SUMMARY

• Business Analyst with over 8 years of experience in eliciting requirements, operations management, system conversions, software development, process re - engineering, customer relations, conducting JAD sessions and User Interviews in diverse business domains of Pharmaceutical, Healthcare and Insurance in order to contribute to the growth of the organization and for my personal development.
• Comprehensive understanding of HIPAA Standards (4010 & 5010) and Compliance issues, Medicare, Medicaid, ICD9, ICD10, Enrollment and claim adjudication process.
• Experience with full Business Requirement Gathering, Gap Analysis, Business Process Management Life Cycle and Software Development Lifecycles (SDLC) utilizing various methodologies like Rational Unified Process (RUP), AGILE, Waterfall.
• Experience in Object Oriented Analysis.
• Performed business impact analysis, risk analysis and SWOT analysis of proposed projects, processes and GAP analysis for new functionality requirements, as well as prioritizing them based on actual business needs so as to align them with the project roadmap.
• Facilitated Joint Application Design (JAD) sessions with developers and business units (Business Sponsors/ Various Stakeholders, end users), brain storming sessions and technical review meetings with excellent conflict resolution skills.
• Extensive experience in documentation of business requirements, functional requirements and system functional specifications based on user requirements.
• Proficient in creating UML diagrams for Business Process Modeling: Use Case, Activity Diagrams, Sequence, Data Flow, Flow Charts.
• Prepared User Interface Document (UID) and wireframes to help design user interfaces.
• Created and maintained Requirements Traceability Matrix (RTM) to trace technical requirements to their business requirements and the test case requirements to their functional requirements.
• Experience in Change control and Change Management.
• Conducted specification reviews and walkthroughs with the designers, developers and QA team.
• Expertise in developing Test Plan, Test Conditions, and Test Cases; ensuring adequate testing of software both before and after completion; Reviewing Test Case document.
• Monitored defect lifecycle to ensure that the quality of the system meets the industry standards and business user’s requirements.
• Designed the UAT test plans, schedules and handled the entire responsibility for UAT testing
• Actively participated in Post Production Validation (PPV) and production support.
• Created User manual for training.
• Excellent Interpersonal and Communication Skills.

TECHNICAL SKILLS

Project Methodologies: Agile, Waterfall, Rational Unified Process (RUP)

Database: Oracle, MS SQL Server, MySQL

Operating Systems: Windows 2000/XP/VISTA/7/8.

Programming Language: JAVA, HTML, .NET, XML, SQL

Requirement Gathering Tool: Rational Rose, Sybase PowerDesigner

Business Modeling Tools: MS Visio, Rational Rose, Sybase PowerDesigner, SmartDraw

Mockup Tool: Snagit, JustInMind, Axure, Wink

Defect Tracking Tool: Silk Central, JIRA

Documentation Tools: MS Office Suite (Word, Excel, PowerPoint, Access, Outlook) & Adobe

Statistical Analysis tool: Statistical Analysis Software (SAS)

PROFESSIONAL EXPERIENCE

Confidential, Atlanta, GA

Systems Analyst

Responsibilities:

• Conducted detailed and comprehensive analysis by working with end users/application consumers and other stake holders to identify the system, operational requirements and proposed enhancements.
• Worked along-side and supported the PM on several initiatives including Security Assessments, Business Impact Analysis and developing effective recommendations.
• Developed System Requirement Specifications encompassing Functional and Non Functional requirements.
• Developed High Level Design (HLD) document consisting the high level architecture depicting the components, interface details, connectivity details with overview of the entire flow.
• Worked closely with IT team to verify that business needs are fulfilled and deliverables are met within stipulated time.
• Served as the primary contact for developers and other team members for functional/technical requirement specifications throughout the project cycle.
• Prepared Backend System documents, System Use Case documents and conducted API Naming Request meetings.
• Reviewed the Test Plan, test scope, strategy and objectives, schedules, deliverables and resource responsibilities for SIT and performance testing.

Environment: RUP/Agile Methodology, Requisite Pro, Rally Dev, HTML, Microsoft SharePoint, MS-Visio, MS-Project, Rational Test Suite, XML, DB2, MS Windows 7.

Confidential,Tampa, FL

Business Analyst

Responsibilities:

• Conducted extensive brainstorming sessions with customers, claims specialists, claim adjudicators, providers to understand prior authorization system and conducted focus group sessions with claim agents and examiners, claim adjudicators and other SMEs to identify those functionalities that would maximize the efficiency of the process.
• Collected ideas from end user’s perspective and recommend such functionalities to business owners upon doing a technical feasibility.
• Responsible for documenting Meeting Minutes of the weekly meetings and distributing to PM and other team members.
• Prepared detailed Business Requirement Documents (BRDs) and Functional Requirement Documents (FRDs) to capture the essential functionalities for the Authorization System.
• Created and maintained Requirements Traceability Matrix (RTM) to manage requirements and performed Impact Analysis when request for change (RFC) arrived. Escalated the results of the analysis to the Change Control Board (CCB).
• Designed wireframes of the web interfaces that would be used by the internal and external users to load, handle and examine request for prior authorization and authorization status, using tools like Microsoft Visio and Snagit.
• Conducted KT Session to understand and communicate the claim processing method to be employed under the new system to the entire development and testing team.
• Assisted testers in developing a variety of possible test scenarios and cases to ensure that the system being built is resilient
• Tracked open issues and documented progress reports on weekly basis.
• Monitored bugs in the system using tools like Silk Central to ensure that the quality of the functionalities meets the industry standards and business user’s requirements.
• Coordinated and Monitored User Acceptance Testing (UAT) with the business user and interfaced with the development and test team with regards to defect status and fixes on a regular basis.
• Performed Post Production Validation and actively participated in production call support whenever necessary.
• Helped in preparing user-friendly documents like user manuals and system guides; provided training to user community as and when necessary.

Environment: RUP methodology, Sybase Power Designer, Microsoft Office Suite, MS Visio, Snagit, JIRA, Microsoft SharePoint, Microsoft Project, Sybase, .NET.

Confidential, Alpharetta, GA

Business Analyst

Responsibilities:

• Thoroughly studied the inherent systems to have a clear understanding of the business processes and associated system workflow.
• Conducted Gap analysis to understand new business model and additional functionalities to be incorporated into the new application.
• Acted as an interface between Project Managers, Subject Matter Expert’s (SMEs), Developers and QA Team on requirement gathering and change requests for current state legacy application to the future state application
• Excellent skills in performing Gap Analysis and SWOT Analysis.
• Conducted JAD sessions to allow different stakeholders to communicate their perspectives with each other, resolve any issues, and come to agreement terms.
• Interacted with technical Architects to identify and analyze the given information, procedures and decision flows and evaluated existing procedures.
• Worked as a Joint Application Design (JAD) facilitator and meetings coordinator/moderator with excellent interpersonal and conflict resolution skills
• Worked as a team with Developers and Process Analysts in preparing the requirements, writing workflows, process flows, and Interacted with system developers to resolve questions and discrepancies in BRD.
• Involved in gathering and synthesizing business requirements and translated them into functional and non-functional requirements to be used as input to the functional design specifications.
• Used OOA approach to capture entities and their attributes to document them into BRD’s and FRD’s.
• Prepared and maintained Requirements Traceability Matrix (RTM).
• Prepared use cases, use case scenarios and elaborated them using UML diagrams, Data Flow Diagrams, Business Process and Data Process Model using MS Visio and Sybase Power Designer.
• Experience in sorting, counting or averaging data stored in one table or spreadsheet using SQL
• Written and called Stored Procedures for data analysis and data mapping.
• Facilitated KT session for reviewing functional and design specifications to ensure full understanding and identify critical testing requirements from specifications.
• Conducted UAT to make sure that all the user requirements were catered to by the application.
• Facilitate test plan reviews with cross-functional team members, facilitate discussions on defects identified, report and track all defects, and verify fixes in UAT.
• Utilized HP Quality Center tool for bug-tracking and defect management.
• Have been extensively involved in formulating Root Cause Analysis (RCA) of each of the UAT Defects by using various techniques like Fish-bone and Pareto Analysis.
• Actively participated in Status Reporting meetings and Defect Triage calls to verify bug fixes and discuss on any technical issues.

Environment: RUP Methodology, PowerDesigner, SmarDraw, HP ApplicationLifecycleManagement, COGNOS, MS Word, MS Excel, MS Visio, MS Project, SQL, MS Access, MS Windows XP

Confidential, Waltham, MA

Business Analyst

Responsibilities:

• Conducted brainstorming sessions to get data from all our Primary Vendors/ Clients, Trading Partners, Direct Submitters and create a DataWarehouse/ Repository.
• Conducted interview sessions with users and different levels of management so as gain insight on insurance system and EHR/EMR data repository to extract requirements to understand the functional specifications of the AS IS system.
• Did the GAP and IMPACT analysis to design the TO BE system with Master database.
• Assisted the business customer in articulating the vision for the project; both current and future needs, that can be easily communicated to the IT team
• Proactively identified areas of need by interviewing, asking questions, probing Confidential potential gaps in the requirements.
• Designed a high level spec documents to show various paths that need to be taken into consideration for the transformation phase of 4010 to 5010
• Extensively worked on ICD9.
• Ensured traceability of all deliverables back to the Scope.
• In liaison with team for all HIPPA compliances.
• Analyzed the current set of reports, related processes and identified all relevant data elements.
• Mapped data elements along with the associated business rules in the requirement's template using Use-case and Use-case diagrams.
• Responsible for developing point of concepts using Axure Mock up tool.
• Established and followed sign-off procedures from business customers / Subject Matter Experts (SMEs) on the requirements.
• Maintained requirements and testing documents throughout the project life cycle
• Created Prototypes forms in MS PowerPoint for better visualization and understanding of the software solution.
• Facilitated KT Session carry out the communication and understanding between business and IT staff and between business needs and systems/technology options
• Worked closely with technical staff, e.g., designers and developers, to help determine the best solution balancing business needs and technical aspects
• Participated in the implementation planning activities to identify transition from the current system to the new system, roll out issues, organizational issues, etc.
• Delegated the Provider Communities and Trading Partners to ensure that HIPAA transactions pass the EDI gateway and interpret technical difficulties into simple language.
• Performed smoke test for 270/271 transaction of the HIPAA 5010 version, transactions focused on were 270,271,276,278,834, 835, and 837.
• Insured appropriate change control processes are followed
• Directed/participated in the testing phases including development of test conditions, scenarios, test plans, expected results and Business Acceptance, as appropriate; working with Business Customers, Designers/Developers and end customers to achieve these results.
• Promoted and participated in usability testing
• Reviewed user training materials and procedures for accuracy in reflecting system functionality

Environment: RUP Methodology, Axure, Oracle, Rational Requisite Pro, SilkCentral, XML, Excel, Access, Visio.

Confidential, Franklin Lakes, NJ

Business Analyst

Responsibilities:

• Gathered information from various sources, Subject Matter Experts on Pharmacy Benefit Management, Marketo, salesforce and evaluate them according to the client needs and keeping the communication warm from all the sides.
• Responsible for creating new modules for Client Tiering and key relationship reporting in Salesforce using workflows, approval process, Apex and Visual force pages.
• Created resource plans, RACI matrix, project plan and high level business need document.
• Project implemented using the Rational Unified Process (RUP) Methodology to produce artifacts in the different phases of the Software Development Life Cycle (SDLC).
• Facilitated several JAD sessions with stakeholders to identify requirements and Cost/Schedule estimates.
• Translated statement of work into business and system level requirements following the Rational Unified Process.
• Applied Unified Modeling Language (UML) methodology to design Communication Diagram, Use Case Diagrams, Activity Diagrams, Sequence Diagram and ER diagrams.
• Developed use case document to capture user experience taking into account the business rules.
• Designed the look-n-feel requirements of the application using MS Visio, for better illustration of the application to research team and portfolio managers.
• Created functional specifications for the system enhancements and create lead generation in the system. Trained new team members on Salesforce development tools, standards and methodologies. Created and delivered presentations on our latest products to consultants, sales professionals and customers.
• Tracked and simplified operational processes with Salesforce integration with other IVR applications.
• Led core team meetings involving each team on the project to discuss project health, risks and statuses.
• Conducted Requirement Walkthrough and Coordinated with the development team and helping them understand the requirements.
• Facilitated user acceptance testing and test strategies with developers and testers.
• Worked hand in hand with the business users to perform post production validations from each call-center location after the release.

Environment: RUP Methodology, Salesforce.com, JAVA, Microsoft SharePoint, Loadrunner, Doors, JustInMind, JIRA, SmartDraw, Loadrunner, Windows, Rational Rose, MySQL.