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Business Analyst Resume Profile

Summary

  • A Business Analyst with 7 years of experience - including an understanding of Business Process Flows, Project Management, Case Tools and Software testing.
  • Exposure to Systems Development Life Cycle SDLC and different SDLC methodologies such as Agile, Waterfall, Spiral, Rapid Application Development RAD , Extreme Programming XP , Rational Unified Process RUP
  • Experience in conducting GAP analysis, User Acceptance Testing UAT , and Requirement Traceability Matrix RTM
  • Skilled in gathering business and application requirements, Business Processes, identifying risks, impact analysis, UML modeling, and Sequence and Activity Diagrams using Rational Rose and Microsoft Visio in Clinical and Health Information Management HIM processes.
  • Excellent knowledge of Health Insurance Portability and Accountability Act HIPAA transaction, code set rules such as EDI 837,270,271,276,277,834,835.
  • Very Good understanding of Health Insurance Plans Medicare Part A, B, C and D , managed care concepts Medicaid and Medicare and is also experienced in determining the membership eligibility, billing experience within life and disability in health plans.
  • Excellent knowledge of ICD 9 and ICD 10.
  • Expertise in creating Use Case diagrams, Activity diagrams, Data Flow Diagrams DFD , Sequence diagrams, State diagrams based on UML Methodology and business process flow diagrams using MS Visio/Enterprise Architect/Rational Rose.
  • Good Knowledge of Test Plan, Test Scripts and Test Cases for Functional, System, Integration, UAT, and Regression Testing based on the Design Document and User Requirement Document for the Functional, Security, and Performance Testing.
  • Excellent Analytical skills to understand the Business process and Functionality Requirements and to translate them to system requirement specifications. Developing functional specifications for business process refinement and automation, Data Modeling, System Architecture, Conducting Feasibility Studies.
  • Very good organizational, interpersonal, communications, teamwork and leadership skills with proven skill to interact across multiple levels of organization.
  • Experience in conducting Joint Application Development JAD sessions for requirements gathering, analysis and design, and Rapid Application Development RAD sessions to congregate early toward a design acceptable to the customer and feasible for the developers.
  • Proven track record with handling Change Requests by the Clients.
  • Experience in Project Coordination, Release Management, Project Scope Management, Resource Management Conflict Management.
  • Proficient in working with project management tools like MS Project for status reporting and planning.
  • Experienced with Rational tools like Requisite Pro, Clearquest, ClearCase, Rational soda, Rational Rose.
  • Experience in Summarizing Reports, Configuration Management and Version Control.

Technical Skills

  • Project Methodologies: Rational Unified Process RUP , Waterfall, Agile
  • Business Modeling Tools: Rational Rose, MS Visio
  • Requirement Management Tools: Rational RequisitePro
  • Defect Tracking Tools: Rational Clear Quest, Quality Center, QTP, Test Director
  • Operating Systems: Windows NT/XP/2000, UNIX
  • RDBMS:Oracle, SQL Server
  • Business Applications: Microsoft Office Suite
  • Design Tool Languages:C, C , SQL, .NET, JAVA

Professional Experience

Confidential

Business Analyst

Responsibilities:

  • Participated in daily and/or weekly meetings with supervisor, project manager and other members of the team to discuss and analyze current activities and to plan future activities.
  • Analyzed business documents such as user manuals, requirement document, version and estimates documents to prepare and document the current business processes and to make enhancements as needed.
  • Prepared documents such as user manuals, requirement documents, and status reports.
  • Add, modify and update contents to user manuals according to the current version of the application so that the end users have latest, accurate and thorough information about the how to success various functionalities of the system.
  • Provided help and support in testing the current version of the application.
  • Conducted meeting with Department of Health's representatives to get the requirements for the upcoming versions of the application.
  • Documented the current high level business process flow and future high level business process flow.
  • Provided input in working with users in defining project and system requirements.
  • Evaluated the scope of application, defining relationship within and between groups of data.
  • Used medical terminologies, procedural codes and ICD-9 along with HIPAA 4010 standards
  • Designed and execute test plans and test cases for the application in the maintenance environment, track defects and resolve them to ensure that business requirements and functional specifications are tested and fulfilled as per client's requirements.
  • Tested the new versions of the application and run the tests to ensure that the application meets the requirements and specific release estimates.
  • Prepared, document, modify and update regression test scripts according the current version of the application.
  • Participated in Bug-Review meetings with software developers, QA engineers help desk team members, supervisor, and project manager and suggest enhancements to the current version of the application.
  • Participated in User Acceptance Test following the completion of the System Testing.
  • Prepared documentation to provide help and support to the help desk team.

Environment:Agile, SQL Server 2008 management studio, SharePoint 2007, Microsoft Office 2010, Microsoft Outlook, Microsoft Visio, Microsoft Project

Confidential

Business Analyst

Responsibilities:

  • Gathered the requirement from the business by conducting online meetings, Conference calls and Brainstorming.
  • Communicated the requirement with IT Department by conducting meetings and using SharePoint.
  • Played an active and lead role in gathering, analyzing, and writing business requirements.
  • Used use case diagrams, activity flow chart and system flow chart to simplify the requirements gathered.
  • Collected and documented business processes as well as business rules.
  • Provided key input in working with users in defining project and system requirements.
  • Translated the business needs into system requirements and communicated with the business on a non-technical level
  • Documented the Functional Specifications Document with the help of UML
  • Conducted Joint Application Development JAD sessions between the end users and the development team.
  • Assisted the Project Manager in setting realistic project expectations and in evaluating the impact of changes on the organization and plans accordingly.
  • Developed timelines for project delivery, and managed projects and resources for successful completion
  • Supported the business and the technical team in the product development and delivery process and successfully managed cross- departmental relationships.
  • Developed test scenarios and implemented test plan. Tested the application and reported the bugs to the development team.
  • Conducted project related presentations and provided reports to the higher management

Environment: Quality Center, JAD, UML, Rational Rose, Rational Requisite Pro.

Confidential

Business Analyst

Responsibilities:

  • Claimed validation and Pending/Denied Claims Analysis for the Health plans of Medicare and Medicaid programs.
  • Worked on modifying Organization Policy for an employer and fee tables i.e. making changes in fee amount, effective and terminate fields etc.
  • Designed and developed Use Cases, Activity Diagrams, and Sequence Diagrams using UML.
  • Implemented Traceability Matrix and Business Requirement Specification Document and verified the functionality coverage.
  • Involved in evaluating the scope of application, defining relationship within and between groups of data.
  • Played an active and lead role in gathering, analyzing, and writing business requirements
  • Collected and documented business processes as well as business rules.
  • Provided key input in working with users in defining project and system requirements.
  • Translated the business needs into system requirements and communicated with the business on a non-technical level
  • Documented the Functional Specifications Document with the help of UML
  • Conducted Joint Application Development JAD sessions between the end users and the development team.
  • Assisted the Project Manager in setting realistic project expectations and in evaluating the impact of changes on the organization and plans accordingly.
  • Developed timelines for project delivery, and managed projects and resources for successful completion
  • Supported the business and the technical team in the product development and delivery process and successfully managed cross- departmental relationships.
  • Developed test scenarios and implemented test plan. Tested the application and reported the bugs to the development team
  • Performed tests to ensure the claim processing time is maintained and reported it to the development team.
  • Conducted project related presentations and provided reports to the higher management

Environment: Quality Center, JAD, UML, Rational Rose, Rational Requisite Pro.

Confidential

Business Analyst

Responsibilities:

  • Authored BRD with business teams. Extracted, discussed and refined the business requirement from business users and team members.
  • Drafted FRD by interacting with the development personnel and technical architects.
  • Responsible for addressing diagnosing and resolving issues that arise on a day to day basis for the team. Also responsible for documenting the causes, analysis and final resolution to the issues/errors.
  • Translated customer/client needs into new features and new services.
  • UI/graphics teams to define the sequence of screen presentation HTML , user interaction and system responses to meet business needs.
  • Coordinated with UI/Graphics teams for knowledge and content management.
  • Performed extensive requirements analysis and requirement gathering including Data analysis and GAP analysis.
  • Conducted user interviews, Document Analysis and JAD sessions to reduce the Scope Creep and document analysis in requirements elicitation.
  • Worked on all phases of life cycle using Rational Unified Process RUP methodology.
  • Creating and managing Project templates, Use Case project templates, requirement types and traceability relationships in Requisite Pro.
  • Used MS Visio for flow charting, process model and architectural design of the application. Used MS Project for status reporting and project planning.
  • Interacted with the QA developers on resolving the reported bugs.
  • Conducted Walkthroughs and User Acceptance Tests UAT and worked closely with the UAT personnel to both ensure that their needs are met.

Environment: GAP Analysis, JAD, RUP methodology, Requisite Pro, MS Visio 2010, MS Project 2010, UAT, QA

Confidential

Business Analyst

Responsibilities:

  • Responsible for the requirement-gathering phase and project plan.
  • Responsible for requirements analysis, design and developing technical requirements.
  • Responsible for the full HIPAA compliance lifecycle from gap analysis, mapping, implementation and testing for processing of Medicaid Claims.
  • Responsible for gap analysis in changing old MMIS and Involved in testing new MMIS.
  • Used HIPAA 4010 transactions to support the analysis of current business processes and work with management to improve and implement enterprise solutions to ensure compliance and got involved in designing future state processes for HIPAA 5010 transaction processing EDI's 837, 835, and 834 and ICD-10 Code sets.
  • Analyzed HIPAA 5010 related to 837,835, 834. Transactions and performed gap analysis between the 4010 and 5010.
  • Used RequisitePro for writing/analyzing project vision, goals, specifications and requirements.
  • Conduced Joint Application Development JAD sessions and walk in interview with the business users to gather requirements.
  • Created Use Cases diagram and Activity diagram to depict the interaction between the various actors and the system in RationalRose for the Business Use Case and System Use Case.
  • Conducted the FRS and URS reviews and walkthroughs with designers, developers and stakeholders. Also conducted feasibility and adaptability study.
  • Developed the business anomalies workarounds and described them in documentation and presented the matter to the upper management for review.
  • Developed non-functional requirements and documented them as Business Rules, Quality attributes and constraint documents.
  • Interacted with database developers for formulating the ER diagrams and data flow diagrams.
  • Responsible for GAP analysis of ICD9-ICD10.
  • Held regular JAD meetings with the system architects, developers, database developers, quality testers during the entire project to assure that the critical as well as the minute details of the project were discussed and issues were resolved beforehand.
  • Worked with QA lead in validating Test Plan and Test Scenarios.
  • Used HPQuality Center for tracking Defects and tracing requirement functionality performances.
  • Executed test cases manually. Compared and analyzed actual with expected results and reported all deviations to the appropriate individual s for resolution.
  • Assisted Business User during deployment in formulating User Acceptance Testing UAT for customized application and getting confirmation for product Release
  • Review of high-level design document and low level design of classes and sequence diagrams.
  • Ensuring that deliverables were delivered on time as scheduled.

Environment: J2EE, UML, RUP, Rational Requisite Pro, Rational Rose, Rational ClearQuest, Excel, SQL, DB2, Crystal Report, Mercury Load Runner, HP Quality Center

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