PROFESSIONAL SUMMARY

• 8 years of experience as a Business System Analyst, 5 years in Business Development Management in the IT sector. Expertise in Healthcare, Finance, Telecom and Banking with strong knowledge in Business process flows.
• Strong communications skills with attention to detail while building report at all levels of business with proven ability to converse, liaise, negotiate, facilitate and relate with a wide range of personalities from diverse social economic and cultural background.
• Hands on experience and through knowledge of Software Development Life Cycle SDLC Methodologies, Traditional Waterfall Model and iterative approach to Software Development as per Agile Methodology and Rational Unified Process RUP .
• Experience in requirement gathering through Joint Applications Development JAD and Joint Requirement Planning JRP sessions, setting up meetings and workshops for requirement elicitations with Stakeholders, Project Managers, Business Groups, Subject Matter Experts, Developers, QA Analysts, third party Vendors to accomplish gathering of clear requirements, analysis and design.
• Worked closely with project Stakeholders, SMEs, PM, to understand, analyze, document, validate, and review the requirements and specifications for new applications along with enhancements to the existing applications.
• Efficient in writing Business Requirement Document BRD , Functional Specification Document FSD , Use Cases, User Interface Specifications UIS , Letter Specification and Report Specifications Documents.
• Skilled in translating business requirements and user expectations into detailed specifications and building business process flow charts using MS Visio and Enterprise Architect to communicate project functionality to the development team employing designing techniques like OOAD and Unified Modeling Language UML .
• Sound proficiency in analyzing and creating, Use Case Diagrams, Sequence Diagram, Activity Diagram, Data Flow Diagrams, Business Flow Diagrams, Wire Frames and Mockups using MS Visio and Rational Rose to communicate business and functional requirements to clients and developers.
• Performed AS-IS and TO-BE business process flow for clear translation of Functional to system requirement specification.
• Hands on experience in conducting Feasibility Analysis, Cost-Benefit Analysis, Risk Analysis, Impact Analysis, SWOT Analysis, Return on Investment Analysis ROI , Requirement Traceability Matrix RTM and User Acceptance Testing UAT .
• Support the Test Team and the rest of the Development Team in compliance related issues while working with them in the development phases of the projects.
• Conducted, assisted in Functional Testing, Smoke Testing, Regression Testing, Unit Testing and Integration Testing.
• Skilled at reviewing test cases to make sure they are in accordance with requirements and assist the overall testing process by activities such as Change Request and Defect Management and conducting User Acceptance Testing.
• Knowledge in projects involving Medicare Part A,B,C,D , Medicaid, Claim process, Procedural, Diagnostic codes, ICD-9, ICD-10 with experience in determining membership eligibility in different plans
• Strong experience in Health Insurance Portability and Accountability Act HIPAA standards with background in HL7 transactions and conversion from 4010 to 5010 versions.
• Worked with FACETS team for HIPPA claims, Validations and verifications process.
• Good background in handling HIPAA X12 EDI transaction codes such as 270/271 inquiry/response health care benefits , 276/277 Claim status , 834 Benefit enrollment , 835 Payment/remittance advice/ Explanation of benefits , 837 Health care claim .
• Sound knowledge in handling EHR Electronic Health Record , EMR Electronic Medical Record and MMIS systems Medicaid Management Information System .
• Professional with leadership, organizational, time management, interpersonal, analytical, problem solving, domain knowledge, ability to learn and adapt, team player with track record of delivering quality deliverables on time.
• Adopted principles of IIBA BABOK actively implemented in routine work.

PROFESSIONAL EXPERIENCE

Confidential

Sr. Business Analyst

USAA ranks 62nd in net worth among Fortune 500 and 144th for revenue we have proven to be a financially strong organization. Our net worth owned and managed assets, revenue, net income and membership all increased and continues to grow. Plus, member satisfaction remains consistently high

Project

Worked on three different projects. We were involved in development of a dashboard with several data streams and database information flowing into dashboard. I was involved in identifying the data feeds, working on the mapping documents, process flows, screen mock-ups, Change Management etc. Other project involved working with creating survey capability for members who call in for services. This project involved me working closely with my technical team to ensure that all business requirements are met by the phone browser and telephonic networks. This project also involved testing the environment and creating user acceptance criteria. Third project focused on integration of a 3rd party application into USAA systems to support bill management, accounting, training Admins to use the tools, work management of employees etc. This project involved me working on requirements, testing, change management, project success criteria etc.

Responsibilities:

• Worked in a challenging fast paced environment to understand, analyze, prioritize, document internal and external stake holders needs and specifications to meet the specific business goals
• Established a Business Analysis methodology around the Waterfall and Agile Scrum
• Developed UML Use Cases using Rational Rose and developed a detailed project plan with emphasis on deliverables
• Worked on the commercial property and casualty domain and made specific changes to the same for the smooth flow of the process
• Researched the various steps in the lifecycle and then constructed the system in a way that the high risk customers would be easily identified and monitored
• Streamlined several data streams and mapped then into the new system
• Developed project plans and managed project scope
• Assigned tasks among development team, monitored and tracked progress of project following Agile methodology
• Conducted user interviews, gathered requirements, analyzed the requirements by using Rational Rose, Visio and Requisite pro RTC
• Track and manage all Change Requests, using Rational Clear Quest
• Maintained and tracked stakeholders requests for enhancements and changes using Unified Change Management tool UCM such as Rational Clear Quest
• Coordinating and Developing QA activities
• Assisted in creating a High level Request for Proposal RFP
• Conducted presentations of the QA test results with analysis to the stakeholders and users and documented modifications and requirements
• Conducted UAT facilitated discussion between business team and QA team on determine the test requirements and pass/fail criteria documented and reported user feedbacks to management team.
• Involved in initial phase and prepared vision statement and initial data models that contain Business Requirement Documents and supporting a document that contains the essential business elements and detailed definitions
• Designed and Customized data models for Data warehouse
• Worked extensively with MS Excel and MS access
• Assisted in building a Business Analysis Process Model using Rational Rose and Visio
• Performed extensive Requirement analysis and developed use cases and workflows
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, and Process Flows
• Played a key role in the planning, User Accepted testing, and Implementation of system enhancements and conversions
• Provided key input in working with users in defining project and system requirements.
• Developed strategic partnerships with the business units to develop a solid knowledge base of the business line including the business plan, products, and process and revenue streams
• Documented and delivered Functional Specification Document to the project team
• Conducted JAD sessions for communicating with Stakeholders and Project directors
• Environment: Windows XP, MS Office, MS Project, MS Excel, Quality Center, MS Visio, Unix, XML, Rational Clear Quest, Rational Clear Case, GAP analysis and SWOT analysis.

Confidential

Business/System Analyst

• CMS has over 100 million people through Medicare, Medicaid, the Children's Health Insurance Program and soon, through the Health Insurance Marketplace. But coverage isn't our only goal. To achieve a high quality health care system, we also aim for better care at lower costs and improved health.
• Project: To implement software called Project Crown-Web, which is a web-based application, by CMS that includes healthcare public and private facilities. Patient information and Tracking Medicaid coverage is the key component of the software that allows CMS to significantly expedite and verify ESRD Patient Eligibility Information, Transmission of Claims 837, 835 , and Claim Forms 2728, 2746 in compliance with HIPPA.

Responsibilities:

• Produced clear user manuals training guides for User Acceptance Testing UAT .
• t cases to requirement and verified accuracy of test results and documented it.
• Environment: Windows XP,Worked with the Business team and the technical team to gather system specifications, business requirements and fully understand the business needs while employing the techniques of Agile Scrum in the project
• Used UML diagrams for data capture activities which required working with SMEs ensure consistency and accuracy of data during the data loading process and that the data passes validation and Analyzed and designed process design with information from stakeholders, end users and validation's.
• Supported database that included activities required correcting, deleting or summarizing medical history of members as well as provider information.
• Analyzed integrity constraints with corporate database repositories.
• Collaborated on the development of user requirements and design specifications using standard UML techniques such as use case, activity, sequence, and class diagrams.
• Conducted JAD sessions, Focus groups and individual interviews to facilitate elicitation with regards to analysis, specifications, and design of the relevant business processes and systems.
• Created business and technical requirements, functional specs, gather and assisted to translate functional requirements into technical requirements and provide analytical support to the management team as needed.
• Worked on Agile methodology as an assistant to Scrum Master to fasten up the process.
• Worked with SOA Team in developing Application Programming Interface API with a set of definitions to interact with Payers' system as well as the providers for better, Easier and secure software communications.
• Programming Interface API necessary for many complex programs to functions and also to provide room for addition of New Features And Functionalities To Enhance the project in later stages if required
• Documented detailed business, functional, and user interface system specifications using standardized company templates for the business, development, and QA team.
• Helped developers with the following list of HIPAA-EDI Transaction Code Sets: 837, 835, 270/271, and 276/277 .
• Helped developer with the HIPAA-EDI facility forms 2728 and Batch notification 2746.
• Identified and tested different segment of EDI file specifically more attention towards Qualifier and code container.
• Ensured traceability of tes MS Visio, ETL, SQL Server, MS Access, MS Project, Requisite pro, SharePoint 2010.

Confidential

Sr. Business Analyst

• Confidential one of the most far-reaching, diversified healthcare companies today. It delivers innovative health care products and services to approximately 70 million Americans.
• Project: The project was a web-based insurance informatics platform that unites all the information and decision tools into one, easy-to-use system. It delivers intelligent information, automating routine activities and centralizing information management for those tasks that are still manual. Insurance eligibility verification, procedure coding, claim creation and submission 837 and CMS 1500 , payment posting, collections and refunds processing to name a few.

Responsibilities

• Planned and supervised target meetings with SME's such as Doctors, hospital management teams etc. , JAD sessions with all Project stakeholders including Tech Leads , direct interview sessions, conference calls and produced detailed artifacts such as Surveys/Questionnaires and minutes of meetings covering issues discussed.
• Gathered, analyzed, documented high level business requirements and produced corresponding technical requirement artifacts such as Business Requirement Documents BRD , System Requirement Documents SRD , Test Cases, Requirement Traceability Matrix and all the affiliate artifacts such as UML diagrams.
• Designed Mock-ups and wireframes using MS-Visio to get feedback from UI/UX team about the web form designed.
• Documented detailed business, functional, and user interface system specifications using standardized company templates for the business, development, and QA team.
• Helped developers with the following list of HIPAA-EDI Transaction Code Sets: 837, 835, 270/271, and 276/277 .
• Conducted Gap analysis, SWOT analysis, Decision Point Analysis, Communication Analysis, Business Rules Analysis, Document Analysis and other related analysis such as Scope creep assessments and Goal Orientation Assessments.
• Conducted detailed Process Analysis and Decision Tree Analysis and assisted in Business Process Re-engineering procedures including identifying bottle necks and failure points, and developing alternative paths for process flow.
• Effectively managed project risks by creating and managing a Risk Register which identifies, prioritizes and measures risk, risk drivers and expected loss.
• Assisted the Project Manager in developing, tracking and managing the project triple constraint schedule, cost, resources and scope using MS Project.
• Applied Agile SCRUM and conducted Sprint Planning meeting, stand up meetings, retrospect meeting and created spring backlog.
• Effectively managed change by deploying change management techniques such as Change Assessment and Impact Analysis.
• Worked closely with System Architect to implement Client Side Validations.
• Facilitated the design and development of Business Rules to support SOA architecture and web services.
• Defined roadmap for implementation and analyzed the collected data in order to fulfill the change from ICD 9 to ICD -10.
• Identified and documented Business Rules, created detailed Use Cases, and Conducted User Acceptance Testing.

Confidential

Business Analyst

Project

The project involved enhancing features of the existing web based application suite available to its existing online members and prospective members could also get full information regarding benefits, plans offered by the company, get quotes, submit applications and receive support without the assistance of an agent.

Responsibilities

• Gathered and analyzed business requirements to develop User Requirements Specifications of the application to be developed.
• Identified high-level requirements for developing and documenting detailed business requirements after conferring with business users.
• Writing the User Requirement Specifications, identifying and documenting Use Cases along with the Use Case Diagrams.
• Prepared Data Flow Diagrams and Use case models using MS-Visio.
• Participated in preparing User Acceptance Test Cases.
• Managed requirement change requests and implemented procedures for test changes.
• Created a Requirements Management Plan document to gather, measure, report and control changes to requirements.
• Assisted the analytics team to design and test the predictive analytic model.
• Worked with cross functional teams to implement regulatory requirements for claims processing and claim scanning, addressed privacy and security issues in compliance with HIPAA regulations.
• Participated and derived initiatives for supporting post implementation process

Confidential

Business Analyst

• Confidential is an American investment management company that offers mutual funds and other financial products and services to retail and institutional investors in the United States and abroad.
• The scope of the project was aimed at enhancing the Retirement planning strategies by providing Vanguard customers with a Retirement Income calculator to calculate yearly retirement income, pension and Social Security Benefits and expenditure to begin to reach an early retirement goal.
• Responsibilities:
• Interacted with the client to identify business needs, finalize the project scope
• Conduct Pre-Planning Meeting with the business Compliance Officer for each review.
• Monitored changes and version control using IBM Rational Clear Quest and IBM Rational Clear Case
• Implemented Rational Unified Process RUP methodology of Software development life cycle with its workflow and activities to develop business process models
• Assist in review new and existing systems design projects and procurement plans for compliance with regulatory requirements
• Developed test plan and test cases for user acceptance testing.
• Responsible to train and educate testers and the rest of the development team in the area of compliance.
• Execute annual Compliance Monitoring, Surveillance and Testing plan as scheduled and periodically report on progress to plan.
• Assisted the PM in setting realistic project expectations and in evaluating the impact of changes on the project plans accordingly and conducted project related presentations and also, with SOP and SWI creation
• Worked with the client architecture team in defining tools, processes and technologies to be leveraged on the data warehouse.
• Maintained Requirement Traceability Matrix in MS Excel.
• Deep understanding of source systems, business usage, Data warehouse transformations and business logic, data issues.
• Create and managed SharePoint Lists using SharePoint designer and Central Administration
• Design and Develop custom SharePoint 2010 Workflows, Event Receivers, Timer Jobs
• Uploaded documents produced onto SharePoint, an intranet website for all Technology Information Group members to download, revise and upload shared documents
• Responsible for updating the team on the compliance area on our supported platforms to help the team stay on top of potential compliance issues and locate problems early in the development process.

Confidential

Business Analyst

• Confidential is a national wireless and wire line communication service providers. It offers service to public, businesses, and government users.
• Project: The scope of the project was to provide the ongoing enhancement of the single sign on application for the bundled product i.e. high speed voice, television and internet services to Sprint customers nationwide.

Responsibilities

• Interviewed Subject Matter Experts SME's and carefully recorded the requirements in a format that could be reviewed and understood by both business and technical people.
• Facilitated JAD sessions to embrace a problem's dimensions, possible causes, requirements, to propose alternative solutions.
• Developed and elicited Business Requirement Documents BRD , Functional Specifications Documents FSD , Vision of document, and use case documents.
• Monitor client expectations through client involvement and communication throughout the lifecycle of the project.
• Responsible for communicating with the off-shore and the development team. Also communicated with the internal onsite project team.
• Created document for data flow to support the project. Once it was implemented in production, mapped new functional and business requirements.
• Met with client groups to determine user requirements and goals. Utilized Rational Unified Process RUP to configure and develop process, standards and procedures.
• Liaison between the developers and testers was instrumental in resolving conflicts between testers and development teams.
• Facilitated sessions with users to understand their needs and resolve issues.
• Analyzed business requirements and segregated them into high level and low level Use Cases, activity diagrams using Rational Rose according to UML.
• Articulated business requirements from user interviews and then converted the requirements into technical specifications.
• Frequently updated requirements and defect status as per the current status of the testing project in the Clear Quest.
• Acted as a liaison between the technical group and business users staff and management .
• Responsible for the documentation of the various modules that were involved in the business process

Confidential

Business Analyst

The scope of the project was to interface the new system with an existing system which stores the Credit scores information and approves the credit card and the billing and payment history system to view the payment details before making any kind of offers.

Responsibilities

• Involved in gathering requirements and collaborated on creation of documents such as the project charter, project scope, project vision, Business Requirements Document BRD .
• Analyzed and documented the system specifications, Business Requirements and detail design of the software for full understanding of the business.
• Responsible for collecting, understanding, and transmitting the business requirements for the project into functional specifications.
• Made extensive use of Unified Modeling Language UML to create use case diagrams, activity diagrams, sequence diagrams and collaboration diagrams.
• Worked with other business analysts to design and document needs assessment, workflow, data maps, business requirements, business rules, policies and procedures.
• Participated in Validation, Verification and Acceptance testing with customers in UAT environment.
• Interacted with the developers to resolve the technical and implementing issues.
• Worked with the technical team to gather and analyzed data.
• Provided assistance to the development team during the development phase.
• Incorporated the best practice methodologies as advocated by the rational unified process RUP .
• Assisted technical team to develop Test Plan.
• Worked with testers in testing individual test modules of the application.
• Environment: Windows, SQL Server, MS Office Suite, RUP, HP Quality Center, Quick Test Pro, MS Visio.

Confidential

Business Dev Manager

• Developed and marketed Wireless Solutions to Small / Large Corporations with multiple locations
• Successfully Sold and Managed Territories in ARIZONA, CALIFORNIA,COLORADO OKLAHOMA
• Negotiated Contract, responsible for Site Survey, Set up Hot Spots, Run reports and set up installs
• Identified, Vertical Markets / Sold Wi-Fi DEDICATED POINT TO POINT such as 512K, T1,1Meg, with full range of NET WORK SECURITY / FIREWALL Applications / Back up data
• Sold wireless products and consultative solutions to Apartment Complex, Multi-Tenant Units, Hotels, University's, Schools, Business, Construction and Insurance Companies
• Made presentations to CEO's, CFO's, MIS Directors, Telecommunications Managers
• Negotiated terms, Drafted Contracts, Payments, justified cost based on ROI
• Established successful agent channel programs to generate additional opportunities
• Responsible for hiring, training Account Executives and supervising internal Staff including installers

Confidential

Business Consultant

• Prospected and sold in Arizona and 44 TWTC markets
• Identified and sold Telecommunication solutions to medium to large corporations
• Sold IP-VPN, FRAM RELAY, WAN, LAN, WEB-HOSTING, DATA BACK-UP, REDUNDENCY, LOCAL /LD Services
• Worked on Special Projects, Justified Cost to bring in Fiber to LIT-Buildings.
• Identified Companies Goals and Objectives through Web Sites, Mission Statements and fact finding
• Applied consultative marketing approach, to gather data and propose solutions
• Drafted proposals bridging quality and price showing return on Investment by value selling
• Identified, developed, and presented business strategies to CEO's, MIS Directors, Vice President's, and IT Managers
• Proficient in Windows Operating systems, SIEBEL, TRAFFIC COP, Smart and Time management
• Met Companies Goals and Objectives, demonstrated leadership qualities, Thirst for knowledge and Self-empowering in a fast paced environment

Confidential

Major Accounts Manager

• Successfully managed a team of eight Major Accounts and Account Executives in the Phoenix market
• Responsible for Weekly, Monthly, Quarterly reviews, Sales numbers and Forecast
• Communicated well with Departments, Management to meet Sales Deadlines
• Identified and Sold INTERNET DATA SOLUTIONS, including PRI's and DATA back haul
• Prospected, networked for Telecom Consultants, Agents, ISP'S and Re-sellers in the Arizona
• Applied consultative marketing approach, to gather data and propose solutions
• Applied value based solutions to meet customer needs through association of product features and applications
• Identified, developed, and presented business strategies to CEO's, MIS Directors, Vice President's, and IT Managers
• Worked independently in a fast-paced environment, met and exceeded goals in prospecting, customer retention, and problem solving