SUMMARY

• Innovative and dynamic Business Analyst/Project Manager/Certified SCRUM Master with 7 years of experience on PMBOK methodologies, AGILE Processes, business process analysis and modeling, tracking and managing projects, requirements gathering, user interface analysis and documentation.
• Skilled at suggesting appropriate as well as technology - based solutions for enhancing functional efficiency of the organization and achieving business excellence.
• In-depth knowledge of Software Development Life Cycle (SDLC), having thorough understanding of various phases such as Requirements, Analysis/Design, Development and Testing.
• Extensive experience in project management best practices, processes and methodologies including Rational Unified Process (RUP), Agile - SCRUM & KANBAN and Waterfall Methodology.
• Experienced in Business Process Reengineering and Gap analysis to check the compatibility of existing system infrastructure with new business requirements.
• Experience in conducting Root-Cause, Cost-Benefit, SWOT and ROI with excellent record of accomplishment as a JAD facilitator and administer of all the best practices for requirements gathering.
• Experienced in translating business requirements and user expectations into objectives, use cases, functional requirements and non-functional requirements using various external tools.
• Design and review of various documents including the Software Requirement Specifications (SRS), Business requirements document (BRD), Use Case Specifications, Functional Specifications (FSD), Systems Design Specification (SDS), Requirement Traceability Matrix (RTM) and testing documents.
• Extensive experience with process modeling using Unified Modeling Language (UML), wire frames, use case diagrams, including the business workflow using Rational Suite, Rational Rose and MS Visio.
• Expert communicator and involved in extensive interactions with variety of audiences including Executives, VPs, Directors, PMs, technical specialists, developers, architects and SMEs.
• Excellent communication, presentation skills, and interpersonal; expert at managing multiple projects simultaneously. Experience in working well independently as well as part of a team. Experience working with business users as well as senior management.
• Expertise in Project Management i.e. Project Scoping, Planning, Estimating, Scheduling, Organizing, Directing, Controlling, Budgeting and Drafting Remedy Procedures.
• Experience in working with Work Breakdown Structure (WBS), in project management and systems engineering.
• Expertise in Requirements Traceability Matrix (RTM), test procedural development and review, tool validation, project customization and administration, defect management, configuration management, version control and business documentation.
• Extensive experience in Health Care and well versed with HIPAA compliance, CMS, HCPCS, EDI standards, pharmacy PBM, Encounter Data Management
• Expert on US Health Care Industry, Electronic Data Interchange (EDI), ADT process, CCD parsing, HL7, EMR, patient care system and Health Insurance Portability and Accountability Act (HIPAA)
• Strong Subject Matter expertise (SME) in Healthcare: CCDA, HL7, ADT, Care Gaps, MEDICAID MMIS Functional Areas - Document Capture, Document Management (EDMS), Contact Management System (CTMS), Letter Generator, Interactive Voice Response System (IVR), and Service Desk.

TECHNICAL SKILLS

Methodologies: RUP, RAD, UML, OOAD, SDLC, CMM, Waterfall, Agile, BABOK, PMBOK.

Testing Tools: HP ALM (HP Quality Center), JIRA, Testlink, WinRunner, Load Runner, Quick Test Pro

Business Modeling / Requirement Gathering Tools: Microsoft Visio, HP ALM, RLink, Microsoft Enterprise Architect, IBM Rational Requirements Composer (RRC)

Project Management: MS Project, JIRA, Sharepoint, Requisite Pro, MS Excel, HP PPM

Languages: C, C++, C#, JAVA, VAADIN, SQL, HTML, XML

Databases: SQL Server, Oracle, Mark Logic

Operating Systems: Windows - all versions in 12 years, UNIX, MS Dos, Mac OS

Communications: Skype for Business, WebEx, MS Outlook, Lotus Notes, Lync, Sharepoint, TCP/IP, and MS NetMeeting/Chat

PROFESSIONAL EXPERIENCE

Business Analyst/Associate PM

Confidential, Scottsdale, AZ

Responsibilities:

• Help in creating program and project scope statement, in consultation with stakeholders
• Work with the resources and tech lead to drive estimation based on skills, duration and efforts required for a successful project execution
• Collect, analyze and maintain financial forecast information from applicable resources
• Create workflows and internal process flows for projects
• Conduct Backlog Grooming sessions with the client to create a Product Backlog
• Conduct sprint planning to create the Sprint backlog and decide on implementation process
• Facilitate Daily Scrum meeting to check on the progress of the Sprint
• Act as a Subject Matter Expert (SME) on Healthcare Management softwares like Confidential Care Unify, United Health Transition, OPTUM Care Empower, etc. and Continuity of Care Document (CCD) project to parse CCD information in various formats - ACC, SDF, PDF, Flat Files, JSON, etc.
• Check the Potentially Shippable Product and show it to the Stakeholders at the end of every Sprint
• Ending the Sprint with a Sprint Review and Retrospective
• Creating next Sprint from the product Backlog to begin the next Sprint cycle
• Create documents such as BRDs, FRDs, Wire Frames, Data Mapping, Process Flows, Minutes, Tech Specs and User Stories
• Help Dev Team understand the requirements, request response parameters of tech specs, mapping documents, and user stories
• Help in developing and implementing quality management and risk management plans
• Help QA with the testing and reviewing of test cases
• Track, prioritize and balance multiple priorities and projects
• Perform UAT with all the Stakeholders
• Give direction to DevOps for different products releases Deployment
• Work with CCDs, SNOMED, CPT, ICD, HCPCS, UBREV, LOINC, HEDIS Gaps, EHRs, EMRs, HL7 standards, Managed Claims Management

Environment: SCRUM, KANBAN, JIRA, JAVA 8, Vaadin, JavaScript, Spring Web Services, JSON, Hadoop, XML, Oracle, MS Project, MS Visio, MS Office, Sharepoint, MarkLogic, NO SQL, Tomcat, GIT, SVN, Business Skype

Senior Business Analyst

Confidential, Phoenix, AZ

Responsibilities:

• Interviewed SME’s for detailed business processes and act as a liaison between external & internal clients.
• Analyzed clients' existing systems, business processes, models, and translate client requirements into highly specified business requirements.
• Worked with a few state MMIS. Medicare, CMS clients and state PMOs.
• Mapped claim forms according to X12 EDI 837I, 837P & 837D standard so that edits and audits can ensure claims processing and claim details abide by current policy criteria to validate Encounter/Claim data and store it in the database.
• Work on Encounter Data Management - EDM
• Worked on Voids and Adjustments for Medicare and Medicaid
• Performed EDI Mappings for adjusted claims, reversed claims, new vendors, different state plans.
• Created FTP folders for new Vendors and performing EDI validation process as a part of Vendor Management.
• Managed various levels of Projects in accordance with SDLC standards.
• Maintained and updated business documents, BPM models,
• Provided guidance to technical and clerical staff.
• Developed user-training manuals.
• Tested the application to validate test cases and perform Usability testing
• Created and executed manual software test plans and cases to uncover, identify and document software problems and their causes.
• Documented software defects and reported defects involving program functionality, output, online screen and content to software developers.
• Delivered thorough QA testing reports that determined product quality and release readiness.
• Improved the documentation of QA testing practices to enhance their repeatability, saving time and money and encouraging testing standardization and best practices.
• Managed multiple projects at one time.

Environment: IBM Rational Requirements Composer, C and Shell Scripting, Dot Net, XML, Java, J2EE, JSP, Oracle, MS Visio, MS Office, SQL Server Reports.

Business Analyst/Associate PM

Confidential, Conway, AR

Responsibilities:

• Helped in creating program and project scope statement
• Worked with the resources and tech lead to get estimates on duration and efforts required for a successful project execution
• Collected, analyzed and maintained financial information
• Created leadership reports and gave presentation
• Interviewed various SME’s for detailed business processes and act as a liaison between external & internal clients, using advanced communication skills to elicit, document, analyze and validate client requirements.
• Analyzed clients' existing systems, business process, models and translate client requirements into highly specified business requirements.
• Worked with a few state MMIS clients and state PMOs: State of Arkansas MMIS, State of Wisconsin MMIS, and State of Colorado MMIS.
• Prepared UML Diagram, wireframes, data flow diagrams for Scenarios using MS Visio.
• Mapped forms such as Claims: AAS 9559, ADA, UB, CMS 1500 and Ancillary: DHHS 703 according to X12 EDI 837I, 837P & 837D
• Worked on ALM, RLink, PPM, Microsoft Enterprise Architect, and Interchange.
• Managed various levels of Projects in accordance with SDLC standards.
• Maintained and updated business documents; FDD and DSD.
• Provided work direction to one or more technical or clerical staff or act as a team lead on designated projects or assignments.
• Developed structured user manuals and training.
• Completed assignments, tasks and write index fields of forms, reports, letters and miscellaneous documents for Provider, Member, Manage Care, Financial, Claims, Buy In, Reference, BPA, TPL, Prior Authorization, EDI, EPSDT, and Ancillary.
• Used OnDemand to index forms, reports, letters and other miscellaneous documents of all the sub system under Arkansas Medicaid.
• Worked on ARKIDS website for desktop and mobile version.
• Was in charge of ambiguity analysis, Identifying and mitigating risks, ensuring consistent understanding across users, designers and testers.
• Tested the application to validate test cases and performed Usability testing to verify whether all the User Requirements were catered to by the application on system and interchange.
• Performed system testing and E2E testing for various sub systems like Prior Auth, Financial, IVR, etc.
• Created and executed automated software test plans, cases and scripts to uncover, identify and document software problems and their causes.
• Documented software defects using HP ALM/Quality Centre and reported defects involving program functionality, output, online screen and content to software developers.
• Delivered thorough QA testing reports that determined product quality and release readiness.
• Improved the documentation of QA testing practices to enhance their repeatability, saving time and money and encouraging testing standardization and best practices.
• Tracked and managed multiple projects at the same time.
• Directed and managed the Change Management Control process for the projects by facilitating group meetings and/or one-on-one interviews/meetings with work stream owners to discuss change request impact on timelines and scope.

Environment: ALM, PPM, RLink, C and Shell Scripting, UNIX, Dot Net, XML, Java, J2EE, JSP, Oracle, MS Visio, MS Office, SQL Server Reports, GDB.

IT Business Analyst

Confidential,Cambridge, MA

Responsibilities:

• Interviewed various SME’s to get the information about the business processes and to understand the collections and recoveries side of the business segments. Interacted with the Business Team through JAD sessions, to gather requirements and develop complex business maps.
• Liaised extensively with external & internal clients.
• Analyzed clients' existing systems and translated client requirements into highly specified business requirements.
• Performed GAP analysis to derive requirements for existing systems enhancements.
• Identified options for potential solutions and evaluated them for both technical and business suitability;
• Wrote specific proposals for modified or replacement systems.
• Produced project feasibility reports and presented proposals to clients.
• Provided technical assistance in training, mentoring, and coaching professional and technical staff.
• Provided work direction to one or more technical or clerical staff or act as a team lead on designated projects or assignments.
• Created and managed Project Templates, Use Case Project Templates, Requirement Types and Traceability Relationships.
• Prepared Use Case Scenarios, Use Cases & UML State Diagram for Scenarios using MS Visio.
• Developed and managed Project Plans and Schedules.
• Managed various levels of Projects in accordance with SDLC standards.
• Managed resolution of Project issues and conflicts.
• Developed training curriculum and conduct formal training sessions covering assigned system module.
• Tested the final application for Usability testing to verify whether all the User Requirements were catered to by the application.
• Directed and managed the Change Management Control process for the projects by facilitating group meetings and/or one-on-one interviews/meetings with work stream owners to discuss change request impact on timelines and scope.

Environment: Rational Rose, Lotus Notes, XML, Java, J2EE, JSP, RUP, SCRUM, Oracle, MS Visio, MS Office, SQL Server Reports, WinRunner, LoadRunner, Quick TestPro.

Business System Analyst

Confidential, Normal, IL

Responsibilities:

• Analyzed existing system units, process, System/ Application and their Interfaces through open-ended discussions, brainstorming sessions, and prototyping, prioritizing them and converting them as system requirements that must be included while developing the system.
• Co-ordinated with documenting processes to write the Business Requirements documents and designed Functional specifications.
• Served as a liaison between the internal/external business community and the IT organization in order to provide technical solutions to meet the needs.
• Participated in design review meetings, translated the requirements to the developers, and guided the team when issues related to business requirements arose.
• Worked with Associates, understood the business rules and the systems and integrated them into the requirements document, and assisted in generation of test cases and test data.
• Created workflows, data diagrams, and other industry standard documents to represent client’s business processes.
• Conducted JAD sessions between the business users, Developers, testers & Subject Matter Experts to resolve bottlenecks.
• Played important role into creation of CRUD (Create, Read, Update and Delete) Metric to make analysis and better understand data flows between different systems
• Conducted Risk Analysis to identify the risks associated with developing the patches, and formulated a Mitigation Plan to eliminate or reduce risks of high severity and any major effects.
• Played an active role in performing of Gap Analysis and its documentation.
• Met with client to present future functionality of the application, gather information from them to know about their need and send this information to test manager.
• Worked closely with the application development and design and testing team to resolve technical issues and interacted with them to ensure overall quality of the software
• Responsible for creating & maintaining Requirement Traceability Matrix in order to track the development and QA process.
• Provided production support pre-production and post- production issue management and defect tracking.

Environment: Windows, Agile, MS Office (MS Word, MS Excel, MS PowerPoint, MS Visio), MS Access, MS Project, XML, Java, J2EE, JSP, Apache Subversion, Erwin, Rational Rose, MySQL, Clear Case, Requisite Pro

Business System Analyst

Confidential

Responsibilities:

• Performed Requirement Analysis by gathering both functional and non-functional requirements based on interactions with the process owners & stakeholders and document analysis, represented them in Requirements Traceability Matrix (RTM).
• Worked with SME’s in Finance, Investment, Commercial and Personal banking to collect the Business process requirements, documented them in Business Requirement Document (BRD) and performed Business Process Re-engineering.
• Interacted with department heads to finalize business requirements, functional requirements technical requirements and created Business process model.
• Facilitated JRP sessions between technical and regulatory teams for meeting requirements as well as solving problems on a daily basis
• Involved in creation and reviewing of Functional Specifications and created a Functional Requirement Document
• Used Rational Requisite Pro to improve the communication of project goals, enhance collaborative development, reduce project risk and increase the quality of application before deployment.
• Created and maintained Narrative Use Cases (Business Use Cases, System Use Cases) and modelled Use Case Diagrams, Activity Diagrams, Data Flow Diagrams using MS Visio.
• Followed the adaptive RUP framework for the whole Project life cycle (PLC)
• Performed after Action/Post Milestone Reviews and quality reviews to ensure that developed software products met the business needs and comply with RUP.

Environment: Windows server 2008, SharePoint 2010, SQL, Oracle, Rational Requisite Pro, MS Office, SQL Server, MS Project, MS FrontPage 2003, MS Access, Documentum 2.0.,UML.