PROFESSIONAL EXPERIENCE

• 7 years of Industry experience as a Business Analyst with solid understanding of Business Requirements Gathering, Evaluating Data Sources, Translating Requirements into Specifications, Application Design
• Strong understanding of project life cycle and SDLC methodologies including RUP, RAD, Waterfall and working in an agile environment and supporting agile teams leveraging such as Scrum and Sprint.
• Experience in facilitating Joint Requirement Planning (JRP) sessions with Business User Groups, conducting Joint Application Development (JAD) sessions with IT Groups and Conflict Management with Project team members.
• Competent in Creating Unified Modeling Language (UML) diagrams such as Use Case Diagrams, Activity Diagrams, Class Diagrams and Sequence Diagrams.
• Extensive experience in developing Use Cases, creating Screen Mockups, conducting Gap Analysis and Impact Analysis, SWOT analysis, Cost Benefit Analysis, Risk Analysis.
• Responsible to Track, Document, Capture, Manage and Communicate the Requirements using Requirement Traceability Matrix (RTM) which helped in controlling numerous artifacts produced by the teams across the deliverables for a project.
• Involved in Test Planning, Test Preparation, Test Execution, Issue Resolution and Report Generation to assure that all aspects of a Project are in Compliance with the Business Requirements.
• Highly motivated team player with excellent Interpersonal and Customer Relational Skills, Proven Communication, Organizational, Analytical, Presentation Skills, and Leadership Qualities.

PROFESSIONAL EXPERIENCE

Confidential CA

Business Analyst

Responsibilities:

• Elicited and gathered user and business requirements through open ended discussions and brainstorming.
• Performed GAP Analysis to know AS - IS and TO-BE position of project before preparation of functional specifications.
• Involved in capturing functional and non-functional requirements.Conducted JAD sessions with stakeholders.
• Created Requirement Traceability Matrix. Created functional Specification Document.
• Analyzed business requirements and converted them into Use Cases and Activity diagram.
• Assisted the Project Manager in managing project resources and project timeline using MS Project and MS Excel.
• Executed test scenario and test script. Established a business Analysis methodology around the RUP (Rational Unified Process).
• Responsible for assisting technical team about the processes and user interaction of the system.
• Responsible for assisting the testing team to develop the test plans and test cases for the system.
• Created wire frames and prototypes for banking screens.Performed Functional testing using QTP.
• Created SQL queries to pull out data from the database.

ENVIRONMENT: Oracle 10g, Rational Rose, Mercury Quality Center, MS Project, MS Excel, Jira, Task management system, CRM

Confidential Healthcare PA

Business Analyst

Responsibilities:

• Confidential major service lines include workers compensation claims administration and healthcare management services.
• As a Business Analyst in Confidential I was involved in development of claim management data warehouse to assist claim professionals to analyze and administer the claims in an efficient manner. The operational data came from multiple sources and was then loaded into claim management data warehouse Responsibilities:Helped in defining Change Management Process for Release Management Team.
• Mapped process flow assesses as-is processes through user interviews, data collection and analysis, design and evaluation of to-be process solutions Prepared Business Object / Business Process Models that included modeling of all the activities of business from conceptual to procedural level.
• Reviewed EDI companion guides for all payers to ensure compliance, edit integrity and maintain up-to-date list of payer contacts.
• Developed data conversion programs for membership, claims, and benefit accumulator data - converted thirteen corporate acquisitions. Developed data field mappings. Provided programming and support for claims processing functions and auto-adjudication.
• Validated the following: 837 Health Care Claims or Encounters, 835 Health Care Claims payment/ Remittance, 270/271 Eligibility request/Response, 834 Enrollment/Dis- enrollment to a health plan Identified gaps in the business process.
• Planned and defined system requirements to Wire Frame with Use Case, Use Case Scenario and• Use Case Narrative using the UML Unified Modeling Language methodologies.
• Coordinating with the development team to set up test environment for issue escalation and issue resolution process for SIT and UAT testing to enable smooth operation

Environment: Java, J2EE, Windows XP, UNIX, SQL Server, MS Office, Visio, Clear Quest, MS Office suite, MS Project, Java, Erwin, SQL, Windows NT, Oracle, UML, Rational Clear Quest

Confidential

Business Analyst

Responsibilities:

• Analysis for making system compliant with HIPAA. Involved in making the Medicare and Medicaid patient profiles being compliant with the HIPAA regulations.
• Management of patient profile transfer (PPT) reports created by data team by verifying the associated data. Involved in analysis, design, and implementation of the following systems
• Control Management Reporting and Security Systems: generation of daily, weekly, and monthly reports of hospital patients' activity.
• Medical Billing and Collection Systems: generation of daily billing activity based on patient records and establishment of collection protocols. Accounting Systems
• Financial Statement generation and analysis according to government standards and protocols.
• Coordinated and conducted system requirements walkthroughs/sessions (JADs) with business Owner/stakeholders/SMEs as well as design/development teams.
• Experience in a highly regulated environment (healthcare, financial, SOX, HIPPA etc)

Environment: EDI ANSI X12/HIPAA, UML, MS Access, MS Office, MS Visio and Rational Suite.

TECHNICAL SKILLS

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• SQL Server
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• MySQL
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• Oracle
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• Oracle 10g
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• SQL
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• SQL Queries
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• J2EE
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• JAD
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• Java
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• JSP
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• Ansi X12
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• edi
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• Real Time
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• SOAP
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• HP Unified Functional Testing
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• QTP
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• JIRA
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• UAT
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• Unit Testing
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• GAP Analysis
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• Project Manager
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• RUP
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• SCRUM
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• Application Development
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• Design/Development
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• HTML
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• JavaScript
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• MS Project
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• VB.NET
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• VBScript
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• Visio
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• XML
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• Linux
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• unix
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• Data Warehouse
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• ms office
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• Microsoft Project
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