PROFESSIONAL SUMMARY

• Over 5.5 years of experience as a Business Analyst in various sectors of business with outstanding knowledge of Software Development Life Cycle SDLC methodologies.
• Extensive knowledge in identifying, analyzing, and developing Business Requirements, creating a Business Requirement Document BRD and translating them to the Functional Specifications Document
• Extensive experience and knowledge on all stages of the Software Development Life Cycle SDLC and utilizing project life cycles such as Agile, Scrum, Rational Unified Process RUP , and Waterfall
• Experienced in conducting Joint Application Development JAD sessions with Business Analysts, Software Developers and Quality Assurance teams
• Possess understanding and experience updating business requirements throughout the lifecycle of a project and keep stakeholders informed about the progress of the project utilizing Requirement Traceability Matrix RTM
• Knowledge and experienced on Health Insurance Portability Accountability Act HIPAA , including Protected Health Information PHI and Electronic Data Interchange EDI
• Proficient in Medicaid, Medicare Part A, B, C, and D , third party insurance, Procedural and Diagnostic codes, and Claims Process
• Understanding of types of insurance plans, including HMO, PPO, POS, EPO, Indemnity, and Discount Health Plans
• Knowledge in writing SQL queries for data reporting, analysis and retrieval
• Knowledge of Pivot tables, v lookup, match and other excel tools for reporting and presentations
• Activity, Sequence, Data-Flow, Use case diagrams using Unified Modeling Language UML , in MS Visio
• Excellent analytical skills with extensive experience on performing GAP analysis, Strengths, Weaknesses, Opportunities and Threats SWOT analysis
• Well versed in developing Mock-ups via MS Visio/Excel
• Experience in User Acceptance Testing UAT , test plans, test scripts, and test cases
• Dynamic team player with problem solving, integrative thinking, conflict managing, decision making, and leadership skills
• Excellent analytical, written, communication, presentation and interpersonal skills

PROFESSIONAL WORK EXPEREINCE

Confidential

Business Systems Analyst

• CVS provides end-to-end solutions that impact everything from pharmacy plan design to the ultimate delivery of products and services to customers.
• Project 1: Item Master Data / Supplier Contract management process consulting
• Assisted the client to consolidate Contract and Item management initiation, maintenance discontinuation practices in the Retail and PBM Pharmacy benefits management businesses across 4 U.S locations
• Project 2: MDM Master Data Management Product evaluation
• With ambitious plans ready to be rolled out, the Client realized the importance of having an integrated item management MDM platform across the organization to continue keep pace with the current growth rate as well as to obtain maximum returns. I was part of a team that helped evaluate ERP packages for addressing the current future business needs to select the best-fit MDM product based on various key parameters Business functionality, Technical capability, Non-product contribution Cost
• Project 3: Vendor application development, Retail/Pharmacy
• Helped the client to migrate from the existing legacy Vendor Supplier system to a new and robust structure system involving Soft Solutions products

Responsibilities:

• Interviewed stakeholders, documented MoM's and captured the current state AS-IS Item management Supplier contract management processes and systems in the Retail and PBM businesses
• Established high-level issues and opportunities for various Supplier types Warehouse, DSD Expense in the organization through interviews with stakeholders
• Gathered requirements from workshops organized Joint Application Development JAD sessions with Business, Development and Functional teams.
• Compared the Item management and Supplier contract management processes identified the similarities and differences between the Retail and PBM businesses
• Identified and documented the major challenges and opportunities in the processes system data flows and presented an elaborate 135-page slide deck to the stakeholders
• Studied AS-IS business processes and IT systems.
• Involved in Requirements Gathering, Elaboration and client interaction.
• Performed Gap Analysis and prepared Areas of Concern.
• Documented Gap analysis between current state AS-IS processes and industry best practices
• Involved in TO-BE process modeling preparation of business flow diagrams.
• Identified Critical Success Factors created the Process Impact matrix
• Prepared the Package Evaluation Framework and scoring mechanism for MDM products.
• Helped in the preparation of RFP for product vendors, highlighting the specific business requirements.
• Participated in Product Demonstrations by vendors and evaluated the business-fit.
• Performed SWOT analysis of various product vendors.
• Scored the products in terms of Business Functionality, Technical capability, Cost and Non-product contribution support available, stability etc. .
• Suggested the top two products with the ranking for the clients to make a decision.

Confidential

Business Analyst

Responsibilities:

• Congregated requirements from different levels of management, stakeholders, and SMEs through JAD sessions and Live meetings
• Incorporated AGILE methodology to establish a business analysis by interacting SMEs and end users.
• Completed a Business Requirement Document BRD
• Designed and developed business flow and work flow diagrams to develop the software
• Created Use case diagrams, Activity, Sequence and Collaboration diagrams using UML
• Participated in walkthroughs with the development team and QA team, to help them understand the requirements and help them formulate the test plans and test scripts on the MIS tracker
• Experienced in Blackbox testing using use case testing
• Utilized MS Project to maintained a record communications, activities, schedules in order to monitor the progress of project in real time
• Presented documentation on key elements of HIPAA compliance to ensure the development teams were on track
• Performed extensive GAP Analysis in order to understand the As-Is and To-Be conditions and determine the feasibility of the new project with the existing system
• Carried out User Acceptance Testing and extensively used SQL to perform Backend Testing in order to verify data integrity
• Developed business flow diagrams, activity diagrams, and interaction diagrams so that the development team and other stakeholders could understand the business process clearly.
• Maintained project milestones, schedules, and project progress
• Maintained Requirement Traceability Matrix RTM to check whether the requirements of the system was met accordingly
• Performed claim validation analysis for the Medicaid programs

Confidential

Business Analyst

Responsibilities:

• Studied and assessed the clients systems and business processes.
• Defined Business Process aligns with Company goals and existing HIPAA regulation. Conducted SWOT analysis.
• Created capital budgets, obtained approvals, administrative sign-offs, cost breakouts, expenses, and business valued justifications.
• Prepared system requirement specification based on product requirement.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams using UML and MSVisio.
• Developed expertise in claims processing and direct clearinghouse for claim processing and billing to insurances companies nationwide all on a SQL backend.
• Worked with all insurances, clearinghouses to assure daily processing for claims, payments, purchase orders, invoicing, remittances, inquiries, and responses.
• Conducted and performed upgrades on claims, purchase order, integration engines, and on all applications that covered the entire scope of the system ranging from within the system itself.
• Interacted with developers to report software bugs and re-tested the fixed issues.
• Assisted Program Manager to ensure project coordination and timely document review and approval.
• Established and maintained activity logs, performance metrics, project plans, and other pertinent forms and documents to provide the basis for resource allocation, reporting, budgeting, and forecasting.
• Managed Change Requests and performed impact analysis.
• Propose strategies to implement HIPAA 4010 in the new MMIS system eventually move to HIPAA5010.
• Conducted JAD sessions with stakeholders of the project for identifying and resolving issues.
• Created and managed a master project plan with work breakdown structures in MS Project.
• Provided liaison between engineering teams, business areas, and end users.

Confidential

Business Analyst

Responsibilities:

• Involved in meeting with the core group of business users which included Category Managers, Divisional Merchandise Managers, Replenishment Buyers, and General Merchandise Managers. The requirements sessions comprised of the following: Initial Idea presentation Conducting Survey about the applications and links used by them kind of alerts they should get and the reports that should be part of print on demand Conducting brainstorming sessions within the team Prototyping and discussions on all screens for all roles.
• Analyzed and prioritized the gathered requirements that must be included in the development of the system.
• Prepared Logical Data Models that contained set of diagrams, Business Requirement Documents, supporting documents, essential business elements, detailed definitions, and descriptions of the relationships between the actors.
• Utilized iRise to create User interfaces for the business users to confirm the requirements elaborated.
• Created Use Case Diagrams, Activity Diagrams, and Sequence Diagrams for respective requirements using MS Visio.
• Performed manual front-end testing to check the functionality.
• Involved in Design and development of Print on Demand functionality for printing reports for business users.
• Suggested measures and recommendations to improve the current application performance.
• Conducted User Acceptance Testing with different teams of users.
• Conducted the requirements and design walkthroughs with designers, developers and management staff.
• Analyzed and prioritized user and business requirements as system requirements that must be included while developing the software.
• Conducted workflow, process diagram and GAP analyses to derive requirements for existing systems enhancements.
• Used Rational Clear Case, Configuration Management tool, to maintain different builds of the application with descriptions about all changes and versions.
• Tracking and managing requirement changes using Requisite Pro.
• Involved in walkthroughs and meetings with development team to discuss related issues.
• Implemented Requirements Traceability Matrix for project control and quality assurance.
• Created and participated in the 24x7 rotational on call support team.