SUMMARY

• Project management, coordination, Business System Analysis and Software Testing
• Success leading all phases of diverse and complex technology projects
• Excellent communicator; Leverage technical, business and financial acumen to communicate effectively with client executives and their respective teams.
• Expert in SDLC, Iterative, Agile SCRUM (SCRUM Master), XP, and waterfall project management methodologies. Able to manage large project teams (6 - 50) and known for high-quality deliverables that meet or exceed timeline and budgetary targets.
• Facilitating Daily scrum meetings, spring planning, spring review, and spring retrospective.
• Working with Product owner On Artifacts Such as Product Backlog, Spring Backlog, Sprint Burn-down, Release Burn-down.
• Managing projects in both Agile and Waterfall development environments. Keeping the team together all the time to ensure successful sprints.
• Migrating the Projects from Waterfall to Scrum is major responsibility.
• Defined project scope and objectives through internal project management methodologies.
• Facilitating the daily scrum meetings, spring planning, spring review, and spring retrospective.
• Facilitating Scrum of Scrum for offshore Scrum teams in US states and other geographical regions.
• Managing the overall performance and delivery of cross-functional teams involved in Product Development.
• Publicizing the team's progress and successes to make sure they are highly visible to product owner / stakeholders.
• Possess strong knowledge of healthcare terminology and extensive experience working on healthcare projects. Specialized experience in healthcare insurance domain and ACA. Profound understanding of insurance policies like HMO and PPO and proven experience with HIPAA 4010 EDI transaction codes such as 837 Institutional & Professional (Health care claims), 270/271(inquire/response health care benefits),276/277(Claim status), 834(Benefit enrollment), Healthcare Integrated General Ledger and Account System(HIGLAS), 274(Provider Information transaction), 810(Invoice transaction), 835(Payment/remittance transaction), 820( Detailed/Summary Remittance advice transaction), 824(Notification/Status transaction), 999, TA1. Good Knowledge on Risk Adjustment, Reinsurance and Risk corridors of Financial Module.

PROFESSIONAL EXPERIENCE

Confidential

Sr. Business Analyst Agile

Responsibilities:

• Primarily responsible for requirements analysis, creating BRD's, FRD's, Visio Diagrams, UML Diagrams
• Facilitated with Business analysis manager, PM's, QA Managers.
• Created Business Requirement document (BRD) and Functional Requirement document and maintaining the Requirement Traceability Matrix (RTM) related document.
• Elicited and documented requirements for Web Content Management System that increased efficiency for the business users decreasing time from average of 2 weeks to 5 minutes.
• Identified and prioritized requirements for the new health product entry application that projected increase in annual revenue from $200 million to $400 million.
• Created Requirements Specifications, Use Case Diagrams, High Level and Detailed Process Flows, Robustness Diagrams and Domain Model as well as standardized a process that decreased requirements gathering and analysis time by 50%.
• Prioritized Production issues and assigned them to the Business Analysts. The effort enhanced the application and decreased time for the business depending on the issue.
• Conducted UAT with the cross-functional business teams to ensure the system was aligned with the vision of the business teams.
• Actively participated / arranged with number of iterations between team and customer on domain related tasks.
• Generated documents supporting accounting/ financial current and potential member enrollment transactions (e.g. health membership, binder payments out of production, outbound etc.), as per the business requirements outlined by stakeholders.
• Understand the business requirements and identified gaps in different processes and implemented process improvement initiatives across the business improvement model.
• Gathered the business requirement and Prepared and reviewed Long Term Forecast (LTF) and monthly forecasts/actuals at Leadership Team Meetings.
• Involved in special projects and provided ad hoc / special analysis as required (e.g. revenue recovery efforts, review of business practices)
• Primary product liaison with assigned regional health plans
• Performed all aspect of program management related to the Marketplace project implementation and expansion of Handling system and Predictive Analytics Programs.
• Participated in PMO activities, including demand and project portfolio management, facilitated prioritization workshops and communicated with senior management and stake holders.
• Developed and implemented a number of processes to improve quality and increase productivity in the areas of data quality, code maintainability and customer service.
• Led teams through the full software development life cycle, including requirements, design, development, and product testing and production deployment.
• Management of BI projects for various departments in the company - including marketing, finance, technology and customer service.
• Analysis, systems design and responsibility over development.
• Drove the strategic vision, architectural design and creation of a centralized data warehouse.
• Provided technical Management for the entire claims & billing for BI projects and instruction in ETL (Informatica) development, SQL, Oracle and Business Objects.
• Closely working with various state team partners California, Florida, Illinois, Michigan, Ohio, Puerto Rico, New Mexico, South Carolina, Texas, Utah, Washington and Wisconsin in implementing MMIS system and supporting the various MMIS aligning with “Healthcare Reform (ACA)”.

Confidential

Sr. Business Analyst

Responsibilities:

• Functioned as the bridge between functional business units and IT.
• Developed, implemented and documented software development and SQA processes.
• Configured and administered VersionOne as the team's Agile management tool.
• Provided VersionOne training to the software development team and business stakeholders.
• Developed the product backlog along with Product Owners
• Participated in sprint planning, daily scrums, testing, retrospectives and sprint reviews.
• Facilitated three work sessions between developers, product owners and business analysts.
• Cultivate relationships across departments in order to understand needs and resolve client issues efficiently.
• Articulate the product vision to the development team, and "Own” the product’s user experience and feature set.
• Develop requirements for major system functionality and minor system improvements to Confidential Exchange/Health Connector with inputs from the appropriate stakeholders.
• Responsible for leading the collection, analysis, documentation and coordination of stakeholder requirements.
• Facilitates requirements gathering sessions to understand and document complex business needs, often eliciting hidden requirements and/or clarifying vague or unclear requirements.
• Prioritizes backlog of assigned features based on business value and quality.
• Creates use cases, high level assumptions, business rules, functional and non-functional requirements documentation to capture business need.
• Act as Agile Product Owner to vendor development teams for various assigned features.
• Good breadth of technical experience including Service Oriented Architecture (SOA), web services, XML, ETL, Java and databases.
• Tested several dashboards and deployed them across the organization to monitor the performance.
• Involved with ETL test data creation for all the ETL mapping rules.
• Involved in testing the designing and development of data warehouse environment.
• Tested several stored procedures and invoked into ETL Procedures.
• Tested the ETL process for both before data validation and after data validation process. Tested the messages published Extracting by ETL tool and data loaded into various databases.
• Developed test reports and participated in testing prioritization and archived test results and user signoff.
• Designed data flow and mapping design documents and designed ETL process to extract data from sources and store them to staging tables and also designed ETL process to transform and load data into Data Warehouse.
• Efficiently manage the process between MA staff and Vendor staff to minimize back and forth and ensure alignment between end user needs and system functionality.
• Synthesize requirements from a variety of sources into written form for approval by various internal and external stakeholders as necessary.
• Apply critical thinking skills to understand the root cause of issues and tracks any relevant risks to resolution.
• Collaborate with various departments on user documentation, external communications, training plan and operations.
• Run the Defect Triage Call every day to support all the Releases and final prep for Open Enrollment and also prepared defect reports and test case execution report in HP ALM.

Confidential

Sr. Business Analyst

Responsibilities:

• Led project teams, internal and external, to achieve project defined milestones and deliverables.
• Conducted stakeholder Joint Application Design (JAD) interviews and facilitated meetings with project teams.
• Translated business user concepts and ideas into comprehensive business requirements and design documents.
• Created project plans in accordance with project management framework standards and procedures. Identified ongoing issues and gaps within project plans, in order to eliminate implementation issues.
• Planned, facilitated and reported on quality assurance testing efforts.
• Primarily responsible in owning the Detailed Data Review (DDR) and System Data Document (SDD) for Eligibility and Enrollment (E&E) Tower.
• The SDD describes how (1) the functional and nonfunctional data requirements recorded in the Requirements Document, (2) the preliminary user-oriented functional design recorded in the High Level Technical Design Concept/Alternatives document, and (3) the preliminary data design documented in the Logical Data Model (LDM) are transformed into more technical system design specifications from which the system will be built. The SDD is used to document both high-level system design and low-level detailed design specifications.
• Active key member of Eligibility and Business Operations (EBO) IRS Reporting Annual & Monthly.
• Worked with various Cross functional teams, Federal contractors and Confidential business stake holders to ensure all information necessary for reporting enrollment and exemptions information from the Federally Facilitated Marketplace (FFM) system to IRS to satisfy the monthly and annual requirements originating from the Confidential .
• Translate business requirements into detailed architectures and designs
• Document all technical requirements and design technical solutions utilizing enterprise architecture standards including documenting all solution components and configurations.
• Develop solution cost structure by identifying all cost points including labor, software and hardware
• Implement architectural designs while building solid relationships with stakeholders at all levels ( Confidential (OIS, CCIO & OFC); QSSI, Optum, Issuers, Adobe, MIDAS)
• Work with Eligibility and Enrollment (E&E) functional analysts, developers and development managers to ensure that all solutions are deployed within agreed timelines and supported after delivery
• Identify where exceptions to the enterprise architecture standards are required.
• Worked with Architects team on adopting and transforming the current Information Systems Architecture which was designed to be a classification schema for organizing architecture models. It provided a synoptic view of the models needed for enterprise architecture.
• Mentor junior developers and led team of developers in the delivery of technical systems and components. Ensured on-time, quality release of systems and components