PROFESSIONAL SUMMARY:

• 7 years of experience as a Business Analyst in various domains.
• Created numerous SDLC artifacts such as Business Requirements Documents (BRD), Functional Requirements Documents (FRD), Requirements Traceability Matrix (RTM), Business Use Case documents, System Use Case documents, GAP analysis documents, etc. Strong experience in various SDLC methodologies like Waterfall, Agile.
• Experience in managing product backlog, follow agile process to identify new items, review details, estimate work and prioritize.
• Gathered, documented existing system processes and data in order to perform gap analysis between client’s specifications of the desired system and the existing system.
• In depth knowledge of health care basics including Medicare/Medicaid, HIPAA, ICD9 and ICD10, and EDI Transactions.
• Expertise in writing and implementing Test scenarios, Test cases, Test plans, Automated tests and Test data, System testing, Regression testing, GUI testing,APItesting & maintaining Traceability Matrices for baseline documents
• Participated in Scrum, scrum of scrums and other design related meetings.
• Proficient with middleware and broker services on an data integration and enterprise application level,API, WSDL files, XSD files and XML code
• Experience in HIPAA 4010 and 5010 EDI healthcare transactions like 837, 835, 834, 820, 270, 271, 276, 277, and 278 along with ICD - 9/10
• Acted as project team member to combine a local and national claims processing system into one single platform.
• Experience in retail operations, design and implementations of point-of-sale systems, logistics and Supply Chain Management.
• Conducted user acceptance testing and data validation of web applications used to present benefit information.
• Strong experience in healthcare domain- Claims Processing, Benefit Administration, EDIs (837, 835, 834, 270, 271, 276, 277), ICD 9, ICD 10, system, Provider Information system, Revenue Cycle Management (RCM).

PROFESSIONAL EXPERIENCE:

Confidential, Grand Rapids, MI

Business Analyst/System Analyst

Responsibilities:

• Facilitated sessions to collect User Requirements and business Requirements
• Business/User/Functional/Technical Requirement Specification using MS Project, MS Word and MS Visio that provided appropriate scope of work for technical team to develop prototype of the overall system
• Created Use Cases, various UML Diagrams and Data Flow Diagrams to determine the data flow via various systems
• Proposed the change and reengineering of the 'AS IS' business processes into the 'TO BE' process flow
• Involved in the day-to-day implementation of the Agile methodology of application development with its various work flows, artifacts and activities.
• Integrated Informz email client by providing data through creating lists in Personify and making necessary database andAPIchanges to Personify back office.
• Worked forHEDISteam as BusinessAnalyst(Consultant), guiding the development/testing teams to build measures as mandated by NCQA
• Involved in EDI transactions Analysis, Design, Implementation and Documentation
• Actively participated in Product backlog/Refinement meeting, Sprint planning, daily Scrum, Sprint review and Sprint retrospective meetings.
• Gathered requirements from the administrative staff and business rules for determining member eligibility and successfully converted them into functional requirements for the developments team.
• Assisted with building the EDI 837, 835, 270/271, 276/277, 278, 820 and 834 transactions processing flow from the Trading Partners to the translator
• Responsible for resource planning, cost benefit analysis and risk analysis and present the same to senior management.
• Assisted in designing test plans, test scenarios and test cases for integration, regression and UAT to improve overall quality of the Application.

Environment: Agile, MS Visio, Rally, MS excel, HEDIS. HP Quality Center, MS Project, and MS Office 2013 (Word, Excel, Power Point, Outlook)

Confidential, Philadelphia, PA

Business Analyst

Responsibilities:

• Worked exclusively with businessusers and Stakeholders to elicit requirements and create Epics, Features and User Stories.
• Conducted Gap Analysis to show the current state and proposed functionalities of the new system.

  Researched current challenges and trends in the Patient management space and bought information and recommendations back to leadership for consideration.

• Creating Unit test cases for testing and working on Claim Processing modules inFacetsto test the configurations infacetsapplication.
• Used Rally to track the User Stories from start to completion and manage the sprints.
• Assisted the Scrum Master in conducting AGILE ceremonies like Sprint Review and Sprint Retrospective.
• Worked closely with the Product Owner to prioritize the user requirements during and after each sprint.
• Reviewed test cases with the QA team and ensured that the test cases covered all scenarios of the requirements.
• Provided for a variety of audiences including leadership and front line staff.

Environment: Waterfall, HP ALM, MS Visio, MS Access 2000, MS Excel, UML, Waterfall, MS Office suite, Microsoft Word, Project, PowerPoint, Visio.

Confidential, Oak Brook, IL

Business Analyst

Responsibilities:

• Functioning in retail operations, design and implementations of point-of-sale systems, logistics and Supply Chain Management.
• Conducted walkthrough sessions of the scope document to ensure the buy in from the project sponsors and stakeholders.
• Review and testing ofwebintelligence reports, Crystal reports and SSRS reports for the clients.
• Responsible for providing POS software/hardware support for corporate stores.
• Managed relationship with key partners and stakeholders.
• Gathered, Documented and analyzed business requirements from clients and stakeholders.
• Worked closely with sales, merchandising and fulfillment subject matter experts to uncover dependencies.
• Gathered technical requirements related to security, servers and authentications.
• Initiate change request CRs for APIs if needed and track/schedule timely delivery
• Added Two Step authentication to existing payments legacy system to enhance security using iDaaS.
• Assisted with defining cost of work to be performed.
• Prepared Data Flow Diagrams using MS Visio to review the current and future business processes.
• Participated in daily SPRINT sessions with 3-week iterations.
• Helped develop Use cases, User Stories, Business flow, functional specifications and maintained Story Boards in JIRA component.
• Owned and maintained all documentation: process,, and presentation.

Environment: Waterfall, Requisite Pro, Rational Rose, Axure, SQL, XML, SharePoint, Clarity, Giffy, MS Word, MS Excel.

Confidential, Fort Wayne, IN

Business Analyst

Responsibilities:

• Assisted Lead Business Analysts incapturing requirements by driving user-group meetings and working with various global, cross-functional and virtual teams
• Understand rules and regulations of HIPAA as imposed during Electronic Data Interchange (EDI).
• Helped Prepare project deliverables through business workflow analysis, process analysis, user requirement documents (Use Cases & Use case diagrams) and managed the requirements
• Documenting artifacts including, but not limited to, Functional Specifications, and the Use Case Specifications
• Responsible for handlingdata manipulation, mapping, and basic database tasks
• Managed and developed EDI specification, gap analysis and applications structures for data feeds and mappings for integration
• Experience in developing Data Mapping, Performance Tuning and Identifying issues of sources, mappings, targets and sessions.
• Designed and developed Use Cases, Use stories, Activity Diagrams, Sequence Diagrams, UML and Business Process Modeling
• Used HP QC and Load Runner for test management, functional, GUI, performance, load testing
• Worked along with the development team to solve browser compatibility issues

Environment: Agile, SQL, MS Excel, MS Word, SharePoint, HP-Quality Center, MS Office, MS Visio, TFS