SUMMARY

• Highly motivatedBusiness analystaround 8years of experience in IT industry with core competencies to handle and resolve critical quality problems using research abilities, with experience in telecom, financial clients with extensive experience in fixed income..
• Well versed in in - person as well as live meeting, Joint Application Requirements (JAR) and Joint Application Development (JAD) sessions.
• 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
• Software testing experience with a high quality bar andprovenabilities to leadteamsof test engineers, and coordinateplanning andtesting efforts with a positive attitude and a service of excellence to the client.
• Proficient in System, Functional, and Regression testing of Client-Server and Web-Based Applications Hands - on experience with diverse testing tools like QC Hands on experience writing SQL queries to retrieve data from the database.
• Extensive knowledge on all phases of Software Development Life Cycle (SDLC)
• Experienced in software testing which involved development of test cases and test scripts
• Strong analytical and QA/ testing skills, capacity for work and diagnostic ability, Gathering different kind of projects requirement. Covered Agile and Waterfall models of SDLC.
• Extensive experience in functional and regression testing of web-based and client-server applications using Mercury Interactive Test Suite: Quick Test Professional (QTP) and Quality Center
• Proficient in designing, reviewing and documenting system test plans, defining test procedures and creating test cases on the basis of product release features, client’s requirements and related technical documents
• Extensive experience and expertise in VB Scripting and shell as well.
• Good Understanding of FACETS database which resides in Sybase.
• Tested the loading of claims data into Facets.
• Experience in testing EDI (270,271, 276,277, 278-13, 278-11, 835 and 837I/P) transactions.
• ExperienceinHealthcare Payer and Provider Operations, re-engineering claims, benefits, enrollment, and Eligibility processes.
• Profound Knowledge of business process in Facets, HIPPA, Claim processing, ICD 9, ICD 10 and to support strategic planning and goal setting in relating with technology.
• Gathered requirement for various Inbound and outbound 834 extracts to Facets, Membership, Claims and pone pricing and checked for the compliance with HIPPA.
• Good knowledge of ICD-9/ICD-10 and HIPAA 4010/5010 Transaction Requirements.
• Extensively used Quality Center for Bug tracking
• Strong ability to identify issues and drive the resolution
• Manage offshore and local teams|Vendor management| Cross-functional teams
• Able to work in a dynamic, fast-paced environment and manage concurrent releases/projects
• Monitor and reflect the projectstatus to stakeholders to enable risk management and decisionmaking
• Schedule and run daily ScrumcallsandCustomer meetings
• Define and execute testing strategies and improve processes
• Track record of successful project releases
• Manage software product releases using different QA methodologies
• Excellent client facing skills
• Hands on experience in testing of Web based and Client/Server Applications
• Extensive use of defect tracking tools like Quality Center.
• Expertise in Relational DBMS like Oracle and Pl/SQL Server

TECHNICAL SKILLS:

Testing Tools: QuickTestPro8.0/8.2/9.0/9.2/10.0,TestDirector8.0/7.6, QualityCenter 8.2/9.0/9.2/9.5/10.0,JIRA

Languages: C, C++, Java, VB Script, Visual Basic, .Net, SQL, PL/SQL, ASP Jquery, Python, Perl, Shell Scripting

Internet Technologies: VBScript, JavaScript, XML, HTML

Database Technologies: MS-SQL Server 2000, Oracle 8i/9i, CSS, SPSS:

Others: MS-Word, MS Excel, MS-PowerPoint

Platforms: MS-DOS, Windows 95/98/2000/NT/XP, UNIX

PROFESSIONAL EXPERIENCE:

Confidential, Grand Junction, CO

IT- HealthCare Business Analyst

Responsibilities:

• Knowledge and expertise in working with Claims, Provider Relations, Enrollment,
• Benefits Administration and Vendor Relations' Business Areas.
• Collected and evaluated business requirements, functional specifications, project schedules, and documentation.
• Recorded requirements and business process information via interviews with key business users.
• Documented the Business Requirements Document (BRD), generated the UAT Plan, maintained the Traceability Matrix and assisted in Post Implementation activities.
• Deal with claims using OPA system
• Well versed with defect tracking tools HP Quality Center/ ALM, Test Director, Clear Quest and JIRA
• Profound experience in testing client-server applications
• Extensive experience in retrieving the claims from Claims Inventory System (CIS) using Electronic Data Interchange (EDI).
• Experience in HIPAA transactions 837 (Institutional/Professional), 835(Payment
• Remittance Advice), 270 (Eligibility Request)/ 271 (Eligibility Response).
• Helped in integration testing of XML/EDI 834/835 for data exchange between different
• Business users.
• Worked on Claims, Subscribers, Medical Plan and Providers data from FACETS.
• Generated queries and provided data on Eligibility and Membership in FACETS.
• Actively involved in developing, executing and managing User Acceptance Testing
• (UAT).
• Expertise in all the phases of the Software Development Life Cycle (SDLC), Agile
• Development and RUP methodology.
• Worked with development team in diagnosing and isolating various integration problems and explain defects.
• Strong analytical skills for effective problem skills.
• Ability to multi-task, prioritize and work with time constraints while paying attention to Details..
• Checked files in Electronic Data Interchange (EDI) transaction support tool and reporting tool and
• Project management - analyzing,planning, organizing, securing, managing, leading, and controlling resources to achieve specificgoals
• Manage and ensure all UAT processes are in place and on time
• Attended change request meetings to document changes and implemented procedures test changes.

Confidential, Philadelphia, PA

BA Analyst

Responsibilities:

• Reviewed Business Requirement Documents and the Technical Specification.
• Worked extensively with the QA team for designing Test Plan, Quality Assurance Plan, Product Acceptance Plan and Test Cases for the User Acceptance testing.
• Documented test cases corresponding to business rules and other operating condition.
• Provided Efforts Estimate and coordinated the test schedule using Agile testing methodology in UAT phase.
• Derive and consult on all aspects of research, analysis, design, and development of technical solutions including work effort and cost estimates.
• Making changes in the configuration files inside the JAR and then installing the build on the mobile devices for checking its effects.
• Participated in Joint Application Development (JAD) sessions.
• Tested the loading of claims data into Facets.
• Responsible for handling and analyzing Bug Tracking Life Cycle and analyzed the Test plan, which detailed the testing scope, strategy, test requirements and necessary resources.
• Performed reviews of the test scripts written by others team members against the requirements and suggested any enhancements required.
• Wrote SQL queries to retrieve data from the database.
• Ability to prepared Test Cases and perform rigorous Testing, including the definition and creation of various Functional Documents for OPA systems being developed.
• Involved in the full HIPAA compliance lifecycle from GAP analysis, mapping, implementation, and testing for processing of Medicaid Claims.
• System Integration testing for Facets core modules with external systems.
• Worked on projects independently and also managed a Facets testing effort.
• Checked for navigational flow and broken links and reported bugs using Quality Center.
• Analyzed the performance by generating transaction response time graphs and reports.
• Uploading applications to handsets using Mac mini- configuration utility for Native. App can be accessed on Mobile, Mobile browser and web browser.
• Completed unit testing & Automated Testing on all transaction maps during development into production for Mobile App.
• Responsible for working with business and technical staff in documenting business requirements, test
• Create Pre-cutover, Transition and Post-cutover test cases for ICD-10 Project.
• Execute “Transition for cutover” test cases with ICD-9 code before cutover and ICD-10 after cutover.
• Execute ICD-10 Post transition test cases.
• Validate Resolute HB/PB charges after ICD-10 transition. Validate HL7 messages
• Performed different testing as per project requirement: Load, Isolation and Configuration.
• Performed Performance Testing while integrating IBX and NJ FFM Applications and Exchanges.
• Reviewed ADA compliance documents and has provided the feedback and estimate for updating the code.
• Defect tracking, reporting and deployment changes tracking using JIRA
• Monitored Quality Center to close the bugs/cases as and when developers fix the bugs.
• Tested new developments of X12 837 claim, 835 payment files and ensured timely and quality delivery of Revenue Cycle product releases.
• Performed quality assurance and testing on National Provider ID project. Ensured valid segments were generated for providers sending NPI and/or legacy numbers. Tested NPI for billing, attending, referring, operating and other physician types as well as group provider for 837I & 837P.
• Retrieved the claims from Claims Inventory System (CIS) using Electronic Data Interchange (EDI).
• Wrote test cases for positive and negative scenarios for functional, GUI and security testing.
• Checked files in Electronic Data Interchange (EDI) transaction support tool and reporting tool and modified the files based upon the errors and also checked them if they were loaded successfully in CIS.

Environment: Quality Center, Quick Test Pro, MS Project 2004, JAWS,JAVA, UNIX,MS excel, MS Word, MS Visio, MS .NET, MS Power Point, XML, WSDL, XSLT, VB Script

Confidential, Los Angeles, CA

Sr. Business analyst/ scrum master

Responsibilities:

• Conducted requirements elicitation, analysis and refinement.
• Researched and gained knowledge of Higher Education Opportunity Act, Student Loan Default Prevention Initiative Act, credit risk, market risk, liquidity risk, unsystematic risk, operational risk, strategic risk, compliance risk, default risk and sovereign risk.
• Helped Project Manager in project planning by facilitating the creation of Project Charter.
• Analyzed and gathered requirements for preparation of Business Requirement Document (BRD), Functional Requirement Document (FRD) and System Requirement Specification (SRS).
• Dealt with Offshore Testing Team for Test Planning and creation of Test Strategy.
• Acted as a liaison between management and technical team.
• Performed extensive data analysisusingMS Excel and IBM Cognos to find co-relation between variables to establish Risk Baselineand provide Business Intelligence (BI).
• Conducted User Story Writing workshops involving various stakeholders. Actively led, facilitated, time-boxed and moderatedScrum Ceremonies throughout the project.
• Created Requirements Traceability Matrix (RTM) ensuring requirements are met in all the phases of the project and testing strategy incorporates a detailed check on all requirements.
• Utilized Informatica for Extraction, Transformation and Loading; IBM Cognos for report generation of the data to be analyzed from the data warehouses and data marts.
• Wrote SQL queries to pull data from various sources for comparison and analysis.
• Used RALLY for requirement and defect management, test analysis and test logging.
• Created Test Cases and logged defects in Rally. Involved in User Acceptance Testing (UAT).
• Aided the QA team to develop the Test Plans and Test Cases to perform the Black Box Testing, Regression Testing and Smoke Testing.

ENVIRONMENT: Scrum, Risk Management, Mock-Up Screens, RALLY, MS Office (MS Word, MS Excel, MS PowerPoint),IBM Cognos, Informatica Power Center,UML, Data Modeling, UAT Testing, Experian.