Summary:

• Onsite / Offshore Coordination.
• Expertise across various domains like Life sciences, Pharma, Drug development, E-commerce, Retail, Health care insurance, Medical Billing, Claims Management.
• Around 5 years of experience in the field of Business Analysis working for various clients such as Dick's Sporting Goods, Golf Galaxy, MSD, Merck Co, All scripts, MYSIS.
• In-depth knowledge of the SDLC and ITIL methodology.
• Highly proficient in working with users to gather requirements, analyze them and prepared BRD, FRS, User stories, functional and non-functional documents.
• Highly proficient in working with users to gather requirements, analyze them and subsequently use Rational Product and design tools to document the requirements.
• Prepared SOP's, JAR, Guides, Run books, User story, Validation Matrix etc.
• Experienced in conducting joint application development JAD sessions for requirements gathering, analysis, design, and effectively conducting meetings, and brainstorming sessions.
• Experienced in Payer/Provider Management, Healthcare IT, EMR/EHR, HIPAA, HL7, ICD-9/10 conversions.
• Involved at various levels of CMS, DMS and file management solution.
• Experienced in Data analytics, Data mining, ETL and PL/SQL.

Technical Skills:

Professional Experience:

Confidential

Roles and responsibilities:

• Preparation of reports, Flowchart and presentation to client Identify and document issues/risks/gaps with their impact and provide recommendation alternatives to develop the application to meet the user requirements.
• Have been involved in migration projects such as Tidal to Control M and VFT to WebSphere MQ.
• Resolving metadata related errors along with the whole gamut of data hitches to ensure the smooth flow of data across production environments and hence ensuring on time reporting of feed and jobs related to ecommerce.
• Monitoring all inventory feeds and Jobs with respect to DSG.com and GG.com.
• Used Toad to run SQL queries to check data is populating as expected from tables.
• Preparing SOP's, JAR, BRD and process improvement document, Pivot tables, Macros related to Omni channel initiatives.
• Primary responsibility focuses on maintaining and enhancing the current e-commerce system environment.
• Worked as a SPOC and gathering requirements to ensure proper delivery all the milestones are met according to agree upon timelines with high quality.
• Working on BMC Remedy system and Client IQ, under ITIL classification required to close and triaging, repairing, and escalating critical issues in a fast-paced e-commerce environment.
• Working with various vendors such as GSI eBay , United U, Paypal, Monetate, Certona, Foresee, Invodo, Wheretogetit, Shop local, Branding Brand, Adobe, Ensighten, Keynote, Needle, Oracle, Akamai etc.
• Ongoing management of 'special projects' such as Fan Shop, Clearance Shop, Holiday Gifting Shop, Sample Process, etc.
• Monitoring database on daily and weekly basis. Preparation of reports, Flowchart and presentation to client.
• Writing and Reviewing test cases and expert in UAT User acceptance testing .
• Creating Database for UPC/ SKU missing investigation and troubleshoot the issues with the help of Pl/Sql.
• Experience in facilitating Joint Requirement Planning JRP sessions with Business User Groups, conducting Joint Application Development JAD sessions with IT Groups and Conflict Management with Project team members.

Confidential

Roles and responsibilities:

• Tracks risks associated with the implementation of system solutions required for the successful implementation of the ICD-10 project
• Involved in conducting peer reviews in support of the design process, interviewing customers with regard to workflow details.
• Assisting in the testing of product/enhancement releases to validate against specifications, reviewing end-user documentation, training users on application features and working to set and meet project delivery dates.
• Experience with claims process and adjudication in the Medicare, Medicaid and Private Insurance Sectors adherence to HIPPA.
• Analysis of new business requirements for client specific enhancements, Functional and Non-functional requirements in a Traceability matrix and translation into product specific designs using UML Use cases, Activity/Sequence diagrams
• Worked in Healthcare Claims Administration Healthcare Claims Processing 837/835 includes facility claims and professional claims.
• Prepared BRD, Functional, non-functional, FRS, User story documents with respect to ICD10 changes.
• Experience with EMR/EHR, claims process and adjudication in the Medicare, Medicaid and Private Insurance Sectors adherence to HIPPA.
• Used JAD sessions, and one-on-one meetings to identify Business and System Requirements, and documented then using Use Case Modeling, Process Flow diagrams and documentation, data mapping rules.
• Analysis of new business requirements for client specific enhancements, Functional and Non-functional requirements in a Traceability matrix and translation into product specific designs using UML Use cases, Activity/Sequence diagrams
• Process Improvement for optimal utilization of resources. Improved Production Deployment Process by improving the UNIX Shell Scripts and PL/SQL used. It reduced the cycle time by 2 hours
• Gathered business requirements from Subject Matter Experts to understand how current legacy system works and coordinate for further review and coverage.
• Meet with the users round to analyze and document current workflow starting from patient registration, Scheduling, Insurance processing to billing.
• Gathered business requirements from Subject Matter Experts to understand how current legacy system works and coordinate for further review and coverage.
• Identify and document issues/risks/gaps with their impact and provide recommendation alternatives to develop the application to meet the user requirements.
• Profound exposure in analyzing the process of medical coding and transition of ICD9 to ICD10.
• Writing and reviewing the test cases and requirement traceability matrix along with the testing team. Track the project status in MPP, prepare the project status reports and represent the BA team in the PMO meetings.
• Expertise in providing guidance and monitoring quality control for offshore teams, ability to work with multicultural groups of people with different levels of business and technical knowledge.
• Develop documents and implement appropriate policies and procedures related to patient accounting, including follow-up on all patient accounts receivables.

Confidential

Business Analyst

Roles and responsibilities:

• Resolving metadata related errors along with the whole gamut of data hitches to ensure the smooth flow of data across production environments and hence ensuring on time reporting of clinical data by clinical team to regulatory authorities like U.S. Food Drug administration FDA .
• Database lock activities freeze and creation of integrated summary of safety ISOS reports prior to FDA submission.
• Validated the report generated using Business Objects using PL/SQL queries.
• Serving as a team interface for business interaction and responsible for proper channeling of their requirements to match organizational capabilities and ensuring client satisfaction along with an end to end understanding of Merck Processes for Clinical Trial legacy Systems.
• Cross functional communication with various business user groups within the legacy systems and preparing business requirement documents required for setting up a Trial.
• Writing test cases, performing UAT, Change management Ad-hoc protocol changes to meet business requirements , Demand management getting business requirements for each study and delivering the final product within the timelines set , Vendor Management Involves various level of techno-functional communications with various vendors who are involved in providing Trial data for studies outsourced by Merck as well as various level of clinical data management and an end to end understanding of a Clinical trial set up, problem structuring, designing collector methodology.
• Granting access to users on various frozen files and ISOS files, used by them for safety and efficacy report submission to FDA for drug approval.
• Used JAD sessions, and one-on-one meetings to identify Business and System Requirements, and documented then using Use Case Modeling, Process Flow diagrams and documentation, data mapping rules, and Screen mock-ups.
• Maintaining known error database KEDB for the swift resolution of recurring issues.
• From a Technical perspective there would be involvement in various levels of troubleshooting within the application as well as at various levels of Clinical data, Release engineering activities and branch planning, Providing application and technical support to clinical studies.
• Interacting with client as SPOC and gathering requirements to ensure proper delivery all the milestones are met according to agree upon timelines with high quality.
• Involved in RCA and CAPA and bring out ways to minimize and identify measures leading to defects within the project.

Confidential

Business Analyst

Roles and responsibilities:

• Development and installation of database objects like functions, views and PL/SQL procedures in initial stages of Clin Pharma protocols as per Business requirement.
• Unit testing of newly developed protocols.
• Change Management to carry out ad-hoc protocol changes to meet business Requirements.
• Demand management which includes requirements gathering and analyzing the metadata in a clinical trial study
• Used JAD sessions, and one-on-one meetings to identify Business and System Requirements, and documented then using Use Case Modeling, Process Flow diagrams and documentation, data mapping rules, and Screen mock-ups.
• Mapping of data for the early stage development clinical trials study through an application named Trial Setup.
• Promote the protocol to production environment.
• Troubleshooting various functions and view code in test and production environments through UNIX shell scripts.
• Process Improvement for optimal utilization of resources. Improved Production Deployment Process by improving the UNIX Shell Scripts used. It reduced the cycle time by 2 hours.
• Maintaining Known Error Database KEDB for the swift resolution of recurring issues and transferring knowledge for seamless handover of the project to new team members.
• Preparation of reports and presentation to client.
• Detecting and resolving the issues in the shell script and deployment of the protocol.
• Demand Management includes Requirements gathering and analyzing the metadata in a Clinical Trial Study.