrams, Sequence Diagrams and Entity Relationship (ER) Diagrams in MS Visio.
  • Effectively used the Traceability Matrix to trace the Test Cases and the features and requirements related to them using the Quality Center.
  • Used XML DOM Objects in UFT/QTP scripts to validate UI objects with data stored in XML files.
  • Involved with the entire Testing Process from Test Strategizing, building Test Plans, Test Scripts and executing them and following up.
  • Created user manual rule set based on Curam technology and assisted in documenting the System Manual for the new application.

Environment: Agile Methodology, QTP, Rational Requisite Pro, UFT, Quality Center, MS Office, MS Project, MS Excel, Curam.

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