SUMMARY:

• An accomplished Senior Business Analyst having 9+ years of diversified experience and successful implementations in Information Technology involving in - depth understanding of Business Process Flows, Software Development Life Cycle, Process design, Business and functional requirements, Business case preparation, Development and Testing.
• Experience in full Software Development Lifecycle (SDLC) from association with end-users for requirements determination, defining the system scope, system analysis, Business Case Development to Rollout, Production, testing, maintenance and documentation.
• Extensive experience in Banking/Financial, Insurance, Point of Sales (POS), Mortgage, Healthcare Domains with extensive exposure to gathering & analyzing end business user requirements.
• Lead and organized Requirements gathering sessions and JAD sessions before groups of Subject Matter Experts as needed in order to document decisions regarding future state of business processes.
• Extensive knowledge of Object Oriented Analysis and Design using UML, Rational Unified Process (RUP), Rational Rose, Requisite Pro, Rational Clear Case and Visio.
• Thorough knowledge of UML, RUP, Waterfall, Agile, RAD methodology and rational tools.
• Proficient in developing Use Case Model, Analysis Model, Design Model, Implementation Model, Use Case Diagrams, Behavior Diagrams (sequence diagrams, collaboration diagrams, and activity diagrams) and Class Diagrams based on UML methodology using Rational Rose.
• Experienced in writing Test Cases, Test Scripts and generating Test Data.
• Experienced in UAT and Unit Testing.
• Experienced in Demo & Training.
• Flexible, innovative and able to thrive in a fast paced, growth-oriented and time-critical environment.
• Excellent organizational and interpersonal skills with a strong facility for acquiring new knowledge very rapidly.

TECHNICAL SKILLS:

Waterfall

RUP

Agile

Scrum

UML

Use Cases

Rational Rose

Requisite Pro

MS Visio

MS Project

MS Word, MS Power Point

OnTime

MS Excel, MS Access, Outlook

HTML, XML

Windows 95/98/NT/2000/XP/7/8

Enterprise Architect

Wire Frame

CHRONOLOGICAL SUMMARY OF EXPERIENCE:

Sr. Business Analyst

Confidential, South Carolina

Responsibilities:

• Create d guidelines for provider testing. Acted as liaison between Developers/ Testers and Providers
• Lead in coordination of provider testing.
• Created and updated provider test tracking for files submitted to ICD 10 UAT
• Involved in preparing monthly project trending and analysis for provider internal reports using Excel Pivot Tables, V-lookups and graphical representation
• Analysis of 837 and 835 EDI test transactions from providers
• Conduct Joint Application Development (JAD) sessions with stakeholders.
• Conduct Impact and GAP analysis on the business requirement.
• Creating a new process flow to accommodate the ICD 10 implementation.
• Creating a workflow and business process for clinical translations, document amendment and policy
• External and Vendor report analysis
• Analysis of provider reports generated from our mainframe ICD-10 test environment
• Modify existing workflow to accommodate change request from the client.
• Using information gathered from the stakeholders (providers); to produced test cases.
• Maintain an ongoing communication with back-end developers to ensuring that modifications and requirements were addressed in a time manner and monitored all revisions.
• Participate in functional and technical reviews.
• Worked with QA team to design test strategy and test cases for User Acceptance Testing (UAT).
• Liaise with technical, project management, SME, client teams and other Business Analysts spread across globally to assist in the development, testing and deployment of application.
• ICD 9 and ICD 10 CM and PCS analysis .
• Coordinated regression testing (parallel runs) to verify that the ICD-9 code did not break as a result of ICD-10 code introduced to the system.
• Participated in weekly status meetings to present status and in corporate any digressions from the original scope.
• Performed data analytics on the internal reports generated by the provider test files in regard to ICD-10 implementation.
• Clear understanding of claims processing, Claim adjudication, edits and audits.
• Updating and documentation of Critical success factors for CMS in relation to ICD-10.
• Good understanding of mainframe sequencing process
• Created test cases, test scenarios for edits testing.
• Creation of ICDs (Interface Control Documents) for the RMMIS project. Reverse Engineering the JCLs and analyzing different programs that send different record layouts and reports to vendors.
• Used Visio to graphically represent the processes between the source and the target Interfaces on the JCLs
• Analysis and creation of the Record layouts from JCLs
• Creation of workflow AS IS process by using Business flow diagrams (BIZAGI). Currently in the process of creating the TO BE process.
• Interaction with SCDHHS stake holders to identify and create test plans, test cases, test scenarios and documentation of the results.
• Worked with Development team to elaborate and explain different requirement documents I created.
• Worked closely with PMO to create presentation and training documentation for Change Management.
• Creation of BRD (Business Requirement Documents) for numerous enhancements and modifications for the Provider Enrollment web application.
• Creation of following test cases and test scenarios prior to production deployment.
• Conduct analysis on XML files and rectifying any issues with them prior to submission to the vendor
• Worked closely with Development team to resolve critical Provider web Application Production Issues.
• SAS UAT testing utilizing SAS studio tools
• Successful implementation of the SSNRI project by eliciting, defining and documenting requirements.
• Collaborated with the testing team in creation of the SSNRI Master Test Plan and guided QA and UAT in test execution against requirements.
• Creating and updating agency program area process flows.
• Documentation of AS-IS Interface Control Documents of trading partners from JCLs on the mainframe
• Creating and documenting Interface Control documents for vendors and business Users
• JAD session to review program area reports
• Overseeing QA’s and UAT testers in testing and validation of code changes for various agency wide file layouts.
• Worked with appropriate end Users to understand the pain points to recommend solutions
• Worked on Several RTMs for appropriate reporting to management.
• Testing of different EDI x12 transactions to validate changes
• Gathered requirements from business and translated these to functional requirements for Developers for the Provider Enrollment web application.
• Engaged with the MMIS team to test the MMIS screens and resolve issues.
• Analyzed System Impact including MMIS Tables, Windows, Reports and Interfaces to external entities.
• Eliciting and documenting requirements for the Curam (Eligibility Determination System) DSS child support (PACCS) system.
• Creation of wireframes to demonstrate the TO-BE state of enhancements to the provider enrollment web application.

Confidential, Wilmington, DE

Business Analyst

Hardware/Software: UML, RUP, MS Visio, Windows 2000/NT/XP, Microsoft Office 2008, MS Excel, MS Word, MS PowerPoint, MS Outlook, MS SQL Server 2008

Responsibilities:

• Gathered requirements from Business Partners/SMEs.
• Conducted Joint Application Development (JAD) sessions with stakeholders.
• Conducted Impact and GAP analysis on the business requirement.
• Created a new workflow to accommodate the new Federal credit card regulation related to fee, over limit and over limit fee.
• Created a workflow for suspending and un-suspending DDA numbers directly from the customer care advisor screen to facilitate the credit card payments.
• Conducted reverse engineering of the existing vendor system (OBTM) and developed the solution in-house for better integration with existing chase systems.
• Modified existing workflow to accommodate change request from the client.
• Updated Impact and Trace Matrix.
• Using information gathered from the stakeholders; produced various artifacts such as use-case specifications, software requirements specifications, screen mock-ups, workflow, Functional. Specification Documents, use case/diagrams and activity diagrams as per Confidential SDLC methodology
• Maintained ongoing communication with back-end developers ensuring that modifications and requirements were addressed in a time manner and monitored all revisions.
• Participated in functional and technical reviews.
• Worked with QA team to design test strategy and test cases for User Acceptance Testing (UAT).
• Liaise with technical, project management, SME, client teams and other Business Analysts spread across globally to assist in the development, testing and deployment of application.

Confidential, NY

Business Analyst

Responsibilities:

• Lead, monitored, and supervised users sessions and interviews.
• Gathered, analyzed/researched and formulated data and process flows for projects with moderate to high levels of complexity.
• Created business requirements document and converted the business requirements to functional requirements by the help of use cases and activity diagrams.
• Defined and documented detailed, functional business requirements, including systems scope and objectives.
• Developed and managed information systems documentation in accordance with the Department's standards
• Ensured IT understanding of requested modifications of more complex projects, and the accuracy of their technical documents.
• Worked extensively in XML and HL7 messaging standards.
• Gained detailed knowledge and experience working on HIPAA, mapping of ICD-9, and ICD -10 to the services provided by agency's clinics
• Created a solution matrix document to analyze the solutions for the gathered requirements.
• Performed business data analysis and created questions packages for the case management system.
• Worked extensively in gathering reporting requirements for the canned, customs, and ad-hoc reports.
• Defined User Interface (UI) data types, default, and validations by creating the data structure matrix.
• Worked with the development team to convey the requirements efficiently.
• Performed functional testing and helped in UAT.
• Created user guides for users to use the application.

Environment: Modified waterfall, JIRA Confluence, Java, Ms Visio, Ms SQL Server, Ms Word, Ms Excel, Ms Powerpoint, Ms SharePoint.

Confidential, Chicago, IL

Sr. Business Analyst

Responsibilities:

• Conducted user interviews, workshops & JAD sessions to understand and articulate business requirements and converted requirements into technical specifications.
• Interacted with cross functional teams to facilitate gathering of business requirements.
• Served as a liaison between clients and technical staff to resolve conflicts.
• Prepared user/business requirements, functional specifications and Use Case System documents.
• Responsible for defining the scope and business rules of the project, gathering business requirements and documenting them textually or using models.
• Performed GAP analysis to identify mismatch between system functionality and business requirements and segregated those into high/low level Use Cases and Activity Diagrams using Rational Rose.
• Assisted with change, issue, quality and risk management activities, and generated management reports on weekly and monthly basis.
• Used Query Analyzer, Execution Plan to optimize SQL Queries
• Created full SDLC project documentation, including: requirements, functional design, technical design, and specs using SnagIt, MS Word and Team Foundation Server.
• Conducted the FRS and URS reviews and walkthroughs with designers, developers and stakeholders, and performed feasibility and adaptability study.
• Developed detailed business flows through both high-level and detailed Visio diagrams.
• Conducted Risk Analysis and Credit Risk Estimation & Analysis like Regression Analysis.
• Prepared a package of Process flow diagrams to document the existing system.
• Created and updated project status, requirements and diagrams using RUP methodology.
• Reconciliation of ACH Wire Transfer/Rejects, SWIFT Rejects, and daily processing files.
• Worked on design list and documented requirements to meet industry regulations.
• Oversaw Internet Banking, Bill Payment, Telephone Banking, Mobile Banking, ATM, ACH, Wire Transfer, Check 21 and miscellaneous electronic banking functions.
• Hosted review meetings with offshore development teams and QA teams.
• Performing Web Testing, User Interface Testing, Negative Testing, Positive testing, User Acceptance Testing and Baseline Testing.
• Wrote test plans, organized UAT testing effort and effectively communicated results to the project team.
• Performed training of the end users.

Confidential, Phoenix, AZ

Business Analyst

Responsibilities:

• Studied existing business application and processes, current source system, collected end user requirements and suggested the improvised business process model.
• Participated in meetings with SME and managers to capture different business Processes, plans and functionality in a detail.
• Conducted and participated in the JAD session with the SMEs and project team members
• Worked with the clients on the verification process for the requirement phase documents
• Worked as a liaison between the business and technical side to convey the business needs to the system architects
• Participated in weekly status meetings to present status and in corporate any digressions from the original scope.
• Analyzed the "As is" and "To be" system documents to show the current and proposed functionalities of the system using MS VISIO.
• Worked with providers and Medicare or Medicaid entities to validate EDI transaction. This includes HIPAA 4010; 837, 835, 270/271 and others. Provided healthcare provider problem resolution.
• Completed several HIPAA 4010 and 5010 Projects, including Medicaid and Commercial entities. Projects included claims and enrollment.
• Used Quality Center, PL/SQL for testing the application
• Authored sequence diagrams and business process models that describe how the EDI Health Care Claim Transaction set (837) is used to submit health care billing information and encounter.
• Gap Analysis of client requirements, generated workflow process, flow charts and relevant artifacts.
• Performed Risk and Gap Analysis on multiple MMIS subsystems; Created test plans and traceability Matrixes.
• Created and managed BRD, FRD, Project templates, Use Case project templates, requirement types and traceability relationships.
• Designed and developed Use Cases, Activity Diagrams and Sequence Diagrams using UML in Visio to map the claims adjudication workflow, and POS integration
• Proposed strategies to implement HIPAA 4010 in the new MMIS ( Medicaid Management Information Systems) & eventually move to HIPAA 5010.
• Engaged with the MMIS team to test the MMIS screens and resolve issues.
• Analyzed System Impact including MMIS Tables, Windows, Reports and Interfaces to external entities.
• Implemented Standardized process throughout the software Development Life Cycle (SDLC).
• Used Agile development methods to promote development iterations, team work, collaboration and process adaptability and strong experience with XP.
• Involved in cross-functional teams, developing new ways to boost efficiency and delivering results in a fast changing environment to achieve company goal.
• Involved in preparing daily, weekly and monthly project trending and analysis using Excel Pivot Tables, V-lookups and graphical representation.
• Participated in the walkthroughs and meetings specifically for Claims and Membership modules.
• Supported development of UAT cycle test scripts, Review User Acceptance Test Plan (UATP) and attend walkthrough.

Confidential, Stamford, CT

Business Analyst

Responsibilities:

• Responsible for gathering information from Customer service agents and supervisors to produce Business requirements Documents & Functional Requirements Documents.
• Work as a liaison among stakeholders in order to elicit, analyze communicate and validate requirements for changes to business model , policies and information systems
• Brainstormed Business Process Model for phase-by-phase deployment approach on transformation project.
• Defined the scope, financial Projections and Cost Benefit Analysis; Progressed from problem statement to well documented Design.
• Defined Functional Requirements and segregated them into high level and low level use cases, activity diagrams using UML.
• Followed the UML based methods using Rational Requisite Pro to create business flow diagrams, Use Case diagrams, Activity diagrams, State diagrams, Sequence and Collaboration Diagrams.
• Used RUP a software engineering process to configure and develop processes, standards and procedures.
• Performed cost benefit analysis for COTS (Commercial off the shelf tools) versus developing the app in-house
• Designed and developed Project document templates based on SDLC Methodologies.
• Communicated Project Requirements, Business Issues, created Solutions and made recommendations.
• Supported Onshore & Offshore Management, Hiring Managers & contingent workers
• Performed GAP Analysis.
• Worked as a liaison between the developers and management, and was instrumental in resolving conflicts between stakeholders and technical development teams.
• Actively involved with PM in developing Timelines for Project Delivery and Managed Projects and Resources to successful completion.
• Developed training material for functional and process improvements.
• Reviewed Test plan, Test Condition and Test Cases and determined that they all meet the actual requirements.
• Carried out UAT by developing test plans, test scenarios, test cases, and test data to be used in testing based on business and user requirements, technical specifications of the product.
• Actively involved in System and Integration Testing.

Confidential, Norcross, GA

Business Analyst

Responsibilities:

• Strong interpersonal skills and able to work well with different personality types and with varying degrees of technical knowledge
• Proactively communicated and collaborated with external and internal customers to analyze information needs and deliver the FRD (functional requirements), BRD (business requirements), GUI mock up and Use Cases
• Worked independently with stake holders, developers and QA team to maintain product backlog and report details to Scrum Master
• Along with PM, Developers, and QA, through 'interview method' and JAD sessions, discussed and gathered all the business requirements
• Help and identify the wrong requirements to be cost effective and also to deliver the product/application as promised within the time frame
• Retrieved information from customer support database to allow management to have a clear view of the problems dealers were facing
• Built exceptional client relationships through frequent meetings and ability to converse with all facets in the client organization by utilizing elicitation techniques like JAD sessions, F2F interviews, questionnaires, brainstorming along with PM, developers and QA team
• Served as a SME (Subject Matter Expert) for the GUI layout for CERES and NABICON
• Worked as a QA Analyst (as needed) to perform both White & Black Box testing to verify the functionality of the web and client based proprietary applications like CERES, NABICON and WMS to meet or exceed vendor/dealer's expectations
• Performed cross browser testing for CERES, NABICON and WMS extensively while verifying behaviors on different operating systems as well
• Liaised with vendors and non-technical users to resolve day to day issues and make process changes and if necessary report bugs to developers
• Conducted user training sessions for new and existing applications while training and trouble shooting for new application launch
• Assisted in creation of knowledgebase articles, technical notes, how to documents for change control and application code deployments

Confidential

Senior Help Desk Analyst/data analyst

Responsibilities:

• Managed User Accounts for Confidential using Active Directory.
• Used LANDESK (remote control) to support user problems.
• Identified, diagnosed, and resolved problems for users of the mainframe, school
• Computer software and hardware, District network, the Internet and new computer technology.
• Trouble shooting day to day issues with high resolution.
• Helped users with connecting to the internet and other applications.
• Trouble shooting day to day issues with high resolution via the phone and email
• Email set up and configuration (Outlook).
• Documented tracked and monitored solutions via HEAT and provided timely responses.
• Worked with the database team in optimizing the database.
• Used SQL queries to Convert and modify existing matrix reports from Excel pivot tables to a more dynamic reporting tool utilizing Access, Excel and VBA programming.
• Prepared Ad-Hoc reports using access and excel pivot table