SUMMARY

• Over 5+ years of IT experience as Business Analyst in directing cross - functional teams of technical experts to analyze systems & processes and implement infrastructure improvements. General experience includes Business Process Analysis, Business Modeling, Business Intelligence, User Acceptance Testing (UAT) and Implementation.
• Involved in Requirement gathering, Data Analysis, Application Design, Data Modeling, Application Development, Implementations and Data Quality Testing as different segments of SDLC as per Iterative approach.
• Expertise in data analysis necessary to understand the business requirements and excellent skills in understanding business by looking through the data.
• Experience working with BPI and BPR projects
• Used Agile/Unified Modeling Language (UML) for developing Object Oriented models for applications.
• Knowledge of HIPAA Compliance Lifecycle, HIPAA Insurance Regulations and Claims Processing.
• Extensive understanding of HIPAA 835, 834, 820, 270, 271, 276, 277, and 278, EDI, Privacy, Security, and Medicaid.
• Experience in implementing HIPAA 4010 and HIPAA 5010 transaction set rules.
• Excellent experience in gathering requirements, creating use cases diagrams, sequence diagrams, activity diagrams etc.
• Experience in creating efficient and effective BRD and FRD documentations involving data mappings.
• Extensive experience in writing Use Cases, Functional specifications, Scenarios, Business processes, Workflows, Process flows, Test cases and Test Plans.
• Experience in conducting Joint Application Development (JAD) and Rapid Application Development (RAD) sessions to converge early toward a design acceptable to the customer and feasible for the developers and to limit a project’s exposure to the forces of change
• Involved in designing the QA Methodology, Quality Strategies, Test Plans, Test Cases, Test Procedures and Test Scripts using TSL.

TECHNICAL SKILLS

Business Tools: Rational Suite, MS Visio, MS Project, MS Office Suite

Operating System: Windows 2000/XP/NT, Linux

Servers: Windows Server, SQL Server

Language: HTML, Java Script, SQL (Query)

Development Tools: Dream Weaver, Visual Studio 5.0/6.0,Azur Dev ops.

Databases: SQL Server 2000, MS Access and Oracle

Business Intelligence: Business Objects

Testing Tools: Test Director, Quality Center

Business Methodologies: GAP Analysis, Business Definition Requirements, Business Process Mapping, Analysis, Research, Requirement Gathering, Requirement Documentation, Use Case Modeling, Waterfall /Iterative, Agile, Scrum, Facet

PROFESSIONAL EXPERIENCE

Confidential, Virginia

Business Analyst

Responsibilities:

• Participated in user meetings, gathered Business requirements & specifications for the Data-warehouse design.
• Established a business Analysis methodology around the SDLC, helped to develop use cases, project plans and manage scope.
• Involved in the meeting with Business Process Owners, SME (Subject Matter Experts) and store users for Requirement gathering in Definition Stage.
• Worked on HIPAA 4010 and 5010 / ICD 9, version for all EDI transactions.
• Manage Scope and change throughout the SDLC process of the product.
• Working within a growing knowledge of HIPAA 837, 835, 834, 820, 270, 271, 276, 277, and 278, EDI, Privacy, Security, and Medicaid.
• Responsible for writing Functional Requirement Specifications (FRS).
• Created workflow diagrams to better demonstrate the processes adopted in the EDI group and accounting groups of the company.
• Worked in SDLC using Rational Requisite Pro
• Extensively interacted with the stakeholders and the IT Department in finalizing the requirements according to the CMS Compliances/Regulations and HIPAA Regulations.
• Created new and modified existing reports using the Actuate Developer Workbench and integrated it with Siebel.
• Conducted the FRS reviews and walkthroughs with designers, developers and stakeholders.
• Analyzed Business Requirements and segregated them into high level and low-level Use Cases, Activity Diagrams/State Chart Diagrams (UML).
• Created Data Stage jobs to extract, transform and load data into data warehouses from various sources like relational databases, application systems, temp tables, flat files etc.
• Created Process Flow diagrams, Use Case Diagrams (UML) using MS-Visio
• Prepared Screenshots and web layouts for the application
• Prepared Test Strategy, Test Plan, test report and Gap Report
• Performed UAT based on Requirements Document and prepared the Test Cases using Quality Center.
• Maintained Traceability Matrix in Excel.

Environment: Quality Center, MS Project 2004, MS excel, MS Word, MS Visio, MS .NET, MS SQL, MS FrontPage, MS Power Point.

Confidential

Business Analyst

Responsibilities:

• Extensively interacted with the stakeholders and the IT Department in finalizing the requirements according to the CMS Compliances/Regulations and HIPAA Regulations.
• Assisted JAD sessions to identify the business flows and determine whether any current or proposed systems are impacted by the EDI X12 Transaction, Code set and Identifier aspects of HIPAA.
• Worked on Claims processing system of Confidential .
• Worked on requirements, analysis and design, project management, testing (functional and user acceptance tests)
• Worked on EDI transactions: 270, 271, 834, 835, and 837 (P.I.D) to identify key data set elements for designated record set. Interacted with Claims, Payments and Enrollment hence analyzing and documenting related business processes.
• Preparing UML artifacts viz. Use Cases, Activity Diagrams, recommended by RUP (Rational Unified Process) for Requirements.
• Involved with all the phases of Software Development Life Cycle (SDLC) methodologies throughout the project life cycle.
• Involved in the meeting with Business Process Owners, SME (Subject Matter Experts) and store users for Requirement gathering in Definition Stage.
• Conducted the FRS and SRS reviews and walkthroughs with designers, developers and stakeholders.
• Created Activity diagrams and Use case Diagrams (UML Diagrams) using Rational Rose.
• Involved in preparing Test Plans based on User Requirements Document (URD) and prepared the Test Cases using Test Director/Quality Center.
• Maintained Traceability Matrices
• Performed extensive data modelling to differentiate between the OLTP and Data Warehouse data models
• Resolved issues related to requirements during system testing and UAT plan preparation.
• Participated in the planning of the User Acceptance testing effort.
• Creation of Test Cases for functional testing of the system.
• Performed GAP Analysis to analyze the current system and worked with internal users to help define system requirements.
• Helped with data modeling and defining the conceptual and logical model of the data warehouse.
• Involved with the Test planning, test development and test execution.
• Responsible for scheduling meetings with users, SME’s and stakeholders to identify problems resolve issues and improve the process to ensure a stable and accurate solution.
• Performed extensive Manual Testing to verify the application is complete and stable.
• Identify timelines for the different kinds of testing to be performed and estimate the risks involved.
• Performed test data analysis and ensure data requirements are met prior to start of various testing phases.

Environment: Rational Requisite Pro, Microsoft Project, MS Excel, MS Word, Power Point, Rational Software Architect, Rational Software Modeler, Clear Quest, Oracle, Quality Center, Windows.