SUMMARY

• Seeking a challenging position as a Senior Business Systems Analyst with more than 10 years of experience in Health Care Insurance Payer industry that would allow me to utilize my technical, business, and project management skills, and contribute to organizational goals.
• Experienced Business Systems Analyst with diverse experience spanning across Business Analysis, Systems Analysis, Data Analysis and Quality Analysis in development primarily on health care and insurance domain.
• Facilitated several Joint Application Development (JAD) sessions, project meetings, reviews, walkthroughs, and customer interviews.
• Have hands on experience in all stages of the Software Development Life Cycle (SDLC) and also methodologies like Rational Unified Process (RUP), Waterfall and Agile.
• Comprehensive knowledge of Process Modeling using use case diagrams, activity diagrams, sequence diagrams, class diagrams, collaboration diagrams, AS - IS and TO-BE workflow diagrams, other UML Diagrams and Business Process Modeling Notation (BPMN).
• Extensive experience in writing test cases, test scenarios, developing test strategy plans and conducting User Acceptance Testing (UAT). Analyzing bugs after the UAT, interacting with team members in fixing errors and also assisted in Post - Production support.
• Very strong understanding of Object Oriented Analysis (OOA) and Object Oriented Design (OOD) techniques.
• Proficient in authoring Business Requirement Documents (BRD) into System Requirement Specifications (SRS) and have documented Business Process Flows, Business and System Use Cases, Use Case Realization, Business Rules Document, Functional Designs.
• Extensive experience in conducting Gap Analysis and Business Process Re-engineering.
• Served as a liaison between the project and groups, always promoting a positive message about system enhancements and facilitating the transition from one application to another.
• Very experienced in conducting Manual Testing and Automated Testing along with Load and Performance testing in product release and deployment.
• Worked very closely with teams for Change Management, Release Management, Business Transition and Testing teams.
• Self-motivated, results oriented, quick and eager to learn any concepts, programs or procedures that may serve to enhance company’s growth potential.

TECHNICAL SKILLS

Operating System: Windows 98/NT/2000/XP, UNIX, DOS

Databases : Sybase, SQL Server 2000, Ms Access,Oracle

Design Methodologies : OO Design, OOPS, Agile, Rational Unified Process (RUP), UML, JAD

Design Tools: Rational ClearCase, Rational ClearQuest

Project Management Tools: Ms Visio 2003, Ms Excel, Ms PowerPoint, Ms Office, Ms Project, Ms Word, TOAD, Crystal Report, Ms SharePoint 

PROFESSIONAL EXPERIENCE

Confidential, Philadelphia, PA

Sr. Business Systems Analyst

Responsibilities:

• Interacted closely with the project managers and the business, subject matter experts, analysts, architects and the development teams to gather business requirements through a variety of techniques (e.g., workshops, work sessions and interviews) to prepare detailed requirements specification and use case documents.
• Worked with Business analysts to understand the business requirements and create functional requirements out of business requirements
• Effectively communicate the functional requirements to development and testing team and work with them closely to ensure smooth flawless deliverable
• Proficient in Facets Membership, Claims, Provider and Billing with knowledge in Class, Plan
• Acted as a liaison between the business and technical team and is required to work from start to the end of the implementation of a requirement.

Environment: Facets, UNIX, Ms Project, Ms Visio

Confidential,Portland, OR

Sr. Business System Analyst

Responsibilities:

• Interacted closely with the project managers and the business, subject
• matter experts, analysts, architects and the development teams to gather business requirements through a variety of techniques (e.g., workshops, work sessions and interviews) to prepare detailed requirements specification and use case documents.
• Analyzed and helped define “ AS IS ” and “ TO BE ” systems
• Have clear and effectively with business process owners and stakeholders, engineers and architects
• Proficient in Facets Membership, Claims and Billing with knowledge in Class, Plan and Branch
• Focused on requirements and companies vision and scope and extensively involved in migration of the servers and the application to the new system.
• Solely worked on the Obesity reports for the Mesa (self funded large groups) and mapped the existing tables/fields to the required Mesa, Obesity tables in Facets.
• Identified and worked on many reports as part of Employer Based Reporting (EBR) and had mock-ups for the prototype of the web based application along with the reports in MS Visio.
• Extremely comfortable in capturing requirements into Functional specification and Use case documents
• Ensured compliance to key controls and escalated issues to management as required by the process.
• Very good Facets functional and data modeling knowledge and knowledge of procedure codes and utilization management system
• Responsible for completing assigned baseline responsibilities on timely and accurate manner.
• Translated the functional requirement given by the Business Analysts into a Functional Design Document understandable to the Facets Developer.
• Very good understanding of the Facets Claims systems and the data mapping between Facets and the Target tables.
• Experienced in analyzing the requirement, estimating the time required to implement the requirement, identifying the data mapping, and identifying the dependencies.YouTube
• Worked very closely and in sync with the Developers and System testers to understand the requirement, design, unit test, identify test cases and validate the implementation.
• Acted as a bridge between the functional and technical team and is required to work from start to the end of the implementation of a requirement.

Environment: Windows XP, Facets, Ms Project, Ms Visio

Confidential, Jacksonville, FL

Sr. Business Systems Analyst

Responsibilities:

• Experienced in preparing detailed requirements specification documents and use case documents after close interaction with the project managers and the business, subject matter experts, analysts, architects and the development teams
• Documentation completed include business requirement documents ( BRD ), functional specifications document (FSD), technical specification document, joint requirement document ( JRD ), high level design documents ( HLD ), use cases, gap analysis, test scripts, training materials.
• Facilitated JAD sessions to document the technical and functional requirements and provided overall assistance in areas such as group readiness planning and issue escalation and resolution process.
• Participated in Bug-Review meetings with software developers, QA engineers, managers to check for 835 / 837 claims and suggested enhancements to the existed application from business perspectives and provided solutions to existing bugs.
• Closely worked with the testing team to do Load and Performance testing .
• Implemented business and data modeling using Ms Visio to develop the business architecture for the application and created u se case diagrams, activity diagrams, state transition diagrams, sequence diagrams, data flow diagrams and collaboration diagrams using Rational Rose .
• Served as a liaison between the project and groups, always promoting a positive message about system enhancements and facilitating the transition from one application to another.
• Actively involved in User Acceptance Testing, Go Live Support call and to keep track of the issue log following up on Go live calls in assisting the Project Manager for the Agile and RUP projects

Environment: Windows XP, Ms Project, Ms Visio.