SUMMARY

• Extensive experience in roles such as Project management and Senior Business Analyst with excellent knowledge to the full Software Development Life Cycle (SDLC) methodologies, frame works and processes. Experienced in managing requirements from project inception through release.
• Good domain knowledge and work experience in Banking, Investment Banking, Health care, Insurance and Financial services, Hedge funds and trading.
• Expertise in the EPIC Medical software application (EMR, EHR) as it relates to hospital workflows and setting up the infrastructure for a software implementation in a clinic environment.
• In depth knowledge of SDLC and implementation of the Rational Unified Process (RUP) in all four phases of a project: Inception, Elaboration, Construction and Transition.
• Utilized a fusion of industry knowledge and technical programming to provide executive management the development and implementation of interactive business s tools, and strategic analysis, vital for use in mission - critical decision-making
• Conducting requirement gathering sessions, feasibility studies and Impact Analysis and organizing the software requirements in a structured way using Rational RequisitePro to track development.
• Interacting regularly with the development team, creative services, database designer, system administrator and the higher management to meet the deadlines of Project milestones.
• Worked in close co-ordination with the testing team in developing test plan and test cases from functional and business requirements.
• Performed UAT and exposure to User Certification Testing (UCT) and Operational Readiness Testing (ORT)
• Expertise in understanding and supporting the client with Project Planning, Project Definition, Requirements Definition, Analysis, Design, Testing, System documentation and user training.
• Used Rational ClearQuest for tracking and prioritizing defects and for enhancements after base lining the requirements.

PROFESSIONAL EXPERIENCE

Confidential

Business Analyst

Responsibilities:

• Assisted the Project manager in creating and updating the Vision Document, Business case, and the Project Plan to define Objective, Scope and Risks. Also assisted in creating RUP iteration plans and phase plans
• Elicited requirements, and managed Change Configuration to maintain an orderly procedure for managing requirement changes after sign off
• Designing, documenting, configuring and deploying SharePoint intranet solution for corporate documents, client management, issue management and task management.
• Experienced in testing EDI and HIPAA Transactions 837, 835, 820, 276, 277, 278,270.271 code sets testing in Health Insurance.
• Created Heat map with alert mechanism. Various KPI graphs were drawn. Kept eye on Qlikview best practice
• Project entailed developing a data model based on MS SQL Server and Tableau Server.
• Facets support systems were used to enable inbound/outbound HIPAA EDI transaction in support of HIPAA 834, 835, 837 270/271 transactions.
• Expertise in Claims, Subscriber/Member, Plan/Product, Claims, Provider, Commissions and Billing Modules of Facets.
• Worked on Customer Support module on facets and reviewed various customer transactions using the FACETS application.
• Worked as Subject Matter Expert (SME) for various projects. Taught the users to get along with Qlikview.
• Elicited functional specifications, conducted feasibility analysis, and performed impact analysis
• Create and execute revenue cycle medication Epic billing data and reports from decision support and billing systems. Analyzed all related medical codes for accuracy to ensure maximum benefit allowed is accurately billed
• Have proven business insight and the technical know-how to implement large-scale EMR and EHR engagements.
• Tracked the day-to-day activities, responsible for new requirements and enhancements associated with EMR EPIC system.
• Experienced in software development life cycle such as Waterfall, Agile-SCRUM methodologies, Business Analysis and Modeling.
• Instructed and modeled core Agile principles of collaboration, prioritization, team accountability and visibility, ensured consistent application of SCRUM methodologies across the enterprise
• Conducted brainstorming sessions with the business users and SMEs to elicit requirements and worked in the creation of Agile Epics, user stories, Acceptance criteria documents.
• Elicited Business Rules and other Non-functional specifications for the new system by interviewing the Subject Matter Experts ( Doctors & Nurses) to further understand the business models.
• Writing Epics and user stories, managing sprints and backlog grooming, and tracking project progress in JIRA.
• Expertise in performing Bug and Defect management using bug-tracking tools like JIRA and HP QC/ALM.
• Experience in Claims Processing, claim encounters and Claims Scrubbing in HMO, PPO, Medicaid and Medicare
• Authored functional specifications for different HL7 system interfaces: ADT (registration), SIU (scheduling), OMG (rad order entry), and ORP/RDS (Rx processing)
• Designed, developed, and implemented innovative & sustainable Tableau reports. Supported effective rollout of reports, including training collateral
• Experience with Trizetto QNXT System implementation, Claims and Benefits configuration set-up testing, Inbound/Outbound Interfaces and Extensions, Load and extraction programs involving HIPAA 834 and proprietary format files and Reports development.
• Experience with developing HIPAA Companion Guides for 834 Enrollments, 270/271 Eligibility Inquiry/Response & 820 - Health Plan premium payments for MMIS (Texas, Maryland, Illinois and Virginia).
• Assisted in monitoring ancillary data transactions and addressed problems with HL7 messages.
• Gathered requirements from the clients and developed crosswalks for 277/288, 834, 835, 837 P/I claims. Created Request For Proposal to identify possible vendors and obtained cost and functionality information
• Created UML Activity Diagrams to depict business processes (AS-IS and TO-BE) and analyzed them for their efficiency and productivity.

Confidential

Business System Analyst

Responsibilities:

• Gathered the Requirements, developed Process Model and detailed Business Policies and modified the Business Requirement Document.
• Developed data conversion strategy for data migration from legacy systems to technology product modules.
• Responsible for daily status meeting to discuss development plans, quality assurance test plans, and user documentation with developers, users, and the product management.
• Assisted with testing the MoneyNet wire transfer system and various electronic payment systems for two bank mergers.
• Analyzed and tested converting the old wire transfer system to the new wire transfer system (MTS). Testing consisted of ensuring that new code for various electronic payment systems that interfaced with the wire transfer system worked efficiently according to the business and software requirements.
• Designed Use Cases and Use Case Models to further refine the requirements and understood the business processes.
• Created UAT Plans with several Test Cases for each project to ensure that the system runs smoothly after the proposed enhancements or changes have been made.
• Created Activity Diagrams/State Chart Diagrams, Sequence Diagrams and Collaboration Diagrams thus defining the Data Process Model and Business Process Model.
• Participated in the design, code and test plan walkthrough with the development and design team members.
• Worked on data modeling and produced data mapping and data definition documentation.
• Created multiple functional requirements encompassing loan servicing system (vendor application), pre-boarding system (in-house application), and interfaced between systems (in-house and vendor-provided interface package).
• Developed check-lists to verify and ensure that the functional specifications, use cases, and UI specifications documents were written in line with the guidelines as specified by the client, and that the quality standards as specified.
• Worked closely with the database architect to finalize database design, table structures and other key database artifacts for the system.
• Coordinated with different agencies in tracking the progress of the software development and resolving the issues and worked with the UI team to create the User Interface Mock-ups to be presented to the Business.
• Conducted technical/non-technical presentations to the management and training workshops for the clients

Confidential

Business Analyst

Responsibilities:

• Gather business and functional requirements from business users.
• Document all the gathered knowledge & processes and discuss it with the offshore team.
• Create mock up screens for the business users to give them look and feel of the new application.
• Cost and time estimation for the various requirements working with the developers.
• Prioritize the requirement with the users to divide between the releases.
• Designed and created financial reports to support various analytical and presentation needs using Excel.
• Daily/weekly status update to the higher management.
• Involved in creation of Support handbook to aid new members.
• Co-ordinating with different teams at onsite like the ETL team for data issues, DBA for various database related changes.
• Developing different modules of the system independently and along with team members.
• Preparation of training material for the users.
• Document new change requests for new enhancements involving Database Changes which are later reviewed by DB Team.
• Involved in UAT support.

Environment: MS Office 2010, MS Visio 2010