Business System Analyst, Project Manager Resume

SUMMARY

IT Specialist with 11 years of experience in requirement analysis & management, business process mapping, business case development, Project management, functional consulting, and stakeholder management with experience of multiple end to end project implementations for various Health Care Payer Systems. Accomplished and fluent communicator with strong investigation, problem - solving and decision-making skills, combined with a pragmatic approach and sound business acumen.
Experience of full software development lifecycle from project initiation through to benefits realization.
Experience of project management and successful project delivery for various health care payer systems involving Enhancement, Maintenance and support projects.
Experience of effective Scheduling, cost control, Risk management, quality assurance and change management.
Experience in effective management of stakeholder relationships at all levels of the business (both internally and with third party suppliers)
Experience of working closely with business and technology teams to deliver robust and efficient solutions
Extensive experience in requirement gathering, elicitation, requirement management and communications, creating test plan and implementation plan.
Played additional roles such as Project Lead, Project Manager and Change controller and mentor.
Experience in business process consulting/re-engineering, Gap analysis, Risk analysis.
Experience in working in onshore-offshore model and teams located across different geographical locations.
Experience in leading multiple projects involving various technologies like Informatica, Thunderhead, AWS, MOM and Mainframes, from requirements to implementation.
Strong domain knowledge in Health Care Payer Systems, specializes in membership systems.
Experience in working on various applications such as membership front end portals, NASCO (claims), LRSP (claims and membership) and NMS(New membership system), Message oriented middleware (MOM)
Excellent interpersonal skills with demonstrated abilities in customer relationship and consulting.

TECHNICAL SKILLS

Business Area: Membership enrollment, Affordable care Act (ACA), Healthcare Reform (HCR), Product Implementations, Membership Letters, Billing, Consumer and Small group Business, Claims Adjudication.

Data Base: MS-Access, DB2, SQL Server

Business Applications and skills: Microsoft Office Suite, Microsoft Word, Microsoft Excel, Outlook, PowerPoint, Access, Visio, Lotus Notes. Confidential Rational Clear quest, HP service center, Message Oriented Middleware, Amazon Web Services (AWS), Service now, Project Management, Business Analysis, SQL, Jira, Rational Clear Quest (CQ), SharePoint, Microsoft project

PROFESSIONAL EXPERIENCE

Confidential

Business System Analyst, Project Manager

Responsibilities:

Assisting with Business case, scoping and quick size the project.
Acts as a liaison between all stakeholders in developing or enhancing system and ensure optimal operational performance.
Elicitation of requirements by facilitating requirement gathering workshops.
Planning, Monitoring, Defining and documenting business and functional requirements.
Analyzing user requirements and providing software solutions. Documenting System Requirement Specifications, mapping, flow diagrams etc.
Conducting requirement walk through and Creating Estimation for implementation of approved requirements.
Creating software design and customization for client use with the aim of optimizing operational efficiency.
Creation of Test Scenarios for approved business requirements and assisting tester on queries.
Reviewing Unit testing results, creating Test Plan, performing System Testing and supporting User Acceptance testing.
Creating Implementation plans and leading implementation and post implementation activities.
Develop and sustain Requirement Tractability Matrix (RTM)
Support release management and monitor and control project scope.

Confidential

System Analyst, Support and QA Analyst

Responsibilities:

Analyzing current system and providing analysis to business customer of particular part of system.
Investigation of defects, development of unit test cases and test case execution.
Support and maintenance of mainframe based benefit system application.
Extracting and sharing claims data per customer requirement.
Knowledge transition to support and project teams for mainframe claims adjudication system.
Creating process documents for various project tasks and activities.
Studied the different systems that exist in Health-care insurance and their functional impact and the work flow in the insurance system.
Resolving customer issues with software solutions, responding to suggestions for improvements and enhancements to products as necessary.
Prepared flow charts and system diagrams to assist in problem analysis.
Assisted users to solve operating problems.
Analyzing system defects, performing root cause analysis and providing resolutions.

We provide IT Staff Augmentation Services!

We'd love your feedback!

Resume Categories

Client Services

Job Seekers

Visa Sponsorship