PROFESSIONAL EXPERIENCE:

• Over 6 years of experience in Information Technology wif expertise in Business Analysis, Systems Analysis and Business administration of Health Insurance Claims, Health Information Systems, Hospital Management and design of Medical Device systems.
• Excellent project management skills and capabilities in understanding IT business needs, business domain noledge, formulating business goals and ensuring that projects meet design standards at delivery.
• Worked closely wif management & stakeholder groups to satisfy product requirements, expert in Requirements Gathering, Requirements Elicitation and Documentation practices.
• Expertise in Claims, Subscriber/Member, Plan/Product, Claims, Provider, Commissions and Billing Modules of Facets.
• Experienced in performing Root - Cause-Analysis,Gap Analysis, Risk Analysis and Mitigation, Impact Analysisand documenting Use Cases for systems design and engineering practices.
• Excellent facilitation skills and adept at managing the interaction between end-users, management, developers, and testers during the different phases of the SDLC.
• Experienced in Requirements Traceability Matrix and conducting reviews at Release Implementation.
• Skilled in the analysis of business requirements for software applications from functional and project management perspectives and possess documentation techniques.
• Proficient in using Agile (Scrum and Kanban practices) and XP methodologies and expertise in the role of scrum master, facilitating/organizing daily scrum sessions, sprint planning meetings and sprint review meetings and analyzing team performance, project performance and burn down charts.
• Experience in creating and transforming business requirements (BRD) into software requirement specification (SRS), created Functional Specification documents, Process flow diagrams using UML.
• Business Process Modeling, Data Flow Modeling, Object Modeling, Work Flow Analysis, Use CaseAnalysis, Activity Diagrams, Sequence Diagrams, ER Diagrams using Rational Rose.
• Involvement in Data/Dimensional Modeling; Data Extraction, Transformation & Loading (ETL); and Business Intelligence Reporting using Tableau
• Seasoned Agile practitioner - createdUser Stories,mapped functional specs to story documents, worked wif functional groups and delivery teams for story sizing and estimates, owned backlog grooming sessions, managed product backlog, release backlog and iteration backlog work items.
• Proficient in SQL queries, Stored Procedures and PL/SQL programs for Data Analysis purposes.
• Elicitation techniques like interviewing, questionnaires, brainstorming, focus groups, prototyping, cost benefit analysis and risk analysis and incident management sessions.
• Facilitating Joint Application Development (JAD) Sessions for requirements gathering and businessarea analysis to identify business needs and technological improvements.
• Performed Acceptance testing, worked wif QA teams during testing phases, performed test case reviews, test case approvals and sign-off, and trained teams on customer workflows and user scenarios.

TECHNICAL EXPERIENCE:

Project Methodologies: UML, Waterfall, Agile, SDLC

Defect Tracking Tools: JIRA, HP ALM, Bugzilla, Rally, HP Quality center

Documentation Tools: Balsamiq, Office 365, MS Excel

Operating systems: Windows server 2012, Windows client 8/10, UNIX

RDBMS: MS Access, SQL server, Oracle, DB2

Business Building Tools: MS Visio, Rational Rose, Microsoft Office Suite, MS Project.

Reporting Tools: Tibco Spotfire, MS Crystal Reports

PROFESSIONAL EXPERIENCE:

Confidential, Grove, IL

Business analyst

Responsibilities:

• Documented system requirements, software requirement specification documents of application installation and database dependencies for planning and Guidance tools.
• Facilitate requirements gathering sessions to discuss the system scope and elicit the requirements from business users and cross functional teams, documented business workflows.
• Assist in designing, planning, and managing the data migration process and work across multiple functional projects to understand data usage and implications for data migration.
• Prepared Business process Documentation, representing the business processes workflows through Business Process Modeling to make the m readily understandable by all business stakeholders.
• Authored Business analysis report for HIPAA compliance.
• Worked on data mapping of source to target elements performing gap analysis.
• Creating User Training Manuals and Requirement Traceability Matrices (RTM) track requirements.
• Reviewing corporate, site and project requirements and creation an audit checklist to minimize deviations and complaints in conjunction wif designing the size and structure of the audit sample by preparing an audit sampling plan.
• Determined eligibility benefits for customers wif EDI Health Care Eligibility/Benefit Inquiry (270) and designed, analyzed and performed integration and wrote system requirements on FACETS.
• Set claims processing data for different FACETS Module and used FACETS Analytics for fast and easy retrieval, display and grouping of information for performing queries and generating reports.
• Documented test plans for User Acceptance Testing (UAT), use case scenarios for Business
• Acceptance Testing provided sign-off at application deployments and planned releases.
• Expert in creating system workflows, UML documentations wif detailed use case diagrams, Class diagrams and activity diagrams for logical systems development and delivery.
• Used to execute test cases for several transactions such as EDI 837, 835 supporting billing and payment.
• Analyzed and worked wif HIPAA specific EDI transactions for claims, billing transactions.
• Worked specifically on EDI healthcare claim Transaction set (837)
• Performed user acceptance testing (UAT), perform defect reviews
• Interacted wif QA team for automation testing using QTP.
• Worked closely wif UAT team for User Acceptance Testing (UAT) and collaborated wif the QA team to develop the test plans, test scenarios, test cases, test data to be used in testing based on business requirements, technical specifications and product noledge.
• Prepared Excel Reports and deliver PowerPoint presentations to the Business Users.
• Wrote SQL queries on data staging tables and data warehouse tables to validate the data results.
• Converting the requirements into user stories/backlog along wif acceptance criteria in RALLY.

Environment: MS Project, SQL, AGILE, Scrum, Office 365, HP ALM, RALLY, Microsoft TFS, MS Visio, Business Requirements Elicitation.

Confidential, Dublin, OH

Business Analyst

Responsibilities:

• Collected requirements by conducting end user interviews, JAD sessions and brainstorming sessions wif the SME’s, business stakeholders along wif technical team.
• Facilitate requirements gathering sessions to discuss the system scope and elicit the requirements from business users and cross functional teams, documented business workflows.
• Involved in all SDLC stages under agile process in applications including Requirements analysis, implementation, testing, deployment and maintenance.
• Worked and analyzed HIPAA specificEDItransactions for claims (837), member enrollment (834), billing transactions (820). Also worked on EDI 835, 270/271, 276/277.
• Gathered all requirements relating to client requests for changes and got them approved in a timely manner.
• Creating User Training Manuals and Requirement Traceability Matrices (RTM) track requirements.
• Gathering organizational information as a base for creating audit plans hence developed an audit strategy and defined audit objectives.
• Participated in solving Billing issues from theFACETSProblem Log for TriZetto and Billing Entities.
• Documented test plans for User Acceptance testing, use case scenarios for Business Acceptance testing, provided sign-off at application deployments and planned releases.
• Expert in creating systems workflows, UML documentation wif detailed Use Case diagrams, Class diagrams and Activity diagrams for logical systems development and delivery.
• Prepared Requirements Traceability Matrix to correlate test cases wif the functional requirements.
• Prepare Excel Reports and deliver PowerPoint presentations to the Business Users.
• Perform User Acceptance Testing (UAT), analyze and estimate testing effort required for change requests submitted by business and stakeholders.
• Played a key role in the user acceptance testing (UAT), mobile testing, perform defect reviews, document workarounds for open defects
• Lead the user training sessions (sessions wif end users / underwriters) and authored user manuals and approach documents for the newer version of the system.
• Developing test plans build Test Conditions and Test Cases, creating test data, analyzing bugs, interacting wif development team members to fix errors.
• Analyzed enrollment and eligibility data in the XML format and determine if data is compatible wif X12 data.
• Involved in running queries using SQL for reviewing data from the tables.

Environment: MS Access and MS Excel 2010, UML, MS SQL Server, MS Visio, HP QC, HP QTP, Agile, Scrum.

Confidential, Parsippany, NJ

Business analyst

Responsibilities:

• Conducted JAD sessions to Elicited requirements and halp develop the product backlog.
• Attended daily stand up meetings, review meetings in an Agile environment. Divided the project into various phases and shared the updates wif the stakeholders.
• Gathered the requirements from the stakeholders and converted them into user stories in Jira. Also added the acceptance criteria in the Gherkin format to each user story.
• Performed GAP analysis by comparing the current system performance to the desired performance and documented all the gaps.
• Worked wif various teams on Setting new JIRA &Confluenceinstances for new teams.
• Analyzed Facets configuration and Change requests for the purpose of determining change to Scope and impact on existing systems configuration that is dependent on the new workflow rules engine, updated JIRA User Stories.
• Analyzed and model Test plans, Use Case Model cases & Test procedures for Agile delivery of the new sub-system.
• Critically evaluated information gathered from multiple sources during requirements gathering, User Story writing and performed analysis and reviews and responsible for tracking, tracing and managing requirements in JIRA.
• Worked in UAT Testing phase, conducted User Acceptance Testing, End-to-End Testing and Integration Testing.
• Created data mapping document and added transformation rules according to the given business rules. Also, created and maintained the Requirement Traceability Matrix.
• Worked on the entire life cycle for requirements management - gathering, analyzing, documentation and delivering the requirements.
• Performed user acceptance testing (UAT) and perform defect reviews
• Performed UAT when deliverables were deployed by technical team and uncover the latent defects in the system.
• Used HP Application Lifecycle Management (ALM) to assign derivable to maintain requirement traceability matrix and for defect management.

Environment: Agile Scrum, MS Office, MS Visio, Axure RD MS Project, HPALM, JIRA

Confidential

JR. Business Analyst

Responsibilities:

• Worked wif the business team to collect the business requirements, security and service level requirements and documented them using JIRA.
• Involved brainstorm sessions for critical design features on the project such as shared data
• between the interfaces.
• Create data mapping from XML tags to HL7 fields, and troubleshooting connection issues using SQL,
• Created Business and Functional Requirementsfor the creation ofElectronic Health Records (EHR).
• Analyzed set behavior and contribution to business performance, critical business metrics and tracking underlying business trends using Business Objects.
• Working wif different IT & Business groups to understand and decide the Impacts to the Data Warehouse and/or Data Marts for different projects
• Designed new process flows for the existing system as well as for the enhanced system.
• Conducted and lead status report meetings wif the business and the IT team on a weekly basis.
• Assisted in Clinical Data Management and Clinical Trials Management.
• Used Safety Mart for Clinical Safety Data Management.
• Worked on Electronic health record system as a CRM web-based application.
• Worked in clinical data integration between EHR’S and HIE’s.
• Involved in the EHR upgrade process and testing of the HIE lab and Radiation interfaces
• Involved in Clinical Document Architecture (CDA) that specifies the structure and semantics of "clinical documents" for exchange betweenhealthcareproviders and patients.
• Worked on Data design, Architecture design and Staging requirements for the Data warehouse environment.
• Assisted project managers wif the development of project schedules. Developed requirements and preliminary design for client applications.
• Performed analysis and design projects using a systems development methodology. Worked wif all levels of client staff in solution definition.
• Documented test cases during requirements gathering, analysis and design phases. Manage Scope and change throughout the life cycle of the product.

Environment: UML, Agile, MS SQL Server 2012, MS Visio, MS Office, RTM, Windows 10, Microsoft TFS, Rally.