SUMMARY

• 7 years of industry experience as a Business Systems Analyst with solid understanding of Business Requirements Gathering, Business Process Flow, Business Process Modeling and Business Analysis.
• Worked on industry standard methodologies like Software Development Life Cycle (SDLC), Rational Unified Process (RUP), CMM (Capability Maturity Models), and Capability Maturity Model Integration (CMMI) and Six Sigma and Rational Tools used during various phases of RUP.
• Excellent team player work in conjunction with testing, development and other teams in validation and testing complex scenarios and projects and in the maintenance of Quality Standards in Projects.
• Worked on Facets (multiple versions) & conducted claims processing, billing, extract file creation, coordination of benefits etc.
• Familiar with current industry standards such as ISO, Six Sigma, and Capability Maturity Model.
• Performed Batch Jobs, front - end & back-end work pertaining to Facets (4.x,5.x), claims, membership & migration.
• Result oriented, committed and hard working with a quest to learn new technologies and undertake challenging tasks.
• Proficient in Developing and executing Test Plans, performing functional, usability testing and ensuring that the software meets the system Requirement.
• Excellent team player work in conjunction with testing, development and other teams in validation and testing complex scenarios and projects and in the maintenance of Quality Standards in Projects.
• Extensive experience with MS Visio for drawing flow charts and screen mockups and MS Project for status reporting and planning.
• Sound Proficiency in analyzing and creating use cases, use case diagrams, activity diagrams, class diagrams, Entity-Relationship diagrams, business flow diagrams.
• Strong knowledge in developing a plan, assigning tasks, tracking progress, managing the budget, and analyzing workloads.
• Extensive experience in interfacing with the business to document functional requirements.
• Stakeholder management experience coordinating between business leads and IT teams.
• Adept in creating power point presentation, word document and MS excel for developing custom reports.
• Organized Joint Application Developments (JAD) and Joint Requirement Planning sessions (JRP), Interviews and workshops with end-user/clients/stake holders and the development group.
• Extensive knowledge of GAAP, financial accounting, financial statements, regulatory norms and experience working with compliance and regulatory requirements.

TECHNICAL SKILLS

Methodologies: Agile, Waterfall, RUP, UML, SDLC, Scrum, RUP, V-shape modeling, BPEL, BPMN

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

Business Modeling & Versioning Tools: MS VISIO, JIRA, Visual Paradigm, Rational Rose; Rational Requisite Pro, Rational Clear Case

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

Programming Languages: Structured Query Language (SQL).

Operating System: Windows NT/98/2000/XP.

Databases: Access, Oracle 8i/9i/10g, Teradata, DB2, MS SQL Server 7.0/2000

Other known tools: Informatica, Load Runner, Win Runner, Crystal Ball, Expert Choice, Core, Caliber

Testing tools: Rational Robot, Rational Clear Quest Test Manager, HP Quality Center, Quick Test Test Professional, LoadRunner, WinRunner.

Apps & Webservers: Apache web server, Tomcat, Web logic 8.1, IIS

PROFESSIONAL EXPERIENCE

Business Systems Analyst

Confidential, Chicago, IL

Responsibilities:

• Worked in Scrum/Agile methodology developing user stories, acceptance criteria, working on product backlog items etc.
• Created Sprint Burndown charts, roadmaps, Kanban boards, issue tracking, custom filters, customized workflows using JIRA
• Conducted meetings with CMS & state to coordinate implementation including requirements, design, and testing & implementation documentation/management.
• Referenced CMS issued FFE Direct Enrollment API specifications document for developing Functional Specifications and System Requirement Specifications documents.
• Documented On-Exchange, Off-Exchange Enrollment Process flows via Activity Diagrams, Use-Cases, Sequence Diagrams etc. using MS Visio
• Documented complex requirements, processes & rules pertaining to subsidies, eligibility, vendor system integration, EFT’s, & data-attributes etc.
• Captured Scope, provider, medical policy, and product management etc. specific requirements for ICD-10 in RFP documents.
• Created BRD’s, Functional Specs, and Data Analysis & Data Mapping documents for ICD-10 impacting multiple systems.
• Produced Test Plans, Test Cases and conducted Regression Testing, SIT & UAT for ICD-10& Facets Migration work.
• Conducted Impact Analysis and data mapping/validation for ICD-9 to ICD-10 translation by accessing diagnosis master file.
• Conducted communications with providers to ensure readiness for ICD-10 i.e. developing provider readiness surveys etc.
• Performed GAP analysis & produced current process flow & future process flow diagrams & did the feasibility analysis.
• Analyzed eligibility data extracts, performed field analysis, resolved issues & performed data analysis for the projects.
• Conducted data mapping of transactions from facets database & sourced procedure codes from data stores of facets claims.
• Configured the front-end claims processing in facets & developed workflows related to claims processing.
• Worked in claims processing system for pharmacy benefit management along with review, design & reconfigure of facets in functional areas like membership, claims, provider, enrollment & service.
• Worked on the EDI 834 file load to facets through Membership Maintenance sub system.
• Worked with facets team for HIPAA Claims validation & verification process (pre-adjudication).
• Did Data restructuring to convert data into different formats & data editing to remove errors for further processing.
• Identified & documented complex data analysis, data mapping & error resolution for different transactions.
• Coordinated with Project Managers to resolve risk issues and ensure compliance of Security System related to the HIPAA.
• Worked with the system administration team, technical leads, & PM to release builds to production through EDI Gateway.
• Did impact analysis, vendor analysis & GAP analysis for migration from ICD-9 to ICD-10.
• Created detailed ICD 9 & ICD-10 mapping and crosswalk analysis as per the client specifications.
• Gathered and documented ND State client business requirements and developed, entered and verified test cases

Environment: EDIFECS, Facets 4.X, Oracle, QTP, Mainframe, MS Suite, IBM Rational Suite, UltraEdit, Rational Test Manager, HP QC, Unix, SCRUM/AGILE, JIRA.

Business Systems Analyst

Confidential, Raleigh, NC

Responsibilities:

• Facilitated meetings, elaborated requirements, and created data mapping documents.
• Functioned as the primary liaison between the business line, operations, and the technical areas throughout the project cycle.
• Comprehensively work with requirement gathering for Enterprise reporting system using Requisite Pro.
• Created Process Flow Diagrams using Rational Rose.
• Analyzed and documented the required data and information.
• Established a business Analysis methodology around the RUP (Rational Unified Process). Helped develop use cases, project plans, and manage scope.
• Extract data, prepare reports, analyze data, develop recommendations, and validate clients’ data
• Applied Unified Modeling Language (UML) methodologies to design Use Case Diagrams, Activity Diagrams, and Sequence Diagrams
• Worked as business analyst to support the re-design of the Mortgage Asset Management System.
• Facilitated Meetings and JAD sessions with committee of SMEs from various business areas including
• Mortgage Servicing, Loan Monitoring, and Asset Management.
• Worked together with the developers and testers towards tracking / resolving defects and bugs. Built the RTM using Rational Requisite Pro towards overall requirements management.
• Used SQL for database data retrieval, and data quality analysis.
• Developed requirement reports for day-to-day retail banking needs for opening account, online banking using Rational SoDA.
• Worked with marketing team in knowing what exactly bank’s client wants.
• Collaborated with the technical areas in the research and resolution of system and process problems.

Environment: UML, Agile (SCRUM), Use Case Analysis, MS Word, MS Power Point, MS Excel,, MS Outlook, MS Visio, MS Project, Quality Center.

Business Analyst

Confidential, San Diego, CA

Responsibilities:

• Provide business requirements to Integration team for EDI mapping for new Trading Partners
• Implemented the 810 and 856 EDI transaction for BD Canada for GHX to complete the suite of available transactions.
• Groomed backlog of features to ensure readiness for scrum planning sessions including documenting acceptance criteria; defines As-Is and To-Be process flows to identify gaps and new requirement.
• Documented epics, user stories and associated acceptance criteria.
• Prepared project status and sprint metrics (Product Backlog, Sprint Backlog, Burn-Down Chart and Velocity Chart) reports.
• Coordinated with Product Manager to estimate release timelines, prioritize requirements/Product Backlog based on Delivery schedule, Business Value based on ROI calculation.
• Organize and facilitate SCRUM ceremonies: daily standups, Sprint Planning/Grooming, Sprint Reviews/Demos, and Retrospectives.
• Employed best practices in project management& requirement gathering techniques
• Leveraged requirements elicitation skills to deliver multiple Requirements Traceability Matrix's (RTM) that achieved sponsor and stakeholder acceptance sign-off that each requirement was 100% delivered.
• Collaborated with UX and UI teams to define User friendly workflows for various scenarios.
• Designed and implemented basic SQL queries for QA testing and report.
• Responsible for requirements analysis, data mapping, migration & analysis and writing complex rules to migrate data.
• Design and develop Process flows, business design specs, Wireframes, Data flow design and data conversion specifications.
• Analysis of functional and non-functional categorized data elements for data profiling and mapping from source to target data environment. Developed working documents to support findings and assign specific tasks.
• Regularly interacted with the Testing team for executing the Test Plans, providing Test Data, creating Test Cases, and resolving issues upon detection of bugs and collecting the Test Metrics.
• Developed and execut­ed associated project plans and test scripts for User Acceptance Testing (UAT) and subsequent user training.

Environment: JAD Sessions, MS Word, MS Excel, MS Access, MS Visio, MS PowerPoint, XML, VersionOne, Teradata, HP ALM, Rational Suite.

Business Analyst

Confidential

Responsibilities:

• Gathered and translated business requirements in to detailed, production-level technical specifications, new features, and enhancements to existing technical business functionality.
• Worked is close coordination with the PM and the Business owners to developed project vision and define the scope of the project.
• Developed Project Plan with Project manager's assistance for the first two phases of the Project.
• Created databases, tables, views & schemas. Performed users access authorization, defined locations, populated tables with data and performed unload/copy/replicate data from one database into another after detail analysis and design.
• Mapped the source and target databases by studying the specifications and analyzing the required transforms and documented the purpose of mapping to facilitate the personnel to understand the process and incorporate the changes as and when necessary.
• Involved in the process of loading data into Teradata and creating Process Flow Diagrams using MSVISIO.
• Analyzed the performance of the job during the project. Utilized standard techniques for enhancing the performance.
• Authored User reference documents on all the deliverables created for future reference by Business Users and conducted training sessions.
• Documented and delivered Functional Specification Document to the project team.

Environment: MS Visio, MS Office.

Business Analyst

Confidential

Responsibilities:

• Reviewing Business/Functional requirements, Technical Specifications and Screen flows of the application.
• Created detailed Test Plans, Test scripts, and conducted test script walkthroughs to ensure that testing coverage is adequate and test scenarios specify the correct expected results.
• Uploaded applications to handsets, executed test cases and ensured that provided information is correct.
• Used ACE Project for defect reporting and tracking.
• Tested application functionality by using Device Anywhere wireless testing platform.
• Identified product specific problems and helped in the analysis, reproduction, and testing of solutions.
• Troubleshoot failures by adjusting attributes in a .JAD file and provided feedback on feature performance. Created .JAR and .JAD files for new devices using Net Beans.
• Developed detailed reports on market research initiatives and provided ideas on how this research fits into current projects.
• Wrote test cases in Excel sheet and logged and maintained defects in Ace project tool.
• Involved in Unit Testing, performed UI/compatibility testing, Usability testing, Functional, Adhoc, Exploratory testing, regression, Installation testing, Interruption testing, positive and negative testing.

Environment: Windows XP/NT/98/2000, MS Word, MS Excel, Power Point, Java, J2EE, Tomcat.