SUMMARY:

• 9+ years of extensive experience in the field of Business Analysis, working with the technical staff to implement management and staff's business requirements into the software application in Healthcare Industry.
• Experience in Healthcare Application Facets in different modules like Claims, Memebrship, Provider and Billing.
• Extensive knowledge of Software Development Life Cycle (SDLC). Understanding and knowledge of various methodologies like Agile - Scrum,Waterfall, and RUPand Scrum-Waterfall hybrid methodologies.
• Involvement in Data Dimensional Modelling, Data Extraction Transformation Loading (ETL) and Business Intelligence Reporting using Tableau & Informatica.
• Good knowledge of HIPAA (Health Insurance Portability and Accountability Act) transaction codes such as 270/271 (inquire/response health care benefits), 276/277 (claim status), 835 (payment or remittance advice), 837 (health care claim) and 834 (benefit enrolment).
• Extensive experience in conducting Joint Application Development (JAD) sessions for project definition involving analyzing requirements, creating prototypes, user interface, database schema and system design.
• Strong visual modeling and business process modeling skills using Rational Unified Process (RUP) and Agile Unified Process (AUP) with tools like Rational Rose, MS Visio, and well experienced in developing Use Case Models, Entity Relationship Diagrams (ERD), Data Flow Diagrams (DFD), Activity Diagrams, Sequence Diagrams and UML CASE tools.
• Highly proficient in working with users to gather requirements, analyze them and subsequently use the Rational project and design tools to model the requirements.
• Experienced in SQL Server Reporting Service (SSRS), Executing Queries and Running Store Procedures.
• Solid experience with SQL Server and T-SQL in constructing triggers, tables, user functions, views, indexes, user profiles, relational database models, data dictionaries, and data integrity
• Used Query Analyzer, Execution Plan to optimize SQL Queries.
• Responsible for creating different sessions and workflows to load the data to Data Warehouse using Informatica Workflow Manager.
• Conducted JAD sessions, created Use Cases, work flows, screen shots and Power Point presentations for the Web Applications
• Proficient in guiding the JDE E1 Upgrade Project by creating Project Plan Analyzing Budgets Allocating and coordinating between Internal Resources and the third-party Vendors.
• Worked with Rational Suite of tools to create requirements documents (Requisite Pro), visual data models (Rose), manage and track defects (Clear Quest).
• Well versed in different management scenarios like Change Control, Quality Assurance, Defect Tracking, System Integration, and Scheduling.
• Have exposure in educating internal customers on business systems and procedures and working with other analysts and QA team to set priorities and schedules.
• Ability to gather and document Business Requirements, experienced in writing Use Cases.
• Identified Use Cases from the requirements and collaborated in creating UML diagrams sequence diagrams, collaboration diagrams and class diagrams.
• Experienced in Interviewing Business Groups asking detailed questions and recording the Requirement in Vision Documents and Software Requirement Specification(SRS) that can be understood by both the Business People and Technical People
• Extensively worked on backend Testing and has very good Knowledge of Scripting SQL queries to verify Test Data created Test Data and manipulated Test Data.

TECHNICAL SKILLS

Operating Systems: Windows XP, Win7 (32/64bit), UNIX

Agile tools: RallyDev, JIRA Agile, TFS, Confluence

UML Tools: MS Visio, Rational Rose

Test Management Tools: HP Quality Center, Mercury Test Director, ALM, Jira, CaliberRM, Postman Script

Databases: Oracle, SQL Server, MySQL, Access, Toad, DB2

Web development: XML, HTML, MuleSoft, .Net, JavaScript, Drupal, Ektron, Share Point

Applications: IBM InfoSphere MDM-RDM, Iguana HL7 Interface Engine,IBM Lotus Note,VMware

BI: SSRS, SSAS, Tableau, Cognos

PROFESSIONAL EXPERIENCE:

Confidential, Oakland, CA

Sr. Business Analyst

Responsibilities:

• Analyzed the existing claims process and specific business rule logic will be applied in the ACP model.
• Gathered detailed business and technical requirements and participate in the definitions of business rules and data standards.
• Acted as a liaison between client and payer/intermediary. Experienced in payer rules, requirements, governmental regulations and HIPAA compliance.
• Partnered with stakeholders, process specialists, end- users, and vendors to elicit and document business requirements for new applications, defect resolutions, upgrades, enhancements, and other support requests for existing applications
• Managed changes to baselined requirements through effective application of change control processes and tools utilizing RATIONAL REQUISITE PRO, Requirement Traceability Matrix(RTM) and Requirement Mapping Matrix(RMM)
• Utilized MS VISIO, Microsoft Project Server 2013/2016 and Relational Rose to create UML diagrams such as USE Cases, Class Diagram, State Diagrams, Activity Diagrams and Flow Chat Diagram Utilized Agile Tool Sets such as EPICS FRAMEWORK, GUI, JIRA and RALLY also Redmine Project Management Application
• Worked with the project manager in managing the Work Breakdown Structure (WBS) and ensuring it reflects the project’s scope. Entered, updated, maintained, and reported progress related to individual work items entered into the Redmine work management system.
• Managed and tracked the fulfillment of requirements throughout the project lifecycle, enforced and redefined as necessary utilizing Requirement Traceability Matrix(RTM) and Requirement Mapping Matrix(RMM)
• Communicated with management on the progress of the project, gaps and issues Created reports and adhoc queries using COBOL/400, AS/400 Query, Crystal Reports, SQR,COGNOS.MSSRS KRONOS Reports, Showcase, MS SQL, SQL/400, etc.
• Facilitated the re-engineering of processes utilizing RUP Methodology and user procedures and system documentation.
• Utilized Quality Tools such as Quality Assurance Management (WinRunner, LoadRunner) doing Functional Testing, Integration Testing, System Testing, Regression Testing, Positive & Negative Testing, User Acceptance Testing (UAT). Provided Quality Assurances Services for Kronos WFM Package2 and reported arising issues to QA Manager
• Utilized Mercury Quality Center, Quick Test Professional (QTP). Wrote test scripts for Database testing and Client Server and Windows/Web testing. Utilized MS Word, Visio and Excel Facilitated the Enhancement of JDE E1 Financial modules to conform with new government Regulations Especially Excise Tax and Value Added Tax Created Questionnaires that provided clarity.
• Great knowledge of Sarbanes- Oxley compliance, Auditing background.

Environment: MS Office (Microsoft Word, Excel, Access, PowerPoint and Visio), Rational Rose, Rational Req Pro, RUP, WinRunner, ETL, SQL, Load Runner, XML, Java.

Confidential, Orlando, FL

Sr. Business Analyst

Responsibilities:

• Extensively involved in every phase of the RUP process starting from Inception to Transition
• Interacted with users for verifying User Requirements, managing Change Control Process, updating existing Documentation
• In-depth interaction with Primary markets, Secondary markets and mortgage backed securities and asset backed securities for requirement gathering.
• Analyzed business needs, created and developed new centralized back office system for specific area including mortgage and commercial lending system.
• Involved in designing and developing Data Models and Data Marts that support the Business Intelligence Data Warehouse.
• Extensively worked on the ETL mappings, analysis and documentation of OLAP reports requirements.
• Data mapping, logical data modeling, created class diagrams and ER diagrams and used SQL queries to filter data within the Oracle database.
• Established centralized QA processes at the corporate level designed and implemented QA processes and procedures
• Using Shared Containers and creating reusable components for local and shared use in the ETL process.
• Provide insight, guidance, and reporting on default mortgage options to optimize operational revenue
• Worked with key members from various cross-functional teams to analyze various third-party CRM solutions to make a 'buy vs build' decision. Conducted cost/benefit and impact analysis.
• Worked with Data Warehouse in the development and execution of data conversion, data cleaning and standardization strategies and plans as several small tables are combined into one single data repository system MDM (Master Data Management).
• Selected Automation tool, test lab and established QA Automation standards
• Worked extensively with the QA team for designing Test Plan and Test Cases for the User Acceptance Testing.
• Worked closely with the project team in planning, coordinating and implemented QA methodology on various phases of the application
• Used Rational Rose to be designed and develop Use Cases Scenarios, use cases Models, Activity Diagrams, Sequence Diagrams, State chart diagrams, OOAD using UML.
• Used DOORS for requirement management to capture, link, trace, and analyze and manage.
• Conducted Joint Application Development (JAD) sessions with IT groups. Identified the Key Changes, and participated in Stakeholder Management to communicate effectively with them
• Involved in requirement gathering and database design and implementation of star-schema, dimensional data warehouse using Erwin.
• Used Lean Six Sigma and CMMI (SDLC) to ensure applications are delivered on time and on budget with optimum accuracy
• Elicited, documented, verified, and validated all Pega Modification Portal letter requirements.

Environment: .NET, Rational Suite, MS Word, MS Project, MS PowerPoint, MS SQL Server, HP Quality Centre, QTP.

Lab Corp, Burlington, NC

Sr. Business Analyst

Responsibilities:

• Managed Implementation and Configuration of JDE E1 FSCM, HCM by defining project Scope, timeline, resources and coordinating the team to provide go live support.
• Communicated with Clients to gather business requirements and workflow analysis hence creating functional Specification and workflow diagram using MS VISIO, Microsoft Project Server 2013/2016.
• Created Test Cases performed internal testing ensured data integrity also facilitated client QA for the customized applications and enhancement of the JDE E1 9.2 applications.
• Designing the Current state and Future state of the project and organizing workshops and scoping sessions with stakeholders to elicit requirements.
• Gathered validated and documented the “As-Is” of the TOM, “To-Be” of the TOM and identified gaps
• Perform initial issue and benefit analysis with the project owner and project team
• Elicit, document, priorities and validate requirements for the vendor’s requirement
• Review of the organisational structure, streamlining the structure, elimination of non-performing roles.
• Drive the change in the organisation based on stakeholder requirements
• Work with the technical team to digitalise the organisation firm’s operations using Cloud services and reduce paper
• Create Policy and Procedures, carry out implementation of new HR policies, procedures and processes
• Managed Project Documentations like Status Reports, Parameter forms and Scope Document.
• Prepared a detailed Business process document for Merchandise Payables payment selection customization, payment form customization, historical data conversion, duplicate checking and live data interface.
• Participated in Requirement Gathering for AP and GL modules JDE E1 9.2 V Integrated with other JDE E1 applications including General ledger, AP and AM.
• Gathered user requirements from the super users to configure the system to meet user needs and preferences. Participated in Payables and GL configuration.
• Responsible for Analyzing business, functional and IT Requirement documents and prepared complete Test Plans including System Test Plan, integration Test Plan, QA Project Plans and Resource Planning and Allocation.
• Provided guidance and expertise for UAT in AP and GL modules. Coordinated all phases of testing, including test plan creation, data conditioning, script creation, execution and re-testing.
• Coordinated with the user and technical team in identifying and resolving defects in customizations.
• Coordinated with Client IT team to develop and design data interface between Legacy System and JDE E1 Applications.
• Responsible for tracking the issues and providing the status in the weekly meetings.
• Helped resolving issues for General Ledger and AP modules.
• Configured the GL and AP Row Level security by using custom Roles and Permission Lists.
• Responsible for AP approval workflow configuration for AP supervisors.
• Completed Payables systems configuration to pay the vendors using System Checks, ACH, Wires, implemented third party software and Custom Payable processes.
• Responsible for Creation and Maintenance for Custom AP and custom processes.
• Configured AP/GL modules for 3-way matching, Automatic Bank Recon Process for all Banks, ACH and WIRE transfers with manual Pay-cycle approval by AP Manager before transferring to Treasury department.
• Worked with Technical Lead to design and develop customized payment forms and methods.
• Developed Scheduled Queries using PS Query, SQR to meet end user's requirements for month end reconciliation, Payables aging and customized payment reports.
• Recommended a new SharePoint site collection Design Concepts, site planning, meetings Q& A Session, developed Project Plan.

Environment: UML, RUP, Rational Suite, HTML, Crystal Reports, SQL, MS Office Suite, ASP.NET, MS Visio, Web Sphere Commerce.

Confidential - Bloomington, MN

Business Analyst

Responsibilities:

• Guide the JDE E1 Upgrade Project by creating Project Plan Analyzing Budgets Allocating and coordinating between Internal Resources and the third-party Vendors
• Managed the Implementation and enhancement Projects of Business and Clinical applications in different departments of the Hospital System
• Developed Use Cases, Use Case Diagram, flow charts, BRD, FRD, SDD, File Transfer File, Entity Relationship Diagram(ERD) Data integration Document Utilized Agile Tool Sets such as JIRA and RALLY etc.
• Facilitated JAD Sessions for Requirement elicitation with business end users to determine the functional and technical requirements and to estimate the effort levels to complete the deliverables under the scope.
• Prepared a detailed Business Process Diagram(BPD) for Inter-company billing and un-billed Revenue activities and extensively used Microsoft Project Server 2013/2016.
• Participated in Requirement Gathering for AP, AR, and GL modules JDE E1 9.2 V Integrated with other JDE E1 applications including General ledger, AP, AR and AM.
• Facilitated JAD Sessions user requirement eliciting from the super users to configure the system that caters global requirements.
• Participated in Payables and Receivables configuration according to the Global multi-currency requirements.
• Created detailed Test scenario, Test Plan and Test case for Accounts Payable and Accounts Receivable modules and successfully completed Unit, System testing and User Acceptance testing. Developed and executed Manual scripts and automated scripts using Quality Center and PTF.
• Supported and coordinated User Acceptance testing with offshore end user Business teams. Provided guidance and expertise for UAT in AP, AR and GL modules.
• Coordinated all phases of testing, including test plan creation, data conditioning, script creation, execution and re-testing. Coordinated with the user and technical team in escalating defects that needed to get resolved immediately for the Executive User community.
• Responsible for tracking the issues and providing the status in the weekly meetings
• Helped resolving issues for General Ledger, AR, AP and Billing.
• Configured the GL and AP Row Level security by using custom Roles and Permission Lists. Responsible for AP approval workflow configuration for AP supervisors
• Developed scripts (start, stop, backup & recovery processes) for web application server administration.
• Worked on Memory related issues, application leak or WebLogic leak or SUN java bug. By tuning and profiling the memory with third party tools.
• Responsible for deploying J2EE applications on Web logic and on Web Center portals.
• Responsible for using VMware ESX Server / Virtual Infrastructure configure Cluster Pools and Resource Pools
• Deployed WARs, EARs using Web Logic Admin Console and wrote UNIX &WLST scripts to perform automated deployments.
• Provided WLST and configured various Web Logic components/services via Jython script.
• Responsible for writing Shell scripts to monitor domains, recycle clusters, monitor disk space, monitor number of Apache connections
• Migrated Applications between JBoss and WebLogic Application servers
• Investigated the root causes for issues related to server performance like crash, hang etc. and application performance (slowness etc.)
• Auto deployment of several applications using ANT build scripts, UNIX shell scripts
• Used Wily CEM and monitoring their performance.
• Installed Wily Power Packs Such as Leak Hunter, Error Detector, Web Logic Portal, Web Server etc.
• Prepared documents for production and business production environments.
• Configured SiteMinder web agent for authentication and authorization, LDAP.
• Involved in build and deployment support for Integration Testing, Staging, Pre- Production, Production, and Post Production.
• Completed Payables systems configuration to pay the vendors using System Checks, EFTs, Wires and Custom Payable processes. Responsible for Functional Document Creation for Custom AP custom processes
• Configured AP/AR modules for Sales and Use Tax process, 3-way matching, Automatic Bank Recon Process for all Banks, EFT, ACH and WIRE transfers with manual Pay-cycle approval by AP Manager before transferring to Treasury Department Utilized Rational Requisite Pro Application to handle various requirement including Functional Requirements, High Level Requirement, Low Level Requirement, Non-Functional Requirement, Technical Requirement, Scope Statement and User Requirement
• Extensively worked on backend Testing and has very good Knowledge of Scripting SQL queries to verify Test Data created Test Data and manipulated Test Data
• Performed End to End and User Acceptance Testing once product was ready to release
• Validated various in-house developed configurations relating to business rules client specification requirements release notes etc.
• Generated weekly Status Report for the Team and participated in weekly meetings project review meetings, Daily Stand Up and Planning meeting
• Responsible for performing User Acceptance Testing (UAT) for each downstream apps with app owner
• Manually created systems-based Test Scripts and tested using Interface Explorer.

Environment: Waterfall, Test Director, MS Office, MS Project, MS Visio, UML, Windows NT, MS Project, MS Access, PL/SQL, Rational Rose, Rational Requisite Pro, Quality Center, Load Runner.

Confidential, Atlanta, GA

Business Analyst

Responsibilities:

• Created a project plan for all phases of the project including regression testing.
• Used that plan to manage all the activities of the team, including stock purchasing, accounts payable and inventory.
• Responsible for designing future state process for integration of different Applications JDE E1 8.90 with the in-house enhancement and created High Level Business Requirement
• Involved in creating BRD and GAP Analysis, Design, and Testing of the Interfaces
• Responsible (along with the client) for Design, Build, Test and Deploy phases of the project which is an Agile Methodology also utilizing tools such as JIRA and RALLY.
• Ensure that adequate financial management procedures and systems are in place, and that Project accounting practices, compliance and standards are adhered to in accordance with GAAP requirements.
• Developed the invitation to tender document with a vendor’s response tracker
• Gathered, revalidate and documented requirement the business and accounting processes and functions
• Developed and updated Project business case and conducting detailed Competitors analysis.
• Documented functional and non-functional requirement gathered during sessions
• Created User Stories, Use Cases, Use Case Diagrams, Entity Relationship Diagrams, Mock-ups and Wireframes
• Implemented and monitored life cycle of all approved business cases and business plans
• Designed and review RAIDS log, lesson learnt, project Status report, Exemptions and Change requests.
• Created test cases and worked in partnership with testers and developers during the development and of the intranet system
• Provided in-house support as the single point of contact for any issues/incidents relating to the systems
• Built in scenarios and cost benefit analysis into projections
• Guided and assisted the client with the resolution of gaps and issues.
• Analyzing quality Management and Six Sigma concepts like DMAIC, PDCA Statistical Process Control, quality function deployment and waste reduction by Lean Concepts.
• Created High and Low-Level Use Case diagrams for JDE E1 9.2 FSCM.
• Conducted GAP Analysis by brainstorming with Project Managers, IT Lead and Business Users to get the Low Level to Be/Proposed environment.
• Documented Business Rules/functional Requirements to support system enhancements with the minimal guidance of a Senior Associate.
• Produced RICE (Reports, Interfaces, Conversions, Enhancements) specifications, interfaced with developers to further define the specifications, and tested RICE elements.
• Maintained BEA Web Logic Application Server, JBoss AS 5.1/6, IIS 6/7, WebSphere 6.1, and Tomcat on different UNIX platforms and windows platforms and have setup development, testing, staging and production environments for the ongoing application development.
• Install, Configure, troubleshoot and maintain the Web logic9.x/10.x/11g, WebSphere 6.1 and Apache web server.
• Applied patches, hotfixes on Dev, QA, Staging and Production environment for WebSphere and tomcaton quarterly basis.
• Configured Execute Threads, Connection Pools and JMS Bridges etc. for different components of the applications.
• Configured BEA Web logic on a single Server and cluster environment.
• Responsible for maintaining mod security filters to block various cross-site scripting attacks
• Managed and Monitored JVM performance by Web Logic Heap Size, garbage collection, JDBC Pools.
• Guided the client in the development of scripts and end-user documentation.

Environment: Java, UML, RUP, Rational Suite, Zachman Framework, WinRunner, Load Runner, Oracle, PL/SQL, UNIX, Test Director.