SUMMARY:

• Accomplished in Business Analysis, System Analysis, Quality Assurance and Project Management with extensive experience in business products, operations and by DownloadNSave">Information Technology specializing in Healthcare and Pharmacy domain.
• Over 6+ Years of proven track record as value - adding with hands-on expertise spanning Data Analysis, System Analysis, Data Migrations, Data Processing, and Process Compliance Projects.
• Expertise in creating UML based Modeling views like Activity/ Use Case/Data Flow/Business Flow /Navigational Flow/Wire Frame diagrams using MS Visio.
• In depth knowledge of Software Development Life Cycle (SDLC) processes including Agile and Waterfall.
• Extensively worked with the On-site and Off-shore Quality Assurance Groups by assisting the QA team to perform GUI testing/ Functionality /Regression /System /Performance/ UAT’s.
• Hands on experience in project management activities including scheduling project kick off meetings, creating project schedule, coordinating with cross functional groups and also well versed in project management tools like MS-Project for status reporting and planning.
• Experience with HIPAA 4010 EDI healthcare transactions like 837, 835, 834, 820, 270, 271, 276, 277, and 278.
• Knowledge of health information and health care services regulatory environment including HIPAA, SOX, CFR 21 Part 11, CFR 21 Part 820, Medicaid, Medicare, and other health insurance policies.
• Experience in soliciting client requirements through interviews, workshops, and existing systems documentation or procedures.
• Expert in user interface designing, creating screenshots, wireframes using MS Visio and MS Word.
• Experience in reviewing Test procedures, defining Test cases, reviewing and maintaining Test scripts, analysing bugs, interacting with team members in fixing errors and performing User Acceptance Testing (UAT)
• Experience in working with end users and the QA team for developing use cases, test cases and test plans
• Strong research, information gathering and analytical skills, with excellent attention to detail.

TECHNICAL SKILLS:

Databases: Oracle, MS SQL Server, MS Access

Microsoft Tools: MS Project, MS Office, MS Visio, MS Sharepoint

Software methodologies: Agile, Waterfall

Requirements Tools: HP Quality Center, Rally, TFS

Testing Tools: HP Quality Center, Clear Quest, SilkCentral

Modeling: UML, PEGA (PRPC)

PROFESSIONAL EXPERIENCE:

Confidential, Miami FL

Business Analyst

Responsibilities:

• Worked closely with both internal and external customers, vendors and other areas in Assurant in the development of Requirements.
• Developed requirements for new systems/products as well as changes and enhancements to existing systems. Identify opportunities to improve or gain efficiencies within our system applications.
• Identified priority issues and determined which issues can be handled within the authority of an Analyst and being able to discern those issues requiring direction from a higher authority.
• Analyzed complex processes, interfaces and sub-system problems for modification and participated in new process definition efforts, as requested.
• Documented existing and new business processes and workflows with a high level of complexity.
• Developed business requirements for complex projects, including the definition, scope, objectives, and defining the approach.
• Handled multiple projects, concurrently and developed plans for project tasks, including scheduling and coordinating activities of other team members to produce deliverables.
• Worked with the Testing team to determine testing requirements for complex projects involving cross-functional areas and sub-systems and assisted as needed in designing and drafting test plans.
• Developed the User Documentation and material.

Confidential, Denver co

Business Analyst

Responsibilities:

• Worked with project sponsor to identify and document the product vision and project scope.
• Collaborated with Project Managers to evaluate reported defects and identify scope creep, ensured software releases meet release dates set by vendors.
• Solicit requirements by conducting interviews, performing data and document analysis, surveys, site visits, etc.
• Wrote requirements specifications according to organization practices using language that is clear, concise and encompassing a diverse audience.
• Decompressed high-level user requirements into functional requirements, suitable in quality and detail to be used by team members.
• Defined quality benchmarks, external interfaces, and other project constraints.
• Gathered requirements, analyzed and authored the design documents for Small Group, Provider, and Broker Commissions data migration from legacy system to future state Facets.
• Designed the look-n-feel (User Interface) requirement of the application through wireframes using MS Visio for better illustration of the application to the team.
• Created Requirements Management Plan (RMP) for broker, group, member, and provider data migration from legacy systems to Facets.
• Documented all data mapping and transformation processes in the Functional Design documents based on the business requirements.
• Translated business requirements into functional requirements and coding approaches for developers.
• Performed Gap analysis for the provider, group renewal data being sent to TriZetto and identified different source systems, manual processes used to extract the data.
• Created data flow diagrams, business requirements documents, solution design documents and test approach plans for medical and pharmacy accumulator reconciliation between CIGNA, and TriZetto’s Facets. Designed the solution leveraging Message Broker.

Environment: Agile, SharePoint, PL/SQL, TOAD, Oracle DB, Excel, Access, MS Project, Visio, Oracle DB, SOAP UI, SQL, iSeries AS400, Rational Team Concert.

Confidential, Minneapolis

Business Analyst

Responsibilities:

• Provided support in order to establish effective and efficient business practices for the commercial organization.
• Lead or support roll-out and implementation of new business applications and functionality specifically within the pricing space.
• Lead project work stream activities, working with internal and external cross-functional groups.
• Communicated project status, escalated issues, and managed timelines and action items.
• Utilized information systems to improve efficiency; identified opportunities for improvement that best met with customer and company requirements.
• Assured quality of business systems by developing and executing test specifications, and implemented test and quality plans, while working with quality assurance analysts to improve IS quality processes.
• Created and provided quality material for user assistance and system usage.
• Worked closely with the development team (internal and external) to assure a timely solution is delivered according to the specifications and implementation needs of the business.
• Managed systems development or process improvement projects by applying project management methodology.

Environment: Agile, PL/SQL, TOAD, Oracle DB, Excel, Access, MS Office, Windows XP Professional, Mainframes, MS Visio, MS SharePoint, MS Project, HTML, SOAP UI.

Confidential, NE

Business Analyst

Responsibilities:

• Documenting identified activities to research, prioritizing the assigned activities to ensure deadlines are met, elevating issues and concerns, coordinating with the project team on the activity status and documenting activity resolution.
• Created and managed use case project templates, requirement types, and traceability relationships.
• Developed system use cases using DCO tool in different versions of PEGA 6.1/6.2, prepared detail design documents.
• Responsible for developing the data flow diagrams, Use Cases and screen mock-ups for Provider Enrollment, Non Electronic Submission, Medicaid Incentive Payment System (HIT-MIPS), and Financial Subsystems.
• Creating Harness, Sections, and Flow Actions and Portal rules for the User Interface.
• Participated extensively in designing application security which involves setting up Access groups, Access Roles,
• Operators, Application ID, Org Divisions, Org Units and Work groups.
• Gathered client specific business requirements by conducting JAD sessions, DCO sessions, preparing business requirements document, and functional specification documents.
• Translated the requirements in proper manner for the development team to build the product, and ensured that these requirements were fully tested to deliver a high quality code to System Integration Testing and UAT.
• Involved in history conversion from with knowledge of HIPAA 5010.
• Designed the flow and validated EDI 835 (remittance advice).
• Responsible for developing and execution of test plan, test scripts, and test scenarios.
• Adding SLA’s to assignments and firing activities upon reaching goal time, deadline.
• Provided support to the client during UAT, Production Simulation Testing and Production, serving as the primary point of contact in addressing questions regarding process flows and defect management.
• Conducted sessions for the end users and documented operational desk procedure manuals.

Environment: Agile, MS Office, Windows XP Professional, X12, Pega, XQMF, Mainframes, MS Visio, Lotus Notes, MS SharePoint, MS Project, SQL, HTML, SilkCentral, SOAP UI, Thunderbird.

Confidential

Business Analyst

Responsibilities:

• Worked closely with Business Users in understanding the business requirements, mapping documents, functional design and business requirement documents.
• Developed Validation Strategy and documented in Validation Plan.
• Prepared Operational Qualification and User Acceptance Test Plans.
• Wrote and executed Operation Qualifications and Process and Product Validations.
• Involved in development, review and execution of validation documents, generating and executing SOPs and protocols, conducting testing, and preparing final summaries.
• Developed Requirement Traceability Matrix and Risk Assessment documents.
• Prepared Deviation reports as part of Operation Qualification testing and kept track of all deviations occurred.
• Developed Test Summary Reports and Validation Summary Report.

Environment: RUP, Rational Clear Quest, SQL, MS Office, MS-Project, MS-Visio, Windows 2000