SUMMARY

• Over 8 years of experience as Business Analyst in Finance, Pharmaceutical, Healthcare and Insurance Industries.
• Strong knowledge of Software Development Life Cycle SDLC including Agile SCRUM, Rapid Application System RAP and Rational Unified Process RUP and Waterfall methodologies.
• Expert in requirement gathering and elicitation processes with proven skills of utilizing the right elicitation techniques using surveys, interview, workshop, focus group, Joint Application Development JAD with the stakeholders and end users.
• Expert with various modeling UML diagrams like Use Case, Process Flow Diagrams, Screen Flow Diagrams, Data Flow Diagrams, Activity, Sequence, class and Collaboration using tools such as MS Visio, Rational Rose and enterprise architecture.
• Experienced in writing detailed business use cases, system use cases and also developing business rules using decision matrix and truth table concepts.
• Experience in Working with Root-Cause Analysis, Feasibility Studies, Impact Analysis, Gap Analysis and Risk analysis.
• Experience in Finance Domain such as Online Banking, Mortgage Loan, Credit Risk, Stocks NASDAQ, Bonds, Annuity, Accounting, Investment Banking, Retirement Plans/Benefits, Assets Banking and Management
• Subject matter expert in Credit Card Industry, Retail/Commercial/Investment Banking, Risk Analysis, Asset Management- Risks and Returns.
• Well versed with Health HIPAA compliance, CPT, International ICD-9/ICD 10 , EDI/ANSI X12.
• Experience in system conversions Mapping, Migrating, Enhancement such as HIPAA X12 4010 codes to X12 5010 codes and ICD-9-CM codes to ICD 10-CM PCS codes in Medicaid, Medicare, Procedural and Diagnostic codes and Claims processes.
• Well versed with Clinical terminologies SNOMED, LIONIC
• Expert in designing and reviewing various documents including the Business requirements document BRD , Functional Specifications document FSD , System Requirement Specifications SRS Systems Design Specification SDS , Requirement Traceability Matrix RTM and testing documents.
• Expert in handling Change request process including Scope Change.
• Proven experience in Data Warehouse and Business Intelligence Cognos, Micro strategy, Crystal Reports
• Created Test Plans, Test Cases, Test Scripts and extensively involved in User Acceptance Testing UAT
• Skilled with Bug and Defect Tracking tools Bugzilla, Jira
• Expert at validating and verifying data using SQL queries, data analysis, ER Diagram
• Competent in developing Scope/Vision Documentation and Project Plan, Tracking Projects Processes and developed Risk Mitigation Plan
• Proven skills in working with all levels of Corporate Management, Business Unit Head and Project managers while managing multiple projects simultaneously.
• Strong communication, problem solving, organizational, interpersonal, and presentation skills.

TECHNICAL SKILLS

Professional Experience

Confidential

Sr. Business Analyst

• As an IT Business Analyst, my role was to support the Fresenius Medical Care to come up with better Physician solutions. Objective of the Project was to yield faster collection of Patient-owned amount to improve cash flow and reduce billing with less effect or paperwork. I provided assistance with creating User Story for the TFS Backlog. Worked with HIPPA guidelines to ensure all necessary steps are taken to protect Patient Information.
• Worked with Project manager and Scrum Master to create scheduling and budget planning for future Projects.
• Actively participated in Joint Requirement Planning JRP and JAD sessions with subject matter expert, stakeholders and project managers.
• Analyzed, interpreting and translated Practice requirement into viable solution.
• Conducted meeting, telephone conference Eastern and Pacific Time zone to gat
• her requirement for the current project.
• Communicated with Business Partners on status of issues, action plans, and timeframe for resolution throughout development cycle.
• Worked with Microsoft Visio to create work flow and Process Diagram
• Documented and established traceability between the Business requirements with the use of Use Cases, Business Rules, Activity diagrams and Test Scenarios, workflow, report mock-ups and conversion requirements.
• Conducted SQL queries to input, update or delete information from the SQL Server database and generate reports for data analysis. Basic SQL knowledge
• Worked closed and scheduled meetings with department team members to access progresses.
• Worked ANSI X12 transaction 837 and 835 report for Claim support.

Environment: Windows, Agile-Scrum ,SQL, MS Visio 2012, HTML, XML, Balsamiq, MS Office 2012, MS SQL Server 2008, MS Access 2010, MS Share Point 2012.

Confidential

Sr. Business Analyst

• Worked with project managers and leads to create a work break down structure, schedule and budget planning.
• Conducted JAD sessions with business manages, unit leaders and executive leaders for open and pending issues to development specification.
• Consolidated with business team to construct book of business report, drill down functionality and displayed information.
• Analyzed, interpreting and translated clients business requirement into viable solution.
• Performed Gap analysis of the functionality of Client Profitability module. Performed discrepancies and relevant solutions, which were suggested and implemented.
• Created ideas of new functionality by performing Code Walk through and reconfirm the same with development business users.
• Working with User Interface Developers to design a UI blueprint using Balsamiq.
• Modeled the detailed design of the system using UML and Rational Rose, Use Case Diagrams, Sequence Diagrams, Activity Diagrams and State Chart Diagrams.
• Participated and Researched in the entire life cycle of projects creating a system that identified and monitored high risk customers and implemented business modeling using MS Visio.
• Documented and established traceability between the Business requirements with the use of Use Cases, Business Rules, Activity diagrams and Test Scenarios, workflow, screen mock-ups, report mock-ups and conversion requirements.
• Designed web service with XML dynamic configuration to support new predictive models with the use of model code and an XML configuration file.
• Worked on the Flowchart and process diagram using Microsoft Visio
• Communicated with Business Partners on status of issues, action plans, and timeframe for resolution throughout development cycle.
• Conducted SQL queries to input, update or delete information from the SQL Server database and generate reports for data analysis.

Environment: Windows, Agile-Scrum ,SQL, MS Visio 2010, Visual Paradigm, Web service, HTML, XML, Balsamiq, Project 2008, MS Office 2010, MS SQL Server 2008, MS Access 2010, MS Share Point 2010, ALM.

Confidential

Sr. System Analyst

• Confidential is the first and the largest integrated non-profit medical group practice in the world. The practice specializes in treating difficult cases through Tertiary care. This Project involved the impact analysis on the claims adjudication system, front-end system, and the company's internal claims processing system.
• Conducted Gap Analysis for 4010 -5010, 837I and 837 P.
• Experienced in ANSI X 12 transactions 835/837/270/271 of medical claims/underwriting for support and point of reference for the vendor in business issues.
• Knowledge of the complete EDI format used in electronic documentation which was a part of the knowledge transfer program to the vendors as per the requirements
• Worked with Source system Subject Matter Expert SME to ensure that the extracts are properly mapped using SQL for data mapping and querying.
• Worked with the business team and technology team in substantiating the System Requirement Specification document for the project
• Analyzing, interpreting and translating Client's business requirements into viable solutions
• Actively involved in JAD sessions, Brain Storming Sessions with Requirements, Design and Development Teams, Conference Call Meetings with the User Community spread across the Globe, Interviews with Subject Matter Experts for identification and documentation of business and user requirements
• Researched the various steps in the life cycle and then constructed the system in a way that the high risk customers would be easily identified and monitored
• Performed discrepancies and relevant solutions, which were suggested and implemented.
• Worked on HIPAA X12 4010 codes to X12 5010 codes and ICD-9-CM codes to ICD 10-CM PCS codes in Medicaid, Medicare, Procedural and Diagnostic codes and Claims processes.
• Facilitated collection of User Requirements and Business Requirements to create the Business Requirement Documentation, using MS Word and MS Visio that provided appropriate scope of work for technical team to develop prototype and overall system
• Worked on Requirement Traceability Matrix RTM by gathering requirements.
• In depth knowledge in Medicare/Medicate claims/ Electronic Medical Records EMR .
• Wrote test cases and test plans as per the test strategies defined in the project for the related and assigned scripts along with the testing team guidelines in Quality center.
• Worked on Creating Data Dictionary Mapping with LONIC/SNOMED codes and Master Data Management Documents to facilitate.
• Actively participated in Joint Requirement Planning JRP and JAD sessions with subject matter expert, stakeholders and project managers.
• Worked closed and scheduled meetings with department team members to access progresses.
• Documented, reviewed, and verified testing procedures for compliance to Interface Quality Assurance and Developed standards and policies

Environment: : MS Office, Quality Center, SQL Server, Facets 4.21, MS Project, Server, MS Visio, Unix, J2ee, Java, XML, Mainframes and Rational Clear Quest, Rational Requisite Pro, Windows XP, SNOMED

Confidential

Business System Analyst

• Analyzed the existing reports, procedures, extracts used to generate the manual reports.
• Worked with the business team to envision the Book of Business Reports, Information to be displayed, drill down functionality, navigation.
• Facilitated the JAD sessions with the primary stakeholders, end users for requirement elicitation.
• Worked with the Oracle technology team to implement the reports on a corporate tool called OBIEE.
• Involved in creating targeted questionnaires for SME's to gather requirements.
• Interviewed business users to gather requirements and analyzed the feasibility of their needs by
• coordinating with the Project Manager and technical lead.
• Identified, researched, investigated, analyzed, defined opportunities for business process improvement, documented business processes and initiated efforts to make improvements.
• Contributed to the definition of scope, performed extensive requirement analysis and defined functional specifications.
• Involved in Requirements scoping and identifying high priority requirement for implementation.
• Facilitated review meetings to ensure that the project was implemented within the specifications of the contract.
• Validated technical designs created by IT developers against functional specifications.
• Assisted QA team in reviewing test cases, test plans and tested the final application for usability testing to verify whether all the user requirements were catered to by the application.
• Worked on drafting BRD and FRD.
• As support to the Project Manager defined, analyzed and documented requirements, identified gaps, evaluated requirements and change requests, managed scope and transferred knowledge.
• Partnered with the business stake holders, process owners, users to identify their requirements, produced detailed specifications, planned the project deliverable with the software development team
• Assisted usability team and Documented Specifications for the user interface.
• Worked with the technology team during the Design and Development of the project.
• Assisted testing team for drafting the test plan, test cases and test scenarios.
• Coordinated the testing efforts in QA testing, UAT.

Environment: MS-Project, MS-Visio, UML, Windows 2000, SQL, HTML Editor, MS Office Suite, Waterfall SDLC, MS Access , Visio, Microsoft Office, Rational Rose, Web Sphere, Oracle, SQL Server , Microsoft Outlook.

Confidential

Business Analyst

• E-care a web-based technology uses databases to provide an extremely cost effective tool to validate patient demographics and verify insurance eligibility in real-time conforming to HIPAA standards. The features of E-care include online appointments, Medicare/Medicaid Eligibility, Billing Verification, Self-Pay/Commercial Eligibility, Real Time Processing, Billing Address Verification with Address History and Insurance Eligibility Verification.
• Facilitated JAD sessions to collect requirements from system users and prepared business requirement that provided appropriate scope of work for technical team to develop prototype and overall system.
• Wrote test plans and test cases based on the business requirements which involved market risk analysis and risk management like continuous time finance asset pricing, stochastic processes simulations, credit derivatives, structured products, documentation, value at risk, risk return optimization.
• Identified processes for developing and documenting detailed business requirements. Data was collected from end-users, and analysts.
• Created Use-Cases and Requirements documents to document business needs.
• Requirements were gathered through interactions and meetings and periodic walk throughs with loan analysts, credit analysts and other potential users of the application.
• Conducted Use-Case reviews and identified gaps, leading to improvements/enhancements in the same.
• Created and maintained the Requirements Traceability Matrix RTM .
• Worked with the Project Manager on various Project Management activities like keeping track of Project Status, Deadlines, Environment Request, and Compliance Issues.
• Ensured Use-Cases were consistent and covered all aspects of the Requirements document.
• Maintained the Business Impact Analysis Template BIAT to analyze and document the effect of proposed changes on the project schedule and costs.
• Used Rational Clear Quest for bug reporting.
• Refined the requirements use-cases and Business Process Models to detailed level appropriate for technical analysis and system design.
• Was responsible for tracking issues that are detected and updating the status of existing issues based on the daily meetings with the offshore team. Identified and analyzed the data requirements for the various site teams and made sure that the required data is available in the testing environment.
• Assisted in the data conversion and data mapping of the legacy data to new data base.
• Worked directly with software engineers to ensure clear communications on requirements and defect reports.
• Designed and developed scenarios based on business requirements.
• Developed requirements integrating E-R diagrams and designed the testing process flows.
• Followed the RUP methodology for the entire SDLC.
• Was involved in Functional System Testing, Integration Testing, Regression Testing, and User Acceptance Test using the test cases given by the client before releasing the application.
• Used the guidelines and artifacts of the Rational Unified Process RUP to strategist the implementation of Rational Unified Process effort in different iterations and phases Inception, Elaboration, Construction and Transition of the Software Development Life Cycle.
• Interacting with other teams through walkthroughs, teleconferences, meetings, etc. to resolve various issues.
• Validated the scripts to make sure they have been executed correctly and meets the scenario description.
• Involved in project status meetings, QA review meeting, and System Test meeting.
• Wrote test cases and test scripts for the User Acceptance testing.

Environment: Requisite Pro, Test Director, UML, Microsoft Office Project, Publisher, Excel, Word, PowerPoint and Visio ,Rational Requisite Pro, Rational Clear Case, Rational Clear Quest, MS Office Suite, MS Project.