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Sr It Business System Analyst & Sr Qa Analyst Resume

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Oak Brook, IL

SUMMARY

  • Over 8 years of experience as Sr Business System & Integration Analyst in deployment of web - based, client-server applications, developing business processes and system solutions for healthcare and pharmaceutical industries for various projects from conceptualization to implementation.
  • Excellent Technical Writing skills to create Business Requirements Document ( Confidential ), Functional Specifications Document (FSD), Non-functional Requirements Document and Use Cases Specifications.
  • Excellent in interpreting conceptual, logical, and physical models to include context, data flow, process flow, logical diagrams, and data dictionaries.
  • Highly experienced in creating UML (Unified Modeling Language) diagrams such as Activity, Use Case and Sequence Diagrams.
  • Strong in writing SQL queries (view, join, table, store procedure, data tuning) and reporting the results to the business team.
  • Developed Traceability Matrix in the process of managing the requirements.
  • Detailed knowledge of various phases of Software Development Life Cycle (SDLC) and Software Testing Life Cycle (STLC).
  • Developed and documented test plans, test cases, and test scripts in HP Quality Center based on project requirements.
  • Interacting with stakeholders, gathering requirements, rating them and assigning priorities to each of them.
  • Possessed exemplary presentation, listening, time management, JAD session facilitation, interpersonal, organizational, interpretation, problem escalation, Sr ership, decision making, motivational, issues management, and influencing skills.
  • Followed UAM change management/SOX guidelines for all IT processes.
  • Complied with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies.
  • Skilled in handling EDI 837, Medicare & Medicaid claims data.
  • Developed reports and analyzed for HEDIS, Disease & Case Management, Utilization Management and Pharmacy Reporting.
  • Excellent oral and written communication skills with ability to communicate with higher levels of management and development team.
  • Ability to solve complex problems independently and generate innovative solutions.
  • Highly motivated self-starter with excellent communication, presentation and interpersonal skills, can perform well both independently and with a team, always willing to work in challenging and cross-platform environments.

TECHNICAL SKILLS

Operating Systems: Windows, iOS, OS X, Linux

Business Modeling Tools: Microsoft Visio, UML, Rational Rose\

Project Management: Microsoft Project, Microsoft Office (Word, Excel, PowerPoint)

Testing Tools: Mercury Test Director, Rational ClearQuest, WinRunner, Clear Quest UAT, QTP, LoadRunner, JIRAA, HP QC, ALM

Databases: MS Access, SQL Server 2008, 2012, Oracle 8/8i, Teradata

Reporting Tools: Cognos Reporting, SSRS, Crystal Reports

Business Intelligence Tools: SQL Server Business Intelligence Development Studio, SAS

Programming Language: SQL

Web Technologies: HTML, XML, JavaScript, .NET

Dashboard Tool: Tableau

Quality Management: Six Sigma

Content Management Tool: Microsoft SharePoint Server

Others: ScriptMed, GlobalShip, McKesson, MedeAnalytics

WORK EXPERIENCE

Sr IT Business System Analyst & Sr QA Analyst

Confidential, Oak Brook, IL

Responsibilities

  • Strong Domain knowledge of Confidential including Specialty Pharmacy, Pharmacy Network, Formularies, Electronic Prescribing Modulation and Clinical Management.
  • Experienced in Healthcare and Pharmacy standard software like ScriptMed, GlobalShip and also working knowledge of Specialty Pharmacy and Home Delivery Lines.
  • Analyzed and prioritized User and Business requirements as System Requirements that defined code lines in developing the new member portal.
  • Analyzed As-Is system and To-Be system, gathered User and Business requirements through UI (User Interface).
  • Created High Level Functional Specifications and the Scope Documents.
  • Built many Wireframes for various applications using MS Visio.
  • Delivered and created robust set of reporting, ad-hoc query and analysis, OLAP, dashboard and other functionality with rich end-user experience using OBIEE/SSIS/SSRS/SQL DB.
  • Strong knowledge on Dash boarding tools like Tableau.
  • Defects logging and tracking using HP Quality Center and Microsoft Team Systems
  • Coordinated and conducted ClearQuest UAT walkthroughs of various functionalities with various audiences including both external and internal business users, testers and the stakeholders.
  • Worked with all members of the project team, following the project through the Systems Development Life Cycle and ensuring business objectives are met (extensive project life cycle experience).
  • Performed change management system during change requirement. Responsibilities as a Sr QA Analyst:
  • Created the Functional Specifications language which describes all the functional of the web portal, this document aids the business tester while testing process.
  • Created How-to and User Manual Documents.
  • Developed the Test Plan, Test Conditions and Test Cases to be used in testing based on business requirements, technical specifications and product knowledge.
  • Used Test Director to manage testing and defect life cycles, and map requirements to test cases. Performed role of administrator for Test Director.
  • Was involved in the UAT testing, assisted the business users during the testing process.
  • Hands on experience with e learning and Content Management tools like MS SharePoint.
  • Assisted in analyzing the Load testing reports and redefined the performance guarantees

Technologies: Tableau, SQL Server 2008, Oracle DB, ScriptMed, GlobalShip, MS Office(MS Excel, MS Word, MS PowerPoint, MS Visio, MS Project), Microsoft SharePoint, SAS and Test Director 8.0, JIRAA, Rational Requisite Pro

Sr Business System Analyst & Sr QA Analyst

Confidential, New York, NY

Responsibilities

  • Strong Domain knowledge of Confidential including Pharmacy Network, Formularies, Electronic Prescribing Modulation and Clinical Management.
  • Experienced in Healthcare and Pharmacy standard software like ScriptMed, GlobalShip and also working knowledge of Specialty Pharmacy and Home Delivery Lines.
  • Analyzed and prioritized User and Business requirements (BluePrint Requirements Center) as System Requirements that defined code lines in developing the new member portal.
  • Analyzed As-Is system and To-Be system, gathered User and Business requirements through UI (User Interface).
  • Created High Level Functional Specifications and the Scope Documents.
  • Built many Wireframes for various applications using MS Visio.
  • Worked with all members of the project team, following the project through the Systems Development Life Cycle and ensuring business objectives are met (extensive project life cycle experience).
  • Extensive background in CMS Medicare Advantage and State Medicaid reporting requirements.
  • Prepared consolidated Benefits Summary for various plans available for Emblem health.Responsibilities as Sr QA Analyst:
  • Prepared a list of the test accounts from GHI and HIP and converted these into Emblem health accounts for pre-production testing.
  • Created Test Plan and Test Cases for all the functionalities for the new Emblem health member portal.
  • Performed an aggressive Manual Testing Cycles for the whole portal in test and pre-production environment.
  • Prepared the Defect Reports and assigned problems to appropriate software development team for fixes.
  • Was involved in the UAT testing, assisted the business users during the testing process.

Technologies: BluePrint Requirements Center, COTS, MS Visio, MS Office(MS Excel, MS Word, MS PowerPoint), Snagit, Microsoft SharePoint, SAS and Test Director 8.0.

Sr Business System Analyst

Confidential, Philadelphia, PA

Responsibilities:

  • Analyzed As-Is system, gathered User and Business requirements through interviews, surveys, prototyping, building Wireframes and UI (User Interface).
  • Performed GAP Analysis to define gaps between AS-IS and TO-BE processes.
  • Medicare Part D - A federal program, developing the use cases for MyCigna.com related to the retirement plans.
  • Conducted JAD sessions with management, SME, vendors, users and other stakeholders for open and pending issues.
  • Planned and defined system requirements to Use Case, Use Case Scenario and Use Case Narrative using the UML (Unified Modeling Language) methodologies.
  • Created Vision and Scope document for the Project.
  • Analyzed if the system abides HIPAA regulations. Good experience in HIPAA compliance along with HIPAA 837, 4010 and 5010 data format.
  • Created and managed Project Templates, Use Case Project Templates, Requirement Types and Traceability Relationships on SharePoint.
  • Created Use Case Diagrams, Activity Diagrams and Sequence Diagrams in MS Visio.
  • Worked with all members of the project team, following the project through the Systems Development Life Cycle and ensuring business objectives are met (extensive project life cycle experience).
  • Prepared and analyzed any changes during the project make with the help of a Change request form.
  • Planned and Prepared the Master Test Plan which includes Automation Test Plan for the Testing Phase with the Testers.
  • Played a major role in Interface testing both functionally and manually.
  • Assigned problems to appropriate software development team for fixes.
  • Developed strategies with Quality Assurance group to implement Test Cases in Mercury Test Director 8.0

Technologies: MS Visio, MS Office (MS Excel, MS Word, MS PowerPoint), Mercury ITG, SAS and Microsoft SharePoint.

Business Analyst

Confidential

Responsibilities:

  • Have content knowledge of Utilization Management. (For e.g. Collection of data about diagnosis, required services, diagnostic test results, and symptoms).
  • Coordinated the implementation of system updates and releases with management, systems personnel and end users.
  • Created Fit Analysis for the New products been developed.
  • Performed maintenance and documentation of client application upgrades and source server. Maintain source control/versioning system.
  • Designed user interfaces and wireframes for the application.
  • Created User and training Manuals. Provided hands-on training to client staff.
  • Worked with business users to document scope statements, define business requirements, perform analysis and provide recommendations for new systems or improvements and redesign of current systems.
  • Facilitate design sessions, mapping and configuring data values, workflow development, functional testing, training and user support.
  • Good understanding of HIPAA standards and experience in testing and verifying the systems and applications for compliance with HIPAA.
  • Created test strategies and test plans for configuration updates and managed implementation of configuration changes. Executed user acceptance testing.
  • Prepared Business Requirement Documentation and Functional Documentation.
  • Assimilate, integrate, and interface technical knowledge with business/systems requirements. Verify that technical system specifications meet business requirements.
  • Developed following user interfaces Chief Complaints & HPI, Medications & Allergies, Medical History, Social History, Physical Exam, Review of Systems, Plan.

Technologies: MS Office (MS Word, MS Excel, MS PowerPoint, MS Visio), Microsoft SharePoint, ASP.Net, Crystal Reports, SQL and Rational ClearQuest

Business Analyst

Confidential Texas, Austin, TX

Responsibilities:

  • Involved in Confidential 's (Business Requirement Documents) supporting documents containing the essential business elements, detailed definitions, and descriptions of the relationships between the actors to analyze and document business data requirements.
  • Analyzed As-Is system, gathered user and business requirements through interviews, surveys, prototyping.
  • Analyzed and prioritized user and business requirements as system requirements that must be included while developing the software.
  • Used power point presentations for conduction walkthroughs with the stakeholders.
  • Conducted JAD sessions with management, SME, vendors, users and other stakeholders for open and pending issues.
  • Created Use Case Diagrams, Activity Diagrams, Sequence Diagrams, Wireframes and ER Diagrams in MS Visio.
  • Created and managed project templates, use case project templates, requirement types and traceability relationships on Share Point.
  • Analyzed if the system abides HIPAA regulations as portal displays members' private information.
  • Played a major role in developing the user manual for security configuration, and for the marketing department.
  • Extensively worked with Project Manager to determine the current best practices for requirement gathering.

Technologies: MS Visio, MS Office (MS Excel, MS Word, MS PowerPoint, MS Access), Mercury ITG and Microsoft SharePoint

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