PROFESSIONAL SUMMARY:

• Over 3 years of work experience in the healthcare industry as Business Analysis. Extensively involved in different phases of the project life cycle. Worked as a Team Player, Team Lead. I have been involved in all facets of Business Analysis in varied Line of Businesses/Functional areas.
• I have worked with various SDLC methodologies. Aiming to leverage academic experience and a proven knowledge of customer service, data collection and analysis, and electronic claims processing to successfully fill the Healthcare Management role at your company. Frequently praised as hard - working by my peers, I can be relied upon to help your company achieve its goals.
• About 3 years of experience as a Business Analyst
• Experience working on Retail and Mail Pharmacy Claims
• Experience working with Claim adjust process
• Knowledge of EDI 820, 834, 835, 837, 276, 277, 270, 271, and 278
• Experienced in daily stand-up meetings, planning meetings, reviews, and retrospectives.
• Consistently proven, capable of inspiring others and producing exceptional results within a short span of time.
• Extensive experience in user requirements gathering, brainstorming sessions and analysis.
• Experienced in heading brainstorming sessions with the Subject Matter Experts (SMEs) to clearly define the functionality of the domain and the various processes that it was required to perform.
• Worked on tools like JIRA Rally, VSTS to create and manage product backlog.
• Facilitated meetings with department managers to coordinate the collection of data required for Conversion.
• Experienced in working with Scrum, SAFe and Kanban framework.
• At the end of the Sprint, participate with team in review of the product and a retrospective.
• Experienced in backlog management and maintaining emphasis on user experience and specifications.
• Adept in working with manager to revise schedules as per requirement.
• Ability to understand backlog tracking, burndown metrics, velocity, and task definition.
• Experienced in conveying project status, concerns about process, delivery delays to Project Manager.
• Experienced in recommending actions necessary to meet delivery dates.
• Ability to notify Project Manager to any change in project scope that has potential budget exposure.
• Proficient in verbal and written communication that is clear, direct, and accurate.
• Ability to help develop and enhance customer and stakeholder relationships.

PROFESSIONAL EXPERIENCE:

Confidential, Pittsburgh, PA

Business Analyst

Responsibilities:

• Working Closely with the Product Owner/Product Manager for gathering requirements from the stakeholders (User Stories)
• To identify and recommend business improvement initiatives within the Business Manager
• Worked with the Business Team/Subject Matter Experts in documenting business processes
• Participated and assisted Scrum Masters in facilitating all Scrum Ceremonies: Sprint Planning, Daily Stand-up, Backlog Refinement, Sprint review/Demo, Retrospective
• Understanding, Elaborating, Developing and estimating the User Stories (requirements)
• Involved in Program Increment planning activities.
• Reviewed existing Applications Systems and to identify leverage points for each process.
• Reviewing test plan and test cases for both front end as well as backend testing
• Participate in UAT: User Acceptance Testing.
• Develop Requirements Traceability Matrix
• Worked with the DBAs to document and test the stored procedures
• Followed SAFe (Scaled Agile Frameworks) approach.
• Hands on experience using VSTS tool for creating various work-items
• Captured requirements for system for workbench. This system was used for: claim status, monthly benefits checks, claim approval status, medical documents, and claim benefit start and term date
• Defined workflows and process flows for the same system.

Environment: VSTS, MS Word, Excel, and PowerPoint

Confidential, Pittsburgh, PA

Business Analyst

Responsibilities:

• To identify and recommend business improvement initiatives within the Business Manager
• Worked with the Business Team/Subject Matter Experts in documenting business process
• Followed Scrum (Agile Methodology)
• Captured requirements using the system Allscripts: upload medical documents into right patients files, updated patients medical insurance
• Gather and analyze business requirements; facilitated communication between development and business teams and generated user stories to reflect business needs.
• Reviewed existing Applications Systems and to identify leverage points for each process.

Environment: Allscripts, MS Word, Excel