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Business Analyst Resume

Hartford, CT

PROFESSIONAL SUMMARY:

  • Business Analyst with around 8+ years of experience and proven skills of business requirement gathering, requirements documentation, use case development, business process flow and business process modeling with various industries such as health and financials.
  • Extensive experience in all aspects of SDLC including analysis, design, development, configuring, implementing, functional testing and documentation.
  • Worked in Epic clinical applications and Revenue Cycle applications.
  • Good working knowledge of Project Management Office (PMO) principals and processes.
  • Extensive experience in System Life Cycle (SLC), testing methodologies and techniques, Rational Unified Process (RUP), Unified Modeling Language (UML) and Agile Scrum.
  • Expertise in EPIC, practice fusion, Medical software application EMR.
  • Prepared Functional Specification Documents, AS - IS and TO-BE workflows.
  • Having extensive domain knowledge in MMIS, EPIC, EDI X12, HL7, HIPAA, System, Medicare and Medicaid, CMS Compliances/Regulations.
  • Experience working in Business Analysis area for IT projects .
  • Experienced conducting Joint Application Development (JAD) sessions with end users, Business Intelligence team, IT SMEs and QA team for project meetings, walkthroughs, and stakeholders.
  • Experience in system administration for Onbase and Epic integration efforts for document imaging repository solutions.
  • Experienced in Agile SCRUM, Waterfall, Iterative software development process and Rational Unified Process (RUP) environment such as inception, elaboration, construction, and transition.
  • Experienced in developing and executing of test cases to support business requirements .
  • Comprehensive knowledge of system configuration management and change request management to approve/reject changes, risk management, mitigation, and version management processes.
  • Worked closely with Project Manager in documenting scope and allocation of resources using Microsoft Office and Visio.
  • Advanced working knowledge of MS Visio, MS PowerPoint, MS Word, MS Excel, and MS Project to prepare test plans and deliverable timelines.
  • Experienced developing initiation, scope, requirement documents, FRS, test documents, user and system documentation, process workflows, change management and implementation plans.
  • Working Knowledge of Claims Processing, Insurance Workflow, HMP, PPO, HIPAA.
  • Exposure to Mercury interactive testing tools such as Quick Test Professional, WinRunner, LoadRunner, TestDirector and Quality Center.
  • Experienced documenting existing process, preparing Business Capability Decomposition (BCD), analyzing business requirements, working with Requirements Traceability Matrix, reengineering business processes, and designing.
  • Expertise in understanding and supporting the client with Project Planning, Project Definition, Requirements Definition, Analysis, Design, Testing, System documentation and user .
  • Experienced in creating Data Flow Diagrams, Use Cases, Use Case Diagrams, Activity diagrams, Entity Relationship Diagrams, Data Mapping, and Data Integration.
  • Excellent organizational, interpersonal, communications, teamwork, and leadership skills with proven skill to interact across multiple levels of organization.

PROFESSIONAL EXPERIENCE:

Confidential, Hartford, CT

Business Analyst

Responsibilities:

  • Actively participated in gathering business requirements by interviewing Subject Matter Experts (SMEs), surveys and interviews and documented them in a format dat could be reviewed and understood by business and technical teams.
  • TEMPEffectively used Rational ClearQuest in identifying and tracking bugs and reporting them to development team.
  • Worked with the Project Manager to map business processes, identify process deficiencies, and deliver a foundation for implementing process improvements and share knowledge across the organization on how the processes work.
  • Created high level and detailed use cases to explain system interaction with users.
  • Excellent knowledge of Health Insurance Portability and Accountability Act (HIPAA) transaction and code set rules such as EDI 837,270,271,276,277,834,835.
  • Enhanced or developed new documentation of current business process flow and definition of future EDI business information flow.
  • Involved in validating charges interface from numerous lab system to Epic.
  • Worked on bridge engine to track HL7 messages from Epic to third parties like labs, radiology, etc.
  • Actively participated in Implementation of Onbase and Epic integration with Hospitals including several Physician Practices and several Ambulatory Practices.
  • Facilitated the Scrum Meetings, Sprint planning, daily Scrum meeting, Backlog Grooming, Sprint retro Sprint review, Velocity Planning, burn downs.
  • Worked with Health Insurance Packaged Application like Facets.
  • Extracted business requirements from end users keeping in mind needs for the application and prepared Business Requirement Documents (BRD) using Rational Requisite Pro.
  • Functioned as primary liaison between business, operations, and technical teams throughout project life cycle.
  • Involved in Sprint Planning and backlog assignment to the Development team.
  • Worked closely with change management team and documented approved/rejected changes along with explanation.
  • Participated in Bug Review meetings with Software Developers, QA Engineers and Managers, suggested enhancements to existing application from a business perspective and provided solutions to existing bugs.
  • Performed requirements analysis and created data flow, ER, use case, class, sequence, collaboration, and deployment diagrams.
  • Facilitated Sprint Planning, Daily Standup, Backlog Grooming, Sprint Review, Sprint Retrospective meetings
  • Performed system testing in different iteration in the EPIC ICD-10 test environment.
  • Conducted GAP Analysis to derive requirements for proposed system enhancements.
  • Involved in managing all data discovery, mapping, and flow sessions for Epic integration.
  • Involved in creating and executing revenue cycle medication Epic billing data and reports from decision support and billing systems.
  • Assistance with Soft to Epic integration, build, testing and maintenance projects.
  • Performed integrated test scripts for various scenarios involved in Epic OpTime/Anesthesia, Orders, Grand Central, Cadence, HIM, HB and PB.
  • Extensively used tools such as Rational Rose, Rational Requisite Pro, UML, MS Visio, MS Project, MS Office, and MS Access.
  • Troubleshoot and track issues and problems related to Epic ambulatory care solution and inpatient management system.
  • Presented application walkthrough to higher management, business partners and Project Managers.
  • Participated in Bug Review meetings with Software Developers, QA Engineers and Managers, suggested enhancements to existing application from a business perspective and provided solutions to existing bugs.
  • Performed identification of test case scenarios, development, and execution of test cases.
  • Conducted UAT testing at client’s premises after successfully deploying product.

Confidential, Bloomington, MN

Business Analyst

Responsibilities:

  • Worked closely with business requirements team to identify and correct any deficiencies in business requirements.
  • Responsible for performing business analysis at enterprise level working with business teams and major stakeholders to document and model business objectives.
  • Worked on performance analysis and quality assurance to ensure accuracy of system function, data management, reporting, and documentation.
  • Performed extensive analysis on end-to-end process mapping and impact analysis for understanding upstream and downstream impacts.
  • Worked closely with Project Manager in documenting scope and allocation of resources using Microsoft Office and Visio.
  • Interacted closely with business community to define and analyze business requirements to present possible technical solutions.
  • Actively involved in all four phases of RUP (Iterative methodology) such as inception, elaboration, construction, and transition.
  • Responsible for attaining HIPAA EDI validation from Medicare, Medicaid, and other payers of government carriers.
  • Assist Technical Team to better manage the Data Governance process throughout existing Data Warehouses, Facets and Epic systems.
  • Involved in to ensure end users and interface partners to design and understand MMIS functionality.
  • Participated in requirement and development walkthroughs and reviews.
  • Analyzed user requirements, attended change request meetings to document changes and implemented procedures to test changes.
  • Organized, Scheduled, and documented meetings to facilitate requirements gathering, project planning and issue resolution.
  • Communicate with vendors regarding new updates on Optum, Facets, and Epic solutions to PHS’s existing system.
  • Worked on SQL for data analysis.
  • Managed workload and schedules and coordinated status review meetings with Project Managers, Business Managers and Team Members.
  • Testing of Epic billing reports (hospital billing and insurance billing) for Epic billing output and interface accuracy.
  • Reviewed defects reported by the team and assisted in simulation of defects to development team.
  • Prepared a report on defect discrepancies in system and user acceptance testing.

Confidential, Pennington, NJ

Business Analyst

Responsibilities:

  • Gatheird analyzed, documented business and technical requirements from both formal and informal sessions and validate the needs of the business stakeholders.
  • Performed Cost benefit, ROI, and ROM studies.
  • Working knowledge of setup & configuration for various platform components for coding of benefits, pricing, and provider platform components within Facets for production loads.
  • Assist with creation and maintenance all necessary documentation and materials for Epic Ambulatory application.
  • Translated and Communicated Business needs and requirements to MMIS managements and development teams.
  • Performed Requirement Analysis and developed UML Use Cases, Activity Diagrams using Rational Rose to understand the requirements.
  • Completed the documentation of Claims Scenario’s for the source system.
  • Analyzed the existing claims process and specific business rule logic will be applied in the ACP model.
  • Performed analysis, design, development and maintenance of the Epic Ambulatory applications and other clinical information systems.
  • Conducted user interviews and documented business and functional requirements.
  • Work and triage Facets configuration issues and route work back for correct processing.
  • Document step by step Facets configuration steps for Quality Assurance team.
  • Modified and translated segments of HL7 messages to properly send to EPIC.
  • Analyze and trouble shoot all issues surrounding Provider Agreements, Network Rows, Supplemental Mappings, and all facets of claim and system issues.
  • Understood the requirements of the Sales and Marketing team.
  • Incorporated Rational Unified Process (RUP) to create Requirement Document Specifications using Visible Analyst.
  • Performed extensive data modelling to differentiate between the OLTP and Data Warehouse data models.
  • Identified/documented data sources and transformation rules required populating and maintaining data warehouse content.
  • Served as conduit for managing system requirements between the business and the software development team.
  • Worked directly with users of the Multi-Channel Desktop to gather and document their business requirements.
  • Involved in development and execution of test cases to support business requirements .
  • Worked hands on with the Multi-Channel Desktop to test it to ensure it meets the business requirements.
  • Followed up with the users to test the implementation, achieved sign-off and continued to move the system toward go-live.
  • Built and tested numerous SCM (Sunrise Clinical Management) reports converted from the legacy database to EPIC clarity reports using SAP Crystal Report.

Confidential, Dayton, OH

Business Analyst

Responsibilities:

  • Analyzed and Documented Business Requirement Document (BRD), Functional Specification Documentation, and System Requirement Documentation, using UML methodologies.
  • Created EDI documents for EDI maps to generate requirement documents and Project Charter, and logical design documents for EDI transactions and code sets.
  • Gathering and documenting the requirements in Requisite Pro those are critical to the business mission and using those requirements to design application software using a Use Case approach.
  • Facilitated and managed Joint Application Development (JAD) sessions with committee of SMEs (Subject Matter Experts) from various business areas.
  • Responsible for business system analysis of customizing the BPS Risk Management product with involvement through the whole SDLC.
  • Data mapping, logical data modeling, created class diagrams and ER diagrams and used SQL queries to filter data within the Oracle database.
  • Worked on Upgrading the existing reports to Denali (EPIC 2012) and tested those reports for accuracy.
  • Engaged in analyzing requirements, identifying various individual logical components, expressing the system design through UML diagrams.
  • Actively involved in fulfilling the reporting needs from various end users arising due to transition from a legacy EHR system to EPIC.
  • Interacted with the “Users” by interviewing them, by preparing questionnaire and getting feedback. Attending Client Meetings Project Steering Committee Meetings and Project Management Committee Meetings.
  • Ensured dat all Lines of Business specifications were consistent in form and function to the Diamond Base System.
  • Produced Gap Analysis documents for HIPAA 5010 and ICD-10.
  • Used SDLC (System Development Life Cycle) methodologies like the RUP and the waterfall.
  • Involved in the documentation and technical writing of the requirements in an elaborate way. Conducted User-Acceptance Testing.
  • Involved in determining test strategies based on requirements and architecture.
  • Maintained a requirements traceability matrix to keep the clients and all the teams up to date with the current progress of the project.

Confidential, Washington, DC

Business Analyst

Responsibilities:

  • Involved in writing Business Requirements, analyzed them and tested them.
  • Conducted JAD sessions for the report users, requestors, and the developers. Prepared Need Analysis Documents of the requirements gatheird through JAD sessions.
  • Worked in RUP environment using Rational Requisite Pro. Analyzed trading partner specifications and created EDI mapping guidelines.
  • Worked with the account managers, managements, and report requestors to gather requirements, get report requests.
  • Worked with a team in architecting integrated HIPAA, Medicare solutions, Facets.
  • Worked on developing and conducting statewide HIPAA 5010 and ICD-10 awareness program for all IDS staff in Assurant.
  • Coordinated with the developer, on day-to-day basis, during the development process.
  • Involved in designing and developing project document templates based on SDLC methodology.
  • Worked on creating Test Scripts & Test Scenarios to check report content, layout, and parameters.
  • Migrated Data from MS Excel to SQL Server Reporting Service Using DTS and SQL loader utilities.

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