PROFESSIONAL SUMMARY

• Over 5 years of comprehensive experience as a Senior Business Analyst in Healthcare and Retail E-Commerce industry.
• Ability to manage and deliver multiple projects worked in all phases of software development life cycle SDLC from Inception to Post Implementation Phase using methodologies such as Waterfall, Agile and RUP.
• Experience in facilitating JAD sessions, Scrum sessions, requirement elicitation sessions, Interviews and Focus Groups.
• Proficient in documentation including BRD, FRD, FSD, Use Case document, Test Plan, Test Case document, UAT document as well as User Manuals.
• Expertise in creating Activity, Sequence, Wireframe, Swim Lane, Use Case, Context, Process Flow and Data Flow diagrams.
• In-depth knowledge of implementing enhancements to claims systems for ICD 10 remediation.
• Strong involvement with Data analysis and Data mapping with respect to ICD10 impact.
• Extensive work with the QA team for designing Test Plan and Test Cases for the Unit, User Acceptance and End to End Testing.
• Experience in managing a UAT cycle s with the stake holders and/or end users.
• Ability to assist in Project Management activities including scope definition, identifying deliverables, project planning, resource estimation, dependencies, resource management, developing schedule budget baselines, tracking progress, performing change risk management while adhering to business constraints, and assumptions.
• Excellent team player to work in conjunction with testers, developers and other team members in validation and testing complex scenarios and in maintaining the Quality Standards.
• Ability to communicate written and verbally clearly and effectively with end-users, senior business managers and other team members.
• Highly motivated, organized and results oriented with the capability of adapting to new and fast changing technologies.

PROFESSIONAL EXPERIENCE

Confidential

Sr. Business Analyst

Implementation of a web based claims processing and management application to manage health insurance claims electronically providing real-time patient insurance information including 837I, 837P and Dental claims. System enhancements were made to translate medical data to spoken English keeping privacy of transactions protected per HIPAA regulations.

Responsibilities:

• Assisted PM in formulation of the Project Plan and Scope, preliminary and definitive Budget.
• Developed documents to describe current and future state of the system.
• Conducted daily meetings with End Users using one on one and group interviews techniques to better understand the requirements.
• Assisted in identifying appropriate subject matter experts and stakeholders to participate in requirements elicitation sessions.
• Liaised with the organizational stakeholder community to understand their needs and requirements and help translate these into systems, processes and tools that will meet those needs.
• Involved in change management panel to measure the impact for any requirement change request.
• Coordinated with change panel members and evaluated the change request.
• Authored Business Requirement Document, Requirement Specification Documents and Use Cases to define the business rules.
• Created extensive use case, activity and sequence diagrams of the required system to enable clarity on project goals.
• Created Wireframe diagrams to define the new look and feel of the web pages
• Produced and maintained changes in Requirement Traceability Matrix throughout the project.
• Created application specific test plans and test case to support User Acceptance Testing UAT .
• Produced supporting materials, helped conduct training, and supported the business users during the system implementation as necessary, in order to guarantee successful adoption/support of the project deliverables.
• Provided weekly status updates to project stakeholders on the progress of project development activities.

Confidential

Sr. Business Analyst

CT Health Channel's aim was to have data consistency and proper data mapping between the old and new claim adjudication system. In addition, the project involved enhancements to the functionalities in order to automate the entire claims life cycle as per the new business rules.

Responsibilities:

• Managed requirement sessions to gather requirements and business rules for adjudicating claims from system owners.
• Identified, analyzed and defined transformation rules for data mapping document.
• Conducted workflow analysis and GAP analysis to understand the shortcomings of the existing process and evaluated the benefits of enhancing the system.
• Created Process flow diagrams to validate new claim process from the stakeholders.
• Created data Mapping Documents for 834, 270, 271, 837 P, I , 835 and 999.
• Created Business Requirement Documents to define the Business and mapping rules for adjudicating claims.
• Proactively collaborated with the business users, subject matter experts and business leaders for signoffs on various milestones and artifacts such as requirements traceability matrix, functional specifications, user interface designs and UAT.
• Managed, tracked and reported issues that were discovered throughout the UAT process while consulting with users and business leads in assessing the priority of each to ensure commitment dates would be met.
• Developed Business Crosswalks for 834 and 837 P, I according to implementation guide.
• Assisted the QA team in testing and validating EDI transaction file structure and data.
• Supported UAT to evaluate the system performance and also developed system plans in quality center to review design and view test cases.
• Successfully completed User Acceptance Testing with the stake holders.

Confidential

Business Analyst

The goal of the project was to integrate and enhance the existing web based E-commerce platform for purchasing apparel goods and providing Business with Analytics, Product Cataloging, Targeting, and Profiling capabilities.

Responsibilities:

• Worked with the business users to define functional enhancement requirements for the web application.
• Conducted user interviews, gathered requirements and documented functional requirements based on the analysis and presented findings in the form of user stories.
• Created AS IS and TO BE Process flow diagrams using MS Visio.
• Gathered requirements for application enhancements to provide functionalities to research products, compare products and use discount coupons during checkout process.
• Collaborated with four business analysts working across various projects to ensure quality of requirements and avoid missed requirements.
• Gathered business requirements for dashboard for decision making based on past sales trends and market research analysis.
• Analyzed and documented Business requirements for providing ad-hoc reporting and analysis functionalities to business.
• Developed Use case diagrams, Process flow diagrams and Wireframe diagrams using MS Visio.
• Worked under Sprint Iteration model and updated sprint backlog.
• Facilitated prototype review with Product Owners to validate the functional enhancements of the developed applications.
• Ensured success and integrity of the project's outcome by managing all aspect of end-to-end testing such as test plans, test cases and test scripts.
• Performed User Acceptance Testing UAT with the Product Owners.
• Managed change requests presented by product owners by updating the sprint backlog and assigning the changes to the developers.

Confidential

Business Analyst

The project was to implement Med link Electronic Health Record EMR solution using Clinical Transformation Staging Model by HIMSS Analytics with the vision to deliver quality clinical care to patients. One complete system was aimed at providing functional support to several patient care activities.

Responsibilities:

• Interacted with the stakeholders and end users in order to define the purpose and scope of the application and gather User Requirements.
• Created Business Requirement Documents after conducting Interviews, JAD Sessions and team meetings with the business.
• Conducted business requirement document reviews and walkthrough with the Integration SMEs and stakeholders.
• Created Use cases from Business Requirements using MS Visio.
• Developed UML diagrams including Use Case diagrams, Activity diagram, Wireframe diagrams and Process flow diagrams.
• Involved in GUI Design sessions with the Usability Team.
• Participated with the Quality Assurance team to develop and design test plans and test cases.
• Monitored Defect Tracking Log using Quality Center to ensure that testing effort is progressing with the development team.
• Assisted the QA team to manually test the Browser compatibility, functionalities and navigation of the website.
• Tested the final application for usability testing to verify whether all the user requirements were catered to.