SUMMARY:

• Seven years of experience working as Business Analyst and UAT teams in teh Healthcare domain wif functionally involved in all teh phases of teh software development life cycle: Planning, Analysis, Design, Implementation and Testing
• Experienced in working agile environment projects in healthcare domain and performed all teh duties in scrum framework including product backlog, release backlog, sprint planning session, daily scrum meeting, sprint reviews and sprint retrospectives.
• Experienced in gathering teh business requirements from teh CMS stakeholders, CMS ISG, PM3, DECC/ADO, HCQIS, EHR vendors by conducting JAD session, attending workshops and initiating teh daily client call meeting in teh requirements planning phase
• Gained basic noledge on NASCO implementation wif teh health care industry
• Experienced in performing GAP analysis for Care Radius application using MS Excel by performing teh system analysis between teh scheduling systems and documented teh gap items
• Managed teh business requirements using Serena RM to track teh project requirement development and provided feedback to PMBR team.
• Hands on experience wif performance and load testing automated tools, User acceptance testing (UAT) and System testing.
• Performed complex SQL queries in analysing teh medical data transformation of EHR vendor and electronic physician office interface set up.
• Collaborate wif my team to ensure Health Care Quality Improvement System (HCQIS) and Edaptive standards and processes are abided by to produce high qualitybusinessrequirements
• Experienced in health care products and benefits wif teh Care Radius application on maintaining teh point of care support to teh management wif Strong Knowledge of EDI transactions, ASC X12 Transaction sets: 834 Benefit Enrollment and Maintenance
• Experience working in healthcare portals like Confidential Care Radius, EHR portal wif Ameripath wif multi - vendor for EHR interface installation
• Supported teh product developers in TEMPeffectively understanding teh requirements and development of teh code.
• Performed unit testing, integration testing, quality assurance and UAT testing before teh release of teh code to ensure teh risk of bug is minimal.
• Provided communications such as go-live notices, support documentation and operational checklists to our internal organization relative to any new or change to existing client interface for HIPAA standards

TECHNICAL SKILLS:

Project Methodologies: Agile (SCRUM)

Business Modeling Tools: MS Visio

Requirement Management Tools: Caliber RM, HP ALM, JIRA

Testing Tools: HP UFT, Load Runner

Operating Systems: Microsoft Windows Xp, Vista7, UNIX

Databases: Microsoft SQL Server

Languages: UML, SQL

Additional Tools: MS PROJECT, SSMS, SharePoint, MS Office

PROFESSIONAL EXPERIENCE

SeniorBusinessAnalyst/UAT Analyst

Confidential, Maryland

Responsibilities:

• Use Agile methods and techniques to lead and facilitate projects through teh requirements process by working wif CMS Program stakeholders in order to elicit, analyse, communicate, and validate requirements andbusinessprocesses to help preparebusinessrequirement documents (BRD).
• Developed several baseline assessments for EDI, Privacy, and Security for teh migration between two system. Analyzed currentbusiness processes for areas impacted by EDI claims processing of duplicate records
• Analyzed teh requirements and created mapping specifications based on HIPAA implementation guidelines for teh data mapping from PQRS to MIPS.
• Created HIPAA compliant test data for 837 Institutional and professional claims under teh PQRS using tools like Edifecs Spec Builder and migrated to MIPS system.
• Conducted data analysis, developed business requirements and recommended optimal solutions relating to teh migration of system in compliance wif NASCO
• Develop and execute test scenarios for unit and acceptance testing of coding modifications to NASCO compliance
• Managed "Defects" to correct claims processing issues according to NASCO standarads.
• Train new employees, order office supplies, maintain office inventory and set up payroll accounts in Revenue cycle management for Payer employees.
• Work closely wif developers, professional services team and product managers to define teh testing methodology required for applications development in a reliable and scalable UAT environment.
• Gatheird test data for UAT scenarios and conducting UAT testing as end users perspective.
• Perform UAT Testing against user stories and Experience in managing UAT activities.
• Using Hiptest (Test case management tool) to write UAT testcases
• Manage and supervise accounts receivable, claims creation/submission, appeals, aging reports, denials and collections of revenue cycle for claims submission
• Used SAS/ACCESS and SAS/SQL to extract Data from different RDBMS like Oracle, SQL server and Merging them efficiently.
• Developed reports on Microsoft SQL server management studio 2012 for client on quarterly basis
• Frequently used SAS/SQL macro function %SYSFUNC to invoke Data Steps functions in Open Code and Used X Statements to invoke other system commands in SAS EG.
• Extensively used SAS/SQL Dictionary Tables and SASHELP library for Metadata information for efficient coding.
• Frequently used SAS/SQL Options like DROP, KEEP, RENAME, COMPRESS=, OBS=etc. for efficient programming and storage space saving when needed.

Environment: Collab, Serena RM, SharePoint, Jira, HP-ALM, HP-UFT, MS Office, SQL server management studio

Senior Business Analyst/UAT tester

Confidential, La Jolla, California

Responsibilities:

• Developedbusinessprocess models for projects and demonstrations at teh Centers for Medicare and Medicaid (CMS) usingbusinessprocess model notation and enterprise architecture.
• Performed GAP analysis using MS Excel by performing teh system analysis between teh scheduling systems and documented teh gap items.
• Created documentation such as BRDs and FSDs (Businessand Functional design specifications) wif elaborate use cases and process flows.
• Created test plan and test summary documents according to SDLC standards for User Acceptance Testing (UAT)
• Experience in developing mapping documents, Use Cases, BRD (Business Requirement Document), FRD (Functional Requirement Document), UAT Test cases and test data.
• Experience in preparing and documenting teh User Acceptance test (UAT) plan and obtaining teh necessary signoffs from teh concerned business units
• Played a key role in teh user acceptance testing (UAT), prepare UAT scripts,, train users, perform defect reviews, document workarounds for open defects
• Developed reports for teh Care Radius team using Tableau on quarterly basis for teh performance assesment
• Maintained good relationship through TEMPeffective communication through all levels of stakeholders (C-Level)
• Studied existing business flows to evaluate system performance and found areas of improvement.Conducted JAD sessions, meetings, workshops to gather requirements from various stakeholders and SMEs.
• Actively participated in creating user stories (JIRA) and prioritizing user stories along wif tracking of burn up, burn down charts to estimate sprint delivery.
• Conducted JAD to gather and detailed high-level business requirements for different business units impacted by ICD 10.
• Assisted in building ICD 9 to ICD 10 crosswalk map by grouping thousands of codes.
• Prepared use cases and data flow diagrams in MS Visio and MS Word to analyze teh impact of ICD 10 diagnosis codes embedded in different systems and applications.
• Involved in teh GAP analysis of 270/271,837,835 and 834 transactions from EDI X12 4010 to EDI X12 5010.
• Involved in forward mapping from ICD9 to ICD10 and backward mapping from ICD10 to ICD9 using General Equivalence Mappings (GEM).
• Contributed to ICD-10 Awareness Training Management Plan, created evaluation tool, and survey questions.
• Developed business continuity plan in handling teh enhancements of Care Radius application.
• Facilitated all Aspects of scrum framework, including product backlog, release backlog, sprint planning session, daily scrum meeting, sprint reviews and sprint retrospectives.
• Served as Scrum Master where me communicated dependencies and potential risk to teh completion of teh sprints including resources, costs and systems.
• Wrote user acceptance testing (UAT) scripts and led testing/ quality assurance for both HL7 ADT interface and teh application.
• Developed Test Cases for unit testing, prepared spreadsheet for testing criteria, including regression, positive and negative testing, process flow testing and screenshot for test results to complete expected and actual results.
• Managed testing for various functionalities using Quality Center tools.
• Worked closely wif QA and Developers to clarify/understand functionality, resolve issues and provided feedback to nail down teh bugs.
• Conducted project related Presentations periodically to teh management and end users during various phases of Software Development Life Cycle (SDLC).

Environment: Agile SCRUM, Caliber RM, JIRA, SQL, MS Visio, HP ALM, Microsoft Office (MS Word, Excel, PowerPoint etc

Business Analyst

Confidential, Dallas, Texas

Responsibilities:

• Participated in requirement gathering from Sales Team,EHRvendor and Physician office for electronic interface setup.
• Responsible for preparingbusinessrequirement document and functional specifications based on requirements from stakeholders.
• Reviewed, analysed, and evaluated thebusinessdata systems that provide data to teh Hub and work closely wif agency staff to define and document programmatic and analyticalbusinessneeds for teh Customer Hub
• Helped in creating data flow process, system specifications and system documentation for teh health data systems that integrate wif teh Hub.
• Developed reporting system for ameripath wif sales team data on teh patients in and out records .
• Experience creating dashboards based on teh sakes team data for Ameripath using Tableau
• Leading teh business analysis effort for GDPR compliance. Understanding and documenting teh data path for data directly affected by teh GDPR and suggest approaches to maintain its privacy
• Leading discussions wif teh business stream leaders of teh GDPR Project to agree approach to complete recommendations as laid down by recent risk assessment for teh GDPR.
• Performed user acceptance testing (UAT), perform defect reviews
• Update QNXT 5.3 configurations, analyze and research inpatient care wifin teh Affordable Care Act (ACT)
• Configure Medicaid Benefits and contracts wifin teh QNXT 5.3 claim processing system
• Remedy System and Solution Document for Ameripath Sales team (describing QNXT 5.3 actions entered into teh system

Environment: MS Office Suite, MS Visio, MS Project, Windows XP/NT, MS Access, Agile, SharePoint, LoadRunner

Junior Business Analyst

Confidential

Responsibilities:

• Met wif client groups to determine requirements and goals. Configured and developed process flows, standards, and procedures and create aBusinessRequirement Document.
• Responsible for preparing Software Requirement Specification (SRS) and documenting them.
• Created Process Work flows, Functional Specifications documents and documented system requirements.
• Interacted wif various cross-functional teams on buildingbusinessuse cases, and understanding expenses and revenue stream.
• Interaction wif teh developers to report and correct bugs.
• Followed a structured approach to organize requirements into logical groupings of essentialbusiness processes,businessrules, and information needs. Ensured that critical requirements are not missed.
• Aided management in standardizing web applications by preparing GUI standards and recommending alternatives for incorporation in a phased, iterative manner.
• Interacted wif client and teh Technical Team for requirement gathering and translation ofBusiness Requirement to Technical specifications.
• Analysis of teh new requests specified by teh end users for teh future releases and discussion wif teh functional and technical teams.
• Identified and clearly defined functional issues and support IT development staff throughout teh design, development, unit testing, and implementation phases of teh software development life cycle.

Environment: Windows Vista/7, Microsoft Office SharePoint 2007, Caliber RM, MS Office, SQL Server, MS Project