SUMMARY

• Experienced professional with hands on experience of working in State Government/ Healthcare / Insurance/ Retail / Telecommunications /Finance / Entertainment domains
• Successfully managed projects with Agile/Waterfall models
• Estimated, analyzed, established reports and decision - making for change requests
• Excellent communication skills and proper coordination between globally located teams
• Defined business processes, requirements, governance model and identified dependencies & risks utilizing gap analysis to deliver baseline acceptance criteria and goals
• Partnered with Business colleagues and data owners for detailed data analysis
• Provided analytical support to key business applications /solutions
• Excellent verbal and written skills, especially with regards to presenting findings to both technical and non-technical audiences
• Liaison between business and development team for requirements and QA
• Collaborated with all stakeholders to deliver a quality product within time and budget

TECHNICAL SKILLS

• SQL Server
• MS Office Suite
• Word
• Excel
• PowerPoint
• Visio
• JIRA
• MS Project
• Access
• Balsamiq
• .Net
• Visual Studio
• Informatica

PROFESSIONAL EXPERIENCE

Business Systems Analyst

Confidential, Chesterfield, MO

Responsibilities:

• Business Systems Analyst for EDI Production Support Team
• Perform data quality analysis, document and maintain source to target mapping
• Perform Data extracts, assessments from various platforms such as Teradata, Oracle etc.,
• Defined and maintain Data Quality Controls based on data profiling results
• Define and communicate business rules and terms governing use of the data including security and data life cycle management
• Health Insurance Portability and Accountability Act (HIPAA) Regulatory Standards compliance.
• Work with our Data Quality IT Partners for Dashboard monitoring
• Using SQL Developer, Toad, etc ., as Data extracting tools
• Responsible for identifying the need, defining and implementing improvements in the methods, standards and processes to better enable working teams and constructing enterprise applications.
• Responsible for tracking rejected claim files and analyzing them to understand the reason for rejection. Interacting with submitters to provide the reasons for the rejection and getting them resubmitted so claims can be processed
• Responsible for 837 implementation process during Healthnet Integration
• Drive definition of improvements based on business needs and architectural improvements
• Responsible for build, test, root cause analysis, and complex performance tuning
• Consult with users to identify current operating procedures and to clarify program objectives
• Responsible for documentation to describe program development, logic, coding, and corrections.
• Responsible for documenting manuals for users to describe installation and operating procedures
• Working with 837p, 837I formats; ICD9, CPT and HCPCS codes; 835 electronic remits; 834 and demographics; electronic COB; Amisys Database.

Environment: JIRA, MS Office Suite, Edifecs, Tibco, Amisys Db, Confluence, SharePoint, SQL, Toad

Scrum Master / Agile Product Owner

Confidential, Tulsa, OK

Responsibilities:

• Led projects of moderate to high complexity by working with business partners within multiple business functions to align technology solutions with business strategies; eliciting, documenting, and refining business requirements for the IT organization.
• Served as a liaison across multiple facets of the business community and the IT organization in order to provide technical solutions to meet user needs.
• Worked with Business to create Provider screen wireframes
• Leveraged an informed knowledge of business areas to identify and/or resolve problems on an ongoing basis.
• Worked with Business to gather requirements and define User Stories and acceptance criteria.
• Gathered requirements for a web service API (Cloud foundry) that will help maintain compliance with Government Audit Program.
• Health Insurance Portability and Accountability Act (HIPAA) Regulatory Standards compliance.
• SME for Provider demographics including types, specialties, practice locations, network configuration, etc.
• Coached the scrum team to become a self-organized, cross-functional and highly efficient team that delivers high-quality products.
• Facilitated Scrum events such as backlog creation/grooming, prioritization, stand up meetings, estimation, showcase and retrospectives.
• Collaborated with other Product Manager to plan roadmap execution based on estimates and capacity; also identify risks to the plan.
• Research and develop, Prototype and document new screen design
• Identify and ensure implementation of the best approaches for tracking and resolving Data quality issues
• Partner with business colleagues and data owners to identify, understand and define critical data elements, write complex queries to extract and analyze enterprise data
• Clarified deliverables and assignments to the scrum team and remove impediments.
• Published the teams agile metrics to management and stakeholders.
• Coached and mentored the scrum team in its scrum adoption.
• Facilitated the documentation of working agreement, definition of ready and definition of done for the scrum team.
• Conducted change management, engaged other Product Owners, Portfolio Leads, and PMs to fulfill their individual roles.
• Participated and Lead scrum adoption practices across the organization and related Community of Practices.

Environment: MS Office Suite (Word, Excel, PowerPoint, Visio), MS Project, Access, Lotus Notes, Angular Java, Azure, Salesforce, Jira, Cloud Foundry

Associate /Senior Business Analyst / ScrumMaster

Confidential, Bentonville, AR

Responsibilities:

• Collaborated effectively with all stakeholders during Program Increment (PI) planning meetings and break-out sessions to determine the work scope for the next 90-days.
• Decomposed high-level business and user requirements into epics/user stories suitable for scrum team development.
• Successfully managed the product backlog (grooming and prioritization) and working with the development team(s).
• Executed on product roadmap deliverables, release planning, and launching 20+ software solutions successfully.
• Identified and analyzed project costs to establish project return on investment (ROI), total cost of ownership (TCO), and financial benefits estimate; ensuring business customer compliance with regulations / laws governing the business.
• Used Balsamiq to wireframe the Pick Up today ecommerce screens and the Central DC screens.
• Lead or participated in multiple projects by: completing and updating project documentation; managing project scope; adjusting schedules when necessary; determining daily priorities; ensuring efficient and on-time delivery of project tasks and milestones; following proper escalation paths; and, managing Customer and supplier relationships.
• Ensured requirement estimations were complete, requirements management plan was established and implemented, and all tasks were tracked throughout the project; ensuring the focus was on quality, timeliness, and complete and testable requirements that aligned with the roadmap, business strategy, and scope of assigned project; and guiding and advising the project management methodology used (for example, Agile, Waterfall, Iterative).
• Partnered with stakeholders to develop requirements and scorecards for the Contract management system used to manage MSA, SOWs and CRs and work with VMO & GSO teams. SLAs monitoring, tracking and reporting.
• Client relation management with timely status reporting (weekly, monthly, quarterly), satisfaction reviews (VOC), approval process, process improvements to aid in effective deliveries.
• Facilitated SCRUM ceremonies (grooming, sprint planning, retrospectives, daily stand-ups, etc.).
• Enacted change and continuous improvement increasing the productivity of Scrum teams by 16% and the quality of deliverables by 22%.
• Managed the lifecycle of code development, from ideation to sprints to deployment.
• Communicated with other management, engineers, product managers and support specialists on product issues. Tracked and communicated team velocity and sprint/release progress.
• Worked directly with all levels of the Business/Business leadership and Information Technology management to understand business problems and communicate insights/solutions. Translated data and complex ideas into meaningful and actionable insights that told a “business story.”
• Engaged in quantitative analysis on many non-standard and unique business problems using computer-intensive data mining techniques (decision trees, cluster analysis, etc.).
• Provided deep and sophisticated analytic capabilities (including gap analysis) to support business problems by understanding business challenges; collecting, cleaning, transforming, and restructuring data for statistical analysis; performing statistical summaries and tests for relevant business questions.
• Used SQL to query Cloud databases, Relational DB, Excel spreadsheet, etc., for data sets to generate graph types and analysis in Tableau to help leadership visualize digital data.
• Managed and resolved queries, escalations, conflicts and issues between onsite and offshore teams to ensure delivery as committed.
• Collaborated with various Business partners, 3rd party vendors & functional teams including the Project, Tech Services, QA and Operations teams.

Environment: SQL Server, MS Office Suite (Word, Excel, PowerPoint, Visio), JIRA, MS Project, Access, Balsamiq, .Net, Visual Studio, Informatica

Consultant Business Analyst

Confidential

Responsibilities:

• Performed feasibility analysis and determined cost benefit ratio related to each recognized alternative project development option. Created detailed business cases and presented to management for approval. Following approval from Management, proceeded with creation of Project initiation documents such as Project Charter, Business Requirements and Technical requirements.
• Performed environmental analysis, problem analysis pertaining to the user request. Researched and determined alternative options available to perform the tasks related to the project. Prioritized the options based on cost effectiveness and efficiency.
• Gathered requirements and created use cases / user stories and prepared Swim-lane diagrams to depict business work flow relevant to the project, including both current workflow as well as future business structure for all identified project approach options.
• Helped monitor projects assigned so that the projects are within triple constraints, cost, time and quality; determined start and end dates of project tasks and project milestones.
• Actively participated in project status meetings. Responsible for maintaining project status notes, updates in PMO SharePoint site.
• Identified project issues, risk factors and presented to management.
• Provided guidance to other Business Analysts working on various projects, when required.
• Documented Lessons Learned and archived for future reference and formally closed the project.
• Served as Administrator for Project SharePoint sites and QC Workspace
• Responsible for GAP Analysis, Screen Designs creation, Application prototyping and story boarding.

Environment: SQL Server, MS Office Suite (Word, Excel, PowerPoint, Visio), MS Project, Access

Consultant Analyst

Confidential, St. Louis, MO

Responsibilities:

• Analyzed, defined and designed the system requirements (BRD/ SRD/ SRS/ TR) for Electronic Health Records Application.
• Defined test scenarios to regression test the web application.
• Gathered requirements for the Rapid Application Development (RAD) that utilized SOA and EIS software for the web and client application.
• Health Insurance Portability and Accountability Act (HIPAA) Regulatory Standards compliance.
• Analyzed and audited 835 transaction reports.
• Generated SQL queries, created context and workflow models, information and business rule models, use Confidential and object models, created and maintained Gantt chart for project analysis.
• Designed and created GUI for the Electronic Health Record.
• Regularly monitored and reported project status for review of upper management.
• Utilized ISACA Control Objectives for Information and related Technology (COBIT) and International Standards Organization (ISO) 17799 Industry Standards.
• Facilitated the utilization of the clinical data management relative to 21 CFR Part 11.
• Analyzed moderately complex application systems issues and provided technical solutions.
• Validated moderately complex requirements, including functional validation and traceability and consensus building.
• Analyzed and tested each component/phase of the systems development life cycle including the project requirements, design and programs. Developed moderately complex test strategies.
• Executed moderately complex tests according to established plans and scripts, documents and communicated results. Collaborated with developers and end users to determine appropriate solutions. Retested corrections to ensure problems were resolved.
• Developed, implemented and maintained test data files with valid and invalid records to thoroughly test program logic and verify system flow.
• Performed moderately complex activities related to User-Centered Design Analysis including the following: Conceptual Design, including UCD and end-to-end experience design; Interaction Design, including Information architecture and workflow analysis; Visual Design, including page design and rapid prototyping.
• Performed moderately complex user research and validation, including usability testing and contextual inquiry/analysis.

Environment: SQL, MS Office Suite (Word, Excel, PowerPoint, Visio), MS Project, Access

Consultant Analyst

Confidential, Edison, NJ

Responsibilities:

• Analyzed, defined and designed the business and system requirements for the New Business domain.
• Responsible for maintaining compliance with the Health Insurance Portability and Accountability Act (HIPAA).
• Developed requirements that were clearly tied to a measurable ROI for the P&C Division.
• Developed and maintained over 186 reports and data-marts.
• Worked on Commercial Lines and Personal Lines initiatives.
• Developed a process to cut report generation and analysis by 80%.
• Developed and implemented a performance measurement tool that was utilized for all internal performance reviews. Instead of purchasing an external tool, an Excel based application was built which resulted in a savings of over $150,000.
• Took lead ownership on the development of a centralized SharePoint site for use across the Enterprise; began training and work as a SharePoint Administrator; effectively trained internal users on the use of SharePoint.
• Gathered new processes and listed a summary of all new reports that needed to be produced.
• Interviewed Subject Matter Experts (SMEs) and developed detailed use cases for functionality and process flow.
• Created “test to break” approach on testing initiatives and clarified ambiguous requirement to ensure the effectiveness of all test plans.

Environment: SQL, Access, MS Office Suite (Word, Excel, PowerPoint, Visio)