SUMMARY

• Over 10+ years of professional experience as a Sr. Business System Analyst with excellent understanding, analyzing, and documenting Business Requirements, Functional Specifications, Business Process Flow, Business Process Mapping, and Modeling.
• Experience as Business System Analyst with expertise in Healthcare Insurance processes, Business Process Engineering, Systems/ Solutions Engineering, Strategic Planning, and Systems Analysis.
• Extensive experience in analyzing and requirements gathering and writing system functional specifications.
• Around 6+ years of IT experience in design, development, analysis, implementation and testing of Client Server, Web Applications using Java/J2EE Technologies.
• Expertise in Software Development Life Cycle (SDLC) that includes Requirements Analysis, Design, Coding, Testing, Implementation and Maintenance along with methodologies like Object Oriented Analysis and Design (OOAD).
• Experience in design and development of J2EE applications using Core Java, Java collection, JDBC, Servlets, JSP, Enterprise Java Beans, XML, Java Beans, Struts, J - Query.
• Experience in Object Oriented Design, Analysis and Modelling using UML/RUP/Rational Rose/Rational Software Architect (RSA).
• Expert level Skills in Core-Java, Springs Frame Work, EJB, Servlets, JDBC, JNDI, JMS, Struts Framework JSF Framework, WSBCC Framework, Maven, SQL, Hibernate, Unix and Windows Platform.
• Experience in implementing Service Oriented Architecture (SOA) using Web Services (SOAP, WSDL, Restful, JAX-WS)
• Excellent with Wellness Management, Medicare Management, Care Management and Disease Management Programs.
• Successfully, implemented system development for Provider Insurance company’s Wellness Management and Disease Management System.
• Experience with multiple databases like MS SQL, DB2, My SQL and experience in PL/SQL statements and stored procedures.
• Experience in various open source frameworks like Struts2.0/1.2, and ORM Technology like Hibernate 3.0.
• Experience in client-side Technologies such as HTML, DHTML, CSS and JavaScript.
• Strong experience of developing data models using Hibernate POJO's and configuring Hibernate persistence layer.
• Experience using Hibernate for mapping Java classes with database and using Hibernate query language (HQL).
• Experienced in deploying applications on Web Logic, Apache Tomcat, IBM WebSphere application servers.
• Extensively used Relational database systems like Oracle and MySQL.
• Good at using XML, AJAX and various JavaScript based technologies compatible with Web 2.0.
• Strong understanding and hands-on on using a relation database management system (RDBMS)
• Extensive experience with Medicare/Medicaid processing as well as the Claims/Billing
• Strong knowledge of Healthcare industry including HIPAA with emphasis on Business Requirements and Functional Requirements.
• Experience in Medicaid Management Information System (MMIS). Expertise in various subsystems of MMIS- Claims, Provider, Recipient, Procedure Drug and Diagnosis (PDD), Explanation of Benefits (EOB).
• Knowledge and vast experience of BABOK.
• Good knowledge of Health Insurance Plans (Medicare Part A, B, C and D), managed care concepts (Medicaid and Medicare) and experienced in determining the membership eligibility, billing experience within life and disability in health plans with a thorough understanding of CPT coding, CMS-1500 claim forms and reimbursement forms.
• Extensive experience in documentation of business requirements and system functional specifications, including BRD, FRD, and FSD
• Hands on experience with both Open source and Licensed tools like IBM Rational Application Developer (RAD), IBM Web Sphere Studio Application Developer (WSAD)
• Excellent experience working on creating folders, Users and Roles for the different Users to use Share point.
• Experience with Facets Application Groups: Claims Processing, Guided Benefit Configuration, Medical Plan, Provider, Subscriber/Member, Utilization Management.
• Excellent knowledge of HIPAA standards, EDI (Electronic data interchange) Transaction syntax like ANSI X12, Implementation and Knowledge of HIPAA 5010 code sets, ICD-9, ICD 10 coding and HL7.
• Experience in Developing Reports using Crystal Reports in .Net and the viewing of ASP.Net Web Pages.
• Hard working, positive thinking, self-starter with a strong goal orientation
• Excellent meeting facilitator with excellent interpersonal and conflict resolution skills.
• Involved in meeting with Clinical Users and Clearing Houses to determine the format of the ICD 10CPT codes.

TECHNICAL SKILLS

• OOAD (OOA/OOD)
• RUP
• UML
• SDLC
• Waterfall
• QA
• WAP
• Confidential
• TEAMMATE
• MS Access
• SQL Server
• MySQL
• PL/SQL
• SQL
• Oracle DBA
• Windows 98/2000/XP basic UNIX
• IBM’s Rational Rose
• HTML basic DHTML basic XML
• MS Office Suite-Excel Macros
• JAVA
• JavaScript
• Project iRise
• .Net
• Visio
• Adobe Photoshop
• Flash
• Rational- Rational Rose
• Rational XDE
• EMR
• Mercury Test Director
• DOORS
• Business Process Modeler
• Axway Gateway interchange 5.7
• RequisitePro
• Analyst Studio
• CaliberRM
• Crystal Reports
• Business Objects
• Microstrategy various NIKU products
• C
• C++
• SharePoint
• Docushare
• BASIC
• Intermediate level-Visual Basic.

PROFESSIONAL EXPERIENCE

Confidential, Trenton, NJ

Sr. Business System Analyst

Responsibilities:

• My prime responsibility of this program is to be the main resource in between the New Jersey State, USDA and Implementation partner to facilitate the different JAD (Joint Application Development) sessions and lead the whole system development and Implementation process.
• Delivered the knowledge of the WIC program as a subject matter expert for the State of New Jersey to successful implementation of the WOW system.
• Conducted several meetings with the State prime WIC resources and subject matter experts from the North Highland to capture the requirements related to different modules of the WIC program.
• Researched on the USDA guidelines for the Nutrition, Food packages design and development to serve the NJ State WIC beneficiaries in a good manner.
• Participated in the Statewide Pre UAT super users Training for the Clinic and Nutrition modules.
• Trained the super users of the WIC Program at the State, Local Agency and Clinic levels.
• Paid a visit to the different NJ WIC clinics as well as Local Agency sites to see the program operation and understand the WIC business.
• Documented BRD (Business Requirements Documents), System User manuals, System Technical Manuals, System Report Manuals and System Training manuals for the newly developed WOW system.
• In an Agile framework attended and facilitated Defect review sessions with the State, North Highland and KPMG resources.
• Addressed the prime concerning issues related to Data Conversion in between the Legacy system and Transferred system.
• Conducted Training meetings with the State, North Highland and KPMG resources to develop the Statewide Training plan and Agency Training Roll out schedule.
• Attended and facilitated biweekly Project Status calls to the State, North Highland and KPMG resources.
• Participated in a monthly steering committee meeting with the different teams and the leadership team in the WIC program for the State of New Jersey.
• Followed and implemented the agile practice framework for the WOW project throughout the system development phase.

Environment: EDI ANSI X12/HIPAA, MEDISTAT, Rational Requisite Pro, Microsoft SharePoint 2013, MERCATOR, Axway Gateway interchange 5.7, XML, MS OFFICE, MS PROJECT, MS Visio, RATIONAL ROSE, TESTDIRECTOR, PL/SQL, DB2, TOAD, Cobol, IBM Web Sphere, WINDOWS NT/XP.

Confidential, Florham Park, NJ

Sr. Business System Analyst

Responsibilities:

• Attend all weekly and biweekly Responsive PDP Page Redesign business as well as IT meetings with the different stakeholders.
• Provide status update reports on requirement gathering process related to Responsive PDP Page Redesign.
• To understand, gather, detail and documented business as well as functional requirements related to Responsive PDP Page Redesign.
• Involved in preparing Design Documents.
• Involved in the process of integration and installation of new releases.
• Developed and maintain Java code required for the web application.
• Involved in the process of evaluating procedures and processes.
• Developed JSPs and implement custom tags and HTML code.
• Provided database support by coding utilities.
• Maintained application security by monitoring compliance to standards.
• Performed validations by using Restful Web Services with JAX-RS.
• Used AngularJS to develop the project on mobile.
• Added AJAX calls using JQuery.
• Used Eclipse IDE for code development along with SVN for managing the code.
• Wrote Code to interact with back-end JAVA, AJAX, JSON.
• Designed the front-end using HTML, CSS, JSP and JavaScript.
• Deployed applications on Oracle WebLogic AS.
• To prepare BRD (Business Requirements Document), FRD (Functional Requirements Document), WSRD (Web Service requirements document), and RTM (Requirements Traceability Matrix) for the Responsive PDP Page Redesign.
• Defined User roles, Authorization, and Tasks for the newly build Share point Database management system.
• Prepared Use cases and process flows for the newly build Share point system.
• Capture the functional requirements to develop new Share point Database management system.
• Acquired high level business requirements as well as draft functional requirements for the Tele Health system designed in Pharmacy delivery project of Confidential .
• Designed process flow diagrams for the Tele- Health systems.
• As a Scrum Master performed several duties in an agile environment.
• Conducted Stand up meetings with the Project team on a daily basis, and discussed the Agendas for the day.
• Created Sprint planning and prioritize sprint development process.
• Provided the status update meeting reports to the senior management and presented the project progress verses project timeline.
• To Establish online safe and secure communities across the Confidential Health different stakeholders, business Partners, vendors, customers and to the regulatory bodies captured requirements to configure Axway Gateway interchange 5.7.
• Created a prototype for the technical dashboard delivery and into B2B transmission and service levels.
• Captured the functional requirements for advanced KPI and SLA Monitoring.
• Worked on MS- SharePoint to manage the document repository.
• Created folders, Users and Roles for the different Users to use Share point.
• To get sign off and final approvals on different artifacts created for the Responsive PDP Page Redesign.
• To organize meetings with the different vendors of Confidential like Monette, web collage, Bazaar voice, Motion point and keynote to capture the third party requirements for the Responsive PDP Page Redesign.
• To work with the developers, UX and UI teams to revalidate the functional requirements for the Responsive PDP Page Redesign.
• To understand the functionalities and benefits provided by the Responsive Redesign to give a demo to the business.
• Captured requirements related to SKU groupings, swatch images, Product Id, SKU Id, PDP page as well PLP page.
• Identified new list of properties and their names for the SKU groupings with the help of business and ATG architect.
• Extracted all the Metadata related information from the existing system using PL/SQL.
• Created Tables, Joint and prepared report Format using PL/SQL.
• Used different types of reporting as well as ETL tool like Cognos and Informitaca in order to understand and extract actual Meta Data fields for MDM (Master Data Management system)
• Developed prototypes and design documents for the Responsive PDP page Redesign.
• Organized daily meetings with the different stakeholders in the requirements gathering process.
• Worked with the developers and Quality Analyst to make sure the articulated requirements are captured properly in the Responsive design.
• Created screen-mock-ups using Eris to review the requirements and provide feedback on the design screen. Also, used Microsoft Paint to create ad-hoc screen mock-up to review with the users.

Environment: Angular JS, JAVA, EDI ANSI X12/HIPAA, Axway Gateway Interchange 5.7, PL/SQL, MEDISTAT, MS-SharePoint 2013, Rational Requisite Pro, Agile- SCRUM, MERCATOR, XML, MS OFFICE, MS PROJECT, MS Visio, RATIONAL ROSE, TESTDIRECTOR, DB2, TOAD, Cobol, IBM Web Sphere, WINDOWS NT/XP.

Confidential

Sr. Business System Analyst

Responsibilities:

• Attend weekly meetings and calls with the Confidential and Human Services of Louisiana.
• Assist the project manager in identifying requirements, project scope and project management activities.
• Organizing meetings with different stakeholders, subject matter experts and with the program manager of DHH Louisiana.
• Gathered, detailed and documented business requirements for the TMSIS project of the state of Louisiana.
• Involved in user’s acceptance testing for the TMSIS project.
• Prepared Test cases, Test Scenarios, and Reports for The TMSIS testing to report to the CMS.
• Prepared the sequence and class diagrams
• Designed Database schema in Oracle and normalized them.
• Developed Workflows for the Wellness Management and Disease Management System Processes for the client.
• Captured High Level Business Requirements and Functional Requirements for the Wellness Management and Disease Management System Implementation.
• By consulting the SME’s of the client, Identified end to end processes of the Disease Management System.
• Maintained database performance by identifying and resolving production problems.
• Integrated and installed new releases.
• Maintained application security by monitoring compliance to standards.
• Prepared Functional Design and Technical Design Documents and Developed stateless session EJBs for encapsulating the business logic
• Worked extensively in a multithreading environment
• Designed and developed the application using design patterns such as Singleton worked extensively with collections, including implementing the use of maps, keys, sets, and linked lists.
• Developed Ant scripts for the build and deployment of application in different environments
• Involved in writing JUnit test cases for test driven development.
• Coordinated JRP (Joint Requirements Planning) and JAD (Joint Application Development) sessions with different stakeholders for the TMSIS project.
• Designed to work flows and prototypes integrate the SharePoint system with the TMSIS reporting system.
• Captured detailed Functional requirements to redesign the new SharePoint system.
• Conducted one on one telephonic and face to face interview with the end users (the healthcare professionals) of the doctor-centric portal to research their areas of interest so as to be able to identify key challenges, define project scope deliverables and ultimately developing the application features for their benefit.
• Gathered requirements related new Data base management system using SQL.
• Designed Prototypes of Report formats and identified Metadata for the MDM Systems using SQL queries.
• Successfully defined and implemented Project Management processes and procedures based on BABOK and PMBOK for multiple groups.

Environment: EDI ANSI X12/HIPAA, MEDISTAT, Rational Requisite Pro, Microsoft SharePoint 2013, MERCATOR, Axway Gateway interchange 5.7, XML, MS OFFICE, MS PROJECT, MS Visio, RATIONAL ROSE, TESTDIRECTOR, PL/SQL, DB2, TOAD, Cobol, IBM Web Sphere, WINDOWS NT/XP.