PROFESSIONAL SUMMARY:

• 9+ years of experience in systems process analysis, business requirements modeling, and Client/Server applications in diverse business domains of Retail, Healthcare, Insurance and Service Industry Sectors
• Proficient in facilitating business partners to develop user and functional requirements.
• Expertise in identifying options for solutions after analyzing current state and future requirements for business processes.
• Experience in creating mapping document for the business processes and architectural designs.
• Proficient in designing business models, creating flow diagrams to close all the loops for user experiences by using Microsoft Visio as modeling tools includes - use case diagrams, class diagrams, activity diagrams, sequence diagrams and collaboration diagrams
• Experience in forward mapping and backward mapping analysis based on Gap Analysis.
• Proper understanding of the Software Quality Assurance importance and techniques to build a better service.
• Good understanding of California Act for eCommerce domains.
• Expertise on successful completions of Migration projects with complete support from all the 39 integration teams.
• Expertise of launching eCommerce websites and mobile app as Product Owner.
• Acted as Product Owner for UX and functional, technical experts and Integrations delivery and utter the best functional designs to meet business requirements.
• Experience with health care Systems: GBD FACETS, WGS, STAR, and NASCO.
• 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
• Expertise in Business Process Modeling, Business Process Re-design and in designing Process Architecture Hands on Experiences with config file, FTP and SFTP.
• 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.
• Sound understanding of strategy formation, budget preparation, requirement management, risk analysis and overall project plans
• Excellent understanding of Data Models and Information Architecture and sound skills in SQL
• Familiar with HIPAA EDI transactions such as 834, 835, 837 (P, D, I) and 271
• Experience in Risk Management process and technology reengineering, Sarbanes Oxley implementation, valuation review process and technology, strategic sourcing, metrics and benchmarking
• Implemented automated backend services to maintain application reliability
• Experience in developing and conducted statewide HIPAA 5010 and ICD-10 awareness program
• Familiar with FDA Electronic submission standards and CDISC standards
• Achieved Certified SAFe® 4 Agilist, member of PMI (Project Management Institute)
• Creative and aggressive self-starter with integrative thinking skills, capable of communicating creative ideas through graphical analysis charts and statistical data display
• Experience in working with Agile, Waterfall and Hybrid methodology
• Experience in working as a Product Owner and Lead Business System Analyst, Business Analyst

TECHNICAL SKILLS:

Microsoft Technologies: Project, Visio, Excel, Word, Outlook, PowerPoint

Requirements Management Tools: Rational Requisite Pro, Rational Rose, MS Visio, Share Point

Business Skills: Business Process Analysis & Design, Requirement Gathering, Use Case Modeling, JAD/JRP Sessions, and Gap Analysis.

Languages/Standards: SQL, XML, HTTP, HIPPA 4010/5010, ICD9/10, SOAP, APIs- REST, GUT, PUT.

Methodologies: SAFe 4 Agile, Waterfall, Hybrid

Other Tools: GBD Facets, WGS, STAR, Ignite, Tindal, Visual Basic, Toad, JIRA, TFS, FET, UltraEdit, SnagIT, Sybase, Treads, Cosmo, ODBC, Exploring Facets DB, NASCO, SDLC, SCRUM., KANBAN, Confluence, Adobe analytics.

PROFESSIONAL EXPERIENCE:

Business System Analyst

Confidential, Framingham, MA

Responsibilities:

• Created business model document, assist with creating future requirements, compare with current state and prepare GAP analysis for the existing system (Data Center) with the new system.
• Completed the data center migration without any downtime for the site and app.
• Designed performance tests such as spike, load, stress test for prod and QA environment hardening.
• Design and developed eCommerce site with app support for Marshalls which is live in production.
• Worked with analytics team to tag both site and app to monitor traffic and heat map for user experiences.
• Redesign mobile app for TJMaxx and Homegoods for better user experiences and incorporated California Act privacy policy which is scheduled to go for production
• Leads relevant Product Management meetings to determine scope and priorities for optimal business value.
• Reviews the target-state vision and minimum viable product or feature with the team, sponsors, and stakeholders.
• Engages customers and partners for sharing insights and periodic review of “voice of the customer”
• Communicates the impact and relevance of product team decisions to the broader IT community
• Accountable and responsible for defining User Stories and prioritizing the Team Backlog.
• Coordinates with business partners and stakeholders for backlog planning and refinement
• The Product Owner owns the “definition of done”
• Develops a strong understanding of the business operations in the Data Security domain
• Provides input for the sizing/estimation of work during a planning phase
• Partners with the stakeholders to help drive user adoption of the solution.
• Acts as day-to-day liaison between business Subject Matter Experts (SMEs) and technical teams
• Supports the implementation planning and execution of solutions
• Mentor less experienced Product Owners
• Supports organizational change and
• Involved in analyzing and managing scope changes
• Provide and Participates in Team Demos for internal, external and townhall meetings and perform Retrospectives

Business System Analyst

Confidential, Framingham, MA

Responsibilities:

• Assist in business process redesign, UI redefine, and documentation as needed for new functional requirements in ANAPLAN.
• Translate high-level business requirements into functional specifications for the Integration Project, manage changes to such specifications and in corporate new UI implementations.
• Negotiate agreements and commitments by facilitating communication between business unit(s) and IT from initial requirements to final implementation.
• Assist Project Managers in development of new UI project and use associated project planning tools as needed.
• Conduct gap assessments, feasibility studies to assess cost/benefit, efficiency and technical viability of solutions to business problems.
• Develops, monitors and tracks plans to create the BA deliverables on an assigned project.
• Analyze business processes, functions, and procedures to determine most effective business systems software to meet the needs of the organization.
• Establish specifications and objectives based on business requirements and cost effectiveness; provide recommendations to management personnel.
• Collaborate with management in systems development and design.
• Develop overall test strategy to validate end state solution and facilitate user acceptance. Establish use cases, test plans, and coordinate testing across impacted groups.
• Define data transformations needs between source and target systems for Integrations and hands on experiences on WSDL, XML, SOAP, JSON, REST
• Working knowledge with the Payment Card Industry Data Security Standard (PCI DSS) requirements developed and are maintained by the Payment Card Industry (PCI) Security Standards Council
• Incorporated PCI DSS 12 requirements into the core functionalities to ensure smooth Audit Transitions.
• Incorporated Access Control Privileges or SOX controls which are based upon well-established criteria for determining materiality.
• Hands on experiences with SQL to database (DB) design integrations, DB testing, data validations, backup and restore DB, encrypt and scrub production credit card date on DB to comply with PCI, run scripts received from developers to push code to beta environments.

Business System Analyst

Confidential, Hartford, CT

Responsibilities:

• Owned Business/System Analysis and Project Management of many projects (Requirement Elicitation as well as Testing).
• Updated, incorporated new user interface but maintaining Legacy System, current business, policies, and procedures
• Worked very closely with the PO and SM to ensure on time delivery of the deliverables on time and to ensure that capacity is managed based on the backlog.
• Coordinate all Scrum Ceremonies including Sprint Planning, Daily Standups, Sprint retrospectives, Sprint Demos, Story Grooming, and Release Planning.
• Wrote and Maintained User Stories based on the requirements gathered from all the stakeholders (Internal/External).
• Created Business/Technical requirement document for business to approve the requirements captured in the document and to be developing to achieve the targeted goal.
• Data Mapping sheet(s) for the development team to ensure the claims/authorization data merge is done correctly for Source System(s) and the Targeted system(s). Make Sure, UI is in sync with back end integrations.
• Used agile methodology for SDLC and utilize scrum meetings for creative and productive work.
• Created current and to be process flow/Screen Mockups to help Business users and project team clearly understand expected outcome/result from the projects.
• Conducted Requirement walkthroughs with Developers/Testers to help them understand the requirements and identify feasibility issues if any.
• Delivered project needs on time and within the agreed acceptance criteria in a hybrid methodology environment as they attempted to transition to an Agile Methodology.
• Created as-is and to-be screens, workflows/diagrams using Business Process Modeling Notation (BPMN) methods.
• Identifying bottlenecks/issues and fine-tuning them for optimal performance. Was responsible for capturing, reporting, and correcting issues within the project.
• Created and maintained SharePoint site for the Project.
• Created and maintained backlog/User Stories on Jira for the project.
• Provided daily communications, scrum notes, sprint reviews reports, project retrospectives, and regular snapshots of project velocity and budget burn rate.

Environment: ECC, ACMP, Care Management, Claim, MS Excel, MS Access, MS Visio, SQL developer, Jira, UltraEdit, Altova XML SPY, SOAP, Confluence, SharePoint.

Business System Analyst Digital Technologies

Confidential, Mason, OH

Responsibilities:

• Performed the role of a Product Owner Delegate, as approved by the product owner
• Performed requirement & impact analysis for the prioritized epics primarily focused on UI
• Created the user stories with all the appropriate details to UI
• Participated in grooming sessions for UX & supports the development team with UI during the sprints
• Supported the Portfolio team in impact analysis with new UX
• Supported the Product Owner in reviewing the requirements from portfolio teams
• Assisted the product owner in prioritizing the backlog items based on User Priority Requests
• Assisted the product owners in accepting or rejecting the story during the Demo
• Represented the Product Owner in the Meta-Roadmap or Scrum-of-scrum meetings
• Represented the Product Owner in requirement walkthrough sessions with the portfolio team and clarification sessions with the customers
• Was solely responsible & accountable for the user stories and ensuring that all the appropriate fields are populated (component, work id, IT Team, acceptance criteria etc.)
• Created stories and conducts grooming sessions
• Supported the Portfolio team in the impact analysis, as required
• Approved or rejects the developed features during demo(s)
• Was responsible for ensuring the migration of swaggers to Dev Portal
• Worked with the Scrum master(s) and product Owner to ensure that capacity is managed based on the backlog
• Experienced cross browser UX including horizontal and vertical rotations, proper handling of pop ups, blockers, payment integrations, device specific integrations.
• Conducted the Meta-Roadmap meeting to plan for the future sprint work
• Coordinated the activities for offshore and onsite team and Resolve daily two offshore team queries based on data mapping and swagger
• Reviewed test plan, test document and approved final testing result.
• Worked extensively with developing clinical rules engine enabling the business rules such as referral, prior authorization, eligibility, claims processing and billing essential for EDI transactions and programming required for clinical trial analysis and reporting.

Environment: Windows, Central Facets, STAR, NASCO, eHUB, Ignite, SOAP UI, MS Excel, MS Access, MS Visio, SQL developer, Power Point, Jira, UltraEdit, Teradata, Altova XML SPY, SOAP, APIs- REST, GUT, PUT, NASCO.

Business System Analyst

Confidential, Indianapolis, IN

Responsibilities:

• Working experience to complete multiple product life cycle integrating both Front end and Back end application requirements.
• Working experience with The Indiana Health Coverage Programs (IHCP), that uses information management system - Core Medicaid Management Information System (CoreMMIS), was primary responsible to ensure that the implemented coding scheme meets the requirements to all applicable Federal and state laws.
• Supported new business requirements by extending the functionality of the GBD Facets system using the Facets extensibility architecture feature.
• Extensively worked with GBD FACETS migration project implementation, GBD FACETS Subscriber/Member module and Billing module - this includes extensive integrations of payment devices.
• Worked extensively with developing business rules engine enabling the business rules such as referral, prior authorization, eligibility, claims processing and billing essential for all transactions.
• Gathered high level and details level business requirements including UI/UX change requests.
• Conducted Interviews and JAD sessions with SME’s and stakeholders to understand the business requirements.
• Analyzed the Facets Requirements by Conducting Gap Analysis using the ‘AS-IS, TO-BE’ model.
• Created Use Case Diagrams, Activity Diagrams, Sequence Diagrams and ER Diagrams in MS Project. Designed the business requirement collection approach based on the project scope and SDLC Methodology.
• Queried databases for day to day activities and pulls up the information and provides analysis of the data to higher management for decision.
• Prepared member eligibility bi-weekly and weekly reconciliation and redetermination report for State. Achieved 100% accuracy within six months and automated reconciliation report.
• Participated meetings and conference calls with IT implementation partners.
• Coordinated with various departments and business group for GBD Facets migration from central Facets software
• Prepared 834 file data mapping for enroll SQL and keyword file
• Identified various points of integration among the new and existing applications and required integration with other IT components.
• Performed Data Analysis, writing SQL Queries for Testing and Troubleshooting against enroll SQL, and FACETS.
• Worked closely with the business team, development and IT team and the quality assurance team to ensure that desired functionalities will be achieved by the application.
• Identified the impacts the HIPPA 5010 & ICD 10 project had on Confidential Government Business division (Medicare and Medicaid program).
• Provided business and technical suggestions and recommendations
• Writing business use cases and test case for new system and validate the test case.
• Executed UAT testing for Enrollment and Billing module
• Defined the test criteria, project schedules and base lined the Test Plan with the help of project meetings and walkthroughs.
• Prepared and executing test cases for Navigational test, Functionality testing and UAT testing.
• Created test plans, test scripts, Mockup 834 file run Tidal jobs and load test file using SPARX
• Coordinated User Acceptance and Quality Assurance testing of mainframe applications, identifying mock up data, preparing user manual and conducting seminars, installing applications on users.
• Reported defects and bugs to development team using JIRA.

Environment: Windows, Facets, MS Excel, MS Access, MS Visio, SQL, Power Point, Tindal, Toad, Jira, Sybase, MACESS, UltraEdit, Teradata, Cosmo, ODBC, Exploring Facets DB

Business Analyst

Confidential, Brighton, MA

Responsibilities:

• Responsible for defining the scope and implementing business rules of the project, gathering business requirements and documentation explicitly for both front and back end.
• Agile methodology was used throughout the project.
• Prepared Business Requirements Specifications UI, System Requirement Specification as per the requirement from the stakeholders.
• Worked extensively with developing business rules engine enabling the business rules such as referral, prior authorization, eligibility, claims processing and billing essential for transactions.
• Performed GAP analysis by performing the system analysis between the scheduling systems and documented the gap items.
• Conducted JAD sessions, meetings, workshops to gather requirements from various stakeholders and SMEs.
• Designed device specific tests, that includes cross browser testing with supported versions.
• Tracked defects and worked with off-shore development team to fix defects and develop enhancements based on project change requests. Front-end was created in JAVA. Back-end database done in Oracle.
• Prepared various diagrams As-is and To-be diagram and Swim Lane diagrams using MS Visio and MS Project.
• Used MS SQL Server Management to extract different sets of data from the main server and used them as per the requirements.
• Created data mappings to transform the data according to business rules.
• Developed Use Cases for unit testing, prepared spreadsheet for testing criteria, including regression, positive and negative testing, process flow testing and screenshot for test results to complete expected and actual results.
• Prepared documents for the wireframe and prepared a data dictionary for the same
• Managed testing for various functionalities using test management tools.
• Worked closely with QAs and Software Development Team to clarify/understand functionality, resolve issues and provided feedback to nail down the bugs.
• Worked on mediation and negotiation process to manage the internal and external disputes while working on site of the project.
• Maintained a close and strong working relationship with teammates and management staff to achieve an expected QA result for the project team.

Environment: Windows 2000/XP, Microsoft Office SharePoint 2007, Rational Requisite Pro, MS Office, SQL Server, Oracle, PL/SQL, Agile, MS Project, MS FrontPage 2003, MS Access, EDI, Documentum 2.0., UML.

System Analyst

Confidential, NewYork, NY

Responsibilities:

• Worked with the Confidential International IT team to define their requirements and deliver results and maintained industry standard, procedures for in-house/outsourced applications and IT service management.
• Proposed and implemented required IT infrastructures for smooth IT operations for Helath program
• Maintained relationship with key stakeholders internally as well as interface with third-party contractors, vendors and consultants.
• Prepared and reviewed all agreements, contracts and project plan
• Developed and monitored work-breakdown structures, project tracking and variance reports
• Identified and assembled risk management plans and work effort documents and follow project management standards to manage projects throughout the project lifecycles of initiation, planning, execution and closure
• Prepared requirement analysis, technical documentation, workflow diagram and UAT of new modules and for new requirement of the existing system as well as for the ERP system.
• Provided prompt support to the country IT, according to the priority of problems and guide them to resolve the problem of ERP, RADAR and other existing applications and infrastructure
• Identify new requirements, prepare proposals, outline activates, budgets and schedulers for information technology projects
• Ensured timely and cost- effective implementation of all IT projects as well as ERP application
• Managed and controlled scope creep from business and setting right expectations for both business and IT and giving a realistic execution time frame to Management
• Wrote PL/SQL statement and stored procedures in Oracle for extracting as well as writing data.
• Created Use cases, activity report, logical components and deployment views to extract business process flows and workflows involved in the project. Carried out defect tracking using Clear Quest

Environment: Windows XP, Microsoft Office SharePoint, SQL Server, Oracle, MS Project, UML