SUMMARY

• Experienced in all phases of the Software Development Life Cycle (SDLC) including requirements gathering, analysis, design, implementation, testing and deployment as well as software engineering methods like Rational Unified Process (RUP), Waterfall Method, Agile and RAD.
• Over 8+ years of professional experience as a Agile Business Analyst /Systems Analyst wif expertise in business process analysis, business process modeling, business requirements, database design, strategic planning, and business analysis in the field of Healthcare.
• Experienced in MMIS (Medicaid Management Information System), HIX (Health Insurance Exchange), EMR (Electronic Medical Record), EHR (Electronic Health Record) and healthcare reforms like the Patient Protection and Affordable Care Act (PPACA), Emergency Medical Treatment and Active Labor Act (EMTALA).
• Skills include defining Project Scope, Business Process Analysis, Business Process Reengineering, Requirements Gathering, Data and Process Modeling
• Strong knowledge of the Software Development Life Cycle methodologies (phases and gates) like Agile and Waterfall models
• Established IBM BPM best practices and guidelines throughout the organization andmentored the new team members on BPM tool - hands on wif BPMN and BPEL processes.
• Maintained burn down charts, sprint backlog and product backlog sheets used all SCRUM rituals such as stand-up meeting, Sprint planning. Sprint review and sprint retrospect
• Experienced in Data warehouses and data marts for business intelligence reporting and data mining along wif developing and documenting process flows for business processes.
• Gathered good knowledge of Medical and Healthcare Standards and Regulatory vehicles such as HIPAA, FDA, ICD, MMIS, EDI, and HL7.
• Effectively used Rational Requisite Pro to organize, track and change requirements of the system.
• Well versed in all phases of Software Development Life Cycle (SDLC) and experienced using Agile (SCRUM), Rational Unified Process (RUP), and Waterfall methodologies.
• Experience working wif query languages like SQL
• Experience in working wif QA team to develop the Test plans, Test scenarios, Test procedures, and Test cases to ensure adequate testing of software both before and after completion.
• Proficient in using version control tools such as Clear Case, Bug tracking tools such as Clear Quest, Test Director
• Facilitated User Acceptance Testing (UAT) wif the stakeholders and the business users as well as trained users to use the system configured.
• Analytical, methodical and resourceful approach to problem solving, identifying root causes and corrective actions to meet short and long-term business, financial and system requirements
• Excellent verbal/written communication skills and strong analytical abilities and can perform well both independently and as a team player

TECHNICAL SKILLS

Operating Systems: Windows 95/98/2000/XP, Macintosh, UNIX

Modeling Tools: MS Visio, MS Studio, True Comp

Modeling Languages: UML, OOAD, Object Modeling, RUP, AGILE

Programming Languages: SQL, PL/SQL, Java, .NET Framework, C#, Visual Basic

Database Management Systems: Oracle9i, MS Access, MS SQL Server, TOAD

Microsoft Tools: MS Office, MS Front Page, MS Outlook, MS Project, MS Visio

Rational Tools: Rational Rose, RequisitePro, Clear Case, Clear Quest

Testing Tools: Test Director, Quick Test Pro, Mercury Quality Center

PROFESSIONAL EXPERIENCE

Confidential, New York, NY

Sr. Business Systems Analyst (Agile /Scrum)

Responsibilities:

• Gathered legacy system requirements by shadowing Customer Service Representatives (CSRs), Customer Relationship Representatives (CRRs), preparing questionnaires, to identify limitations in the current system and GAPS in the proposed system.
• Participated inScrumofScrumto provide updates on progress, impediments and collaboration wif other teams.
• Worked in Waterfall and Agile-scrumenvironment.
• Created an enterprise workflow application based on CRUD rules for Customer Data that would allow for future integration of data infrastructure across various business areas into a single UI.
• Responsible for writing Functional Requirement Specifications (FRS) and User Requirement Specification (URS).
• Helped design scope documents and the Request for Proposal (RFP) after extensive ROI analysis and coordinated wif top management for the approval process.
• Developed & executed several Optimized queries in SQL on dis data.
• Drive significant organization change across agile team to support agile development.
• Coordinate wif other Agile teams to resolve cross-team issues and resolve dependencies
• Worked underWaterfallandAgileProject Management methodologies
• Used Rational Rose to model the process using UML to create behavioral and structural diagrams.
• Participate inScrumofScrumto ensure cross-team collaboration, coordination of release plans, report overall project status, and upcoming risks/dependencies.
• Involved in mentoring specific projects in application of the new SDLC based on the Agile Unified Process, especially from the project management, requirements and architecture perspectives.
• Designing Data warehouse architecture keeping mutli-system, multi-branch consolidation and real time data integration requirements
• Used SQL to test various reports and ETL load jobs in development, QA and production
• Conducted User Acceptance Testing, gathered and documented User Manuals and Business Rule
• Strong knowledge of the Software Development Life Cycle methodologies (phases and gates) like Agile and Waterfall models
• Modeled Business requirements into workflows to depict various scenarios of system to request RFI and RFP responses from major vendors.
• Created Process Flow diagrams, Use Case Diagrams, Class Diagrams and Interaction Diagrams using Microsoft Visio and Rational Rose.

Environment: Requisite Pro, Rational Rose, Agile, HL7Interfaces, SQL, MS Office, MS Visio, MS Access, Microsoft Word, Microsoft Power Point, EDI, UML.

Confidential

Business /Systems Analyst (Scrum)

Responsibilities:

• Interacted wif business heads to finalize the Business Requirements for the application.
• Worked extensively in Medicaid Management Information System (MMIS). Expertise in various subsystems of MMIS- Claims, Provider, Recipient, Procedure Drug and Diagnosis (PDD), Explanation of Benefits (EOB).
• Recommended changes for system design, methods, procedures, policies and workflows affecting Medicare/ Medicaid claims processing.
• Performed requirements modeling and develop analysis diagrams, activity diagrams, sequence diagrams, state diagrams, data models, and use-case realizations using RUP tools in Agile/Scrum.
• Performed testing for Medicare, Medicaid and X-Over claims for Medicaid Management Information System (MMIS).
• Part of aScaledAgileFrameworkscrum team that creates solutions for and tests architecture scalability. Responsible for planning, writing, executing, organizing, and maintaining test cases.
• Identified/documented data sources and transformation rules required populating and maintaining data warehouse content.
• Accurate processing of Medicare claims using the Diamond system
• Interacted wif client and the Technical Team for requirement gathering and translation of Business
• Requirement to Technical specifications.
• Participated inScrumofScrumto provide updates on progress, impediments and collaboration wif other teams.
• Worked in Waterfall and Agile-scrumenvironment.
• Product owners identified, scrum of scrums established and SAFe setup once maturity by scrum teams was realized.
• Identified/documented data sources and transformation rules required populating and maintaining data warehouse content.
• Created requirements analysis and design phase artifacts using, Rational Software Modeler and MS Visio to create DFDs, ER diagrams, Use Case, Activity/State chart, Sequence, Collaboration and Deployment Diagrams.
• Migrated Data from MS Excel to SQL Server Reporting Service Using DTS and SQL loader utilities.
• Utilized corporation developed Agile SDLC methodology. Used Scrum Work Pro and Microsoft Office software to perform required job functions.
• Worked on web-based user interface projects and Data warehouse projects.
• Developed & executed Develop and maintain several Optimized queries in SQL on dis data.
• Comprehensive understanding of MMIS subsystem files, screens and integrated workflow processing.
• Used SDLC (System Development Life Cycle) methodologies like the RUP and the waterfall.
• Provided suggestions and ideas more from a strategic and long term perspective.
• Represent Operations Team as Client Liaison for Medicare Part D Plan
• UseBPM/Visio to prepare explicit high qualityBusinessRequirement Document (BRD).
• Conducted presentations of the Q/A test results wif analysis to the stakeholders and users and documented modifications and requirements.
• Employed Rational Clear Quest for effective Change Management (Requirements Creep) and bug tracking during the testing lifecycle.

Environment: Rational Rose and Requisite Pro,Agile,, Java, RAD, MS Visio, MS Project, SQL, UML, XML, Rational Clear Quest, Rational Clear Case,, MDM, Microsoft Excel, Microsoft Word, Microsoft Power Point.

Confidential - Fayetteville, GA

Business System Analyst (Agile)

Responsibilities:

• As anAgilepractitioner, Lead and coach project team, stakeholders, business owner and transform the multiple projects fromwaterfallmethod toAgileadoption.
• Created workflow scenarios, designed new process flows and documented the Business Process and various Business Scenarios and activities of the Business from the conceptual to procedural level.
• Assigned tasks among development team monitored and tracked progress of project following Agile methodology.
• Performed requirements modeling and develop analysis diagrams, activity diagrams, sequence diagrams, state diagrams, data models, and use-case realizations using RUP tools in Agile.
• Performed felid-by-field mapping of interface between parent EMR system and downstream system.
• Performing major role in understanding the business requirements and designing and loading data into data warehouse (ETL).
• Identified Claim Processors requirement and documented technical specifications for the claim Inquiry system
• Worked closely wif primary care physicians (PCP), clinical support staff like nurses, clinical assistants and wif specialist physicians to gather requirements information for RMS.
• Gathered requirements and modeled the data warehouse and the underlying transactional database.
• Identified the USER types and roles to prepare a process modeling diagram and Information flow diagram.
• Developed entity diagrams, data interface mapping to map all the possible inputs and outputs.
• Assisted Project wif the Project plan and conducted status report meeting to finish on the time scheduled.
• Extensively created Business Process Modeling Diagrams/Swim Lane Flows using BPM notations and MS Visio indicating transformations and feeds.
• Used SQL for organizing and abstracting data from MS access data bases, created reports, forms on Ms Access.
• Have good Agile methodology experience (Scrum, RUP, XP, me.e. Iterative Development and Project Management). Used User Stories in agile testing. Familiarity wif UML and Use Cases.
• Integrate Data from wide range of sources including in-house clinical data management systems, labs and contract research organizations and perform data cleaning.
• Performed analysis on data inputs, datasets, reporting for the impacts wif interacting systems.
• Experience in development methodologies like RUP, SDLC, AGILE, SCRUM and Waterfall
• Prepared a document wif the reporting specification and reporting requirement and trained decision makers on the report analysis.
• Tested the final application for Usability testing to verify whether all the User Requirements were catered to by the application.

Environment: Java, Rational Clear Quest, Rational Requisite Pro, Rational Rose, Agile, UML, RUP, XML, SQL, SAS, Microsoft Excel, Microsoft Word, Microsoft Power Point, Visio.

Confidential, Wauwatosa, WI

Business Systems Analyst

Responsibilities:

• Met wif client groups to determine requirements and goals. Utilized Rational Unified Process (RUP) to configure and develop process, standards, and procedures and create a Business requirement Document.
• Involved in mentoring specific projects in application of the new SDLC based on the Agile Unified Process, especially from the project management, requirements and architecture perspectives.
• Created Process Work flows, Functional Specifications documents and documented system requirements.
• Provide implementation assessment, strategy, and mentoring services for Rational Rose, UML and RUP.
• Interacted wif various cross-functional teams on building business use cases, and understanding expenses and revenue stream.
• Involved in performance testing of Medicaid client server claims processing system, Medicaid MCC / MCO and Medicaid Management Information System (MMIS)
• Performing major role in understanding the business requirements and designing and loading data into data warehouse (ETL).
• Accurate processing of Medicare claims using the Diamond system
• Working wif clients to better understand their needs and present solutions using structured SDLC approach.
• Interaction wif the developers to report and correct bugs.
• Use Cases and other Process Flow Models were designed using Visio and Rational Rose
• Performed business Functionality testing and GUI testing
• Extensive Experience inAgileMethodology andWaterfallmethodologies of SDLC
• Data mapping, logical data modeling, created class diagrams and ER diagrams and used SQL queries to filter data wifin the Oracle database.
• Developed the systems implementation project management plan wif milestones and steps from procurement of vendors to project implementation and maintenance.
• Followed a structured approach to organize requirements into logical groupings of essential business processes, business rules, and information needs. Ensured that critical requirements are not missed.
• Aided management in standardizing web applications by preparing GUI standards and recommending alternatives for in corporation in a phased, iterative manner.
• Communicated changes to requirements promptly and precisely to all personnel involved.
• Identified and clearly defined functional issues and support IT development staff throughout the design, development, unit testing, and implementation phases of the software development life cycle.
• Analyzed and translated business requirements into system specifications.

Environment: Java, Rational Clear Quest, Rational Clear Case, Rational Requisite Pro, Rational Rose, UML,RUP, SQL, Microsoft Excel, Microsoft Word, Microsoft Power Point, Visio.

Confidential

Business System Analyst

Responsibilities:

• Requirements gathering for application design.
• Extraction and documentation of Business process logic/rules from legacy programs to understand the actual business logic in production as opposed to the business rules believed to be in place. Gap analysis.
• Create system level, program level and activity level flow charts for batch and online programs using Visio.
• Responsible for mapping and identification of fields in interfacing systems(Mutual fund, Trade, Corporate actions, etc). Expert knowledge about the file layouts and table structures/fields.
• Flow charting the complex sequence of jobs in batch EOD process and timings to tune the batch cycles and job dependencies. Upload high level flows onto Share point to give overview to all users.
• Detailed documentation of Fractional share breaks and events, Currency code logic, existing Posting rules, Reconciliation process and categorization of breaks and break reasons in reconciliation process, etc.
• Update and maintain application and project documentation in Documentation Framework site.
• Worked closely wif Business requirements and QA team, and Technical design and Architecture teams and interact wif SMEs.
• Effective analysis of upstream and down system data and transactions like Cash, Securities, Trade and settlements, understand new and existing applications.
• Participate in project planning sessions to gather, analyze business requirements, assist in root cause analysis and resolutions.
• Participate in design, coding, technical writing, testing, implementation, and documentation of solutions.
• Support testing team in data validation and functionality testing providing data from mainframe system.
• Strong SQL query and data analysis skills .

Environment: COBOL, JCL, DB2, CICS, SQL, MQ, TSO, TOAD, Z/OS, SAR, VSAM, MS Office, FTP, SPUFI, FILE-AID,ENDEVOR, Crystal, Brownstone, and VISIO.

Confidential

Business Systems Analyst

Responsibilities:

• Assisted the project manager in the creation of the project charter & vision document during the inception phase of the project.
• Performed GAP analysis as it pertains to membership management and claims processing to evaluate the adaptability of the new application wif the existing process.
• Produced Activity diagrams wif defined swim lanes as part of the claims process analysis.
• Involved in gathering and prioritizing requirements using 1 to 1 interviews, brainstorming & developing questionnaires.
• Translated business requirements into functional specifications and documented the work processes and information flows of the organization.
• Coordinated wif the developers and IT architects to design the interface of the new system according to the X12 (270, 276, 278, 834, 837 (me, P, D) standards.
• Assisted in upgrading HMO Medicare EDI and reporting.
• Worked in an Agile environment.
• Involved wif various aspects of the project's needs such as the logging, tracking, and resolution of issues, current state workflow assessments.
• Created a detailed use case scenario.
• Involved in the complete business process redesign and reengineering effort in converting existing process into a strategic web based environment.
• Extensively involved in every phase of the RUP process starting from Inception to Transition
• Assisted the Quality Analyst (QA) in creating test plans, test data and conducted manual testing to validate functionality.
• Clarified to claims personnel the new Affinity payments and Explanation for payments (EOPs) for same claim processing cycle.
• Assisted the QA in performing simple SQL queries for QA testing and data validation.
• Conducted user training pertaining to old and new Affinity Provider ID appearing on documents providers receive from Affinity (mainly occur wif EOPs, capitation rosters, PCP membership rosters, provider directory listings and some system generated letters).

Environment: Oracle, MS Project, MS Office suite, MS SQL, Rational Suite, Citrix, MS SharePoint.