SUMMARY:

• Business Analyst with 8 years of experience in Business Analysis, Business Rules, GAP Analysis and developing/creating business process documents include understanding of Business Requirement Gathering, Joint Application Development JAD sessions with clients and referring to accessible documentation and procedure.
• SDLC: In depth strong working knowledge of the Software Development Life Cycle (SDLC) phases such as Planning, Analysis/Design, Development, and Testing for the software/system development process
• Strong experience in preparing Business Requirements Document (BRD), Use Case Specifications, Functional Specifications.
• Well acquainted with Workflows and UML (Unified Modeling Language) diagrams such as, Use case diagrams, activity diagrams and Sequence diagrams.
• Actively used Joint Requirement Planning (JRP), Joint Application Development (JAD) and Rapid Application Development (RAD) sessions for requirements gathering and brainstorming ideas.
• Multi - Tasking and Organizational Aptitudes, with proven experience in Development and Implementation of Strategies.
• Proficiency in developing SQL, PL/SQL queries with various relational databases like Oracle, SQL Server, DB2,
• Excellent communication and interpersonal skills, capable of communicating with highly technical engineering teams. Exceptional mediator between external and internal customers, capable of interpreting their needs and positions to ensure the success of the projects.
• Exposed to Medicare and Medicaid domains of the healthcare systems and industry for inpatients, outpatients, Reimbursement Methodology.
• Very well versed in technical writing, documentation, presentation and delivery.
• Experienced in vendor management, training users / peers, building consensus.
• Extensive knowledge on relevant cross-industry data and messaging standard organizations and HIPPA/EDI industry-specific organizations to maintain a point of view as to the current applicability and risks associated in implementing standards or new technologies to client environment.
• Newly into Scaled Agile Framework SAFe which involves alignment, collaboration, and delivery across large numbers of agile teams.
• Experience in Application Development and Maintenance, Incident management, Change management, Production support in HealthCare Industry.
• Excels at gathering requirements and effectively balances business and technical perspectives. Onsite/offshore coordination and coordination with various stake holders.
• Extensively Knowledge in the Member Enrollment and Billing information.
• Worked closely with stakeholders to analyze and understand business requirements; gathered User, Functional and Non-Functional requirements & translated the requirements into User Stories for Scrum process.
• Extensively worked with Supply Chain Management amp; Health Care Provider.
• Experience with Service Now with resolving tickets assigned to me and my team.
• Experienced in analyzing business requirements at different stages of software development life cycle (SDLC) methodologies such as Agile, Scrum, and Waterfall.
• Represented the organization in client meetings, document meeting outcomes, and coordinated all internal and external follow-ups to close issues in support of the project requirements.
• Experience in dealing with a global implementation team (offshore/nearshore/onsite).

TECHNICAL SKILLS:

Business Modeling Tools: MS Visio, MS Office Suite.

Methodologies: Agile, RUP, Waterfall, UML, CMM.

Requirement Management Tools: Rational Suite (requisite Pro, Clear case, Clear Quest, Rose), Caliber RM, Optimal Trace 5.1, Rally, HP Quality Center.

Applications: MS Office (Word, Excel, PowerPoint, InfoPath, OneNote, Publisher, Outlook) MS Project 2000, PowerBuilder, Jira, Intuit QuickBooks, ServiceNow, Business objects, Crystal Reports, ACT Sales Database.

Languages: UML 2.0, HTML, XML. SQL,PL/SQL

Operating Systems: Windows NT/98/200/2003, Windows XP, UNIX/Linux.

PROFESSIONAL EXPERIENCE:

Confidential

Business Systems Analyst

Responsibilities:

• Utilizing Agile Software Methodology using Scrum framework. Actively participated in creating the user stories and prioritizing user stories along with tracking of burn up, burn down charts to estimate sprint delivery.
• Participating in Business Modelling by documenting the needs of the Business.
• Used SQL queries for data validation, involved in UAT, executing test cases, evaluating test results and preparing test summary reports
• Developing applications to track risk exposure.
• Walk through, integration approach and strategy document, BRD, Functional Specifications, conditions and scripts.
• Strong knowledge of data analysis and data validation using SQL
• Conducting on-site/web conference presentations, data conversions, system implementations and end user training. Provided ongoing user assistance, enforcement of technical policies, software releases, system upgrades and resolved software related problems.
• Complying with the consistent development and maintenance of the healthcare industry databases, health care insurance and health care industry related aspects with adherence to HIPAA compliances.
• Provide reporting to management via excel reports of workload and work completion on a daily, weekly, and monthly bases.
• Using HIPAA guidelines and regulations to keep track of Healthcare transactions like Eligibility Request/ Response, Request and Response for Claims Status, Prior Authorization, Claims Vision and Claims Payment.
• Extensive knowledge on relevant cross-industry data and messaging standard organizations and HIPPA/EDI industry-specific organizations to maintain a point of view as to the current applicability and risks associated in implementing standards or new technologies to client environment.
• Conduct Gap Analysis by identifying existing technologies, create and document the end-user's AS-IS
• After successful development and testing of the product, participated in product release and deployment to End-User.
• Creating a Requirements Traceability Matrix (RTM); kept a track of product backlog, sprint backlog, and time estimates using agile tools like Jira.

Confidential, Baltimore, MD

Business Systems Analyst

Responsibilities:

• Independently responsible for gathering business requirements utilizing Joint Application Development sessions, interviews, surveys, use cases and document analysis on wide range of projects.
• Effectively facilitates and participates in Joint Application Development sessions with project stakeholders to gather detailed business rules and functional requirements.
• Conducted frequent meetings to interview business users, subject matter experts (SMEs), technical staff and support personnel in order to obtain and document business needs and then covert them into functional requirement document (FRD).
• Executed SQL queries to retrieve and validate key data parameters for project reports
• Managed relationship between developer team and end users.
• Collaborated with developers and subject matter experts to establish the technical vision and analyze tradeoffs between usability and performance needs.
• Performed daily operations support such as creating patient registries to provide members of the PCMH team the data needed to meet the PCMH requirements.
• Updated ACO data sources to be able to efficiently produce recurring and ad-hoc reports with the most current information.
• Analyzed the needs of customers or requirements and find the best solutions by means of automated systems.
• Identified test cases and working with testing team and providing UAT with Business users and providing functional support.
• Organized and raising new change request and service request in ServiceNow on behalf of my team.
• Conducted different levels of testing and UAT with the integration of our application to ServiceNow.
• Was part of our ticketing tool migration to ServiceNow.
• Effectively handled and provided an extensive experience in business process re-engineering.
• Responds to RFPs (Request for Proposal) for the new business opportunities.
• Provided sound recommendations to the development team for business improvement.

Confidential, MI

Business Analyst

Responsibilities:

• Facilitated JAD sessions with management, users and other stakeholders to define the project and to reduce the time frame required to complete deliverables.
• Acts as a liaison between business users and technologists to resolve issues and expedite systems enhancement project.
• Used Jira for writing Epic, user stories with acceptance criteria or user stories with use cases, used confluence for upload documents.
• Worked on tickets and incidents assigned to my team on ServiceNow.
• Organized the weekly status meetings, walkthroughs and documenting the proceedings.
• Participated in daily and periodic reviews of business requirements and make recommendations.
• Created testing criteria for user effectiveness for use during and after implementation.
• Organized serves and applications with their specifications that are been used by my team in ServiceNow.
• Consult with service providers and employees to create the best possible business solutions and optimize business processes to maximize productivity.
• Worked in change management, incident management and creating knowledge management scripts in ServiceNow.
• Worked with developer teams to create technical documentation of the application.
• Worked with relevant teams to constantly check the status of database systems/operating servers and monitoring them.
• Worked on developing dashboards in ServiceNow.
• To be the point of contact for business users for any kind of issues with the application and helping them in resolving them.

Confidential - Los Angeles, CA

Business Analyst

Responsibilities:

• Mobile Check Deposit functionality allows clients to deposit checks remotely into the customer's bank account. The purpose of this project was to identify and implement a platform that is compliant with BSA/AML (Bank Secrecy Act / Anti Money Laundering) regulatory requirements including tracking of IP address and Geo-location awareness.
• The requirements discussions with end-users were used to document UI / UX user experience, wireframes, mockups, functional workflow diagrams and report specifications. The Requirements Traceability Matrix (RTM) was used to document the end-to-end requirements traceability to ensure there were no gaps in capturing and testing the business requirements.
• Worked on creating end-to-end data workflow in the BRD.
• Participated in discussions with various stakeholders to capture the "To-Be" requirements for the new platform that is compliant with BSA/AML Regulatory requirements and Atomize as the fraud prevention tool.
• Performed data mapping and conceptual data modeling to help identify data elements, data attributes, data flow and reporting requirements as per Data Governance standards.
• Worked with Microsoft Project Management tools to keep track of the project timeline and functional requirements.
• Analyzing day to day operations support and identifying the areas of improvement and implementing them
• Finding the root cause analysis of any issues and working with team to fix it.
• Assisting and guiding business users with UAT walkthrough and training sessions for effective use of the application.

Confidential

Business System Analyst

Responsibilities:

• Worked with Agile and Waterfall methodology in tracking schedules, called out timeline conflicts and suggested timeline changes.
• Tracked and communicated user stories, bugs, issues, and tasks to the development team using JIRA.
• Work with business to understand requirements.
• Lead weekly functionality clarification review meetings.
• Reviewed Change Requests on a regular basis and get clarity on expected behavior
• Responsible for black box testing of the application
• Responsible for developing test plans, test objectives and test condition matrices for positive and negative scenarios of the application under test.
• Prepared Functional Specification Documentation (FSD) and communicated these to the Stakeholders.
• Communicated with Project Managers, Technical Lead, Business Team, Product Owner and SMEs for requirements gathering and maintained strong communication between teams.
• Worked closely with Scrum Team.
• Created context and workflow models, information and business rule models, Use Case and Object Models during the analysis using Rational tools.
• Use of Microsoft Excel and PowerPoint to demonstrate requirements aspect based on client.

Confidential

Pharma Beneficial Analyst

Responsibilities:

• Determines employee benefit practices by benchmarking best practices; researching industry and employment trends; tracking legislation and estimating impact.
• Determines employee benefit interests by conducting employee surveys; forming focus groups; analyzing response.
• Recommends employee benefit programs by examining, evaluating, and optimizing employee understanding, acceptance, and interests, costs, regulatory requirements, and competitive advantage.
• Evaluates proposed employee benefit contracts by studying provisions; estimating impact.
• Implemented the SDLC for the developing life cycle and followed the standards process in the application.
• Translated business requirements into functional requirements and approaches for developers.
• Provided management support to the off-shore End to End integration/ Regression Test Team.
• Workflow documentation and comprehensive training to the healthcare clients.
• Analyzed corporate healthcare business processes to develop customized solutions.