SUMMARY:

• Self - motivated, results-driven Business Analyst with 7+ years of experience in Healthcare, Finance/Banking Industry, consistently delivering high-quality and result-oriented content.
• Experienced in elicitation, documentation, and management of requirements in order to meet business and project objectives using Software Development Life Cycle (SDLC) methodologies such as Waterfall and Agile.
• Experience in creating and evaluating Business Requirement Document (BRD), Functional Requirement Documents (FRD), System Required Documents (SRD), propose changes as per various internal and external requirements gathered for process improvement.
• Experienced in project management tools such as MS Project, MS SharePoint and HP Application Lifecycle Management (HP ALM), HP Quality Center and create Work Breakdown Structure (WBS), Project Charter and RACI (Responsible, Accountable, Consulted, and informed).
• Expert at employing a variety of techniques for requirements gathering/elicitation (interview, observation, focus group, requirements workshop, document analysis, interface analysis, group discussions, and brainstorming).
• Addressed users and stakeholders to elicit, analyze, communicate and validate requirements, identify Functional and Nonfunctional requirements.
• Inspected the Gap Analysis, SWOT Analysis to check the compatibility of the existing system infrastructure with the new business requirements.
• Aided in creating, updating and maintaining Product Backlog, Sprint Backlog, and Reports & Metrics to update required stakeholders.
• Strong expertise in developing Use Case Model, Activity diagram, Sequence diagrams, and Class diagrams, Business process flow diagrams.
• Exposed to using ICD 9/ICD 10 coding standards in Medicare and Medicaid domains of the healthcare systems and industry for inpatients, outpatients, Reimbursement methodology.
• In depth knowledge of MMIS, HIPAA standards, ICD codes and NPI business areas.
• Developed test plans and test

PROFESSIONAL EXPERIENCE:

Confidential

Business Analyst

Responsibilities:

• Assisting in writing efficient and effective Test Plans, Test Strategy, System testing, End - to-End Testing and User Acceptance testing. Participating in the planning, development, coordination and presentation of specific testing needs as appropriate to the quality assurance needs of the end user.
• Assisting business users in defining UAT test cases and plans; Established and maintained test cases and test data in Quality Center. Coordinated with the QA Team for testing activities across multiple systems and managed Conversion test execution. Helps in conducting Gap Analysis (GAP), User
• Acceptance Testing (UAT), and System Integration testing (SIT) and SWOT analysis. Involved in implementation of HIPAA EDI Transactions (835,837) Facilitated Electronic Data Interchange. Performed GAP Analysis for HIPAA 4010 and 5010 transactions. Used EDI tools to verify mapping to X12 format
• Recommend changes for system design, methods, procedures, policies and workflows affecting Medicare/Medicaid claims processing in compliance with government compliant processes like HIPAA/ EDI formats and accredited standards ANSI. Analyze HIPAA EDI transactions in X12 responses and of 837, 835, 277CA and 999 and looked for defects. Do data analysis for various version changes of EDI messages on different sub-systems. Providing the required test data for the developers in order to fix the defects. Participating in QA team meeting and bug tracking meetings.

Environment: User Acceptance Testing (UAT), Rational Clear Quest, MS Access, Windows, Rational Test Manager, MS Office.

Confidential

Senior Business Systems Analyst

Responsibilities:

• Designed Test Plans and Test Cases for User Acceptance testing (UAT) with the help of QA teams. Utilized RUP to configure and develop process, standards and procedures. Interfaced with business users to prepare and update Business Process Requirements for the new release of Healthcare tools.
• Prioritized outstanding defects and systems problems, ensuring accuracy and deadlines were met. Worked with the management for improving and giving new ideas for designing future processes of the HIPPA transactions dealing out with
• EDIS 271, 276 and 270, 470, 835, 837, 834, HIPAA 4010, 5010, claim adjustments, claim processing from point of entry to finalizing, claim review, identifying claims processing problems, their source and providing alternative solutions using best practice model and principles and also well versed with ICD10,
• Facets. In depth knowledge of Medicare/Medicaid Claims processes from Admin/Provider/Payer side which were later part of the program to vendors. Performed GAP analysis of business rules, business and system flows, user administration and requirements. Tracked and maintained Stakeholder requested enhancements and changes using Requirement Traceability Matrix (RTM). Used the Rational Unified Process (RUP) to develop the different phases of Software
• Development Life Cycle (SDLC). Prepared Business process models; used Visio to create use case diagrams. Designed mockup and wireframes to communicate visual data flow to the end users. Developed use cases, activity diagrams and sequence diagrams for a clear understanding of the vision document.
• Recommended corrective actions, if necessary, along with the progress against Development/Action Plan routinely to the Project Manager. Administered and coordinated User Acceptance Testing and obtain final system acceptance sign - off with the help of Program Manager. Conducted Risk Engineering to derive and execute action plans on time. Conducted Joint Application Development (JAD) sessions with stakeholders throughout SDLC to resolve open issues. Wrote SQL Queries in MS Access to sort data and analyze the large set of data during project life cycle. Used Rational Clear Quest for defects and bug testing.

Environment: User Acceptance Testing (UAT), Rational Unified Process (RUP), Rational Clear Quest, Joint Application Development (JAD), MS Access, Windows, Rational Test Manager, MS Office, Requirement Traceability Matrix (RTM).

Confidential

Business Analyst

Responsibilities:

• Worked majorly on all the derivative products. Advanced Knowledge of all CDS products: total return swaps, credit linked notes, asset backed securities, and mortgage backed securities. Also familiar with CDS trade legal documents and the underlying mortgage - backed securities features. Derived Functional
• Requirement Specifications (FRS) based on User Requirement Specification URS. Conducted user interviews, understood and articulated business requirements and further converted requirements into technical specifications.
• Responsible for translating Business Requirement Documents into functional specifications and test plans. Closely coordinated with both users and developers for arriving at mutually acceptable solutions. Lead the process throughout the SDLC, which included requirements, specifications, design, analysis and testing utilizing RUP methodology. Utilized guidelines and artifacts of RUP to strategize the implementation of Rational Unified Process effort in different iterations and phases of software development life cycle.
• Created documents of the use cases and created the use case, activity, logical, component and deployment diagrams using MS Visio and Rational Rose to communicate clearly with the development teams. Redesigned web services methodology for the application while implementing reusability from different servers. Liaised with the technology team to derive Functional Requirements. To better define the rationale for the new process compiled Vision and Scope documents. Prepared reports for process improvements and trend analysis Responsible for Risk Analysis to detect the risks associated with the development of the new system. Additionally, formulated a Mitigation Plan to remove or reduce risks of high severity and one that would have major financial impacts. Played a pivotal role in conducting Functional testing, Regression testing, Integration testing, Smoke testing and UAT (User Acceptance Testing)
• Managed Change Requests from stakeholders by conducting extensive Impact Assessments to capture the expected consequence of such changes Responsible for creating and updating all documentation for the project, which required interacting with all concerned departments on a regular basis. Reviewed integration test plan for integration between modules. Conducted Defect Validation using Test Director to screen the illegitimate defects raised by the QA and UAT teams before hitting Development.
• Developed a Credit Default life cycle process and prepared a power point presentation. Helped developers while they are preparing unit test cases and while preparing test plan. Developed documents for Credit Derivatives businesses and the end-to-end transaction lifecycle. SOX (Sarbanes Oxley) compliance rules implemented. Worked in product settlement, documentation, collateral & margining processes. Created cash flow models for Credit Default Swaps, Interes

Confidential

Business Analyst

Responsibilities:

• Planned and defined system requirements to Use Case, Use Case Scenario and Use Case Narrative using the UML methodologies. Conducted JAD sessions for effective communication of vision and goals between stakeholders and gathered business requirements. Designed Data Flow Diagrams (DFDs),
• Entity Relationship Diagrams (ERDs) and web - page mock ups using modeling tools. Prepared Business Process Models that presented modeling of all the activities carried on by the business from the conceptual to procedural level.
• Effectively utilized prototypes to demonstrate and verify the behavior of the system. For User Acceptance Testing (UAT) provided technical and procedural support. On a regular basis communicated and interacted with the users, project manager and development teams during various stages of the product life cycle to make sure everyone was on the same lines. Maintained documents for change request and implemented procedures for testing changes. Maintained Requirement Traceability Matrix (RTM).
• Interacted with technical team in letting them to make a better navigational plan for the project flow that makes a better user interactivity for the application. Signed off on progress and completion reports which were then submitted to project management on a weekly basis. Responsible for the development, design and implementation of new relational or multi-dimensional databases, including the analysis of user needs. Primarily responsible for interacting with the users and business relationship managers and changes on the database in order to ensure UAT completion.

Environment: Rational Rose, MS Office Suite, Oracle9i, Windows NT/XP, Business Objects, ASP.Net, BizTalk 2006, SQL, Excel, Oracle, Windows, Rational Rose, Rational RequisitePro, RUP, UML.