SUMMARY

Master's in Business Administration with 6 years of diverse experience as a Business Analyst in Information Technology with focus on Business Analysis, Requirement Gathering, Technical Documentation and Software Validation. More than five years of successful, progressive experience in all phases of the iterative Software Development Life Cycle SDLC . Have through understanding of State Medicaid Management Information System MMIS and its various sub-modules including but not limited to, Third Party Liability TPL , Service Authorization SA , Automated Voice Response System AVRS , Pharmacy Benefit Management PBM , Claims Adjudication/ Processing, etc. Possess excellent analytical skills and strong communication skills, capable of interacting with both internal and external stakeholders. Possess commendable oral and written communication skills and played a vital role in liaising with other stakeholders of projects.

BUSINESS SKILLS

• Requirements Gathering
• Business Processes research, analysis documentation.
• Use Case Modeling Analysis
• CR and Defect management
• Functional Requirements gathering
• Gap Analysis Impact Analysis
• SQL Queries
• Test Cases / Test Scripts
• Letters Report Generation

PROFESSIONAL SKILLS

• Gathering Requirements, Business Systems Planning, Procedural Development Implementation, Validation, Problem Solving and Business Contingency Planning.
• Experienced in conducting Joint Application Development JAD sessions with end-users, Business analysts, software developers and quality assurance teams for project meetings.
• Competent in managing requirements by creating Requirement Traceability Matrix RTM and by using Rational Requisite Pro
• In depth knowledge of Software Development Life Cycle SDLC , with thorough understanding of various phases such as Requirements, Analysis/Design and Development
• Extensively involved in project documentation including but not limited to, Software Requirement Specification SRS , Detailed Systems Design DSD Document, Use Cases, User Interface Specification, Report Specifications, Letter Specifications, etc.
• Proficiency in analyzing and creating, Use Case Diagrams, Sequence Diagrams, Activity Diagrams using MS Visio and Rational Rose
• Proficient in conversion of Use Cases into test documents, Test Plans and Test Scripts good understanding of different business processes.
• Good knowledge of Selenium and working experience with rational tools HP Quality center
• Experience in logging software defects and tracking the same using appropriate tools to ensure that software quality standards are met.
• Experience in writing, testing, and implementation of the triggers, stored procedures, functions at Database level using PL/SQL with SQL queries.
• Extensive experience in creation Business processes, work flow diagrams and process flows.
• Knowledge of health care services regulatory environment including HIPAA 4010/5010, NCPDP 5.1 to D.0, etc.
• Defects and CR management including CCB
• Experience with migrations to different environments

TECHNICAL SKILLS

• MS Suite: MS Word, MS Excel, MS outlook, MS PowerPoint, MS SharePoint
• Modeling Tools: MS Visio, Rational Rose
• Requirement
• Management Tool: Rational Requisite Pro
• Letter/ Report Tool: xPression, xDesign, Business Objects
• Languages: SQL, PL/SQL
• Databases: Oracle, MS SQL Server
• Testing Tools: HP Quality Center, ClearQuest, Selenium, Clear Case, Rational Manual Tester RMT

PROFESSIONAL EXPERIENCE

Confidential

Business Analyst / Quality Analyst

Responsibilities:

• Involved in Change Request CR creation using Rational ClearQuest for managing updated requirements that were part of initial scope of work but were determined later after the initial requirement were frozen.
• Documented Technical specifications for letters creation for the State of Alaska. These letters are either scheduled letters or ad-hoc letters.
• Utilized xPression and xDesign for generating Alaska State specific letter requirements.
• Accountable for doing Quality Assurance QA to ensure that the letters meet the standards required by the State of Alaska.
• If the letters did not meet the standards specified, I logged these as defects in Rational ClearQuest and tracked the same for re-testing after they were fixed by the technical team.
• Responsible for ensuring that the letters are correctly generated through the user-facing GUI in Test and Dev environments.
• Utilized Toad for Oracle for running appropriate SQL queries for data validation.
• Worked closely with the Technical team to make sure all the requirements were met and the functionality was developed correctly.
• Extensively involved in post-production support production issues related to letters AK Medicaid. Worked closely with interdependent functional area teams development teams to identify, resolved re-test issues.
• Worked closely with testing team migration team in filling out appropriate migration forms ensuring hotfix defects migrate correctly to production.

Confidential

Business Analyst / Quality Analyst

Responsibilities

• Performed Gap Analysis to check the compatibility of the existing system infrastructure with the new business requirements
• Facilitated JAD sessions by formulating and defining systems scope and objectives through research and fact-finding combined with understanding of business systems, business unit requirements, and industry requirements
• Involved in development documentation of Business Requirements Document BRD and Functional Requirements Document FRD for pharmacy claims sub system
• Modeled the detailed design of the system by creating Use Case Diagrams, Class Diagrams, Sequence Diagrams, Activity Diagrams and State Diagrams using MS Visio
• Compared the new NCPDP D.0 fields against existing NCPDP 5.1 fields to identify additions, modifications or deletion.
• Analyzed existing system to determine if it is compliant with the new NCPDP D.0 standards.
• Ensured that data systems operate at a high level of performance, including integrity, reliability and availability.
• Utilized PL/SQL stored procedures, functions, packages and triggers and SQL queries programming to create business logic
• Collaborated with various pharmacies to ensure that they understand and comply with various NCPDP D.0 mandated standards.
• Involved in the writing and executing Test Plans, Test cases, Test scripts using HP Quality Center.
• Logged and tracked defects in HP Quality Center and assured the overall performance of the pharmacy claims system.

Confidential

Business Analyst / Quality Analyst

• Analyzed existing system and procedures to identify GAP by comparing existing system documentation against new client requirements.
• Leveraged Agile methodology for Software Development Life Cycle.
• Conducted JAD sessions with SME for elicitation of requirements and to develop business solution for Prescription Drug Claims System Project PDCS
• Responsible for accurate development of multiple sub-modules such as National Drug Code NDC , Inferred Disease, Drug Utilization Review DUR , Claims Mass Adjustment, etc. within the PDCS
• Involved in all four phases of the requirements development including elicitation, analysis, specification and validation
• Responsible for the delivery of Business Requirements Documents BRD and Functional Requirements Documents FRD for multiple enhancements
• Designed and developed Class Diagrams, Use Case diagrams, Activity diagrams, Sequence diagrams using MS Visio
• Documented project artifacts including but not limited to, Use Case, User Interface Specification, Business Rules Catalogue, Error Message Catalogue, Report Specifications, etc
• Utilized Mock-Up Screens for creating User Interface mock-ups that would help the client visualize the final product.
• Created a spreadsheet that encompassed all the valid values/ system lists.
• Interfaced with the System Security Team to define Page Level security, Field Level security.
• Used Business Objects for generating scheduled and ad-hoc reports.
• Accountable for Quality Assurance QA to ensure that the product meets specified standards.
• Converted Use Case documents to Test Cases, Test Scripts using ClearCase and Rational Manual Tester.

Confidential

Business Analyst

• Conducted JAD sessions to develop business solution that application meets the business requirements, resolve open issues, and change requirements
• Understood and defined various elements and objects used in Healthcare Medicaid management information systems MMIS COTS Product
• Created the process flow and Swim lane diagrams using Rational Rose to integrate the Third Party Liability TPL Insurance claims, Service Authorization SA and Automated Voice Response System AVRS to the MMIS application
• Conducted GAP Analysis, and created Business Rules catalogue and Error Message catalogue for the new version of MMIS.
• Created Requirements Traceability Matrix using IBM Rational Requisite Web to manage and trace Business and Functional Requirements.
• Conducted knowledge transfer sessions with the offshore team to help them understand the business logic and process flow for TPL, SA and AVRS.
• Created Design Readiness Verification DRV document to help ensure that the development team was at the same level as the business team by keeping a track of all queries and their solutions.
• Extensively involved in writing project artifacts such as Use Case, User Interface Specification, etc.
• Worked closely with the offshore Technical and Testing team to make sure all the requirements were met and the functionality was developed as per the Business Requirements