SUMMARY

• Business Analyst with 11+ years of software development experience, including Analysis, Development, Testing, Maintenance and support
• Around 1.3 years of SAP Ariba experience which includes SAP Ariba Procure - to-pay, Sourcing & Contract and Cloud Integration
• Expertise in Healthcare domains (Medical, Pharmacy, Claims, Payer, Provider, Customer (eligibility data), Client structure, Benefits and HIX)
• Worked on Medicaid - MMIS (End to End) -Healthcare, State Government program.
• Expertise in Social Media Domain and SAAS Model (Software As A Service Model).
• Extensively used SDLC during all phases of software development.
• Experienced in multi-tier client-server/web based applications, and ability to work in fast paced environments
• Adequate knowledge of Java, J2EE, JIVE Apps Framework, Oracle, MS SQL, Cognos 10,visio
• Strong analytical, and handling multiple concurrent priorities skills. Proven track record in on-time deliveries
• Working as a Subject Matter Expert \Business Analyst.
• Received various awards in previous organizations as Most Promising Associate, Voila and Gold Award etc.
• Worked on end to end project processes in the areas of requirement analysis, use case preparation, quality reviews, testing support for development, maintenance and testing projects. As a process consultant, Facilitated delivery teams to enhance processes and supervised compliance to provide quality deliverables in order to meet customer expectations.
• Liaised single handedly with multiple development and testing teams at onshore and offshore locations to understand the requirements and expectations of the client. Being a subject matter expert (SME) for various process areas like requirements gathering, decision analysis, causal analysis, configuration management, Served as front facing member of process team for different business units (BUs) including development, maintenance, and support projects.
• Worked with multiple clients, both at onshore and offshore, based out of US. Problem identification, causal analysis, improvement action planning and its implementation have been part of her activities in her earlier organization.
• Played role as a SME and was involved in business requirement gathering, analysis and testing support. Led organization level initiatives and worked on key consulting assignments. Contributed towards service offerings development in different areas in healthcare domain. Led teams to achieve the project outputs

AREAS OF EXPERTISE

• SAP Ariba
• Billing/ Accounts Receivable (BAR)
• General Ledger (GL)
• MMIS-Medicaid\Medicare
• Health Insurance Exchanges
• All Payer Claim Database Market
• Health Information Management
• Social Media Domain
• Digital marketing
• Loan Servicing

PROFESSIONAL EXPERIENCE

Confidential

Business System Advisor\ Sr Business Analyst

Responsibilities:

• Worked in SAP Ariba application support team for handling implementation & post go-live issues for testing & validations
• Hands-On experience in supporting & testing SAP Ariba applications which includes SAP Ariba Procure to Pay (Buying & Invoicing- Requisition, Purchase Order, Receipt, Invoices), Ariba Network, Sourcing & Contract, Supplier Life Cycle & Performance.
• Managing and helping users in fixing Integration issues which includes data import/export, Cloud Integration (Sourcing & Contract Integration) Suite Integration, Integration configuration etc., FPC Integration
• Working closely functional experts in writing customization requirements.
• Adequate knowledge of SAP Ariba new innovations like Cloud Integration

Confidential

Business System Advisor\ Sr Business Analyst

Responsibilities:

• Worked as SME\Business advisor to support Finance management system.
• Comprehensive knowledge of Healthcare Enrollment and Billing module.
• Adequate knowledge on Health Insurance Exchanges.
• Identify functional gaps in system and provide solution to comply with business rules.
• Developing SOP docs for various functional modules.
• Prepared Business Requirements Documents, Functional Requirement Documents.
• Worked extensively with developing business rules engine enabling the business rules such eligibility and billing essential.
• Performed GAP analysis by performing the system analysis between the scheduling systems and documented the gap items.
• Conducted JAD sessions, meetings, workshops to gather requirements from various stakeholders and SMEs.
• Facilitated interview, one on one and brainstorming sessions with SME's User's in understanding the requirements pertaining to billing Origination to billing Processing.
• Worked closely with QA and Developers to clarify/understand functionality, resolve issues and provided feedback to nail down the bugs.
• Maintained a close and strong working relationship with teammates and management staff to achieve an expected QA result for the project team.
• Conducted project related Presentations periodically to the management and end users during various phases of Software Development Life Cycle SDLC
• Develop client training decks and validate requirements against CMS checklist to ensure compliance.
• Apprehensive knowledge of SQL for executing the queries
• Performed Backend testing by using PL/SQL queries to test the integrity of the application was in regular contact with Business partners on the status of issues, action plans and timeframe for resolution throughout the development cycle.
• Preparing and presenting deck\report to client on monthly reconciliation activities
• Created various reports such as billing payment reports, eligibility report and reconciliation reports
• Assisting the project manager in creating the business case and project plan
• Analyzed business processes and worked with management and improved and implemented the solution to ensure compliances.
• Received “Gold Award” (Top Most) in just 3 months, soon I joined the project.

Confidential

Subject Matter Expert\ Sr Business Analyst

Responsibilities:

• Excellent analytical skills in gathering business requirements through analyzing the needs of Business and Stakeholders and converting them into functional/technical requirements.
• Developed and presented various documents including the Business requirements document (BRD), Functional requirements document (FRD), Use Case Specifications, Functional requirement Document (FRD), Requirement Traceability Matrix (RTM) and User Acceptance Testing (UAT) documents.
• Worked on various RFPs and RFIs for various State Client.
• Performed the Change Request tracing, Defect Tracking and updated the final Design System Development documents in ReqPro and Clear quest.
• Actively Participated in JAD sessions of claims Analysis, provider management and benefit plan management.
• Gained extensive knowledge of different functional areas of MMIS like Member management, Provider management, Benefit plan and Claims edits and Audits.
• Interacted with cross functional teams (Claims, Provider and Member, Pharmacy) for getting clarification around interdependency.
• Having comprehensive knowledge on End to End system flow.
• Analyzed Business requirements and segregated them into Design Specific Documents (DSD) and Use Cases.
• Worked closely with the UI team to model the screen mockups, which met user defined requirements and also company standards.
• Reviewed Prototypes, Design Documents and Core system to ensure the “As-Is” and “To-Be” business processes are followed.
• Used IBM Clear Quest to track defects and issues.
• Performed GAP analysis for the modules in production, conducted feasibility study and performed impact analysis for proposed enhancements.
• Prepared Use Cases & UML State Diagram for scenarios using MS Visio.
• Customized data models for State specific requirements.
• Worked on EDI 270,271,834,835 XMLs
• Identify functional gaps in system and develop business proposals to propose to client
• Develop client training decks and validate requirements against CMS checklist to ensure compliance.
• Coordinating with development teams and testing teams for query resolutions
• Very good understanding of Relational Database, Object Oriented Programming, Data Modelling, Data Mapping and Data-warehousing.
• Proficient inICD-9-CM and ICD -10-CM coding and claims processing.
• Experienced in all phases of the Software Development Life Cycle (SDLC), Rational unified process (RUP) and SCRUM methodology.
• Environment: IBM Rational RequisitePro, UML, MS-Office Suite, Clear Quest, MS Visio, Agile/ Scrum.
• Experience in Data Mining and analysis
• Headed the on-boarding and training program of the new joiners in CBC- Healthcare domain
• Contribute in Knowledge Management by giving ideas and presentations on new areas and trends in healthcare
• Participate in monthly newsletters to keep everyone updated about the latest changes in healthcare domain

Confidential

Business Analyst\Technical Analyst

Responsibilities:

• Direct Interaction with USA Customer (Mortgage Banking) for requirement gathering.
• Adequate understanding on mortgage banking
• Analyzed borrower's income, liquid and collateral assets, and other financial documentations to determine borrower's eligibility to make a loan.
• Wrote detailed analytical reports that contained all findings and conclusions
• Gathering information on Cloud Computing for current Project.
• Development and Support.
• Generating reports by using report studio
• Updating the reports according to the client requirements
• Majorly worked on Cognos Reporting and provided production support for Cognos Integration.
• Worked on generating reports in MSWORD format using JAVA.
• Successfully submitted article in inter BOK (Basket Of Knowledge) on Cognos report generation.
• Prepared Kick Off notes on Customer requirement
• Experience in Data Mining and analysis