SUMMARY:

• 7+ years of industry experience as a Scrum Master, Business Systems Analyst with solid understanding of Business Process Modeling, Business Requirements Gathering, Business Process Flow, Systems Analysis and Testing.
• Ability to elicit, define, document business user requirements (BRDs), Functional Requirements (FRDs), managing requirements and analyzing requirements, changing requirements and translating requirements and objectives into business/technical requirements based on project scope parameters.
• Good knowledge of HealthCare and Insurance domain and process including Medicaid, Medicare, CHIP, CDC, AIRA, Claims, Billing processes.
• Excellent record of accomplishment for meeting deadlines and submitting deliverables on time using AGILE/SCRUM methodology.
• Guiding the team on how to develop and extend Agile practices in a full life - cycle product development environment with several active teams, across multiple products and many active enterprise class customers
• Ensure co-ordination with Scrum team and product owner on a daily basis throughout the sprint for clear and concise product backlog items
• Work closely with the product owner on how to arrange the product backlog to maximize value and develop a roll out strategy
• Works with team to support projects immediately while helping transition employees to Agile environment
• Facilitates team development, mediates conflicts, encourages healthy team dynamics, protects the team, and minimizes disruptions.
• E xpertise in utilizing various enterprise tools and interface engines to design, develop, test, and implement HL7 interfaces while conforming to integration specifications and standards.
• Worked on Health Insurance Exchanges, Health Care Reform (PPACA), ICD-10, Medicare/Medicaid, EDI transactions (837,835,270/271,276/277,999), Wellness Apps & Membership portal related projects.
• Experience with healthcare system, Medicaid and with prime focus on claims adjudication, provider, eligibility and prior authorization.
• Experience in working with QA testing teams, while interacting with business users and gathering user’s requirements to develop necessary Test plans, Test Cases and Test script.
• Adept at reducing development costs and providing traceability of projects.
• Result oriented, committed and hard working with a quest to learn new technologies and undertake challenging tasks.
• Expertise in creation & execution of Test Plans, performing functional, usability testing and ensuring that the software meets the system Requirement.
• In depth knowledge of Medicaid and Medicare claims processing along with extensive knowledge on CMS, MITA, MMIS.
• Expertise in developing User Stories, creating Back Log Items, facilitating Daily Stand-up’s, Grooming Sessions and Sprint Retrospective’s as required by the team.

TECHNICAL SKILLS:

Healthcare Domain: Claims, Providers, Membership, etc.

Languages: XML, Structured Query Language (SQL), HL7

Databases: Oracle 9i/10g, SQL Server, DB2.

Methodologies: SAFe, Agile, Waterfall, UML, SDLCCertifications CSM

Testing tools: MTM, HP Quality Center, Quick Test Test Professional, LoadRunner, WinRunner

Change Management Tools: Rational Clear Quest, Rational Clear Case.

MS Office: MS Project, MS Word, MS Excel, MS PowerPoint, MS Access

WORK EXPERIENCE:

Confidential, Livonia, MI

Business Systems Analyst

Responsibilities:

• Develops a business analysis work-plan to manage own tasks, deliverables, schedule and provides information to stakeholders and Project Management.
• Provides SME leadership and consulting support on complex tasks. Initiate and execute initiatives to improve the processes, procedures, and tools utilized by the team. Review deliverables and provides input for other analysts.
• Independently responsible for gathering business requirements utilizing Joint Application Development sessions, interviews, surveys, use cases and document analysis on wide range of projects
• Contributes to process improvement initiatives.
• Facilitates requirement sessions with stakeholders and creates comprehensive work products documenting requirements, including validation and traceability of requests.
• Applies advanced technical knowledge of departmental principles and procedures.
• Able to communicate with all levels of management and peers within the organization.
• The ability to prioritize work and tasks under pressure.
• Created explanatory prototypes, UML Use cases and scenarios to elicit required functional requirements and to support application development.
• Uploaded project documents on SharePoint. Maintained document versioning and approval process via SharePoint.
• Tested, Optimized different cellular technologies for Sprint: LTE, LTE-Adv, VOLTE, EVDO and CDMA
• Performed cluster drives, stationary tests
• Resolved customer related issues by improving Cellular Coverage
• Ensures accurate and reliable connectivity for an expansive range of telematics applications, including the ability to lock or unlock your vehicle, and to access a 9-1-1 or roadside assistance operator at the push of a button
• Support customer with performing Cyber Incident Response Team (CIRT)
• Provided support to Chrysler for the Sprint network in UCONNECT Support Velocity for Vehicle Manufacturers delivers a unique and customized end-to-end solution.
• The Uconnect Access platform uses the Sprint Connected Vehicle Platform architecture and delivers built-in vehicle connectivity via embedded wireless technology.
• Streamlined and enhanced the corporate accounting and operations system
• Developed and implemented complex Internet and Intranet applications on multiple platforms.
• Effective use of MS Visio to create flow charts, use case and sequence diagrams to display a detailed representation of various actors in the system and the interaction between the various components of the system
• Conducts a critical evaluation of the information gathered from different sources, reconcile conflicts, decompose high level information into more understandable details
• Analyzes the needs of customers or requirements and find the best solutions by means of automated systems
• Effectively handles and provide an extensive experience in business process reengineering
• Performed GAP analysis to identify and measure details in the current and future business process to capture the high level impacted business processes, business areas and applications.
• Assisted the project manager in presenting project status including project risks, issues, action items and decisions via the RAID log, to project core team on weekly basis.
• Developed and maintained project issues and risk log, and reported the same to senior management on weekly basis
• Worked on writing SQL queries for data extraction and reporting purposes.
• Ability to handle conflict effectively.
• Ability to build, implement and direct quality assurance principles and maintain the quality of delivery.
• Able to motivate a team, recognize good talent and bring out the best out of each individual.
• Excellent knowledge of Risk Management, Risk Identification and Risked Based Testing.
• Experience managing testing departments or testing functions, managing large and complex activities and processes.

Confidential, Conway, AR

Sr. Business Analyst

Responsibilities:

• Organized and Facilitating SCRUM ceremonies like daily Standup, Sprint Planning, Sprint Demo and Sprint retrospectives
• Worked closely with product owner in defining the MVP, Building Product Roadmap, Product backlog and creation of Sprint Backlogs and Release Backlogs with the entire team.
• Well versed with tracking user story progress by using backlog and burndown charts with the help of Rally software.
• Coordinated with the users and stakeholders to gather requirements and document user stories.
• Mapped User stories with an Epic that represent a complex functionality or a big requirement for the project.
• Tracked and communicated team velocity and sprint/release progress and maintained process documentation.
• Drafted logical process-flow diagrams using MS Visio to support future state.
• Expertise in Business Process Modeling and Use Case Modeling
• Coaches the team to improve collaboration and self-organization
• Coach the scrum team to become a self-organized, cross-functional and highly efficient team that delivers high-quality products.
• Facilitate Scrum events such as backlog creation/ backlog refinement, prioritization, stand up meetings, estimation, showcase and retrospectives.
• Collaborate with Product Owner to plan roadmap execution based on estimates and capacity; also identify risks to the plan.
• Clarify deliverables and assignments to the scrum team and remove impediments.
• Facilitate documenting, publishing and executing the team’s continuous improvement plan (based on retrospectives).
• Publish the team’s agile metrics to management and stakeholders.
• Coach and mentor the scrum team in its scrum adoption.
• Facilitate the documentation of working agreement, definition of ready and definition of done for the scrum team.
• Engage Product Owners, Portfolio Leads, and PMs to fulfill their individual roles
• Identify risks, develop mitigation strategies and facilitate conflict resolution.
• Ensures team maintains focus on quality and continuous delivery
• Acts as an Agile mentor/coach to other Scrum Masters or any Agile role
• Proactively identifies impediments and appropriately resolves using network of peers and formal channels (including escalation if required)
• Introduces new and advanced practices to improve the team and their delivery
• Demonstrates ability to balance data with other factors when making decisions
• Understands domain architecture and upstream/downstream dependencies
• Acts as a servant-leader for the team and guides them in their agile journey; challenges the team to see how agile values / principles applied to situations and decisions to the benefit of customers.
• Creating user story after understanding the business logic and functional requirements.
• Created Use case diagrams, Data flow diagrams and business process workflow diagrams (Activity diagrams) in UML/Visio.
• Performed GAP analysis identify the gaps, logged issues relating to the identified gaps and worked with the Subject Matter Experts (SME's) to get clarifications.
• Documented the Requirements Traceability Matrix (RTM).
• Performed Defect Reviews, Retest and Defect Reporting through Defect Management Tool JIRA. Analyzing bugs and interacting with development team to fix the defects.
• Involved in preparing detailed test plan and test cases based of functional requirements using ALM/Quality Center for the business requirements verification and validation..
• Worked on HL7 interfaces and ancillary apps as well as did technical analysis of HL7 interfaces
• Worked on HL7 messages supporting HL7 segments/fields and HL7 relation with front-end apps.
• Designed and developed HL7 interfaces for HIS and ancillary apps.
• Detailed working knowledge and hands-on experience with HL7 interface technical/business analysis and development of various interfaces.
• Demonstrating technical description of HL7 messages supported the HL7 segments and fields and how the HL7 messages relate to the front-end application and database.
• Responsible for demonstrating requirement traceability within developed products.

Confidential, Wallingford, CT

Business Analyst

Responsibilities:

• Developed artifacts of Unified Modeling Language (UML) such as Activity diagram, Sequence Diagram, Process flow diagrams for process Re-design using MS Visio
• Conducted JAD sessions, one on one interviews and brainstorming sessions for requirements gathering.
• Documented the business requirements, functional requirements and non-functional requirements as a part of the planning phase, conducted walkthrough sessions and acquired business and IT approvals for the requirements.
• Involved in documenting Technical requirements, reviewing them with IT and facilitating approvals
• Provided effective project management by presenting project status to the project core team on weekly basis using MS PowerPoint in conjunction with the project manager
• Developed and maintained project issues and risk log, and reported the same to senior management on weekly basis
• Worked to develop the Requirement Traceability Matrix (RTM) for future references and audit purpose
• Managed the change request process, making sure that the update or change requested is within project scope, documenting the change request and getting it approved from business and IT.
• Developed Standard Operating Procedures (SOPs), User Training Materials, User Access guides, Online help, end user guides and FAQ’s for customer service and Claims operations departments
• Documented user guides and training materials for the end users of the MMIS system
• Worked on writing SQL queries for data extraction and reporting purposes.
• Documented Test Cases/Scripts for QA & UAT testing and executed them along with the testing team.
• Assisted in Unit, Integration and Regression testing, for the developed features of the system
• Interacted with developers and various members of team to discuss and resolve defects arose during the UAT execution with the help of ClearQuest
• Managed the entire defect resolution process of overseeing a defect from the time it is logged by the tester, assigning it to the appropriate IT developer, making sure code is fixed in time, defect is retested and testing is passed.

Confidential, Hartford, CT

System Analyst

Responsibilities:

• Conducted interviews with the clients for gathering requirements and evaluation/analysis of their business needs.
• Performed GAP Analysis, conducted walkthroughs and acted as a liaison between the business users, stakeholders and the team to perform requirements, quality and risk analysis.
• Conducted requirements gathering sessions and documented detailed requirements related to process improvement changes.
• Extensively involved in documenting business requirements and converting them into functional requirements as per stakeholder feedback and inputs.
• Document non-functional requirements on projects were ever required as per the SLA impacts for the specific implementation.
• Interact with the internal and external stake holders to ensure deadlines are met and signed off on completion of projects.
• Maintained End to End traceability from Requirements to Testing using HP Quality Center.
• Set up internal/external status meetings and postmortem meetings.
• Developed graphics and user interface elements for software applications utilizing illustrator and Photoshop.
• Documented and reported the progress to the management on an ongoing basis.
• Used the guidelines and artifacts of Waterfall as well as Agile in different iterations and phases of the Software Development Life Cycle (SDLC), as the company was migrating from Waterfall methodology to Agile there were certain Agile pilot projects.
• Prepared Activity, Logical, Component and Deployment views to assist development and engineering in understanding the requirements using Rational Rose.
• Maintained Traceability matrix throughout the project implementation, starting from planning phase and continuing throughout testing.
• Analyzed and reviewed the System requirement specification document, Test plans and Test cases.