• Over Five years of experience as a Business Systems Analyst with extensive knowledge and experience across the project life cycle in Systems Development Life Cycle SDLC and the Software Test Life Cycle STLC in the fields of Healthcare, Telecom, Retail, Banking and Finance. A dynamic professional with skills in the field of Information Technology, Business Analysis and Software Quality Assurance with strong work experience in all phases of Requirement Management, including gathering, analyzing, and tracking requirements.
• Extensive experience in facilitating user group meetings and gathering system requirements for web application development using Quality Center and SharePoint.
• Expertise in Project Planning, Project Design, creating functional specifications and data flow diagrams.
• Knowledge of the Rational Unified Process methodology RUP .
• Highly analytical in developing the methods and measures to meet requirements and solve any issues that arise during the project.
• Performed planning and development of Test Plans, Test Cases and Test Scenario to meet product's business requirements.
• A senior team member with thorough experience in peer reviews Test Design and defect reporting .
• A vast experience in analyzing and reporting test results, providing bug fix suggestions and solutions, and logging and deciphering defects.
• Experience in setting Exit criteria's for the SDLC models to ensure quality.
• Facilitated JAD Joint Application Design sessions.
• Experience in developing surveys and interview questionnaires for interviewees and selecting the target population segment.
• Optimum use of documentation to avoid any form of miscommunication or misinterpretation during the entire software development process.
• An expert with a solid understanding and experience of a Bug Life Cycle.
• Professional expertise in MS Office, and MS Project.
• Understanding and interpreting requirement specifications.
• Experience in creating and maintaining the Requirements definition documents that included Business requirements and Functional requirements.
• Skills in developing Use Case diagrams, Sequence diagrams, State Chart diagrams, and Class diagrams.
• Exposure in creating and analyzing Data flow diagrams, and Entity Relationship diagrams.
• Extensive use of UML/RUP for modeling views in Microsoft Visio.
• Strong knowledge of Project management skills such as time estimation, task identification, and scope management.
• Experience in customer / client interaction, deep understanding of business systems functionality and technicality.
• Involved in maintaining Test Matrix and Traceability Matrix and performing GAP analysis.
• Experience in writing test plans, defining test cases, developing and maintaining test scripts.
• Expertise with QA Methodology to ensure robust functionality.
• Motivated self-starter with exceptional team building, leadership, and interpersonal skills.
• Conducted User Acceptance Testing UAT .

Professional Experience

Confidential

Sr. Business Systems Analyst

Responsibilities:

• Responsible for the requirement-gathering phase and project plan.
• Responsible for requirements analysis, design and developing technical requirements.
• Responsible for the full HIPAA compliance lifecycle from gap analysis, mapping, implementation and testing for processing of Medicaid Claims.
• Responsible for gap analysis in changing old MMIS and Involved in testing new MMIS.
• Used HIPAA 4010 transactions to support the analysis of current business processes and work with management to improve and implement enterprise solutions to ensure compliance and got involved in designing future state processes for HIPAA 5010 transaction processing EDI's 837, 835, and 834 and ICD-10 Code sets.
• Acted as a SME for the application team and the Infrastructure team.
• Analyzed HIPAA 5010 related to 837, 835, and 834 transactions and performed gap analysis between the 4010 and 5010.
• Conduced Joint Application Development JAD sessions and walk in interview with the business users to gather requirements.
• Used FACETS Analytics for fast and easy retrieval, display and grouping of information for performing queries and generating reports.
• Works on Data mapping, logical data modeling and used SQL queries to filter data within the Oracle database tables
• Responsible for Performing Integration and UAT testing.
• Matched the requirements for programs such as Medicare and Medicaid, which are part of the Social Security Act.
• Created Use Cases diagram and Activity diagram to depict the interaction between the various actors and the system for Business Use Case and System Use Case.
• Conducted the Functional Requirements Specifications FRS and User Requirement Specification URS documents' reviews and walkthroughs with designers, developers and stakeholders. Also conducted feasibility and adaptability study.
• Conducted JAD Sessions with Infrastructure management team, SME, policy holders and stakeholders for issues which were open and pending.
• Analyzed forms and successfully crosswalk details to corresponding ANSI X12 formats.
• Perform functional, exception and scenario testing.
• Logged the errors, reported defects, determined repair priorities and tracked the defects until resolution using Quality Center.
• Tested the changes for the front end screens in FACETS related to following modules, test the FACETS batches membership, Billing, Provider, etc.
• Developed the business anomalies workarounds and described them in documentation and presented the matter to the upper management for review.
• Performed Positive and Negative Manual Testing.
• Developed non-functional requirements and documented them as Business Rules, Quality attributes and constraint documents.
• Interacted with database developers for formulating the ER diagrams and data flow diagrams.
• Responsible for GAP analysis of ICD9-ICD10.
• Held regular JAD meetings with the system architects, developers, database developers, quality testers during the entire project to assure that the critical as well as the minute details of the project were discussed and issues were resolved beforehand.
• Worked With HIPAA compliant ANSI X12 837 formats for both professional claims and institutional claims.
• Analyzed the mainframe reports for member/eligibility/claims and mapped the fields with FACETS batch jobs and reports.
• Performed configuration/ compatibility and user interface testing manually.
• Worked with QA lead in validating Test Plan and Test Scenarios.
• Used HP Quality Center for tracking Defects and tracing requirement functionality performances.
• Executed test cases manually. Compared and analyzed actual with expected results and reported all deviations to the appropriate individual s for resolution.
• Assisted Business User during deployment in formulating User Acceptance Testing UAT for customized application and getting confirmation for product Release
• Review of high-level design document and low level design of classes and sequence diagrams.
• Ensuring that deliverables were delivered on time as scheduled.

Confidential

Sr. Business Systems Analyst

Project Details: Confidential is one of the nation's leading pharmacy benefit management PBM companies, provides comprehensive prescription benefit management services to over 2,000 health plans, including corporations, managed care organizations, insurance companies, unions and government entities. The project involved data migration from existing disparate systems for common services such as Eligibility and membership enrollment using Facets and Web Frontend.

Responsibilities:

• Gathered analyzed, documented business and technical requirements from both formal and informal sessions and validate the needs of the business stakeholders.
• Involved in the HIPAA compliance lifecycle from GAP analysis, mapping, implementation, and testing for processing of Health Insurance Claims. Worked on HIPAA Standard/EDI standard transactions: 270, 271, 276, 277, 834, 835, and 837 to identify key data set elements for designated record set. Interacted with Claims, Payments and Enrollment hence analyzing and documenting related business processes.
• Designed and developed Use Cases and Use Case scenarios, Activity Diagrams, High Level and Low Level Process Flow Diagrams.
• Conducted surveys, interviews and JAD sessions and translated them into system Requirements.
• Responsible for preparing a Business Requirement Document BRD , Functional Requirement Document FRD and then translating it to functional specifications and test plans.
• Performed Gap Analysis in every phase and stages to check the compatibility of the existing system infrastructure with the new business requirements.
• Perform functional, exception and scenario testing.
• Logged the errors, reported defects, determined repair priorities and tracked the defects until resolution using Quality Center.
• Prepared Test Cases based on business requirements and business rules for HIPPA EDI Transaction 834, 837, 835.
• Worked with PM to prepare Project charter, Project plans, daily, weekly and monthly team deliverables for each phase using MS Project.
• Served as a Peer review member to verify, validate and modify necessary changes made considering technical and business aspects, in the deliverable documents and thereby uploading it on SharePoint. Consolidated individual Statistical Summary from the team deliverables, various reports, jobs, files and Inventory documents to present it in weekly status meetings.
• Lead requirements analysis and inspection, ensuring that requirement statements and business rules are complete, consistent, concise, comprehensible, traceable, feasible, unambiguous, and verifiable, and that they conform to standards.
• Facilitated various brainstorming, requirement gathering sessions, and provided training on HIPAA Compliance, HIPAA Standard transactions and current version of X12 HIPAA 4010A1 to HIPAA 5010 GAP understanding.
• Performed Positive and Negative Manual Testing.
• Managed requirements traceability information and tracked requirements status throughout the project. Also managed changes to baseline requirements through effective application of change control processes and change management tools.
• Provided highly complex analytical support through the analysis and interpretation of data in support of cross-functional business operations.

Confidential

Sr. Business Systems Analyst

Project Details: Confidential is an confidential broadband and Telecommunication Company and a component of the DOW. As part of the overall roadmap to improve customer experience and revamp customer centric applications, I was part of the customer marketing project and was involved in the requirements gathering, analysis, design, development, configuring a Retention/ Save Offers rules engine integrated into the Verizon's web sales and care platform.

Responsibilities:

• Facilitated JAD sessions to collect requirements from system users and prepared business requirement that provided appropriate scope of work for technical team to develop prototype and overall system.
• Identified processes for developing and documenting detailed business requirements. Data was collected from end-users, and analysts.
• Requirements were gathered through interactions and meetings and periodic walkthroughs with loan analysts, credit analysts and other potential users of the application.
• Worked closely with Business teams to determine attributes for defining customer segmentation.
• Associated Offers and Campaigns with appropriate segmentation of the customer.
• Conducted Use-Case reviews and identified gaps, leading to improvements/enhancements in the same.
• Created and maintained the Requirements Traceability Matrix RTM .
• Worked with the Project Manager on various Project Management activities like keeping track of Project Status, Deadlines, Environment Request, and Compliance Issues.
• Ensured Use-Cases were consistent and covered all aspects of the Requirements document.
• Maintained the Business Impact Analysis Template BIAT to analyze and document the effect of proposed changes on the project schedule and costs.
• Used Quality Center for bug reporting.
• Was responsible for tracking issues that are detected and updating the status of existing issues based on the daily meetings with the off-shore team.
• Identified and analyzed the data requirements for the various site teams and made sure that the required data is available in the testing environment.
• Worked directly with software engineers to ensure clear communications on requirements and defect reports.
• Used the guidelines and artifacts of the Rational Unified Process RUP to strategize the implementation of Rational Unified Process effort in different iterations and phases Inception, Elaboration, Construction and Transition of the Software Development Life Cycle.
• Interacting with other teams through walkthroughs, teleconferences, meetings, etc. to resolve various issues.

Confidential

Sr. Business Systems Analyst

Project Details: Confidential is one of the largest wireless company in the Confidential , with more than 50 million subscribers. The project focused on improving customer relations and facilitating customer verification payments and enhances customer experience.

Responsibilities:

• Assembled business requirement documents BRD and the functional specifications as per the user requirements.
• Created Business Workflow based on the requirements gathered from the client.
• Created functional specification documents based on the business requirement documents.
• Organized JAD Sessions to resolve issues and conflicts, and to arrive at quick agreements regarding the system architecture design.
• Actively involved in Project planning, updates, org charts, Status report.
• Monitored the progress of projects using MS Project and took appropriate action to ensure that they keep up with the schedule.
• Interacted with the Business Users and Prototyped the modules Service requests, Accounts, and contacts.
• Interacted with the clients and the architect for gathering the functional requirements and documented them. Identified Use cases from the requirements and wrote Use Case Specifications.
• Prepared Business Workflow models using MS Visio that cover How business processes are accomplished.
• Developed the state diagrams, sequence diagrams and activity diagrams for the call center application of the customer using MS-Visio.
• Prepared As Is and To Be workflows analyzed the processes which needed customization.
• Performed Gap Analysis.
• Worked with the project manager for planning and organizing the project activities, and in communicating with other business center managers and stakeholders of the project.
• Analyzed and documented the limitations of the billing system.
• Interacted extensively with the client and the management teams to understand the requirements and to report the status of the testing efforts on their applications.
• Conducted individual and group joint application development JAD sessions with business stakeholders and technical units.
• Followed the RUP methodology for the entire SDLC.
• Used MS Project for status reporting and planning.
• Managed scope and deadlines.
• Participated in various meetings and discussed enhancement and modification request issues.
• Actively worked with developers as needed to isolate the Root Cause Analysis of defects.
• Worked with the clients on the final signing process in the User Acceptance stages.

Confidential

Sr. Business Systems Analyst

Project Details: Progressive is the third-largest auto insurer in the confidential, in terms of active policies. Progressive primarily offers its services through the internet or by phone and through independent insurance agents. In addition, to auto, health and life insurance, Progressive also provides insurance for home, motorcycle, RV, boat, snowmobile and pets. I worked on the builds and enhancements of Progressive's Special Lines section of their web-based application.

Responsibilities:

• Participated in all the phases in the project management life cycle
• Acted as a liaison between the business users and technical teams to enhance the applications based on the business requirements
• Provided a single point of contact for user communication, managed issue tracking, prioritization and resolution
• Helped in the development of the scope document that defines the primary goals and objectives
• Worked closely with the business users to gather the high level user requirements and functional requirements
• Developed functional requirements and specifications
• Organized meetings and worked together with the PM to during the various stages of project planning
• Developed use cases to explain / demonstrate business requirements / specifications to the IT team
• Refined the requirements use-cases and Business Process Models to detailed level requirement appropriate for technical analysis and system design
• Participated in various sessions to define the solution approaches, and identifying assumptions, constraints, risk and issues
• Revealed unidentified requirements, evaluated changes in requirements, and assessed impact of changes
• Recommended process or system changes intended to eliminate identified risks or gaps
• Provided regular verbal and written status reports to IT management team
• Published meeting minutes and maintained project plans
• Coordinated with the project team and testing team to revise project artifacts such as use-case specifications, test scripts, and so on to reflect requirement changes
• Worked independently with minimum supervision as part of a dynamic IT team

Confidential

Sr. Business Systems Analyst

Project Details: Confidential is a full featured website. The website provides following services: the users to view their account balances, transfer funds to different accounts, manage payments to other financial Institutions by quick pay or recurring payments, view the most recent transactions, view the transaction history of checking and saving accounts, send and receive messages, change user information, order checks, order brochures.

Responsibilities:

• Involved in business analysis and project management, coordinating between the team members, addressing budget issues and creating test plans according to the business requirements.
• Worked with the project manager for planning and organizing the project activities, and in communicating with other business center mangers and stakeholders of the project.
• Gap Analysis of client requirements, generated workflow process, flow charts and relevant artifacts.
• Defined and documented the vision and scope of the project.
• Met with various groups, including business owners, SMEs subject matter experts and marketing team, for requirements gathering in definition Stage.
• Gathered requirements, developed Process Model and detailed Business Policies.
• Designed Use Cases using UML and managed the entire functional requirements life cycle using RUP.
• Worked with the project manager to estimate best / worst case scenarios, track progress with weekly estimates of remaining work to do, conducting informal meetings ad hoc and as needed.
• Followed the RUP methodology for the entire SDLC.
• Involved in writing and implementation of the test plan, and various test cases.
• Initiated, proposed and implemented critical analytical and technical turnkey solutions extensively increasing the quantitative and qualitative value of the application.
• Involved in project planning, coordination and implemented QA methodology.
• Provided overall project management to multiple projects successfully completing them on-schedule and on-budget.
• Prepared the Business Workflow using MS-Visio with input, output, Pre and Post conditions.
• Enhanced test cases and scripts by adding the required functionality as per the new business requirements.
• Defect Tracking and Bug Reporting was performed using Quality Center.
• Worked with the clients on the final signing process in the User Acceptance stages.