SUMMARY

• Have 11 years of IT professional experience as Project Leader and Techno Functional Consultant across business process and technology
• 10+ years of Experience in Design and development of Business Process Management (BPM) and Business Rules Engines (BRE) applications using Pega Systems Pega Rules Process Commander (PRPC).
• Proven experience in BPM Consulting and BPM tools
• Experienced Business Development Professional with the ability to engage development teams and customers to deliver winning proposals for new and repeat business
• Proficient in Pega PRPC DCO
• Specialist in Pega Estimation & Resource Leveling
• Familiar with BPMN2.0 (Business Process Model and Notation specification from OMG)
• Expertise in BPM solution development and its orchestration through collateral preparation & responding to RFPs & business problems
• Leading DCO sessions, conducting executive interviews to capture business objectives
• Managed team of resources by providing necessary leadership and mentoring as needed
• Extensive knowledge in Project Planning and Resource Loading
• Experience in working in a global delivery model through Right shore engagement
• Responsible in building high performing Pega capabilities and teams through continuous learning and skill development
• Developing process design patterns (discovery maps) using BPMN
• Preparing Business Requirement Document (BRD) and Technical Design Document
• Experienced in the requirement analysis & implementation of projects using the SCRUM methodology.
• Engaged in various stages of Pega lifecycle implementations in an onsite/ offshore model
• Working knowledge of Pega PMF
• Testing activities (Manual and Automation)
• Specialist in Bid Management
• SDLC activities, planning and coordination

TECHNICAL SKILLS

BPM Tools: PEGA PRPC, IBM BlueworksLive (Lombardi)

Source Control: CollabnetTeam Forge

Documentation: MS Visio, MS Office

Methodologies: smartBPM, Scrum, Waterfall

Defect Management Tools: Quality Center, JIRA, SharePoint, Confluence and MS Project

PROFESSIONAL EXPERIENCE

Confidential, VIRGINIA

Responsibilities:

• Collaborate with the Scrum Master, Product owner and Business SME’s to elicit and document business requirements by leveraging the Pega tool.
• Guide the team members through the process of designing solutions that deliver expected business value. Understand the business needs, develop thoughtful recommendations and effectively explain the best solution practices that steer the clients towards optimal solution.
• Document and model the customer’s business process, requirements and rules to articulate them to process diagrams, user stories or functional specifications.
• Responsible for product demonstration and other client facing activities to help translate technical requirements to business terms.
• Effectively work with the Business to deliver User Interface requirements such as wireframes or screen mock - ups.
• Responsible to ensure that the enterprise standards are adhered to include storage of artifacts, traceability, version and change control.
• Pharmacy Prior Authorization Review, Pharmacy Home System Pega Business Architect
• Pharmacy prior authorization review tool is the web-based application built on Pega PRPC framework.
• Liaison with Business, Technical Architects and Testing Team to ensure technical and functional architecture as well as testing processes are in line with business requirements.
• Gathered requirements and identified the technical approach for implementing Medicaid and Medicare Projects for the Pharmacy Prior authorization business workflows.
• Set up definitions and process for phases including Product, Integration, System and User Acceptance testing (UAT)
• Responsible for implementing entire market migration for the all lines of business which Includes Medicaid, MMP and Medicare to external system.
• Worked with multiple external systems and does not limit to Facets / ESI / ACMP / WMDS
• Lead Gap analysis sessions for mapping and reporting requirements for transforming PAR IT operational reports to PA hub reports.
• Lead the team towards completing deliverables and meeting project milestones and deliverables
• Designed and implemented SQL queries for QA testing and report / data validation

Confidential

Responsibilities:

• Responsible for drafting Case life cycle design/Process flows.
• Elicited, gathered and elaborated the requirements
• Was involved in DCO workshops to understand business level requirements
• Design model driven wireframes.
• Understand business process management and business requirements, translated them to BRD/ Functional spec/ Use stories.
• Collaborate with project stakeholders and sponsors in establishing the overall commitments, scope and specific requirements for the project.
• Understand and articulate complex business issues, and address them with appropriate solutions.
• Prepare and deliver product demos, presentations, and competitive positioning.
• Analyze use cases/requirements/user stories to arrive at best cost estimation for RFX and proactive opportunities. Manage project risk by playing the role of a trusted advisor to the presale’s ecosystem.
• Ensure a smooth transition between pre-sales work and post-sales consulting and technical support.

Australia BUSINESS ANALYST

Confidential, Washington DC

Responsibilities:

• Identify, document and analyze the business rules that governed the implementation of MyDAS and ensure they are represented with agile user stories.
• Use Appian application designer to build custom business prototype.
• Designed executable process models using the Appian process modeler tool.
• Analyze the process model to determine the necessary changes for arriving at the improved state of the existing process.
• Define BPMS specification that were used by the developers for process automation.
• Monitor and measure the business process effectiveness for timely delivery.
• Document process flows and business process re-engineering,
• Demonstrate strong competency and comfort working with and analyzing large sets of data utilizing various tools like Excel, SQL.
• Perform analysis to understand the key drivers of performance (e.g. volumes, timelines, and anomalies).

Confidential

Responsibilities:

• Evolved from developer to analyst to a senior consultant in the span of 4 years and created immense business value in the process.
• Mentored a large group of Business Analysts in the organization on evolving approach to requirements management and best practice.
• Built and used predictive models to forecast support tickets volume for new product releases with an 80% accuracy rate.
• Conducted date Analysis and supported the Business development to reduce the RFP response time by 30% by preparing knowledge repository.

MERCHANT ONBOARDING

Confidential

Responsibilities::

• Scrutinizing the process discovery maps
• Building Function List and Assessing Productivity & Efforts
• Estimating the overall Cost, Efforts hours, Resource allocation
• Responsible for project planning, effort estimation, risk identification and mitigation.
• Analyzed the business process and liaised with business for requirements gathering.
• Requirement Management using PRPC 6.2 Business Process Management (BPM).
• Conducted DCO sessions for enabling the PRPC application as part of Smart BPM methodology.
• Managed requirements and updated use cases with the new enhancements
• Responsible for onsite-offshore coordination so that smooth deliverables flow from offshore to onsite.
• Maintained timely and defect free delivery to the client.
• Performed System testing and walk-through the application to business users during UAT.
• Managed proposal of conversion project from PEGA to IBM Lombardi

Confidential

Responsibilities:

• Analyzed the business process and liaised with business for requirements gathering.
• Analyzed Confidential ’s existing Prior Authorization process and worked on creation of user stories for automation process.
• Created detailed user stories by collaboratively working with LBA (Lead business architect).
• Driving the development and testing teams at offshore to understand the business requirement and come up with task break down and technical design.
• Monitored and evaluated project metrics, executed project milestone timely with compliance processes and quality standards.

Project Management

Confidential

Responsibilities:

• Develop Thunderhead DDV by understanding Functional specifications, template picture xml, and test data.
• Defect Fixing
• Conducted training sessions for the developers in Thunderhead.
• Unit testing and QA of developed documents.
• Update pre-developed documents to include new design functions.
• Involve in creating Business Objects, style sets, layouts, template creation.
• Involve in writing the Java scripts equivalent to the legacy system code.
• Involve in Effort estimation.
• Involved in Admin activities.

Confidential

Responsibilities:

• Involved in developing multiple States.
• Designed and implemented user interfaces using Sections, Harness and HTML stream rules
• Involved in creating and usage of data classes
• Involved in creating Assignments, Flow Actions and SLA’s
• Involved in production defects.
• Preparation and Execution of unit test cases, Troubleshooting and debugging

Confidential

Responsibilities:

• Prepared Use Case and query logs according to the Business Requirements
• Delivered Design specification Documents, Use Case and Page Specification documents
• Developed the module according to the corresponding Detailed Design Specification Documents
• Undertook code review and functional verification for all modules developed
• Involved in Defect fixes and unit testing