SUMMARY:

• Business Systems analyst with over 8+ years of experience in Insurance, Retail, HealthCare and Oil and Gas.
• Decade long diverse and very strong experience in Information Technology/ Data/ Process Management with emphasis on Business Systems Analysis and substantial know - how of Business Processes, Business Requirements gathering, Business Process flow, Business Process Modelling, and related technical knowledge.
• Extensive experience in Requirement analysis, Business Modelling, and Use Cases development using UML methodology
• Adequate knowledge in Health Administration - Claims processing (auto adjudication), COB, EOB/Drafts, Claims pricing and testing, HIPAA, enrolment, EDI, Medicare, Medicaid, FACETS, CDHP (consumer driven health plans).
• Knowledge of U.S. and global data protection laws, including the California Consumer Privacy Act (CCPA) and the EU’s General Data Protection Regulation (GDPR). Knowledge of data protection tools and process.
• Functional experience with concentration on Use Case modelling using UML, Business Process Modelling, Data Modelling, Change Management, Technical, Software Development methodologies, QA testing, and Systems Testing of client server and web-based systems.
• Extensive experience in gathering system requirements, defining business processes, UML modeling, sequence diagram and activity diagram.
• Strong understanding of Software Development Life Cycle (SDLC), including good knowledge of RUP methodology.
• Experience in developing project plans, identifying documents, and validating requirements and reengineering process.
• Experienced in complete AGILE, RUP, SDLC, Client /server architecture providing a well-balanced understanding of business relationships, business requirements, worked for financial and technical solutions and help the team at all levels until final product release.
• Extensive experience with Content Management tools such as Interwoven, Filenet, SharePoint and Documentum.
• Expertise using Metastorm Provision, MS Visio, Rational Requisite Pro for modeling and capturing business requirements. Working knowledge in ITIL.
• Experience in applying Rational Unified Process (RUP) methodology using Modeling and requirement documentation tools such as MS Office, MS VISIO, and MS Project.
• Conduction JAD Session and communicating with stakeholders, development team, SMEs, System Analyst, Business Analyst and Project Manager.
• Excellent analytical skills for understanding the business requirements, business rules, business process and detailed design of the application.
• Excellent skills in Business Analysis, Requirement analysis, Business modeling and Use Cases development using UML Methodology.
• Facilitated JAD sessions with business owners, IT team & Users to drive out detailed business requirements, experienced in Systems Testing, Integration Testing, and Software Quality Standards,, Documentation and implementation in a business environment

TECHNICAL SKILLS:

Operating Systems: UNIX, Windows 95/98/NT/2000/XP, Linux.

Databases: MS-Access, MySQL, SQL Server.

Internet: HTML, XML, VB Script, ASP, JavaScript, JSP, J2EE.

Automation Tools: MS Visio, Rational Rose, Rational ClearCase, Rational RequisitePro

Business Modelling Tools: MS Visio, Provision, Excel, PowerPoint, UML, Agile, Waterfall

Reporting Tools: Business Objects, Crystal Reports

Standards &Methodologies: Agile, Waterfall, Scrum, RUP, SDLC, HIPAA, Claims

Utility Tools: MS Office Suite, MS Project, iRise, Adobe Photoshop

PROFESSIONAL EXPERIENCE:

Confidential, NY

Business Systems Analyst

Responsibilities:

• Worked on CMS Enterprise Application& BI Applications using IBM Cognos & TM1 which serves over 30,000 users on daily basis.
• Involved in Inception Phase and prepared Data Models that contains set of diagrams and BRDs (Business Requirement Documents) supporting documents containing the essential business elements, detailed definitions, and descriptions of the relationships between the actors to analyse and document business data requirements. Gathered user and business requirements through different elicitation techniques like interviews, surveys, prototyping and observing from portfolio managers and UI (User Interface) with Consulting Managers, Users, Principal Engineers, Subject Matter Experts, DBA’s in capturing the high-level requirements use case and user personas from an end user perspective.
• Planned and defined system requirements, Use Case Scenario and Use Case diagrams for web-based application based on CMS requirements
• Created Use Case Diagrams, Activity Diagrams, Sequence Diagrams and ER Diagrams in MS Visio.
• Conducted JAD session with management, vendors, users and other stakeholders for open and pending issues.
• Scheduled meetings with developers, System Analysts (SA) and testers to collaborate resource allocation and project completion using MS Project.
• Created and managed project templates, use case project templates, requirement types and traceability relationships in Requisite Pro
• Authored progress and completion reports, which were then submitted to project management on a weekly basis.
• Developed and presented solutions to stakeholders, suggested and implemented a timeline which involved integration of the systems in phases.
• Presented Demos to business partners and vendors on the new releases on bi - weekly basis.
• Suggested strategic solutions to the existing processes and created models that replicate the new process.

Confidential, Detroit, MI

Business Systems Analyst

Responsibilities:

• Conducted extensive JAR/JAD sessions with the business to gather accurate requirements
• Interacted closely with the End Users from accounting and EM&B team to understand and gather the business needs and requirements.
• Translated business requirements into comprehensive, complete and accurate system requirements
• Created system use cases, activity diagrams, mapping documents, work flows, screen shots and PowerPoint presentations using Requisite pro, MS Visio and MS Office suite.
• Involved in all SDLC stages under Agile process in applications including Requirement Analysis, Implementation, Testing, Deployment and Maintenance
• Conducted Gap Analysis to identify gaps in the existing process and new requirements
• Helped business users identify change requests and change controls
• Leveraged GDPR / CCPA / HIPPA knowledge to support parallel activities to plan out Privacy & Compliance Office, Data Governance, Change Mgmt., Privacy Communication and Reporting Metrics.
• Plan and executed a GDPR compliance project for a leading software development company (maker of Jira & Confluence)
• Lead cross functional Dev/Ops IT work within marketing, customer technology, Salesforce and other IT business functions.
• Clarified the GDPR scope and requirements with Legal for data privacy automation project RTBF (right to be forgotten)
• Defined the success criteria for each GDPR deployment, set expectation for teams, measured deliverables per the criteria.
• Maintained rigorous pre & post production test execution, enforced SOX compliance by documenting process and procedures.
• Provided mapping for HIPAA code sets and EDI transaction processing.
• Worked on the claim routing and claim processing Scenario in legacy and FACETS
• Investigated open tickets using SQL and helped users resolve the issues
• Assisted Test Lead, Testers understanding business process and help them successful completion of Unit Testing, Integration Testing and Requirements Testing.
• Handled the responsibilities of executing test scripts, reporting bugs and enhancements.
• Strong Functional knowledge in the core Facets modules such as Plan/Benefits,, Provider, Claims, Billing, Customer Service & Utilization Management.
• Created prototypes, screen mock-ups, and wireframes to communicate the design with clients and stakeholders
• Executed the Performance testing cases developed for the claim’s engine, EDI servers and T1 line.
• Interacted and provided support to the third-party vendors.
• Used SQL in MS Access for retrieval of data from database.
• Monitored data is available in data warehouse for reporting purposes using MS Access.
• Established RUP (Rational Unified Process) methodology and aided in developing Use cases and project plans.
• Analysis of inbound and outbound interfaces and extensions to FACETS claims processing system.
• Supported project modifications deployment into production environment.
• Involved in interactions with Subject Matter Experts, Project Manager, Developers, and the Trading Partner in the JAD sessions and teleconferencing for the weekly project status meeting.
• Conducted data driven testing using QTP to conduct backend testing.
• Used Test Director and Quality Centre for updating the status of all the Test Cases & Test Scripts that are executed during testing process.
• Incorporated Rational Unified Process (RUP) to create Business Requirement Document Specifications using MS Visio and MS Word.

Confidential, Charlotte, CA

Business Analyst

Responsibilities:

• Involved in working with Project Manager in planning, scheduling, and controlling projects based on schedules and requirements outlined by the business.
• Analyzed User Requirement Document, Business Requirement Document (BRD), Technical Requirement Specification and Functional Requirement Specification (FRS).
• Designed and implemented basic SQL queries for reports and data validation.
• Lead and implemented American’s HR GDPR compliance project (General Data Protection Regulation)
• Act as subject matter expert and resource on issues related to privacy, security and data protection
• Performed independent audits for client’s data governance and data quality programs to ensure policy, standards and controls.
• Lead and implemented SAP HANA Cloud Platform historical employee database project for US Air and American Airlines.
• Review issues related to data collection, use, and governance as per GDPR guidelines and documented the process.
• Review data protection impact assessments and other internal privacy and data security assessments, performed internal audits.
• Used Scrum Work Pro and Microsoft Office software to perform required job functions and worked with SME’s in Europe, to finalize the layout of the new Work-flow diagram. Also, the design (wire frames) was re-formulated
• Have good Agile methodology experience (Scrum, RUP, XP, i.e. Iterative Development and Project Management). Used User Stories in agile testing. Familiarity with UML and Use Cases.
• Prepared and analyzed AS IS and TO BE in the existing architecture and performed Gap Analysis.
• Created workflow scenarios, designed new process flows and documented the Business Process and various Business Scenarios and activities of the Business from the conceptual to procedural level.
• Used the guidelines and artifacts of the Rational Unified Process (RUP) to strategize the Implementation of RUP effort in different iterations and phases of the Software Development Life Cycle.
• Worked as an Interface between the Users and the different teams involved in the application development for the better understanding of the Business and IT Processes.
• Designed and developed project document templates based on SDLC methodology
• Migrated Data from MS Excel to SQL Server Reporting Service Using DTS and SQL loader utilities.
• Managed and traced requirements using Rational requisite pro
• Used Agile Software Development process viz. Scrum, as this was a time bound project.
• Created context and workflow models, information and business rule models, Use Case and Object Models during the analysis using rational tools.
• In depth knowledge of SDLC and implementation of the Rational Unified Process (RUP) in all four phases of a project: Inception, Elaboration, Construction and Transition.
• Worked extensively with the QA team for designing Test Plan and Test Cases for the User Acceptance Testing.

Confidential, NYC

Business Analyst

Responsibilities:

• Conducted extensive JAR/JAD sessions with the business to gather accurate requirements
• Interacted closely with the End Users from accounting and EM&B team to understand and gather the business needs and requirements.
• Translated business requirements into comprehensive, complete and accurate system requirements
• Created system use cases, activity diagrams, mapping documents, work flows, screen shots and PowerPoint presentations using Requisite pro, MS Visio and MS Office suite.
• Involved in all SDLC stages under Agile process in applications including Requirement Analysis, Implementation, Testing, Deployment and Maintenance
• Conducted Gap Analysis to identify gaps in the existing process and new requirements
• Helped business users identify change requests and change controls
• Provided mapping for HIPAA code sets and EDI transaction processing.
• Worked on the claim routing and claim processing Scenario in legacy and FACETS
• Investigated open tickets using SQL and helped users resolve the issues
• Assisted Test Lead, Testers understanding business process and help them successful completion of Unit Testing, Integration Testing and Requirements Testing.
• Handled the responsibilities of executing test scripts, reporting bugs and enhancements.
• Strong Functional knowledge in the core Facets modules such as Plan/Benefits,, Provider, Claims, Billing, Customer Service & Utilization Management.
• Created prototypes, screen mock-ups, and wireframes to communicate the design with clients and stakeholders
• Executed the Performance testing cases developed for the claims engine, EDI servers and T1 line.
• Interacted and provided support to the third-party vendors.
• Used SQL in MS Access for retrieval of data from database.
• Monitored data is available in data warehouse for reporting purposes using MS Access.
• Established RUP (Rational Unified Process) methodology and aided in developing Use cases and project plans.
• Analysis of inbound and outbound interfaces and extensions to FACETS claims processing system.
• Supported project modifications deployment into production environment.
• Involved in interactions with Subject Matter Experts, Project Manager, Developers, and the Trading Partner in the JAD sessions and teleconferencing for the weekly project status meeting.
• Conducted data driven testing using QTP to conduct backend testing.