PROFESSIONAL SUMMARY:

• Management Information Systems graduate with 10 years of experience as a Business/Systems analyst in diverse industry sectors including health care, banking, finance, insurance, and debt management
• Experienced in software consulting and software development, product development, process improvement, database management systems, business analysis, mainframes, reporting and analysis
• Experienced in gathering user requirements, analyzing and preparing project deliverables and proposing changes for process improvement
• Demonstrated ability to work actively in distinct phases of Software Development Life Cycle (SDLC) using agile and waterfall methodologies
• Extensive experience in the SDLC phases including requirements gathering, analysis and design, testing, implementation, production support and maintenance
• Highly proficient in working with users and stakeholders to elicit, analyze, communicate and validate requirements using JAD and brainstorming sessions
• Excellent documentation skills to generate business requirement document (BRD), functional specification document (FSD)
• Experienced in writing user stories and acceptance criteria in TFS and VSTS
• Expertise in creating workflow diagrams and business process flow diagrams
• Experienced in creating use case diagrams, activity diagrams and sequence diagrams using MS - Visio
• Experienced in creating test plan, test case, and test procedures
• Experienced in performing project management tasks

SKILL:

• Waterfall, Agile, Scrum
• Windows, Mainframe MVS
• Software Development Lifecycle
• Requirements Analysis
• Requirements Traceability
• Joint Application Design
• IBM Mainframes
• UML Modeling, ER Modeling
• Web design, User Interface
• Business Process Improvement
• Systems Analysis and Design
• Application Support, Project Management
• SQL, COBOL, MVS/JCL
• Web Analytics

TECHNICAL SKILLS:

• MS Office iRise, MS Visio, Axure
• MS SQL Server
• HP Quality Center
• IBM DB2, IMS DB/DC, VSAM
• Service Now, TFS, VSTS, SharePoint
• Edevor, ISPW, ChangeMan
• IBM Cognos, Quantum Choice

WORK EXPERIENCE:

Senior Business Analyst/QA Analyst

Confidential, Austin, Texas

Responsibilities:

• Currently working in Medicaid Management Information Systems (MMIS) applications for the State of Virginia Medicaid
• Worked closely with business solution architects and operations team to finalize business requirements
• Created wireframes for web portal applications such as worker portal, provider portal and member portal using Axure
• Applied Proof of Concept (POC) business analysis techniques to demonstrate the feasibility of recommended solutions
• Experienced in configuring business rules in Confidential Claims Engine (ACE) for claims adjudication
• Worked on 834-Member Enrollment, 837-Claims, 270/271-Eligibility Inquiry EDI healthcare transactions
• Created business and functional design documents for asset and state specific work packages
• Created flowcharts such as workflow diagrams and business process flow diagrams using Microsoft Visio
• Worked on defect analysis and resolution
• Worked on writing test approach and test cases for System Integration Testing
• Presented business and functional design to all teams including development, test, conversion, and Operations
• Created Power Point presentations to demonstrate the MMIS product functionalities to the State of Virginia
• Conducted Conference Room Pilot sessions for the customer
• Collaborated with other business analyst to support near-real time analytics and reports
• Provided guidance to other team members to work on system enhancements and test plans
• Well versed with eligibility verification, member enrollment and provider enrollment processes
• Worked on Long Term Care Medicaid programs such as Nursing Facility, Hospice, and Waivers
• Extensive knowledge and experience working in multiple MMIS functional areas such as Third-Party Liability (TPL), Level of Care (LOC), Patient Pay, Health Insurance Premium Payment (HIPP), and claims adjudication
• Managed project progress, track actions and manage scope creep and change requests

Business Systems Analyst

Confidential, San Diego, California

Responsibilities:

• Worked as a Business Systems Analyst in Confidential Group IT department
• Worked with various business groups and IT management to define project scope
• Collaborated with product owner to build product roadmap
• Interpreted and translated business goals into business requirements, functional specifications and use cases
• Groomed user stories for the development team during backlog grooming sessions
• Worked on gathering requirements for building Consumer Payment Portal website (Online payment portal for making consumer debt payments) from scratch
• Gathered requirements for various features of Consumer Payment Portal such as consumer registration, login, consumer account management, consumer profile, and offers & payment plan management
• Worked with UX vendor teams to create mobile responsive and mobile optimized designs for Consumer Payment Portal application
• Created wireframes and prototypes using iRise
• Worked with development team to perform root cause analysis and investigate software bugs
• Worked on developing admin console for CPP website to perform administrative functions
• Worked on Bluefin Payment Gateway which is a self-contained payment processing platform
• Analyzed and gathered Bluefin Payment Portal requirements to support submission of one-time sale transactions, voids, and refunds
• Worked in payment processing platforms to process transactions that go through various collection channels

Business Analyst

Confidential, Little Rock , Arkansas

Responsibilities:

• Gathered and documented business requirements for third party healthcare administrator clients (TPA’s)
• Worked on consumer directed healthcare (CDH) solutions for clients to manage Flexible Spending Accounts, Heath Savings Accounts and Transit accounts
• Worked on claim processing for Medicare and Medicaid plans
• Worked on secure web payment portal as part of virtual payments solution for allowing providers to receive payments
• Worked on allowing users to pay using various payment method options like ACH and check, debit cards and credit cards
• Interacted with internal and external stakeholders to identify, analyze and manage requirements for health insurance claims and payment processing
• Created and documented functional specifications for cloud-based SaaS (front end) platform to manage healthcare accounts
• Created UI mockups and wireframes for website design
• Worked in provider payment platform which helps provider to receive payment immediately
• Gained excellent knowledge of healthcare reimbursement procedures

Business Analyst (Graduate Assistant)

Confidential, Little Rock, AR

Responsibilities:

• Worked in the project management office to assist project managers to execute IT initiatives
• Compared and proposed the best information security risk assessment software for UALR
• Documented step-by-step process for using project management software
• Created project management templates to suit the needs of various projects
• Identified categories for projects based on project selection criteria
• Assessed the technical, economical and operational feasibility as part of project initial study
• Worked on project management plan including project size and cost estimation
• Designed and presented CMMI model and helped IT project teams to in corporate CMMI in project processes
• Worked on process improvement strategies with the help of ERP systems and applications

Business Systems Analyst

Confidential, Chicago

Responsibilities:

• Worked in Document Servicing and Archiving project in output management portfolio
• Worked closely with the business owners to gather business needs for sending data to tax department
• Analyzed and documented existing business processes and proposed technical solutions to meet specific business needs
• Reviewed and analyzed the business requirements document to derive the functional specifications document and assisted in the preparation of System Requirement Specifications
• Scheduled and successfully implemented mainframe jobs in production
• Worked extensively with the QA team for designing test plan and test cases
• Worked on designing Test Plan and Test Cases for the System Integration Testing
• Developed effective methodologies for knowledge management, and development
• Performed analysis and reporting of customer accounting data using IBM Cognos

Business Analyst/Systems Engineer

Confidential, Phoenix, AZ

Responsibilities:

• Worked on various Mainframe applications to support payment process of Confidential corporate cards
• Worked on various modules to manage and enhance control over purchase and payment process
• Involved in meetings and workshops to discuss high level user requirements and developed Business Requirements Document (BRD)
• Conducted GAP Analysis in understanding how the upgraded system carries out the business functions and assists in ensuring the timely and effective implementation
• Conducted feasibility study and performed impact analysis for proposed enhancements
• Designed test plan and created test cases for unit testing and system integration testing
• Coordinated user acceptance testing to ensure functional specifications and requirements
• Reviewed test procedures, test plans and test cases for quality assurance
• Executed test scripts developed by QA team to check main functionality of application
• Tracked defects and interacted with team members to fix the defects
• Identified and documented system change requests