SUMMARY

• Certified Advanced Scaled Agile Scrum Master (SAFe SASM) handling agile projects with a strong background of SAFe (Scaled Agile Framework)
• 5 years of experience as Scale Agile Scrum Master for United HealthOne, a Health care industry, managing multiple projects and teams in an agile environment with good understanding of the Healthcare policy enrollment and claim processes.
• As Scrum Master and Agile practitioner. with excellent working knowledge of coaching, transforming and transitioning teams from water fall to Agile Methodology, Managing Agile projects in an onshore/offshore model. Train and coach Product Owners, SME’s, Business/ Systems Analysts, Developers and the QA team to understand and adhere to the Scaled Agile Scrum and Kanban practices and ceremonies at Portfolio, Large Solutions, Program and Team levels of enterprise.
• Facilitate Scrum ceremonies such as Sprint Planning, Daily standup meetings, Sprint release, Sprint retrospective, Sprint Demo and System Demo.
• Overall 10+ years of industry experience as a Business system Analyst/Scrum Master with solid understanding of business requirements gathering, business Process mapping, evaluating data sources, translating requirements into functional specifications and application design in healthcare and insurance domains.
• Proficient in analyzing and documenting business requirements, assessing current business systems, providing process improvement ideas, liaising with the technology & business team to drive the end - to-end solution implementation.
• Working knowledge of implementing software development projects using methodologies such as Waterfall, Rational Unified Process (RUP) and Agile/Scrum.
• Strong knowledge on claim processing and HIPAA X 12 EDI transactions i.e. Claims inquiry and Response (276/277), Receipt and Verification of claim forms (837), Claim Payment and advice (835), Eligibility inquiry and Response (270/271)
• Worked on Medicaid and Medicare insurance plans and experienced in determining the membership eligibility. Billing experience includes understanding of CPT coding, CMS-1500 claim forms and reimbursement forms.
• Excellent business document writing skills for developing requirements document and user stories.
• Experience in creating Use Case diagrams, Swimlane diagram, activity diagram and process flow diagram
• In-depth knowledge and experience in gathering, reviewing, analyzing, validating, & mapping business systems, processes and user requirements, documenting them by following organization standards and guidelines.
• Interviewed SMEs and stakeholders to get a better understanding of client business processes and gather business requirements.
• Experience in facilitating Joint Application Development (JAD) sessions with Business User Groups, IT and cross functional teams
• Work closely with business teams to visualize and implement future needs.
• Work closely with functional teams to ensure all requirements are collected, documented and fulfilled.
• Responsible to track, document, capture, manage and communicate the requirements using Requirement Traceability Matrix (RTM) which helped in controlling numerous artifacts produced by the teams across the deliverable for a project.
• Hands on experience with SQL queries and XML
• Good experience in conducting User Acceptance Testing (UAT) and documentation of Test Cases. Expertise in designing and developing Test Cases and Test Scripts.
• Highly motivated team player with excellent interpersonal, communication, organizational, analytical, and presentation skills.

TECHNICAL SKILLS

Methodologies: Waterfall, Agile/Scrum, RUP, Scaled Agile

Utility tools: MS Office Suite, MS project, MS Outlook, Toad, OnBase, Altova, EDI Notepad, Notepad++, Flow dock, Jabber, Teams.

Operating systems: Facets, Mainframe, AS400, Windows

Databases: DB2, SQL server, MS Access

Languages: SQL, XML

Project management/modeling tools: Rally, TFS, JIRA, MS Visio, Req Pro, Irise, Erwin.

Testing Tools: HP quality center, Fiddler QTP, clear quest, SOAP UI.

PROFESSIONAL EXPERIENCE

Confidential

Scrum Master

Responsibilities:

• Functioned as the Scrum Master in SAFe, Transitioning teams from waterfall to agile at program and project level.
• As Scrum Master, Coached and developed an agile transformation program to align disparate development teams and contributors to work in a common, cross-functional, agile environment and to move away from Waterfall culture.
• Coaching and educating teams to become highly motivated Product Owners, Scrum Masters and senior stakeholder on Agile methodologies
• Delivering Agile transformation in the organization and educating customers on Agile methodologies to deliver faster and higher quality products, as well as actively improving project team’s performance
• Manage Agile Scrum teams in Scrum of Scrum environment, developing Epics, user stories, create, maintaining - refining and prioritize Product Back logs
• Providing weekly project status reports of completed, pending tasks, issues, risks. Prepare burn down charts for daily tracking to make sure planned sprints tasks are completed on time and within budget including capacity planning, velocity planning
• Facilitate Scrum ceremonies such as Sprint Planning, Daily standup meetings, Sprint release, Sprint retrospective, Sprint Demo and System Demo.
• Facilitate the cross functional teams for all dependencies. Identify and eliminate impediments.
• Executing the Agile SDLC project using offshore and onshore managed service model
• As Business System Analyst, facilitated requirement gathering sessions with stakeholders and project team to capture high level scope of the project and establish scope baseline.
• Created product backlog to capture user stories (WBS) and list down the acceptance criteria using Team Foundation Server (TFS)/Rally based on priority.
• Created corresponding tasks in TFS/Rally to carry out development and QA activities during sprint.
• Created “AS IS” and “TO BE” mockups and process flow diagrams for various projects.
• Worked with the business SMEs to identify protected health information (PHI) attributes provided by data provider and defined business rules to encrypt identified PHI elements as per HIPAA act.
• Used SQL to query the database and performed data analysis.
• Created Medical, Hospital and Rx claims in system to set up the test scenario for QA team and business users.
• Analyzed transactions 837 (claim for Institutional, professional and dental claims), 835 (claim payment), 834 (enrollment), 270/271 (member eligibility).
• Worked on the EDI Health Care Claim Payment/Advice Transaction Set (835).
• Worked on analyzing and retrieving member’s premium data information to create XML file needed to generate new billing statement for the group policies.
• Worked with business SME and IT to redesign the existing billing statement.
• Worked on enhancement of existing process of retrieving member’s premium/policy information from group roster.
• Worked on data mapping document using Microsoft Excel to map source data to target.
• Developed and managed formal Agile Methodology which includes requirements management, Agile Manifesto, and Lean development.
• Participated in PI planning session with cross functional agile teams along with leadership team to define the scope of the features for upcoming iterations.
• Conducted backlog refinement sessions with product owner and end user to define the business needs.
• Conducted user story grooming sessions with Product owners, IT-SME and QA lead to refine the user stories and ensure that backlog remains populated with user stories that are relevant, and well defined.
• Facilitated kick off sessions with scrum team to give a walkthrough on use stories and acceptance criteria to ensure that team is clear on what needs to be done from the business user perspective and everyone has the information they need to accomplish the tasks during sprint.
• Participated with the QA team in different phases of testing such as system testing, functional testing, regression testing and integration testing for quality analysis.
• Prepared UAT Test cases based on the user defined acceptance criteria using an Excel template.
• Prepared and tracked burn down charts and velocity charts for timely delivery of projects.

Confidential

Business System analyst/UAT tester

Responsibilities:

• Performed GAP Analysis to analyze the current system and assisted internal users to define system requirements.
• Analyzed and prioritized user and business requirements as system requirements that must be included while developing the software.
• Served as a liaison between the business team and the technical team by identifying, understanding, and documenting their needs.
• Worked closely with product owners to write user stories and define the acceptance criteria.
• Facilitated and participated in bi-weekly estimation meeting to provide high level estimate (story points) on user stories committed for forthcoming sprint.
• Worked with scrum master on Sprint Planning, Sprint Review, Sprint Retrospective & daily stand up meetings in AGILE environment.
• Created relationships in Requirement Traceability Matrix linking user stories to functional requirements and functional requirements to systems requirements using standard Excel template.
• Communicated project progress to the stake holders and product owners through burn down charts.
• Performed requirements gathering from the business users of the system while adhering to SDLC (Software Development Life Cycle) industry best practices.
• Developed UI screens using Irise prototype tool and presented to the business users.
• Collaborated in building a business analysis process model using MS Visio and Rational requisite Pro.
• Provided clear and concise documentation regarding requirements management plans, functional requirements, supplemental requirements and Test Cases.
• Involved in creation and execution of manual test cases in HP quality center and automated test cases in QTP.

Environment: MS Office Suite, MS Visio, Agile, Oracle, SQL, Quality Center, Requisite Pro, Java Script, Project Management, QTP, Jira, Irise

Confidential, Phoenix-AZ

Business system analyst/QA Tester

Responsibilities:

• Interviewed SMEs and stakeholders to get a better understanding of client business processes and gathered business requirements
• Created use case scenarios and documented work flow and business process using MS Visio.
• Gathered and documented business requirements for existing and future business systems.
• Acted as a liaison between business staff and technical staff to articulate needs, issues and concerns.
• Analyzed current MMIS and EDI claims and documented the requirements to implement new MMIS automated system.
• Defined functional test cases and executed manually using quality center.
• Analyzed trading partner specifications and created EDI mapping guidelines.
• Responsible for data manipulation and data validation using SQL queries in a MS SQL Server.
• Created ad hoc Cognos reports for internal data analysis and provided updated data to the stakeholders.
• Helped with building ICD 9 to ICD 10 crosswalk map by grouping thousands of codes and ranges in clinical, benefits, financial, and medical policy waves.
• Working within a growing environment of X 12 4010/5010 HIPAA transaction processing 837 I, 835, 834, 8270, 271, 276, 277, 278, EDI, privacy, security, and Medicaid.
• Reviewed EDI companion guides for all payers to ensure compliance, edit integrity and maintained up-to-date list of payer contacts.
• Extracted the data from the various sources and created an Excel mapping sheet to work with cross functional team for common project release.
• Performed functional testing with the development team as well as UAT and Regression Testing of the application using Quality Center and Jira for prioritizing defects.

Environment: MS Office Suite, MS Visio, Agile, Cognos, Quality Center, Jira, Rational clear quest.