SUMMARY:

• Over 9 years of strong Industry experience as a Business Systems Analyst / Data Analyst/ Data Migration Consultant in Health Care, Insurance, Mortgage Industries as an accomplished facilitator between Business Systems and Information Technology with emphasis on Process Improvement
• Over 6 years experience working on Agile Scrum methodology
• Experienced in liaising between SMEs, stake holders, business users and technical team
• In - depth knowledge of Business Requirement Gathering process and techniques, conducting JAD sessions, focus groups, Project Meetings, Reviews and Walk-throughs, Mock-up sessions, Business Process Modeling (BPM), Business case development, Feasibility analysis, Risk assessment and analysis, Project scope determination
• Excellent experience in creating various type of UML diagrams.
• Exceptional skills in writing Business requirements, Use Case, Functional Specifications and Systems Requirements Specification (SRS), Conducting GAP analysis by identifying existing technologies, documenting the enhancements to meet the end-state requirements.
• Developed Traceability Matrix and business rules.
• Highly motivated team player with excellent communication, presentation and interpersonal skills to deal with people with conflicting needs. Ability to work under pressure and meet deadlines.
• Hands on skills of Product demo and user .
• Excellent knowledge of Functional testing, Unit testing, Integration testing and User acceptance testing
• Excellent knowledge of Software testing tools such as Quality Center (QC) and QTP

TECHNICAL SKILLS:

• Well conversant with object oriented programming concepts
• Excellent understanding of scripting languages like HTML, Java Script
• Hands on experience working with RDBMS systems creating reports using SQL query languages
• MS Visio for UML (Unified Modeling Language)
• WireFrame for Prototypes and Mock-ups
• MS word, MS Access, MS Excel, MS PowerPoint
• Testing tools such as QC and QTP

PROFESSIONAL EXPERIENCE:

Confidential - Torrance, CA

Sr. Business Analyst

Responsibility:

• Elicited and documented functional, non functional requirements
• Participated in determining and documenting detail interface requirements and defining business rules
• Extensively used Scrum methodology to write user stories, story splits, documenting story points
• Participated in daily scrum meetings, backlog refinement meeting, sprint review meetings and sprint retrospective meetings
• Worked as agile team member collaborated with product owner to prioritize user stories and create product backlog
• Conducted mock-up sessions and worked on story boarding
• Extensively used MS Visio to create various UML diagrams including Flow charts and Activity diagrams.
• Gathered data transfer requirements for HL-7 interfaces
• Conducted JAD sessions and developed the functional specification document
• Collaborated with key stake holders to identify data transfer requirements
• Worked in close collaboration with Billing and A/R staff to capture existing process, requirements documentation, and mapping the processes of various phases in entire revenue cycle like appointment scheduling and insurance eligibility verification; tasks related to clinical care like coding and charge capture; and back office tasks like claims submission, payment posting, statement processing and the management of denied claims
• Worked with the database team on data standardization and migration process and participated in data extraction, data formatting, data cleansing, data fields mapping and data migration process

Confidential, Chicago, IL

Sr. Business Analyst

Responsibilities:

• Analyzing the Current State of Blue Chip from Document Begin to Batch Output File as it relates to Medicare claims
• Producing deliverables which are SDM compliant and posting them in the Team Rooms for review
• Leading Touch Point, Walk Through and Coordination/Implementation meetings with customers, other team members, and Information Technology Group (ITG)
• Engaging in Information Exchange with Subject Matter Experts (SME) to lead the way in SDM Methodology, as well as to document the in-house knowledge from the SME’s
• Creating clear and concise requirements documentation, including a requirements traceability matrix, test plans, Statement of Customer Need, Customer Requirement Specification, etc.
• Converting old non-SDM compliant documentation into SDM compliance
• Working with SME’s to clarify, document and implement Enterprise solutions for projects such as Medicare Secondary Payer- Demand Case and Enterprise Estimation.
• Functional and regression testing
• Adhering to HIPAA guidelines and documenting for compliance
• Working with other related areas of Logic such as Premier Pricing, Eligibility, Derivation and Information Technology Group
• Experience in Blue Chip, general Cross/Shield adjudication processes, Third Party Liability, Coordination of Benefits, front end and back end processes
• Writing functional and regression test plans, ordering and analyzing reporting, reporting on system status.
• Experience in Software Development Methodology (SDM)

Confidential - Hartford, CT

Sr. Business Analyst

Responsibilities:

• Studying and analyzing standard business practices for the Insurance Industry, and comparing them the business practices and rules for Confidential, to identify the shortcomings of the current system
• Working as Agile Scrum team member and documented user stories
• Participating in daily scrum meetings, backlog refinement meeting, sprint review meetings and sprint retrospective meetings
• Collaborating with product owner to prioritize user stories and create product backlog
• Conducted mock-up sessions and walk throughs
• Documented FRS and business rules
• Developing use cases and created activity diagrams
• Validating and verifying defects to help weed out problems and keep the project on schedule
• Interviewing the system experts to determine system interaction feasibility during implementation process
• Determining a change management plan and strategy for the final implementation process of the product
• Conducting Joint sessions

Confidential, Burridge, IL

Business Process Analyst

Responsibilities:

• Analyzing mortgage loan application packages and relevant business rules such as the loan request meets investor requirements based upon current underwriting, product and pricing guidelines
• Worked on user interface requirements to gather personal and financial information for evaluating credit worthiness of the borrowing entity through review of the credit report, and other credit information
• Extensively worked Agile Scrum methodology
• Documented user stories
• Participated in Sprint planning meeting, daily stand-up meetings, backlog refinement meeting, sprint review meetings and sprint retrospective meetings
• Worked closely with product owner to prioritize user stories and create product backlog
• Participated as a team member in product prototyping
• Conducted screen mock-up sessions and walk throughs
• Wrote functional specification to automate the estimation of repayment ability of the borrowing entity through evaluation and calculation of income versus debts.
• Created activity diagram on Review process for property securing the HELOC and HELOAN to ensure appropriate value and collateral, and evaluate the pricing and terms of loan request
• Gathered requirements ensuring compliance with Federal, State, and local regulations; and adhere to the business rules and objectives, policies, risk parameters and guidelines of the organization
• Consistently apply the highest work standards, effectively prioritize and execute work assignments, and formulate accurate conclusions independently without supervision
• Provided periodic reporting to management via excel reports of workload and work completion on a weekly basis.