SUMMARY

• A Certified Scrum Mater(CSM) with over 10 years as Sr. Business Analyst of professional experience in Healthcare, Mortgage, Pharmaceutical and Retail/FMCG domain.
• Expertise in employing SDLC methodologies - Agile (Scrum) methodology and Traditional Waterfall Model.
• Worked closely with project stakeholders, SMEs, and staff to understand the requirements and specifications for new applications along with re-engineering the existing applications.
• Excellent writing skills in preparingbusiness requirements documents (BRDs),system requirements specifications (SRS),system design specification (SDS),functional specifications, and defining project plans.
• Great understanding on Mortgage terms like credit reports, Suspicious Activity Report (SAR), Federal Housing Finance Agency (FHFA), and Fraud Case Management System (FCMS).
• Expert Knowledge and Experience on HIPAA gateway, Membership, Billing, Claims Payment Processing in relation to Healthcare Industry standards/best practices.
• Experience in Medicaid Management Information System (MMIS). Expertise in various subsystems ofMMIS- Claims, Provider, Recipient, Procedure Drug and Diagnosis (PDD), Explanation of Benefits (EOB).
• Expert Knowledge and Experience on Membership, Billing, Claims Payment Processing in relation to Healthcare Industry standards/best practices.
• Hands on Experience on Facets and QNXT.
• Strong knowledge in Retail business like Inventory Control, Procurement & Allocation, Merchandise Planning, and Pricing & Invoicing, Demand Planning & Forecasting, Returns, Warehouse & Transportation Management process.
• Good Exposure in Airline web and mobile application system on ticketing, flight details, customer behavioral patterns.
• PerformingGap analysis,SWOTanalysis,Risk analysis, andCost/Benefit analysis with MS-Project.
• Highly capable in Risk Management Planning including Risk Identification, Assessment, Risk Analysis, Reporting and Risk response, monitor, control.
• Responsible forJADfacilitation.Gather, synthesize and prioritize requirements using interviews, document analysis, requirements workshops, site visits, and surveys.
• Modeling the system usingUse case Diagrams, Class Diagrams, and State Diagrams
• Proficient in developing Test strategies, Test procedures and Test cases for both Manual and Automated Testing using tools as Quick Test Pro (QTP), ALM,QC.
• Experienced in the analysis and design of applications using OOAD techniques, UML and Design Patterns
• Hands on experience withIBM Rational Softwareintegrated tools likeRequisite Pro, Rational Rosefor requirements management and analysis use case development, business and data modeling
• Good working knowledge on Shell/PERL scripting.
• Proficient in writing SQL queries using DDL, DML, DQL and TCL commands.
• Hands-on experience on project management tools like JIRA and Jenkins.
• Expertise in building test cases, Integration testing and test scripts.
• ConductingUser Acceptance Testing (UAT)and verifying performance, reliability and fault tolerance issues.
• Experience in data visualization tools (Tableau, QlikView, Birst, and/or Crystal Reports).
• Experience in advanced statistical analysis software like R/Minitab/SAS.
• Highly motivated team player with excellent Interpersonal and Customer Relational Skills.
• Proven innovative and analytical thinker, with fanatic Leadership and problem solving qualities.

TECHNICAL SKILLS

Middleware: IBM Web Sphere Application Server8.5/7.0, IBM HTTP Server v8.5,MQ series 6.0,Message broker, IBM BPM suite

Database: SQL Server 2000, Oracle 11i/10g/9i, IBM DB2

Web Servers: IBM HTTP Server 8.x, Apache Tomcat

Languages: SQL,R,XML,HTML,CSS, PL/SQL, python

Defect Tracking Tools: JIRA, Mantis, BugZilla

Business case tools: Rational Suite, MS Visio, MS Project, MS Office Suite, SQL Developer, Adobe Photo shop, Google Sketch-up

Project Management tools: MS Visio, MS Project, libreplan, SharePoint, UML, Marvel,LMS

Industry Standards: Six Sigma, CMM, HIPPA, SOX

Browsers: Google Chrome, IE, Safari

Testing Tools: Manual Testing, QTP, HP ALM(Quality Center),Load Runner, Cucumber

Operating Systems: Windows (XP, 2007, 2008), Unix, Linux

PROFESSIONAL EXPERIENCE

Confidential, Allendale, NJ

EDI Analyst/Scrum Master

Responsibilities:

• Involved in gatheringBusinessRequirement and working as liaison between varies I.T departments.
• Reviewed theBusinessrequirement, Functional Design Documents, Technical Specification documents, to develop Test Cases.
• Responsible for the Agile team facilitation as a scrum master
• Facilitated Daily scrum meetings, Sprint Grooming, sprint planning, sprint review, and sprint retrospective.
• Coordinate communications between cross-functional teams for product release management.
• Worked on EDI transactions: 270, 271, 834, 820, 835, and 837 (P.I.D) to identify key data set elements for designated record set.
• Worked on Remedy tickets opened by issuer on their issuer on X12 and other issues.
• Sound knowledge in most facets lifecycle.
• Updated and closed user Story status in JIRA by end of sprint.
• Support test team on Integration and User Acceptance Tests (UAT).
• Extensively used SQL statements to query the Oracle Database for Data Validation and Data Integrity.
• Conduced Joint Application Development (JAD) sessions and walk in interview with thebusiness users to gather requirements.
• Medical Claims experience in Process Documentation, Analysis and Implementation in 835, 837, 834, 270, 271, 277 (X12 Standards) processes of Medical Claims Industry from the Provider/Payer side.
• Created Traceability Matrix to ensure that all requirements are being addressed.
• Helped the UAT testing team during the project.
• Coordinates issues with appropriate departments, performs accurate and timely research, verification and analysis.
• Collects and analyses data to evaluate operations difficulties and makes recommendations to solve problems.

Confidential, Reston, VA

Sr. Business Analyst/Scrum Master

Responsibilities:

• Analyzedbusinessrequirements,businessprocess and system architecture/design for Multifamily Loan Acquisition System.
• Translated thebusinessneeds into functional requirements, and communicated the same to thebusinessusers, to baseline the initial high-level requirements.
• Used agile software development methodology identifying the problem, gathering requirements, iterations development,businessmodeling and communicating with the technical team for development of the system.
• Performed the requirement analysis, impact analysis and documented the requirements using Rational Requisite Pro.
• PreparedBusinessWorkflow models and used agile software development methodology to build newbusinessprocesses.
• Involved in conducting JAD sessions with the entire team to come up with the possible solutions for thebusinessproblems.
• Planned and defined system requirements to Use Case, Use Case Scenario, and Use Case Narrative using the Unified Modeling Language (UML) methodologies.
• Provided key input in working with users in indentifying and defining system and project requirements.
• Documented Functional Requirement Specifications(FRS) and assisted Systemsanalystto come up with System Requirement Specifications(SRS)
• Provided inputs in the strategic development of detailed project plans, work assignments, and target dates.
• Designed and developed activity diagrams, and sequence diagrams, using MS VISIO.
• Worked with the software architects / developers to ensure that the applications conform to customer requirements.
• Involved in analysis for wide range of Six Sigma and Web-based initiatives, including user requirements.
• Data mapping, logical data modeling, created class diagrams and ER diagrams and used SQL queries to filter data within the Oracle database.
• Facilitated Scrum planning meetings to coordinate between Clients, Product Owner, Dev and QA teams.
• Analyzed research on operational procedures and methods and recommend changes for improvement with an emphasis on automation and efficiency.
• Conducted impact analysis for the requested change bybusinessusers/stakeholders to control change in the requirements.

Confidential

BusinessAnalyst

Responsibilities:

• Interacted with the product managers and gathered requirements for the business definition.
• Created Functional Requirements Document (FRDs), Functional Specifications Document (FSDs) and Traceability Matrices for application development.
• Conducted JAD sessions with Stakeholders, Project directors and Subject Matter Experts and developed business requirements.
• Prepared business documents like User Requirements Specification, Functional Requirement Specifications Document, System Impact Specifications, Process Flow diagrams Requirement, and Traceability Matrices etc.
• Provided key initiatives in working with users in defining business and system requirements.
• Worked on customizing the claim module ofFACETSfor reprising Nursing home claims.
• Worked onICD-9 to ICD-10conversion inFACETS.
• Data mapping on Enrollment Module (EDI 834) ofFACETS.
• Researched and understood the claims adjudication and reimbursement systems based on HIPAA X12 4010 and 5010 standards
• In depth knowledge of Medicare/Medicaid Claims processes.
• Worked on 837, 835, 276 and 277 Institutional and Professional EDI Gateways.
• Assisted Scrum Master with facilitating sprint planning, daily stand-up meetings, release meetings and other scrum related meetings.
• Facilitated JAD sessions with the management, developers and analysts from all the dependent systems/applications and business users to refine functional requirements and to perform the Impact Analysis.
• Prepared PowerPoint slides to effectively communicate with various stakeholders.
• Created mock up diagrams using MS VISIO and provided the screenshots replicating the changes to the User Interface (UI) as per the requirements. User Interface Requirements were optimized for mobile and touch screen interfaces.
• Worked on MS Visio to design and create Process Flow Charts, Activity diagrams with Swim Lanes, Data Flow Diagrams and Use Case Diagrams.
• Involved in Designing and Development of web applications.
• Contribute on web development team with database construction and organization for IT solution products.
• Experience in Change management and Incident Management.
• Kept a track of all QAT and UAT bugs/defects and helped the testers to resolve the issues and made a report of all the defects which were resolved and which were not using MS EXCEL.
• Facilitated Partner integration testing through triaging and routing the defects on a daily basis.

Confidential, Fairfax, VA

Business Consultant

Responsibilities:

• Gathering and managingBusinessRequirements, Requirement Elicitation and delivering System Requirements by closely working with SME's andBusinessstakeholders.
• Creating BRD using different methods of gathering information like surveying and brainstorming.
• Using Joint Application Design (JAD) to create prototypes for the product.
• Creating uses cases for testing and validating released software.
• Working with The team and understanding the basics and advanced techniques of Scrum and XP.
• Running all routine Scrum ceremonies.
• Creating user stories.
• Analyzingbusinessrequirements and current system behavior and collaborating to create system design specification documents including functional specifications, system use cases, mock-ups, design models,Businessprocess flows, Data flow diagrams.
• Actively implemented in JAD sessions, Conference calls andBusinessInterviews.
• Responsible for documenting Use Cases.
• Prepared test scenarios.
• Coordinated with the users in performing User Acceptance Testing (UAT).

Confidential

Sr. Business Analyst

Responsibilities:

• GatheredBusinessrequirements, Interacted with the stakeholders, Project Manager and SMEs to get a better understanding of theBusinessProcesses.
• Conducted JAD Sessions periodically with various stakeholders at various phases of the Software Development Life Cycle (SDLC) to discuss open issues and resolve them
• Organized requirements into high level use cases and low level Use Cases Specifications and modeled them into UC, Activity and Sequence Diagrams using Rational Rose.
• Created Use Case specifications,businessflow diagrams, Activity/State diagram and Sequence diagram using MS Visio.
• Performed GAP analysis for the modules in production and also conducted feasibility study for the performance impact analysis.
• Responsible for providing documentation to team for troubleshooting and resolving issues reported by system users, facilitating resolutions.
• Created Requirements vs. Test Case Matrix in Excel Spread Sheet template used Test Director to store and maintains the Test Repository.
• Used the Unified Change Management (UCM) tool, Rational Clear Quest, to maintain and track the Stakeholders requested enhancements and changes.
• Conducted User Acceptance Testing (UAT) and collaborated with the QA team to develop the test plans, test scenarios, test cases, test data to be used in testing based onbusinessrequirements, technical specifications and/or product knowledge.
• Facilitate daily scrum, manage burn down chart and assists team in removing sprint issues.
• Presentations on Project Governance, status of the project.

Confidential

Business Analyst

Responsibilities:

• Gathering the requirements from the client and reviewing them as per product specifications.
• Involved in preparing the FRD (Functional Requirement Document).
• Preparing the High Level Project Plan using ms project and tracking the status using libreplan.
• Coordination with the clients on clarification of the requirements and change requests.
• Reviewing the deliverable and ensuring the quality.
• Assisting project manager in day to day duties of project's administration.
• Single point of contact between various teams/operations and client.
• Addressing the tickets in ticketing tool (Mantis), ensuring to close them on time.
• Used Trello - Question tracker for the smooth flow of the project.
• Managing team activities and assigning the tasks.
• Provide Google Analytics reporting and SEO analysis to the customer.
• Manages and resolves any quality issues post production.
• Supported the delivery team in creating web solution design documents which included 3rd party systems integrations i.e. Payment gateway, Inventory Management system, Order Management system, Shipping & Tracking, Single Sign On, and Customer Loyalty System.