SUMMARY

Over 7 years of solid IT experience as a Business Analyst within the healthcare industry, with knowledge of SDLC methodologies particularly RUP, AGILE-SCRUM, Waterfall and expert in conducting Rapid Application Development RAD , Joint Requirement Planning JRP and Joint Application Development JAD sessions, interviews, workshops and requirement gathering sessions with business users, stakeholders and development team.

Professional Summary:

• Extensive experience in gathering requirements and authoring Business Requirement Documents BRD , Software Requirement Specification SRS , Functional Requirement Document FRD and maintaining Requirement Traceability Matrix.
• Strong knowledge of Rational Unified Process RUP risk engineering, data modeling and mapping, and design using Unified Modeling Language UML and Visio.
• Experienced in creating Use Cases, Sequence Diagrams, Activity Diagrams, Collaboration Diagrams and Class Diagrams using rational tools and Microsoft Visio.
• Experienced in conducting SWOT Analysis, Business Analysis, Risk Analysis and Gap Analysis.
• Excellent Client relationship management, analytical, and conflict resolving skills.
• Strong experience of working on ICD 9/ICD 10 conversions
• Excellent knowledge of HIPAA Health Insurance Portability and Accountability Act transaction codes such as 270/271 Eligibility Benefit Inquiry/Response , 276/277 Claim Status , 835 Payment or remittance Advice , and 837 Health Care Claim .
• Strong knowledge of Medicaid, Medicare Part A, B, C, D , Procedural and Diagnostic codes and Claims Process.
• Expertise in EDI HIPAA 4010 - 5010 Project to convert EDI X12 Healthcare 4010 transactions into 5010 Complaint transactions.
• Strong knowledge of HL7 Standards, HIX, EHR - Electronic Health Records, EMR - Electronic Medical Records, CMS regulations, Health Care Reform, EMTALA, PPO, POS and HMO.
• Working knowledge of Medical Management Information Systems MMIS
• Good knowledge of PPACA Patient Protection and Affordable Care Act .
• Experienced in preparing User Manuals documentation, and Conducting training and support to the users and other stakeholders.
• Skilled in validation and testing complex scenarios for the maintenance of quality standards in projects.

Technical Skills:

MS-Access, MS Office, SharePoint, ERWIN, Java, Quick Test Pro, XML, XML Schema, DTD, HTML, JavaScript, VBScript, Test Director Quality Center , Mercury BAC, SQL Server, DB2, MS-Access, Rational Requisite Pro, Clear Quest, Test Track Pro, MS-Visio, Windows, Linux, UNIX, VSE Mainframe, SQL, TSQL.

Professional Experience:

Confidential

Sr. Business Analyst

Responsibilities

• Provided implementation project management support of the EHR system into physician practices and executed project plans defining project scope, goals, budget and timelines for assigned projects.
• Gathered and Analyzed the requirements for EHR system administration including backups, security and patch management and user account management.
• Reviewed the specifications for the optimization, and maintenance of the Electronic Health Record.
• Responsible for technical / configuration specifications, system design, workflow development, test, install, support and release management of EHR functionality.
• Took the initiative to research, resolve and respond to tasks regarding implementation and maintenance of the EHR.
• Identified and communicated dependencies and potential risks to the completion of the sprints including resources, costs and systems.
• Communicated project changes and status to the stakeholders on a daily basis, ensuring each proposed change goes through a systematic project impact analysis.
• Tracked and ensured visibility of historical team metrics and progress of the iteration and release.
• Constantly partnered with project leads to ensure the team is producing solutions that meet established standards, procedures and practices, address issues, risks and mitigation plans.
• As Scrum Master assisted team with making appropriate commitments through story selection, sizing and tasking.
• As Scrum Master proactively identified and removed blockers, facilitate frequent retrospectives, sharing metrics to identify and implement improvements.
• Provided coaching on Agile values and practice to other teams within the company.
• As Scrum Master involved in Scrum Sprint Planning Sessions, Backlog Grooming, Sizing, Sprint Retrospectives Reviews, Daily Stand-ups, User Stories and Acceptance Criteria.
• Managed the development of interfaces researches, plans, installs, configures, troubleshoots, maintains, and upgrades hardware, peripherals and software interfaces with the EHR system.
• In collaboration with EHR Director, develop a standardized and consistent approach relating to Meaningful Use compliance. Analyzed, modified, review and run reports in the EHR to ensure initial compliance and continued compliance.
• Completed documentation including required data elements to validate compliance.
• Facilitated project meetings to achieve desired results and Ensured participation, innovation and decision-making among group
• Monitored project goals and meeting milestones and supported customers during implementation both remotely and onsite as appropriate.
• Conducted user set-up and forms design and ensured all end-user documentation is complete.

Environment

Agile, Rally, Studio 4.0, Web sphere 4.0, JAVA, Windows XP, XML/XSLT, JavaScript, Microsoft SQL, UML, MS Visio, Quality center

Confidential

Business Analyst

Responsibilities:

• Developed various use cases to come up with the front end application design.
• Performed GAP analysis and analyzed EDI 837 Health Care Claim transaction from 4010 to 5010.
• Developed crosswalk between ICD-10 and ICD-9 to assist with transitioning to ICD-10 and identify the differences between the two versions.
• Conducted JAD sessions involving SME's, business users, data administrators, system architects, managers and development team in order to create a good business process model.
• Identified the project scope, business objective, feasibilities and risks based on Scope/Vision documents.
• Used Requisite Pro to organize and catalog requirements.
• Created Data Flow Diagrams and process diagram using MS Visio
• Developed Business flow diagrams, use cases and activity diagram assisted developers in creating sequence diagrams and collaboration diagrams.
• Generated Functional Requirement specifications FRS and User Requirements Specifications URS that helped to guide the design of the application
• Maintained Requirement Traceability matrix throughout the project.
• Reviewed test plans and test scripts developed by development team and QA team to make sure all requirements have been covered in scripts and tested properly.
• Functional testing of the application was performed as per the ICD10 changes.
• Helped in conducting User Acceptance Testing UAT , Unit and System Integration testing SIT .

Environment:

RUP, Rational Requisite Pro, Rational Rose, Rational Clear Case, Rational Clear Quest, SQL, UML, MS Visio, MS Project, MS Excel, MS Word Windows.

Confidential

Sr. Business Analyst

Responsibilities:

Inception

• Met with users and stakeholders to understand the problem domain, gathered customer requirements through interviews group and one-on-one along with JAD sessions.
• Performed requirements gathering process in iterative approach using RUP methodology.
• Worked effectively with physicians, nurses, and engineers to solve problems related to EMR, EPM, and ICS to make software more user-friendly to staff and doctors.
• Work with Compliance and Regulatory operations to follow and monitor different IT process bound by CMS Regulations.

Elaboration

• Formulated logical statements of business requirements researched and evaluated alternative solutions and recommend the most efficient solution for system design.
• Review requirements and understand technical recommendations and constraints, and develop comprehensive and accurate functional specifications Data Mapping, and process flows.
• Prepared test Data sets using Prototyping and performed data testing using the PL/SQL scripts.
• Used Rational Rose for creating the Use Cases Diagrams, Activity Diagrams, Class Diagrams, and Sequence Diagrams etc.
• Created Mapping Documents, Report Mockups and modified existing report mockups and finalized for development
• Involved in preparing flow diagrams for various scenarios of scheduling, check-in, charts, SOAP notes, labs, ePrescribe, referrals, billing and patient workflow

Construction

• Involved in Testing by using SQL and work with QA together to develop test Scenarios and test cases.
• Involved in defect tracking and maintaining Requirement Traceability Matrix

Transition

• Facilitated UAT and documented User manuals for the user community
• Conducted training sessions to ensure user acceptance.

Environment:

Windows XP, Business Objects, Rational Unified Process RUP , MS Excel, Word, Visio, Java/J2EE, UML, power point, SQL, Oracle, DB2, Rational DOORS, Rational Rose, Erwin.

Confidential

Business Analyst

Responsibilities:

• Conducted the JAD Sessions with stakeholders and developers to have a clear picture of the project.
• Implemented RUP Rational Unified Process methodology for iterative and incremental development of the system.
• Prepared the Functional Specification Document FSD and Software Requirement Specifications SRS as per SEI CMM standards.
• Worked on improvement of Claims Reimbursement User Interface for a better experience and incorporate changes as per HIPAA guidelines using the gap analysis.
• Developed test cases and test plans on the basis of requirements and also did manual testing of the functionality of the application to ensure that the application is able to handle a lot of data.
• Used UML to create use case diagrams, sequence diagrams and activity diagrams.
• Developed flowchart and process diagram using MS Visio.
• Conducted interviews with clients to analyze their data and gather requirements.
• Provided assistance in building EDI's 270, 271, 276, 277, 835, 837 and 834 transactions.
• Clarified QA team issues and reviewed test plans and test scripts developed by development team and QA team to make sure all requirements have been covered in scripts and tested properly.
• Maintained Traceability Matrix throughout the project.
• Used the Rational Unified Process RUP to build the different phases of Software Development Life Cycle SDLC .

Environment

RUP, Rational Requisite Pro, Rational Rose, SQL, MS Visio, MS Office, UML, Rational test Manager.

Confidential

Business Analyst

Responsibilities:

• Performed Gap Analysis to check the compatibility of the existing system infrastructure with the new business requirements.
• Gathered Requirements from different insurance companies and other stakeholders.
• Responsible for UAT testing team on HIPAA 4010 EDI 837 and 835.
• Used UML and RUP methodology to analyze and translate business requirements into system specifications.
• Designed and authored Business Requirement Documents, Functional Specifications, traceability matrices, and Use Cases.
• Wrote Supplemental specifications, business rules matrix for Medicare mail conversion to ensure ease of maintenance.
• Designed and developed project document templates based on SDLC methodology for marketing campaigns for Cardinal Medicare A, B, C and D program.
• Conducted training and support to the users and other stakeholders.
• Analyzed and wrote technical documentation for root cause analysis on customer support issues.
• Created and presented reports on a weekly basis to keep the management up to date on the progress of the projects.
• Conducted workflow, process diagram and gap analyses
• Developed and implemented processes and tools for requirements gathering, analyzing, planning, tracking and delivery using Rational Rose requisite.

Environment:

RUP, UML Use Cases, VB.NET, SQL Server, Rational Rose, XML, Rational Requisite Pro, Use Case Documentation.

Confidential

Jr. Business Analyst

Responsibilities

• Fully streamlined the documentation and reporting workflow to meet the compliance requirements
• Gathered and analyzed the specifications for Integrating electronic signature capabilities for the ability to sign and lock reports from within Cardio Lab using system logon and password
• Documented FRDs for scope of the project and got approval from business for the developers, prepared the Business requirement Document for the enhancement of the existing services using Requisite Pro and Rational Rose.
• Created workflow diagrams, UML diagrams, use cases, swim lanes, process flow, facilitated Interface testing, tests cases, Test Plans and Test Scripts
• Structured and documented the data entry capabilities to save time by sending patient demographics to the in nova system via DICOM MWL.
• Captured and managed the workflow of images from X-ray or ultrasound systems during the case for inclusion in the final report

Environment:

Rational Unified Process RUP , MS Office, MS Visio, MS Project, UML, Oracle, SQL, DB2, Rational Requisite Pro, Rational Test Manager.

Confidential

Cardiovascular Sonographer and Medical Assistant

Responsibilities:

• Performed 2-D Echocardiograms with measures using M-Mode, Color Flow, Doppler.
• Carotids, Duplex scan of lower extremity arteries, Duplex scan of aorta inferior vena cava, Duplex scan of extremity veins including.
• Stress echocardiograms and regular Stress Test.
• Patient vital signs, Basic patient care.
• Prep patient and patient positioning.
• Assisted the Physician and Cardiac Sonographer.
• ABI- Ankle-brachial Index test with and with-out exercise.
• Performed: EKG, Digital Holter Record, IC, and PFT.

Confidential

Cardiovascular Sonographer and Medical Assistant

Responsibilities:

• Performed 2-D Echocardiograms with measures using M-Mode, Color Flow, Doppler.
• Stress echocardiograms and regular Stress Test: Assisted the Physician and Cardiac Sonographer.
• Patient vital signs, Basic patient care.
• Prep patient and patient positioning.
• Assisted the Physician and Cardiac Sonographer.
• Observe and assisted Dobutamine studies.
• ABI- Ankle-brachial Index test with and with-out exercise.

Performed: EKG, Digital Holter Record, ICG, 6- Minute walk test, VNG, Home Sleep Monitor.