SUMMARY

• 9+ years of experience as a Business/Systems Analyst in Healthcare, Financial and Retail Sector.
• Complete Understanding of Software Development Life Cycle (SDLC), involved in various phases like Requirements Gathering, Analysis/Design, Development and Testing.
• Experience in working in Agile, Scrum and Waterfall methodologies in different projects
• Experience in implementing the Rational Unified Process (RUP) in all four phases of a project: Inception, Elaboration, Construction and Transition.
• Proficient in Rational tools including Rational Rose and Rational Requisite Pro.
• Experience in writing Medicare and Medical requirements as per the Centers for Medicare and Medicaid Services (CMS) guidelines.
• Identify gaps, which require operational change in order to optimize system solutions by GAP analysis.
• Acted as liaison between management and development team for requirements and QA.
• Excellent in Business Process Modeling and Workflow modeling
• Proficient in creating Use Case diagrams, Class diagrams, Sequence Diagrams, Collaboration diagrams, State Transition Diagrams and Activity Diagrams using UML methodology.
• Proficient in creating Project Charters, Storyboards, Scenario documents required for Business Discussions, User Stories, Acceptance Criteria(Given, When, Then)
• Experience in managing requirements from project inception through release.
• Creating use case models, process flows, system flows, data flows in MS Visio.
• Using MS Project for scheduling deadlines, resources, and facilities, Rational ClearQuest for Change Management (CM) and Defect Tracking, Rational ClearCase for configuration & software asset management.
• Good knowledge of basic SQL to access databases like Oracle
• Experience with BlueCross, Medicare, Medicaid, and commercial insurances in HIPAA ANSI X12 formats including 270/271, 276/277, 834, 835, 837, and NSF formats for interfaces and images to third party vendor applications using COBOL, Metafile, Visual Basic, Unix, DOS, Windows, and various other communication packages.
• Experience with Data Mappings including HIPPA ANSI X12 4010A 270/271, 276/277, 834, 835, 837 for institutional, professional, and commercial claims

TECHNICAL SKILLS

Databases: MS Access, Oracle, DB2

Languages: C, C++, SQL, HTML, XML, Java, Cobol, .NET

Reporting Tools: Crystal Reports 8.0

Operating Systems: MS - DOS, Windows95/98/NT/2000/XP, Apple McIntosh, Linux

Software: MS Office Suite(Word, Excel, Access, PowerPoint & Outlook), MS Visio, Rational Rose, Rational Requisite Pro, Adobe Acrobat, MS Office FrontPage, Lotus Notes, HP Quality Center

Performance Testing Tools: Virtual User Generator, Load Runner

Operating Systems: MS-DOS, Windows95/98/NT/2000/XP, Apple McIntosh, Linux

Automation Tools and Standards: Requisite Pro, Win runner, QTP, Test Director, Quality CenterEDI standards, HIPAA Compliance, Medical Claims clearinghouseASC X12 (cross industry standards), ANSI

PROFESSIONAL EXPERIENCE

Confidential, Chicago, IL

ITG Business Analyst

Responsibilities:

• Single point of contact for requirements written for the Membership System
• Conduct requirement gathering meetings with different stakeholders to derive detail requirements for the High Level Scope for the Project
• Work with the End Users of the System including the Customer Associates and Processors to understand their expectation of the changes needed
• Create Storyboards to give a high level picture of the changes required in the different systems to meet the Business Need
• Capture detail requirements in User Story Formats of “Given”, “When” and “Then”
• Capture all Functional, Non Functional, Assumptions, Interfacing/System Dependencies, Business Rules, Out Of Scope Items, and Glossary Items that provide clarity and detail to the Scope of the Project
• Create Screen Mockups to indicate changes to any UI Screens for the project and provide supporting Field Specifications for any addition/Modification of fields to the UI Screens.
• Create any supporting documents needed to provide clarity to the requirements like Scenario Documentation, Process Flows, Data Flows, Gap Analysis Documents, Business Metrics and Volumes Charts
• Create Requirement Traceability between all the deliverables
• Come up with possible solutions to help Business choose the most effective one as per the Business Need
• Work closely with the App Arch and development Teams to understand the technical feasibility of any requirements under discussion
• Identity any changes to the process followed by the end users of the Membership system so that they are captured as updates to the existing procedures that is followed by the End Users for Processing
• Review High Level Design, Low Level Designs prepared by the Solution Architects and Application Architects and provide feedback when necessary
• Review End to End Test Scenarios and Test Cases that involve testing holistically including end to end functionality
• Review UAT and QA Test cases and provide feedback to account for all requirements that has been documented for the project
• Review the test cases written by Load and Performance Teams to indicate the volume of Users and Transactions/Activity that can be performed using the System
• Create Presentations and present the Changes done to the functionality as part of the initiative to various audience including the Business Leadership, Project Sponsors and End Users/Business Users of the Systems impacted by the initiative
• Provided input in meetings related to Scope and Budget Discussions highlighting the Business Need of the Scope in discussion
• Work closely with the Project Manager and Delivery Manager of the Project to keep them updated on the status and progress of the Project.
• Conduct discussions and meetings when necessary to resolve any conflicts in understanding or implementing the requirements at any stage of the Project
• Conduct discussions and meetings when necessary to triage any defects raised for the project with the needed Stakeholders

Environment: MS Office Excel, Word, PowerPoint, MS Project, MS Visio, HP Quality Center, SnagIT, Basic SQL, Application Lifecycle Management

Confidential, Chicago, IL

ITG Business Analyst

Responsibilities:

• Single point of contact for any translation needed by the different workgroups
• Conduct meetings with different workgroups to help derive the Code Group Intent/Code Intent by understanding their need for the translation which is used by the Medical Coders to do the translation accurately
• Coordinate with the Medical Coders who provide Code Group translation services to all workgroups and medical policy.
• Reviewed and maintained the BRM (Business Rule Mining) Form that was used to document the ICD9 and ICD10 Code Translation requested by the different Work Groups and delivered by the Medical Coders.
• Coordinate with the development team to load and document any translation that was done and approved by the Medical Coders and the Workgroups
• Performing Change Management process for all the code translation documented into the CRAA tool
• Support Pilot Testing by providing code translation rationale
• Assist in the creation of Learning and Development modules

Environment: MS Office Excel, Word, PowerPoint, MS Project, MS Visio, HP Quality Center

Confidential, Bloomington, IL

Business Systems Analyst

Responsibilities:

• Responsible for Gathering Requirements to produce Business and Functional Requirements.
• Participated in Primary and Secondary Research to determine User Requirements and Goals and converting them into Business and Functional Requirements.
• Participated in meetings with the management team, and the SME.
• Conducted Requirement analysis and Design Walkthroughs with the designers, developers and management staff.
• Followed the UML based methods using MS Visio to create Business flow diagrams, Use Case diagrams, Activity diagrams, State diagrams, Sequence, and Collaboration Diagrams.
• Facilitated Joint Application Development (JAD) and Rapid Application Development (RAD) Sessions for communicating and managing expectations.
• Communicated Project Requirements, Business Issues, Solution and made recommendation.
• As a liaison between the developers and management, was instrumental in resolving conflicts between stakeholders and technical development teams.
• Produced System Diagrams, Business Requirements, Report Specifications, Workflows and other documentations as required for Project Analysis, Planning and Design.
• Established a business analysis methodology around the RUP (Rational Unified Process).
• Utilized RUP to configure and develop processes, standards, and procedures, to provide technical leadership and expertise in reorganization of a complex End-to-End Testing effort, and to perform system analysis and organizational review of existing QA processes.
• Prepared and Reviewed Business Requirement Documents and the Technical Specifications using Rational Requisite Pro.
• Developed Test Plans, Test Cases, and Expected Results, and coordinated the tests with the QA team to verify implementation of new features and enhancements.
• Worked with the technical and business staff to produce Test Scripts, Configuration and Change Management Plan documents.
• Assisted the development team during the second and third iteration using the RUP model.
• Worked closely with the Project Manager and different teams with effective presentations. Also delivered training and presentation to lenders, colleagues, and customers.

Environment: MS Office Excel, Word, PowerPoint, MS Project, MS Visio, UML, Rational Unified Process (RUP), Rational Suite Requisite Pro, Rational Rose, Windows XP, HTML, PHP, XML.