PROFESSIONAL SUMMARY

• 8 years of IT and Management experience in Software Development Life Cycle SDLC and Project Life Cycle working as Business Analyst and QA analyst.
• Experienced with Health Care and Mortgage Company.
• Experienced in interviewing business users and customers, providing recommendations to resolve issues for various business/technical groups and defining strategic solutions to business problems in a multiple project environment.
• Efficient in MS Project for planning and status reporting.
• Experienced in developing functional specs through JAD sessions and user interviews.
• Experienced with Object Oriented Analysis and Design OOAD using UML, Rational Unified Process RUP , Agile/Extreme Programming, the Waterfall life cycle, Rational Suite
• Expertise in developing Use Case Diagrams and creating Use Case Specification document USD .
• Expertise in managing multiple projects and teams with an excellent track record.
• Strong experienced in documenting existing process, analyzing business requirements, working with requirements traceability matrix, re-engineering business processes and designing.
• Experienced with 21CFR Part II code of federal regulation, which deals with electronic records and electronic signatures along with HIPAA compliances.
• Comprehensive experienced in business analysis, gap analysis, cost/benefit analysis, testing, development of business requirements specifications, and project planning working with project managers and business sponsors.
• Actively involved in developing, executing and managing User Acceptance Testing UAT .
• Experienced in Agile methodology and Extreme Programming concepts of system development and fully coordinated the sprint activities.
• Heavily involved in gathering data mart requirements from business users.
• Work experienced in data warehousing projects dealing with ETL extraction, transformation, load using Oracle and Informatica.
• Dealt with data mapping issues between various source systems and staging area and data-marts.
• Worked with Business users to come up with Reporting Requirements. Reports were developed in Cognos/Business Objects.
• Proved skills in the areas of Enterprise Content Management and Business Process Management.
• Good knowledge of RDBMS and SQL with experience in Data analysis and reporting.
• Actively involved in writing the scripts in Selenium tool for 508 and Medicare projects.

PROFESSIONAL EXPERIENCE

Confidential

Position: BSA

Description:

Precyse needs to upgrade its system in accordance with the mandatory code changes. Project is focused on up-gradation of HIPAA 4010 transaction to HIPAA 5010 and ICD 9-CM Clinical modification to ICD-10-CM/PCS Clinical modification/procedure coding system simultaneously.

Responsibilities:

• Interviewed business users, SMEs, Trading Partner asking detailed questions to gather business requirements, wants, and needs concerning the project and carefully recorded the requirements in a format that can be understood by both business and technical teams.
• Work with other Business System Analysts for any Gap Analysis.
• Use Rational Tools like Rational ReqPro for requirement management, Rational Clear Quest for defects, Rational Test Manager for Test Cases and Rational Rose for Use Cases to track, analyze and document system requirements and defects.
• Work with QA Team to develop test strategies and test scenarios. Also help clarify specific requirements to System Tester/s to help develop test cases.
• Work with other Business System Analysts for any Gap Analysis.
• Conduct unit testing and system testing to ensure the product meets all the requirements specified for the end user.
• Developing test strategies, test scenarios and test cases.
• Executing and reviewing test runs.
• Responsible to provide day to day status of projects and communicate the project schedules, open issues, and project risk/mitigation plans to all the impacted teams.
• Had good exposure on scripting on Visual Studio automation testion tool

Confidential

Position: Business System Analyst

Description:

Confidential Members can view their claims, savings and payment information by logging into Highmark's website. Highmark Members with Savings and Spending Account have to log separately into their individual accounts with PNC HSA and eBDS HRA and FSA in order to view their savings/spending account balances/activity and to make payments. Also there is a lag between the Highmark's Batch processing and the PNC and eBDS' batch processing. So the data shown in both the sites are not in sync.

Responsibilities:

• Interacted with the Project Team to define the high-level business objectives, scope, constraints and the measures of success for the system to be developed.
• Conducted interviews with different Business Groups and Users to gain a better understanding of client business processes.
• Conducted JAD sessions to help decide the best solution for the Clients and maintained the Meeting Agendas and Minutes.
• Maintained the Issue Log and Kept track of the Action Items.
• Conducted both High-level and Low-Level Business Requirements Walkthrough.
• Helped the Technical Team design their Development Strategy.
• Assured that the Development team and the Quality Assurance team adhered to the agreed up solution and met all the Business Objectives within the timeframe of the project at every stage.
• Helped conduct a usability study and captured User Feedback.
• Closely monitored the User Acceptance Testing.
• Helped content management team to maintain the content in BVMC Broadvison Highmark customized content software for Medicare Redesign Project.
• Involved in scripting in RFT rational functional testing .
• As a point person need to help and guide the Quality Assurance team during the creation of test scenarios and test strategy.
• Delivered the Application prototype right on schedule using Axure tool.
• Helped develop a Training Module for Highmark Employees that primarily work with end users.
• Actively involved in the script writing in Selenium tool for 508 project.
• Involved in preparing test plan and test cases using Rational Test Manager.
• Participated in Automated regression and Non-Functional test plans.
• Efficiently handled the multiple projects during the stay in Highmark. LifeStyle Returns Award Winning Program, the first of its kind from Highmark's EMarketing department, BlueChoice Plan tools that help the users make a better choice of the health plans that are available for them

Confidential

Position: Business Analyst

Description:

The web site and the supporting system are developed to provide online insurance services to their customers and Agents. The insurance Application involves quotation tool and also enables the customer to complete the transaction after selecting the insurance plan, pricing, location details etc. Also agents are allowed to quote or complete the application online on behalf of the customer. This includes Health insurance, Policy and Claim Service modules. Health insurance claims automation was the module I focused on. The existing mainframe based batch processes were gradually replaced with distributed processes.

Responsibilities:

• Fully responsible for requirements gathering and documentation.
• Organized and conducted extensive JAD sessions with users to identify, understand and document requirements.
• Involved in Validating the System in Accordance with 21CFR Part 11.
• Documented various key elements of HIPAA compliance and made sure that they are understood by the development teams. Test cases written for the project were HIPAA complaint.
• Analyzed the business rules for the international user subscription and impact of localization.
• Implemented SDLC, which included requirements specifications, design, analysis and testing. Followed RUP methodology with Agile/Extreme Programming and using Rational Test Suite for various phases of RUP.
• Wrote Use Cases, prepared use case diagrams using Rational Rose and followed Rational Unified Process at every stage of the process.
• Provided technical Expertise on the use of Rational Clear Case and Requisite pro, which were used for Data archiving and Requirements Management.
• Defect Tracking with Clear Quest, Configuration Management with Clear Case.
• Involved in preparing test plan and test cases based of functional requirements using Rational Test Manager.
• Work experience in Business Intelligence in maintaining datamarts dealing with ETL extraction, transformation, load using Oracle and Informatica.
• Dealt with data mapping issues between various source systems and staging area and data-marts.
• Maintained Test Matrix with the test results obtained.
• As a point person responsible for resolving business rules/conflict resolution for the development team.
• Participated in Automated regression and Non-Functional test plans.
• As a point person need to train and guide the testing team during test script preparation.

Confidential

Position: Business Analyst

Description:

The project involved in migration of existing legacy mortgage systems to a new enhanced web based system. The system automates the entire lending process from Point of sale Pos through funding. It automates complex, inefficient and labor-intensive aspects of lending including automated underwriting, customizable workflow, compliance, document preparation management, rule based assignment system, vendor interfaces and customer relationship management.

Responsibilities

• Provided Business/Systems Analysis and Architectural support for a major in-house mortgage Loan origination operations, Mortgage Securities/ Brokerage operations and servicing system re-design from older client-server based to a fully automated and web enabled system.
• Integration of different modules related to parallel securities such as MBS, Mutual Funds, Bonds, and Investment Holdings with Mortgage Application Process system.
• Done System analysis for Automated MBS Trade Flow Process for Trade Initiation and Trade Termination Points as per US Benchmark Index.
• Extensively worked with Risk Management, Mortgage Loan Servicing, Commercial and Residential mortgage market and Fixed Income Analysis.
• Facilitated and managed meeting sessions with members from various business areas including Mortgage Servicing, Loan Monitoring, Asset Management and Compliance Regulation.
• Created Loan Origination Process diagram to under how loan origination process is completed for loan approval.
• Participate in the SOX control processes and documented the procedure.
• Developed Base line scripts for testing the future releases of the application
• Applying the SQL scripts to the test database and execution of the scripts on the database
• Studied Oracle 9i data elements and provide a mapping from the existing legacy system.
• Responsible for creating business work flows and processes and creating management reports based on the analysis.

• Clarified QA team issues and reviewed test plans and test scripts developed by development team and QA team to make sure all requirements have been covered in scripts and tested properly.
• Followed the UML based methods using Rational rose to create use cases, activity diagram, sequence diagram, collaboration diagram that include functional and non-functional specifications to hand off to development teams.
• Came up with BRDs Business Requirement Documents , FRDs Functional Requirement documents , Test cases /scenarios /release plans /backout plans using tools like RequisitePro, ClearCase, ClearQuest, and Excel Spreadsheets.
• Data mapping, logical data modeling, used SQL queries to filter data within the Oracle database tables.
• Defects and bug testing by using Rational ClearQuest, Configuration management and Version control with ClearCase.

Confidential

Position: Business Analyst

Description

• Worked as a Business System Analyst for Loan document Controller work stream and Title work-stream automation for Ameriquest sales and operations division. Integration of different modules related to parallel securities such as MBS, Mutual Funds, Bonds, and Investment Holdings with Mortgage Application Process system.
• Provided Business/Systems Analysis and Architectural support for a major in-house mortgage Loan origination operations, Mortgage Securities/ Brokerage operations and servicing system re-design from older client-server based Empower system to a fully automated and web enabled system: ASAP- ReSolve.
• Did System analysis for Automated MBS Trade Flow Process for Trade Initiation and Trade Termination Points as per US Benchmark Index. Set data Metrics for MBS Investment Strategy and Performance.
• Extensively worked with Risk Management, Mortgage Loan Servicing, Commercial and Residential mortgage market and Fixed Income Analysis, Mortgage Pre-payment Risk, Risk Analytics for MBS.
• Analysis of data feed, data migration, workflows, testing, and delivery of system.
• Worked extensively with Risk Management, Mortgage Loan Servicing, and Commercial and Residential mortgage, CMBS, MBS, Pre-payment risk, Risk Analytics for MBS, Loan Servicing, Loan Ordination, Secondary Mortgage Market, Escrow and Reserve Administration, Escrow processing, Escrow Analysis, Non-Escrow Loans Collateral Inspection and Monitoring, Property Inspection, Income and Expense Statement Review, Inspection Report.
• Assisted in improving the existing system of managing Escrow Accounts, Account Reconciliation, Amortization Scheduling Management and Foreclosures.
• Categorized and prioritized requirements of Order Entry Workflows, Compliance Workflows and Settlement Confirmation Workflows by using Microsoft Word, Excel and Visio.
• Developed, reviewed, understood and validated Testing scenarios/scripts. Helped in project testing efforts for doing integration tests, regression tests and user acceptance tests.
• Conducted Weekly Meetings with SME's to resolve issues, assessed any issues that would lead to potential risk to the project.
• Followed Scrum development process using Agile methodology. Coordinated monthly Sprint planning meetings. During the sprint period, held small daily meetings to ensure the monthly deliverables. Got user feedback at every step of the development process.
• Came up with methods to reduce risks of releasing new upgrades to the system in production by doing a controlled release of new features upgrades .
• Experienced in Business Intelligence with dimensional modeling using ETL tools like Informatica/DataStage/PL/SQL.
• Coordinated the data-mart analysis and development efforts. Did Reporting analysis, evaluated products like Cognos, Business Objects, and demonstrated features of the tools to the business, coordinated Reporting Requirement analysis and development efforts.
• Followed the UML based methods using Rational Rose to create: Use Case diagrams, Activity Diagrams, Sequence Diagrams, and Collaboration Diagrams.
• Reviewed Test Strategy and Test Plans to ensure that they reflect and include all functional, Performance, Usability and Security requirements.
• Assisted testers in developing test harness scripts using WinRunner 7 to run stress test scenarios and reduce the redundancy of automation scripts.
• Reviewed Performance/Stress testing results done using Load Runner by analyzing Task distribution diagram, Transaction Profile and User profile, creating virtual users and analyzing different reports.

Confidential

Position: Business Analyst

Description

• QNXT Implementation for STAR, CHIP and STAR LTC Programs for the State of Texas Health plan.
• Molina started its operations in Texas and planned to use the QNXT managed care product from QCSI. In relation to this, they decided to restructure and re-route all existing EDI transactions into and out of QNXT for which some 40 EDI and Non-EDI Interfaces both Inbound as well as Outbound were developed for STAR State of Texas Access Reforms , CHIP Children's Health Insurance Plan and STAR LTC State of Texas Access Reform Plus Long Term Care involving all the major departments within Molina like Provider, Eligibility, Benefits, Member Services, Authorizations, Claims Submission, Capitation, Long Term Care, 834 and 837 Institutional as well as Professional Encounters Inbound as well as Outbound.

Responsibilities:

• Interviewed business users asking detailed questions to gather business requirements, wants, and needs concerning the project and carefully recorded the requirements in a format that can be understood by both business and technical teams.
• Accomplished Configuration Remodeling in QNXT for the state of Washington, Michigan and Utah. The Project involved analysis of the existing configuration Edits, Contract terms, Benefits, Fee Schedules etc and suggesting re-configuration changes for improvements to the Heath Plans.
• Experienced in Claim validation and Pend /Denied Claims Analysis for the Health plans of Texas, Michigan and Ohio Medicare and Medicaid programs.
• Addition of a new provider, Attaching Pay to /PCP affiliations to a provider. Modifying Org Policy for an employer and fee tables i.e. making changes in fee amount, effective and terminate fields etc.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, OOAD using UML.
• Implemented Traceability Matrix and Business Requirement Specification Document verified the functionality coverage.
• Used MS Project to maintain the project schedule and track its status.
• Supported the business and the technical team in the product development and delivery process and successfully managed cross- departmental relationships.
• Coordinated with QA and user acceptance testing.
• Developed the Reporting Use cases, documented Reporting Requirements, demonstrated features of Cognos to Business Users.
• Effectively communicated user acceptance test results between users and development team and provided recommendations for change control requests CCR