SUMMARY

• Business Analyst with over 8+ years industry experience in business data modeling, software requirement analysis, process modeling, process flow and quality assurance skills using different methodologies, mainly OOA, OOAD and UML.
• Extensive knowledge of all phases of the software development life cycle (SDLC), Agile and the iterative Rational Unified Process (RUP).
• Organized many Joint Application Developments (JAD) sessions and Joint Requirement Planning sessions (JRP), walkthrough, Interviews, Workshops and Rapid Application Development (RAD) sessions with end - user/clients/stakeholders and the IT group.
• Experience in developing, Customizing Interfaces and Data Conversion programs using SQR, Application Engine and Component Interfaces for HR, Benefits, and Payroll modules.
• Design and review of various documents including the Software Requirement Specifications (SRS), Business requirements document (BRD), Use Case Specifications, Functional Specifications (FSD), Systems Design Specification (SDS), Requirement Traceability Matrix (RTM) and testing documents.
• Proficient in creating Risk Analysis documents, Risk Management Plan, User Requirement Specification, Functional Requirement Specification and Business Process Flows.
• Proficient in using UML in behavioral, structural and architectural modeling - in creating Use Case, State, Activity, Class and Sequence diagrams using Rational Rose.
• Having experience in Project management in Oracle EBS including OBIEE and lead analyst on a large project.
• Used Microsoft Visio for Business Process Modeling and Data flow diagrams.
• Used Erwin 4.0 to capture data by creating Entity-Relationship and Use Case diagrams.
• Worked with Rational Suite of tools to create requirements documents (Requisite Pro), visual data models (Rose), manage and track defects (Clear Quest).
• Performed numerous data pulling requests using SQL for analysis.
• Worked on projects involving inter-department co-ordination among finance, production, IT etc.
• Good knowledge of Health Insurance Plans (Medicare Part A, B, C and D), managed care concepts (Medicaid and Medicare) and experienced in determining the membership eligibility, billing experience within life and disability in health plans with thorough understanding of CPT coding, CMS-1500 claim forms and reimbursement forms.
• Adept in multi-tasking and handling multiple tasks/projects at the same time.
• Excellent experience in Web Applications.
• Extensive experience in Functional testing,, Integration testing, Regression testing, GUI testing, Back-end testing, Browser Compatibility testing, Ad-hoc testing, Black Box Testing, White Box Testing, System Testing, Build Verification Testing, User Acceptance Testing.
• Well-versed in project management tool (MS Project) for status reporting, planning and resource allocation.
• Experience in conducting GAP analysis, User Acceptance Testing (UAT), SWOT analysis, Cost benefit analysis and ROI analysis.
• Successful as a team player to work in conjunction with other DBA’s, testers, developers and other team members in validation and testing complex scenarios and projects and in the maintenance of Quality Standards in Projects especially with Test Director.
• Expertise in Analysis of Problem Severity, Defect tracking and reporting system.
• Strong communication, problem solving, organizational, interpersonal, and presentation skills.

TECHNICAL SKILLS

Business Tools: Rational Suite (Requisite Pro, Rose, Clear Quest, Clear Case), MS Visio, MS Project, MS Access, MS Office Suite, Visual Paradigm, Doors Erwin Data Modeler 4x, Business Object (Crystal Reports)

Business Skills: Business Definition Requirements, Business Process Analysis, Gap Analysis, Use Case Modeling & Analysis, Business Environment and Market Research Analysis

Methodologies: RUP, OOAD, Agile, UML & Business/Data Modeling

Operating Systems: Windows XP/95/98/NT/2000, UNIX

Databases: Oracle 8i/9i; SQL Server 7.0 & 2000; Access 2000, MS SQL Server, DB2

Languages: UML, JAVA, SQL, PL/SQL, HTML, CSS, JavaScript, XML and PHP

Environment: s Java, Oracle 9i, SQL, MS Project, Optimal Trace, Clear Quest, Unit Testing, Test Director, Windows 2003, Share Point, Java, SQL queries, Rational rose, Rational Requisite Pro, UML, RUP, MS Office, MS Visio, MS Project, MS XL, Power Point, SnagIt, Internet Explorer, Netscape, Web Server, Java, XML, Mercury Testing Tools. HTML, Visual Basic

PROFESSIONAL EXPERIENCE

Confidential, San Jose, CA

IT Analyst

Responsibilities:

• Responsible for evaluating system specifications for business requirements
• Performed data analysis, data modelling, diagramming, and solution using Oracle SQL
• Responsible for translating BRDs into use-cases, and context diagrams and used UML to visually model the system.
• Participated for the creation of System Process Workflow Diagrams with IT team.
• Tracked and recorded project progress, maintained issues, error logs, and arranged meeting agendas.
• Involved throughout the business Software Development Life Cycle (SDLC) and project tracking using Microsoft Team Foundation Server.
• Conducted JAD sessions with business users and IT team to identify system requirements
• Ensure timely approval of data loads and timely escalation of data issues.
• Worked effectively on various department projects in a team centred environment.
• Tracked and recorded project progress, maintained issues, error logs, and arranged meeting agendas.
• Ensure that data reconciliation activities are performed regularly; work with product management and development to define product enhancements that better serve our customers.

Confidential, Denver, CO

Business Analyst

Responsibilities:

• Participated for the creation of Business Process Workflow Diagrams with Stakeholders.
• Involved throughout the business Software Development Life Cycle (SDLC) and project tracking using Microsoft Team Foundation Server.
• Conducted JAD sessions with business users and SMEs to identify and gather various functional and non-functional requirements.
• Ensure that data reconciliation activities are performed regularly; work with product management and development to define product enhancements that better serve our customers.
• Utilized Rational Unified Process (RUP) to configure and develop process, standards, and procedures to create a Functional requirement Document (FRD).
• Created AS-IS and TO-BE artifacts such as Use Cases, Activity Diagrams, and Sequence Diagrams using MS Visio.
• Responsible for translating BRDs into use-cases, and context diagrams and used UML to visually model the system.
• Come up with change enabling ideas and lead initiatives executing the same.
• Ensure timely approval of data loads and timely escalation of data issues.
• Designed and implemented basic SQL in SQL Server 2008/2012 for QA testing and report / data validation
• Identify all possible automation opportunities on the project and get the reports automated.
• Reviewed System Test Plans, wrote test scripts and worked with business folks to validate and execute the test scripts.
• Coordinated with the application team and Quality Analysts in the creation of test plans, User Acceptance Test scripts and Regression test cases (for release).
• Elicitation of requirements for a team project using Workday applications.

Confidential, Boston, MA.

Sr. Business/System Analyst

Responsibilities:

• Interfaced between Users and the different teams involved in the application development for better understanding of the business and IT processes. Involved in analysis of the technical specifications of the current system and the infrastructure needs.
• Participated in JAD sessions for requirement gathering, analysis, and design.
• Documented BRD supporting documents containing the essential business elements, detailed definitions, and descriptions of the relationships between the actors to analyse and document business data requirements.
• Analysed system requirements to Use Cases, Use Case Scenarios and Business rules
• Created Use Case Diagrams, Activity Diagrams, and Sequence Diagrams using Rational Rose.
• Responsible for continuous process improvement and for identifying and maintaining a clear and measurable Development Process that is deployable throughout the enterprise using CMMI.
• Responsible for the delivery of Business Requirements Documents (BRD) within project timelines.
• The program is integrated with Java Based Rules Engine and heavily deals with Claims & Incentive Calculations, Electronic Payments, and Settlements for various individual health plans and State/Federal sponsored health plans.
• Conducted GAP Analysis and formulated the TO-BE features based on the business requirements.
• Worked extensively with underwriters with claim processing and its business rules, factors involved, claim movements, etc.
• Created Standard Operating procedures and involved with creating training modules, presentations and conducted end user trainings.
• Involved in marketing of DMR program.
• Worked on project using Workday applications to handle payrolls.
• Created Test cases and scenarios for User Acceptance Testing and conducted UAT.
• Involved in documenting defects and responding to IT in defect clarifications and resolution.
• Extensively involved in coming up with test specifications for the application.
• Generated weekly status reports and Adhoc reports to monitor the progress and identify critical points to reallocate resources and Decision Support for Development Life Cycle.
• Involved in creating user manuals and gave training to the end users.

Confidential, Carlstadt, NJ

Sr. Business Analyst

Responsibilities:

• Conducted detailed and comprehensive Business Analysis by working with the client IT staff, project managers, supervisors, SME’s, and other stakeholders to identify the system, operational requirements and improvements.
• Gathered Business Requirements and prepared business requirements documentation in Test Director.
• Encountered the use of Portal and implemented it with Provisioning of E-Commerce.
• Converted Business Requirements documents (BRD) into System Requirements Specification documents (SRS).
• Assess information to identify the best solutions to specific business needs in partnership with technical staff for Client Engagement Manager
• Conducted JAD sessions to allow different stakeholders to communicate their perspectives with each other, resolve any issues and come to an agreement quickly.
• Identified all necessary function points from the BRD, created UML Diagrams including Data Flow diagrams (DFDs) and Activity Diagrams in the System specification document.
• Worked with and assisted Information Architects in created Web Page Mock-Ups (i.e. mock-up screens) using Microsoft Visio and Microsoft FrontPage.
• Created documents like the Business Glossary, Actors Catalog and Data Dictionary to facilitate the other teams in understanding client business.
• Developed Test plans, Test scripts, Test cases, Test case execution plan using Test Director and run SQL queries.
• Performed manual functional tests by executing Test Cases prior to Automation.
• Assisted in configuring and automating test cases using Win Runner.
• Performed Stress Testing (ad-hoc testing stress testing on critical functionalities) to evaluate builds.
• Participated in Bug-Review meetings with software developers, QA engineers, managers, suggested enhancements to the existed application from business perspective, provided solutions to existing bugs.
• Used Microsoft Project to manage schedules, deadlines, resources and collaborate on the project.

Confidential, Smithfield, RI.

Business Analyst

Responsibilities:

• Worked as a Business Analyst to support the re-design of the Mortgage Asset Management System.
• Participated in the research and development of business opportunities and ideas within the scope of the project.
• Contributed to the definition of scope, preparation of work plans and definition of business requirements.
• Worked with major business areas including customer service, escrow and reserve administration, collateral inspection and monitoring, purchase acquisitions.
• Reviewed and assessed information gathered, defined key facts and issues, identified potential problems and facilitated problem resolution.
• Identify data elements from the source systems, performed data analysis to come up with data cleansing and integration.
• Facilitated and managed meeting sessions with committee of SMEs from various business areas including Mortgage Servicing, Loan Monitoring and Asset Management.
• Conducted interviews with key business users to collect requirements and business process information.
• Performed extensive requirement analysis including data analysis and gap analysis.
• Developed business requirement specification documents as well as high-level project plan.
• Designed and developed project document templates based on SDLC methodology.
• Comprehensively performed requirement gathering for enterprise reporting system-using RequisitePro.
• Established a business analysis methodology around the RUP (Rational Unified Process).
• Designed and developed all Use Cases and UML models using Rational.
• Helped the testing team documenting the system requirements and testing system development.
• Designed and implemented basic SQL queries for QA testing and report / data validation
• Set up definitions and process for test phases including Product test, integration test, system test and user acceptance test (UAT).
• Developing strategic partnerships with the business unit to develop a solid knowledge base of the business line, including the business plan, products, processes and revenue streams.
• Understand the impact of changing a requirement and decide whether to include it in the current project and to define the traceability across the entire project lifecycle.
• Functioned as the primary liaison between the business line, operations, and technical areas throughout the project cycle.
• Analyzed research on operational procedures and methods and recommended changes for improvement, with an emphasis on automation and efficiency.
• Prepared project reports for management and others, assisted project managers in the development of weekly and monthly status reports, documented process flows, policies and procedures.
• Maintained the day-to-day Clearcase environment, including monitoring all system logs for errors, responding to reported issues.
• Learnt, administered and taught Rational Clearcase and Clearquest as well as provided support and training to the department.
• Conducted benchmarking activities to identify best practices.
• Developed training materials and executed training.

Confidential

Business Analyst

Responsibilities:

• Analysed existing systems and performed feasibility and impact analysis for new projects and enhancements.
• Participated in the conceptual design reviews to validate against business objectives, needs and requirements.
• Developed Process Model and detailed Business Policies and modified the business requirement document.
• Assisted in quantifying the financial and operational impact of implementing new or modified business processes (time, cost, benefit).
• Gathered and documented business and functional requirements for all interfaces to the Servicing module.
• Conducted data mapping sessions between the source and target system teams, documented the data requirements and the conversion logic for the identified data elements.
• Conducted JAD sessions with the business subject matter experts and the solution developers to detail the data and functional requirements
• Worked on HL7 and xml interface messaging.
• Managed the team of consultants responsible for developing on-demand Medicaid Management System reports.
• Extensively involved in regression, integration, and UAT testing.
• Worked in mainframe environment and used SQL to query various reporting databases.
• Worked on java code with the developers to verify table and column names from the database to be transferred.
• Involved in the full HIPAA compliance lifecycle from Gap Analysis, mapping, implementation, and testing for processing of Medicaid Claims.
• Prepared Demo on SharePoint for various Business to get new approvals like the Therapist and Nursing divisions.
• Developed and conducted state wide HIPAA 5010 and ICD-10 awareness program for all IDS staff in Tenet.
• Used MS Visio to designed and develop Use Cases Scenarios, Use Cases Models, Activity Diagrams, Sequence Diagrams, State chart diagrams using UML.
• Gathered high level requirements and developed scope of the project for the implementation of Microsoft Office Share Point 2007.
• Actively involved in Requirement Analysis, Business Analysis, Use-Case Analysis Involved and developed comprehensive Test Strategy, Test Plans, Test Case and Test Scripts and documented them in HP Quality Center (QC).
• Produced Gap Analysis documents for HIPAA 5010 and ICD-10.
• Collaborated with the QA team to develop the test plan, test conditions and test cases to be used in testing based on business requirements, technical specifications and/or product knowledge.
• Collecting documentation and information through different disciplines involved in the case.
• Reviewing information provided by the involved discipline
• Improving the documentation through proper education to the discipline.
• Making the cover letter to the CMS addressing the necessity for the service provided
• If the payment was denied then going to the further step by making appeals and finally presenting the case to Administrative Law Judge (ALJ).
• Tracking the openings and making a graphical presentation of the monthly openings.
• Conducting seminars for improving documentation involving all disciplines