SUMMARY

• Track record of successful completion of business analysis activities and deliverables: as is process flows, to - be process flows, business and user requirements, data dictionary, business rules, use cases, user stories, acceptance criteria, SCRUM processes.
• Expertise in coordinating Joint Application Development (JAD) sessions and interviews to capture the business needs and requirements.
• Experience in interviewing SMEs and Stakeholders to get a better understanding of client business processes and gather business requirements.
• Excellent technical writing skills to create Business Requirements Document (BRD), Functional Requirements Document (FRD), Functional Specifications Document (FSD), Nonfunctional Requirements Document, Test Cases and Use Cases Documents.
• Experience in creating process modeling diagrams like Use Case Diagram, Sequence Diagrams, Activity Diagrams, Swim lane Diagram, Wire frame Diagram, Context Diagram, Data flow Diagram etc. by using MS Visio and IBM Rational Rose.
• A team player who effectively integrates, motivates and builds relationships with cross-functional team members (local and remote), sponsors, key stakeholders, executives, and other individuals or organizations involved with or affected by a project.
• Strong Analytical, Problem Solving skills and Multi-Tasking abilities with proven experience in utilizing people and process knowledge to assist enterprises in making critical decision.
• Excellent Team player and leadership skills to work in conjunction with testers (QA), developers and other team members in validation and testing of complex project scenarios.

TECHNICAL SKILLS

Methodologies: Agile (SCRUM), RUP, Waterfall, and hybrid implementations

Tools: /Technology: JIRA, Confluence, Rational Suite, Caliber RM, MS Office, MS Visio, MS Project, Planview, SmartSheet, SharePoint, Oracle, SQL, Web Services, SOA, SOAP/WSDL, REST, Cloud (Azure/AWS)

Healthcare: EDI, Affordable Care Act, ICD 10, Medical Management, Population Management, DM, CM, Claims Processing, Benefit Configuration, Plan Filings, Home Health Care Agency Management, Payor, Medicaid, Medicare, Commercial Medical Plans, Employer Groups, Exchanges / State Marketplaces, EMR / EHR, HIX, and reporting (HEDIS, QRS, QI, etc.)

PROFESSIONAL EXPERIENCE

Confidential

Business Analyst

Responsibilities:

• Documenting technical requirement specifications such as user stories, business rules, and diagrams for enhancements to their members only online content management system.
• Facilitating and collaborating closely with multiple internal teams to deliver application and process enhancements, which provide operational efficiencies and new capabilities.
• Performing daily scrum duties including backlog management, conducting sprint planning, running stand ups and other stakeholder meetings.
• Working with IT product leadership in determining design approach, estimating/planning, setting technical direction, enhancing business processes, and identifying required project resources.
• Communicating project status, risks, and defects with Product owners and stakeholders; to maintain sustained relationships with internal business and technology partners as well as external vendor.
• Managing requirements traceability closely with the QA team to ensure all identified scenarios are properly tested, defects are resolved, and a quality end user enhancement is delivered.

Confidential, Parsippany, NJ

Business Analyst

Responsibilities:

• Gathered technical and integration requirements for campaign management solution by facilitating cross-functional sessions with business and technical architects.
• Implemented scrum sessions that were used as feedback look between stakeholders and developers while also working on implementing the change management practices.
• Collaborated with various teams to design high level roadmaps and iteration plans that were presented to Senior Leadership.
• Formulated and defined system scope and project objectives based upon user needs and understanding of business systems and industry requirements.
• Lead discovery workshops, which included the facilitation of large audiences, solution presentations, and prototype demonstrations for SalesForce cloud implementation, website redesign, and internal process improvement projects.
• Performed root cause analysis and process improvement procedures to solve medium to complex business problems with consideration to capacity limitations and operation time.
• Created use case scenarios, process flows, and other supporting documentation were used to build anddefine system requirements.
• Prepared and documented consolidated requirements specification (CRS) of current state of RCI.com pages to be presented to external vendor teams for future state redesign.

Confidential, Austin, TX

Business Analyst

Responsibilities:

• Interfaced with key functional stakeholders to understand product requirements, roadmap and vision to building a mobile application for access to AdvisorComplete and introduced easy-to-use features such as notification summaries and action tools which increase overall efficiency.
• Defined interaction, scenario flow and interfaces from a task perspective using various diagrams.
• Worked with members of the Sales team to develop business rules that automated the process of notification summary and client ready action tools with graphics.
• Coordinated with the project owners for content and testing of alerts and verified the ongoing integrity of the application once the application was published.
• Submitted presentation and marketing pieces to Compliance for the Sales team and monitored the materials through the review process, reporting back to the project owner and keeping the review process on track.
• Supported several members of the advisor team by preparing training manuals on the mobile application with step-by-step illustrated instructions.
• Worked with the Business Development team to create mobile app demonstrations for advisors and staff.

Confidential, Pleasanton, CA

Business Analyst

Responsibilities:

• Collaborated with Project Managers across a matrix organization to develop system and process improvements for web portals to connectcertain patients and medical professionals in order to monitor their health status using telehealth technology.
• Identified key areas of concentration for failed metrics (Claims, Billing, Enrollment, disenrollment, quality reporting, and regulatory reporting) through data analysis and strategic thinking.
• Grouped failed metrics by categories and developed a system for error codes, and report by appropriate attributes, including percentage of impact on failed metric.
• Worked with project manager to identified areas of opportunity, based on priority, complexity, resource availability and impact to organization.
• Worked with Management, SMEs and Business Owners to assess areas of failed metrics to determine the true root cause and ownership of problems.
• Participated in several Joint Application Development (JAD) sessions in order to identify scope of project and gather requirements.
• Documented the Business requirements and created test plans for regression and functional testing.
• Created mapping documents based on EDI implementation guides from payors, providers and Centers for Medicare and Medicaid (CMS) to Valley Care internal EDI.