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Business Analyst Resume


  • More than 9 years of progressive experience in Healthcare IT.
  • Thorough Understanding of Software Development Life Cycle (SDLC), involved in various phases like Requirements, Analysis/Design, Development, Testing((Unit Testing, SIT and UAT) and Application Maintenance & Support
  • Played various roles and responsibilities such as Business Analyst, Team Lead, System and Business Advisor, Technical SME, Domain Expert, Reviewer, Mentor, Designer, Developer, Tester and Trainer
  • Facilitated large JAD sessions with Business, Technical stakeholders, Vendors, Architects.
  • Acted as the link between the technical and business views of the system by ensuring that the technical solutions being developed will satisfy the needs of the business.
  • Extensive knowledge of Waterfall and Agile Methodologies.
  • Performed GAP Analysis, Risk Analysis and Cost/Benefit Analysis.
  • Created as - is and to-be business process documentation.
  • Hands on experience on Real-time Claims Processing on Confidential (WellPoint Group System).
  • Experienced in encounter claims processing, claims Xten, HIX claims processing, utilization management, Confidential processing
  • Familiar with 837 & 835 EDI transactions.
  • Performed Regression Testing and created test scenarios for User Acceptance Testing (UAT).
  • Authored Business Requirements documents(BRD), Functional Specification documents(FSD), Software Requirement Specification documents(SRS), Use Case Specification(UC) documents, Test Plans, Test Cases, UAT manuals and experienced in carrying out UAT walkthroughs & functional testing.
  • Talented communicator, able to build working relationships with wide range of co-workers in team environment.
  • Worked in lead roles in multiple tracks at the same time and handled issues effectively in a timely manner.
  • Proficient in Word, Excel, Access, Project and Windows operating systems
  • Mitigating the risks foreseeing the issues
  • Strong analytical and problem solving skills, excellent planning, with proven experience in utilizing people and process knowledge to help enterprises make critical decisions


TECHNOLOGY: medical claim Processing modules, Adjudication, Provider Systems Excellent Healthcare Domain knowledge, Explanation of Benefits, Accumulators, Copay and coinsurance, S/W development life cycle methodologies, Requirements definition, functional specifications and gap analysis, Implementing projects, end to end testing and user acceptance testing, Interfaces for various Upstream & Downstream systems

Requirement Management Tools: ClearQuest, ClearCase, Requisite Pro, Rational Team Concert (RTC)

Documents and Processes: Project Plan, Requirement Specification Document, Business and Functional Requirements Document, RTM Requirements Traceability Matrix, TDD Use Case Narrative.

Hardware: IBM Mainframe

Languages: COBOL, JCL, SQL, REXX

Databases: DB2, IMS DB, VSAM, Teradata

Operating systems: MAINFRAME, Windows XP, 10

Development Tools: Changeman, SAR, Fault Analyzer, Debugging tool

Other Utilities IMSDC, Control: M, SPUFI, IOF



Business Analyst


  • Conduct JAD and Interface with various Business stakeholder to gather requirements and prepare Business Requirement Document.
  • Interfacing with business users and SMEs to prepare Technical Response for BRD, create Functional Design Document and Technical Design Document
  • Prepare UAT base scenario and UAT Test cases for various line of businesses (LOBs) for testing Maintained Requirement Traceability Matrix (RTM)
  • Perform Gap analysis and savings estimation
  • Interact with external systems like inquiry tracking, PDS team, medical management systems likes WMDS, disbursement systems like FCS, Checkwrite, as well as external vendors like Confidential for gathering the related requirements, supporting the changes and successful implementation of the same.
  • Creating test cases and test scripts
  • Traced test cases and functional specifications to BRD and FDD using Requirement Traceability Matrix (RTM)
  • Validate technical designs created by IT developers against functional specifications
  • Create documentation for user on new edits and related claim handling
  • Create requests and documents for Project Change Requests (PCR)
  • Attend discussions with client, Business analyst, System Architect to discuss various integration issues and suggest and derive solutions.
  • Performing requirements analysis, detailed application design, documentation and development
  • Keep track the progress of all the tasks based on the estimation provided and schedule with the help of various tools to balance the load
  • Supporting the system components during system testing, integration testing and during promotion of these components to production environment
  • Maintain the quality documents in the Project Folder
  • Providing solutions for improving the clients business, processes and profitability.
  • Possible ways to improve the business that favors/improves the systematic processing of claims

Offshore lead



  • Analyzing programs to decide on changes needed in Confidential side to implement the mandate and how to implement this with minimum impact to existing claims processing.
  • Participate in the high level analysis and the customer impacts.
  • Managing Requirements, which involves the analysis of project requirements with a view to understanding the same and to identify the gray areas in the requirements.
  • Reviewing the design and providing suggestions to improve the same
  • Review build activities & Code, Unit Test Plan and Unit test Results prepared by the team.
  • Co-ordination between the onsite and offshore teams
  • Involved in following all the phases of the software development life cycle throughout the project.
  • Mentor the new joiners in team.
  • Ensuring that the team has the required technical expertise to execute the project. This involves the identification of key technical areas related to the project and conducting sessions to plug any gaps. I am also responsible for providing technical assistance over the course of the project.
  • Identifying and developing the reusable modules and templates that will help in improving the productivity of the team.
  • Clarifying the issues of the team members and helping them in the proper execution of the project.
  • Requirement analysis and estimation

Module lead



  • Analyzing the requirements, coordinating the development activities with offshore resources and reporting to the Onsite personnel.
  • Requirements gathering, Designing, Coding, Unit testing and SIT.
  • Preparation of Unit Test Plans / Unit Test Results.
  • Requirement analysis and estimation
  • Review of the programs and design documents.
  • Conducting technical as well as business for new comers
  • Mentoring the team members

Offshore developer



  • Analyzing the requirements, coordinating the development activities with offshore resources and reporting to the Onsite personnel.
  • Requirements gathering, Designing, Coding, Unit testing and SIT.
  • Preparation of Unit Test Plans / Unit Test Results.
  • Implementation Support activities

Production Support



  • Resolving the issues faced by the end user.
  • Setting up calls with the client on daily basis to discuss the areas that can be improved.
  • Providing suggestions and new automation methods to resolve the issues that occur on daily basis or regular intervals.

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