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Technical Business Analyst Resume

Dayton, OhiO

SUMMARY:

  • 6+ years of experience as a Business Analyst with advance knowledge of the Systems Development Life Cycle (SDLC), Waterfall, Spiral, Rapid Application Development (RAD), Extreme Programming (XP), Rational Unified Process (RUP)
  • Hands on experience gathering requirements, interviewing senior level company officials to gather requirements for documenting project functional specification.
  • Reviewed test scenarios and test cases for UAT and regression testing to support pre and post implementation of applications and production issues along with QA and other business groups, in addition to maintaining Test Matrix and Requirements Traceability Matrix (RTM).
  • Experience with Business Requirement Gathering, Business Process Modeling, Use Case modeling using UML, Change Management and Software development.
  • Expert in creating Entity Relationship Diagram (ERD), Data Analysis, Data Flow Diagram and Process Modeling, also expertise in Graphical User Interface (GUI) design, User stories, prototypes and screen mock - ups.
  • Knowledge & experience with HIPAA EDI transactions: 835, 837 (P, D, I) 276, 277, 278.
  • Provided programming and support for claims processing functions and auto-adjudication.
  • Expertise in conducting AS-IS and TO-BE analysis, GAP analysis, Risk Analysis, Impact Analysis, Cost-Benefit Analysis, Feasibility analysis, SWOT analysis, Change Analysis.
  • Proficient in MS Office Suite for calculations, graphs, analysis, presentation and documentation.
  • Possess reasonable understanding of different relational databases, writing SQL queries, creating tables, and generating reports.
  • Strong expertise in testing Web-based, Unix based, XML based and backend testing's in different environments including Windows. Designing and building test tools and automated frameworks to provide best value to our customers.
  • Exceptional in building strong relationships with diverse clientele engaging as a liaison/specialist between clients and staff.

TECHNICAL SKILLS:

Business Analysis: Requirement Analysis, Business Rules, Data Flow Diagrams, Business Process Modeling, Gap Analysis, Prototyping, Cause & Effect Analysis, BRD, UAT, Test Scripts, and UML

Rational Tools: RUP, UML with Rational Rose, Rational Requisite Pro, Clear Quest, Clear Case, Together Soft (UML), MS Office Suite

Operating Systems: MS Windows, Linux, Unix, Sun Solaris

Methodologies: Spiral/Waterfall, RAD, RUP, Agile

Version Control Tools: Rational Clear Case, Clear Quest, and TFS

Web Technologies: XML, HTML

Packages: MS Office Suite (PowerPoint, Word, Excel, Access, Project and Outlook), MS Visio, Rational Rose; Rational Requisite Pro.

PROFESSIONAL EXPERIENCE:

Confidential, Dayton, Ohio

Technical Business Analyst

Responsibilities:

  • Interacted with business, understood their business processes and gathered requirements for the Technical Requirement Document.
  • Conducted one-to-one meeting with the business to gather the all requirements and convert them into technical requirement for development perspective.
  • Examine internal and external data to gain insight in market trends and shifts.
  • Compile report of business information and make a presentation at monthly board meetings.
  • Conducted JAD session with the business and on he basis of the requirements created User Stories.
  • Conducted GAP analysis of the different reports that are being presented to clients to accommodate their requirements for the new enhancements.
  • Actively engaged in working with the correspondence team to our Confidential .
  • Worked on Medicaid/Medicare Plans for Ohio, Kentucky, Georgia
  • Worked with the State of Ohio in getting the approval of the ID cards that was mocked up as per the state standards for Medicare and Medicaid members.

Environment: Agile, UAT, Microsoft Office 2010 Professional (Outlook, Word, Excel, Visio, Access), SQL Server, TFS, Share Point, Pitney Bowes Doc1.

Confidential, Webster, NY

Business Data Analyst

Responsibilities:

  • Acted as a liaison between business users and technical teams to build applications based on the business requirements, provided a single point of contact for user communication.
  • Conducted JAD sessions to allow different stakeholders to communicate their perspectives with each other, resolve any issues and come to a quick agreement.
  • Performed GAP analysis to find mismatch between system functionality & business requirements and segregated those into high/low level Use Cases and Activity Diagrams using Rational Rose.
  • Used Microsoft SharePoint as a Web-based Content Management System as well as a Document/ Project Management tool.
  • Involved in writing Test plans Test cases and responsible for executing the Test Scripts using HP Quality Center ALM Edition.
  • Involved in Validation of HIPAA/EDI for 270/271, 276/277, 837, 837i and 835 claims used for professional, Institutional and Dental billings by Writing Test cases, Test Plans.
  • Worked with solution architects, analysts and developers in creating and validating Source to Logic Mappings (SLM) and Source to Target Mappings (STM).
  • Tested HIPAA EDI Transactions such as 837, 997, 277, in various claims validation processes.
  • Involved in applications analysis and testing which included claims processing as per EDI/ANSI-X12 transactions Standards.
  • Involved in Data mapping to/from legacy to FACETS, used to populate Oracle database.
  • Followed Mapping document & HIPAA implementation guide for HIPAA Transaction Mapping.
  • Involved in processing claims in FACETS and validating the full cycle process to make sure the checks and 835 is generated.

Confidential, Austin, TX

Business Analyst/ Scrum Master

Responsibilities:

  • Collaborated with project stakeholders throughout all SDLC phases to ensure timely delivery of specified business solutions. Wrote Business Requirement Documents (BRD).
  • Conducted GAP analysis of the different reports that are being presented to clients to accommodate their requirements for the new enhancements.
  • Actively engaged in working with the correspondence team in sending out the Health insurance ID cards and letters to our FirstCare Health insurance members on time.
  • Worked on Medicaid/Medicare/CHIP SME to identify the requirements from state that should be present on the ID cards such as logo’s, format, and the member information.
  • Worked with the State of Texas in getting the approval of the ID cards that was mocked up as per the state standards for Medicare and Medicaid members.
  • Worked on gathering the requirements and gaps between the AMISYS (old platform) and Health Edge (new platform) and prepared Business Requirement Document.
  • Assisting the developers with the Doc1 and ETL development for generating ID cards and letters.
  • Triaging all the production tickets from SAMANAGE and prioritizing them according to their priority and deliver them on time.
  • Working on Agile Methodology for Software Development Life Cycle.
  • Working closely with Scrum Master to track status of the project on Team Foundation Server (TFS).
  • Interacted with the SME’s to gather information about the health care enrolment, billing and health care claims processing and checked if they are processed correctly or not according to CMS guidelines.
  • Framed detailed JAD session agenda and worked with SMEs, process owners & stake holders and identified various action items.
  • Created artifacts such as Use Cases, Activity Diagrams, and Sequence Diagrams using MS Visio.
  • Generated various SQL queries whenever required for data analysis and data profiling.
  • Good knowledge in using the Health Edge client for the enrollment, billing, and provider information.

Confidential, Newark, NJ

Business System Analyst

Responsibilities:

  • Interacted with business, understood their business processes and gathered requirements for the Technical Requirement Document.
  • Conducted one-to-one meeting with the business to gather the all requirements and convert them into technical requirement for development perspective.
  • Prepared the mapping documents, and process flow diagrams required for the Informatica development process.
  • Involved throughout the System Development Life Cycle (SDLC) and performed a primary liaison between the business and the technical areas.
  • Involved in preparation of project estimates and database size with the delivery lead.
  • Worked actively with the reconciliation team on error out records of the Rx vendors.
  • Conducted Joint Application Development (JAD) sessions with the development team, end users, QA team, and stakeholders for project related meetings.
  • Documented & maintained Project Changes Request (PCR) documents & updated them accordingly.
  • Developed Requirements Traceability Matrix (RTM) using MS excel to trace each software design requirement to test case.
  • Used SQL scripts for data profiling and data validation
  • Extracted data from EDW (Enterprise Data Warehouse) and performed the data profiling to see how the data is coming into the source system.
  • Worked with MFT team for sending & loading files from Horizon (Informatica) to external vendor.
  • Conducted daily meetings between onsite-offshore team members for tracking progress of project.
  • Hands on experience working with Off-shore team for development and testing support.

Confidential, Beaverton, OR

Business Analyst

Responsibilities:

  • Gathered Business Requirements, created Functional Requirements Document (FRD) and analyzed data/workflows, defined scope, projections and cost/benefit analysis; progressed from Problem Statement to well-documented design
  • Created AS-IS and TO-BE business process flow diagrams, integrate process flow diagrams to show end-to-end business model and business process mapping exercise including swim lanes
  • Analysis of client requirements leading to preparation of systems requirements & design documents.
  • Involve in Post Implementation phase of the first release of migration, tracking the bugs through JIRA on regular basis, and re-prioritizing the issues in daily scrum calls with business.
  • Worked with PM in finalizing project plan document using MS Project. Prepared BRD and FSD.
  • Prepared detailed Use Cases representing factors involved and their relationship with the system
  • Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams using UML and Business Process Modeling
  • Extensively used Agile methodology and utilized Software Development Life Cycle (SDLC) to configure and develop process, standards procedures
  • Ensured User Stories were of the highest quality which delivered the business value and facilitated Story Point discussions to analyze the level of effort on project specifications
  • Created mock-ups and wireframes using Visio and presented them to the client business team, stakeholders and design experts for approval
  • Communicate progress with Product Owner and Project Executives
  • Worked as an Interface between users and different teams involved in the application development for better understanding of the business and IT processes
  • Performed GAP analysis to identify the gap between the optimized allocation and integration of the inputs, and the current level of allocation
  • Tracked UAT issues/bugs and prepared reports.
  • Data mining, Data analysis using SQL queries, Microsoft Access, Excel for data comparison
  • Performed Data Analysis and Data validation by writing basic queries against the database.

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