SUMMARY:

• 8+ years of experience in Analyzing Business Needs, Gathering Requirements, Planning, Organizing, Documenting, Business Process flow, Business Process Modeling (BPM), Process Redesign, Change Management, Risk Analysis, GAP Analysis, As - Is & To-Be State Mapping, Use Case Analysis and Testing software applications.
• Expertise Domain Knowledge: Healthcare, Finance (Insurance, Mortgage), Higher Education, Web/E-Commerce, Media and Manufacturing.
• Experience in IT-Enabled services, Healthcare (Medicare/Medicaid) processes, Identity and Access Management, Business and Quality Analysis, GDPR, HIPAA/PHI Compliance services, Project Management and Cross-Functional Activities.
• Expertise on Software Development Life Cycle (SDLC) including Software Architecture, Object Oriented programming, Designing & Prototyping, Development, Debugging, Testing, Database Activities, Integration, Maintenance and Production Support of Software Applications in Client/Server environment.
• Experienced with Rational Unified Process (RUP), Agile (Scrum) Software Development, Waterfall Methodology and UML.
• Experience in facilitating SAFe ceremonies and manifesting the SAFe core values among the teams.
• Experienced in Medicare and Medicaid domains of the healthcare systems and industry for Inpatient/Outpatient & Provider/Supplier Claims, Reimbursement, Recoupment, Prior Authorization, Appeals, Finance, Self Service Reopening’s and Medicaid Management Information System MMIS.
• Knowledge of UML in visualizing and documenting the artifacts using Use Cases, Use Case Diagrams, Activity diagrams, Data Flow Diagrams, Business Flow Diagrams, Sequence Diagrams using MS Visio.
• Extensive knowledge in working with Agile methodology, Scrum sessions, creation of product backlog, Sprints as a part of the team with shared aim and shared responsibility and participated in Sprint planning and Sprint review meetings.
• Experienced in Configuration of SAP FI/CO modules- General Ledger, Accounts Payable, Accounts Receivable, Cash Management, Cost Center Accounting, Profit Center Accounting and Product Costing.
• Experienced in IAM programs for Access Governance, Streamlining User accounts deprovisioning, Active Directory restructure, Cloud deprovisioning and Automation for HIPAA compliant, Current IAM state and Business process mapping, Gap Analysis and recommendations.
• Experienced in IAM Services of Person Registry, Username/Passwords, and Authentication/Applications, Multifactor Authentication, Delegated Access Management and other custom enterprise services.
• Experienced with Project and Portfolio Management tools (PPM) for Project Management such as MS Project, Clarity.
• Extensively worked on FACETS & compliance of ICD 9 to ICD 10 and HIPAA, EDI transactions like 27x, 834, 837, 835, 270, 271 and 4010, 5010 conversion.
• Experienced conducting Joint Requirement Planning (JRP) and Joint Application Development (JAD) sessions with end-users, SMEs' and development team for project meetings, walkthroughs and customer interviews.
• Documentation includes: Business Process Documentation, Business Process Modeling, HLDD's (SRS/SSR/BRD) and LLDD's (FRD/RTM).
• Experienced developing User Interface Requirements, User Interface Specifications, UI/Front End mockup screens, Wireframes using Visio and PowerPoint and Usability Standards.
• Experienced in Integration Testing, System Testing, User Acceptance Testing (UAT), Functional Testing, Regression Testing and Performance Testing.

TECHNICAL SKILLS:

Methodologies/Process: SDLC, Waterfall, Agile, SAFe, SCRUM, UML, RUP

Development: JAVA - Life Ray

API: .Net, SOAP/REST

Modelling Tool: IBM system architect, ARIS

Databases: OnBase, Oracle Identity Management, PeopleSoft, SQL Server, DB2, MySQL, MS Access

Database Tool: TOAD, SAS TOOLS

ETL Tools: Infosphere data stage, DIS, SSIS, Informatica Power Center 9.X

Tool: TFS, JIRA, Project Server, SharePoint, Confluence

Reporting/BI: ServiceNow, IBM Cognos, SAP Ariba, Power BI, Crystal Reports, Tableau

Languages: SQL, PL/SQL, Transact-SQL, COBOL85, SCOBOL, UNIX/Linux shell

GUI: MS Visio, MS Office, Google Suite, HipChat, Asana

Web Technologies: HTML, CSS, XML, SOAPUI, Web Services

Test Management Tools: Bugzilla, QuickTestPro (QTP)9.2, HP Quality Center/ALM

PROFESSIONAL EXPERIENCE:

Confidential, Minneapolis, MN

Business Analyst

Responsibilities:

• Frame set up for enterprise level Role mining, Role Based Access Control (RBAC), Multi Factor Authentication (MFA), Single Sign on (SSO), PAM (Privileged Account Management), Entitlement Management and Identity Management.
• Provisioning and access governance experience with and understanding of security on systems such as Active Directory, LDAP/Unix, DBMS Oracle and manual provisioned applications.
• Worked on MS Project and Clarity PPM for project management and prepared and maintain Requirements Traceability Matrix (RTM) throughout the project lifecycle where relevant.
• Conversant with Business Process Modeling (BPM) - Six sigma, BPMN methodologies.
• Gathered requirements for setting business dashboards using Tableau Desktop, Tableau Server, Tableau reader and Tableau Cloud.
• Responsible for designing and documenting SAP HCM functional specifications for system changes.
• Worked for SAP Finance in implementing, configuring, integration, customizing and support.
• Coordinated with the Scrum masters, Product owners and Project Managers to work in Scaled Agile Framework (SAFe).
• Facilitated business meetings to map the current PeopleSoft business rules from the HR group for analyzing their Person Type role definitions and the accesses provided based on Appointment Types.
• Identified the bottlenecks for user deprovisioning for accesses provided to Active Directory, Enterprise Directory, LDAP, DUO (Mobile authentication) and Google accounts (G Suite).
• Worked with G-Suite - google calendar for events, google drive to create folders/groups/rules on the Team Drives and share the google docs/sheets/slides by providing the access with business rules.
• Identified and analyzed the pain points- manual Boynton google deprovisioning, GDPR, critical systems, data breach, common communication platform, shared documentation, high risk data and information security lapse.
• Created high level Epics in Jira- Scrum board, added issues in the current sprint, added story points in the sprint planning and assigned to the resources.
• Utilized PL/SQL features such as stored procedures, functions, packages and database triggers to analyze complex integrity constraints and implement complex business rules.
• Eliciting and documenting how user access is provided and examining the type of security used to protect the access (SSO, MFA, rule of least privilege, segregation of duties, role-based access).
• Analyze daily OIM daily access requests in order to ensure proper provisioning has been completed and verify Active Directory, RACF (Mainframe), ITIM LDAP roles have been successfully created.

Confidential, Fargo, ND

Business Analyst

Responsibilities:

• Worked on 8700hrs Business migration project including 30 Business Testers (Departments), 8 Developers from Requirements Grooming, Sprint Planning, Facilitating Daily Stand ups for the Product Owner and Sprint Review.
• Developed business process models for projects and demonstrations at the Centers for Medicare and Medicaid (CMS) using business process model notation and enterprise architecture.
• Facilitated implementation of SAFe in the organization to help coordination between multiple teams working on same project to discuss dependencies and increase transparencies.
• Worked for setup and configuration of Tableau server 10.0/9.2 in various environments and used Tableau CMD and Tableau admin tools to configure the server according to best practices.
• Worked on Claims, Appeals, Self-Service Reopening, Recoupment, Finance web enhancements to improve user satisfaction.
• Participated in 4 full life cycle SAP FICO implementations and 2 support cycle of SAP.
• Reviewed the Business process, Industry Solution (IS) and compatibility of the SAP system with the present business as a part of SAP Implementation Scoping.
• IAM-Provisioning and access governance experience and understanding of security on systems such as AD, LDAP/Unix and manual provisioned applications.
• Worked for centralized workflow and provisioning, automated provisioning where possible, Single-Sign-On (SSO) enablement, and password management and automated access certifications.
• Coordinated IAM & portal development teams on IDP and SP initiated outbound SAML SSOs with multiple vendors.
• Worked on the critical project of Data Migration from the current system to HIGLAS (CMS Ledger system) for creating daily business reports for various LOB’s accessed by multiple internal applications.
• Worked as Requirements Analyst for Web Portal Enhancements involving Medicare A, Medicare B & DME for JAVA Liferay projects.
• Gathered and validated requirements from stakeholders for Service Catalog, Request Fulfillment process, Self-Service Portal, Incident Management process, Problem Management, Change Management and Knowledge Management.
• Conducted extensive analysis in redesigning the existing system to allow migration of EDI X-12 and Non X-12 835, 837 and 27X transactions from HIPAA 4010A1 to 5010A1/A2 standards.
• Worked with the relevant Build-In teams to modify the process flow for TFS to enhance the work board.

Confidential, ALBANY, NY

Business Analyst

Responsibilities:

• Assessed the 'As-Is' architecture of the Health and Human Services (HHS) ASPR organization and developing a roadmap across organizational and computing "silos" to drive common approaches for a future state SPR IT.
• Conducted detailed documentation for CMS compliance for internal audits and outside audits conducted for Medicare/Medicaid compliance focusing on operational processes and IT related issues.
• Facilitated Product Incremental meeting in SAFe Framework with Release Train Engineers, other teams and identified dependencies/ Risk for Project success goals.
• Analyze the metric dashboard reports and identified the formulas and functionality of the dashboard reports and digitizing the metric dashboards to Tableau application.
• Created Tableau workbooks to perform year over year, quarter over quarter, YTD, QTD and MTD type of analysis.
• Coordination of SAP ERP system enhancements and break fixes efforts to minimize down time of applications and personnel.
• Created, maintained and updated IT Operations Event Management Process KPI dashboard in ServiceNow using Performance Analytics / Reporting Module.
• Gathered requirement to perform integration with multiple applications such as AD, Exchange, RDBMS, Flat File & LDAP.
• Analyzed IAM reports for daily access requests in order to ensure proper provisioning had been completed and verify Active Directory, RACF (Mainframe), ITIM LDAP roles have been successfully created.
• Involved in various Facets Data models like Gateway, Claims, Membership, Provider, Billing, Capitation, Invoice, Benefits, Product and Plan.
• Designing, Developing and supporting interactive Tableau Dashboard reports. Involved in creating Dashboards and needed usingTableauDesktop and published them toTableauserver.
• Created JIRA request in tracking tool workflow for the released deliverables.
• Used MS Visio to create the service flow for all the requirements grooming sessions.
• To understand and enhance the controls within Risk Management & Reporting & to work with the key stakeholders.
• Ability to produce high qualityrequirement specifications to support ERP functional design development.

Confidential, SUNNYVALE, CA

Business Systems Analyst

Responsibilities:

• Excellent Business writing skills, including extensive writing of Business Requirements Document (BRD), Functional Requirements Document (FRD), Non-Functional Requirements Document (NFRD) and System Requirements Specification (SRS).
• Co-Managing the Change Control process for the entire project by facilitating group meetings, one-on-one interview sessions and email correspondence with work stream owners to discuss the impact of Change Request on the project.
• Worked with Role Based Access Control (RBAC) on call support, for critical Identity Access Management AWS application problems and issues for SSO and non SSO applications/legacy that align to certification.
• Developed complex SQL scripts for fetching data in to Tableau as per the business needs.
• Reviewed Compliance Instructions/mandates to verify were impact occur with the Facets Business Rules Configuration SME Compliance team, assessing of the applications when reviewing and handling Compliance/Mandates.
• Worked on HIPAA transaction codes specifically on EDI 837 (medical claims), 835 (medical claim payments), 276 (claim status), 277 (claim status response), and 834 (premium payments) to in corporate enhancements to existing efforts on capturing and mapping.
• Created transaction sets requirements, usually with Microsoft Excel, for transactions such as: HIPAA 270/271, 276/277, 835, 837-(I, P, & D), 835 Remittances and others.
• Handled Benefit Implementation/Configuration for Provider contract / pricing setup for FACETS.

Confidential, MANHATTAN, NY

Business Systems Analyst

Responsibilities:

• Worked with the onshore and offshore teams facilitating scrum ceremonies for Product Owner- Daily Standup, Sprint Planning and Sprint Review.
• Worked in the environment of Adobe CQ building blocks including templates, components, dialogs, widgets, etc. and the CQ development and deployment process.
• Worked with payment gateway during validations- validating account balances, UI changes, billing information is migrated successfully.
• Analyzed HR data to assist with business insights and presentations regarding workforce trends, compensation, employee relations, and benefits.
• Reviewed, consolidated, indexed all HR compliance related data and physical documents - strong focus on the I-9 process and documentation.
• Worked with vendors through electronic transfer of payments into new Google financial software system.
• Collected detailed requirements for E-commerce systems including our B2C websites, eBay store, YouTube channel and mobile properties.
• Documented and wireframe system integrations between customer-facing E-commerce properties, 3rd party systems and back-end ERP systems.

Confidential, Lincoln, NE

Business Systems Analyst

Responsibilities:

• Validated and processed insurance policy change requests, delegating to other departments/people when necessary.
• Gathered Requirements offshore from various business areas like Claims, Provider Relations, Enrollment, Finance and Benefits Administration for their updates to the Claim Processing Engine.
• Documented business processes related to external agents, policy changes, including banks and clearing houses.
• Optimized Stored Procedures, SSIS Packages, Table Indexes and was involved in performance tuning of Databases
• Worked in an environment of data mappings/sessions to migrate these objects From SAP BW/R3 to SFDC application using Informatica and Data Loader.
• Familiarity with XML and the ability to explain XML web service request and response elements and functionality to client development teams in the context of clients intended usage.
• Created User Training Manuals for Equity and Fixed Income trades and provided the training to Portfolio managers, Director, Investment Managers, SME’s and Analysts.
• Actively participated in Triage calls, Huddle boards and performed Usability Standards Validation, Story Acceptance Testing, User Acceptance Testing and Regression Testing.