SUMMARY

• Over Eight years of IT experience in Business Analysis, System Development life Cycle (SDLC), RUP, Object Oriented Design, RDBMS, Project Cycle Management (PCM), Software Validation, Data Modeling, and Decision Support Systems.
• Experience in working wif clients to understand and implement requirements and in providing team leadership for development support teams comprising company as well as client and third party contract staff.
• Specializing in working wif technical staff to create, interpret, and implement business requirements into technical specifications. Hands - on management experience developed and established through a variety of cross-functional businesses team assignments.
• Excellent strong work ethics and analytical skills coupled wif good communication and interpersonal skills describing a committed team player.
• Goal Oriented Project Management, Business Process Analysis and Modeling, Testing: Planning, Coordination, Execution, Process Re-engineering & Analysis.
• Possess strong working knowledge in Health Care Industry.
• Well familiar wif Consumer Directed/Driven Health Plan (CDHP) design and implementation.
• Extensive Project and Team management experience covering large and small projects in teh Healthcare.
• Full life cycle System Development experience including Requirements, Analysis/Design, Development/testing, and Implementation.
• Conducted Financial Business Case Analysis, Cost Benefit Analysis, ROI, Gap Analysis, Risk Analysis, Feasibility Analysis, Requirement Analysis, and then organized review meetings wif various Stakeholders and teh end users aimed towards finalizing teh Software Requirement Specifications.
• Documentation and delivering ODS to EDW information mapping for ETL Guide.
• Expertise in Unified Change Management (UCM) to manage change from requirements to release.
• Extensive experience in RUP Iterative and Agile System Development Life Cycle process, implementing teh Rational Unified Process (RUP) in all four phases; Inception, elaboration, Construction, and Transition.
• Experience in development of Process Flow Diagram, Use Case Diagram, Activity Diagram, and Sequence Diagram by using UML methodology using tools such as Rational Rose and MS Visio.
• Extensive experience in producing artifacts like teh Business Scope & Vision Document, Business Glossary, Business Modeling Guidelines and Business Use Case Models.
• Used Elicitation techniques like interviewing, questionnaires, brainstorming, JAD, observation, and document analysis for requirement gathering.
• Created Test Strategies and Test Plans to effectively test teh system and to measure teh performance.
• Proficient in Rational tools including RequisitePro
• Involved closely wif teh Developer and Testing team during defect resolution phase.
• Excellent written and oral communication skills wif teh ability to communicate appropriately in business and technical situations at all levels.

TECHNICAL SKILLS

Operating Systems: UNIX, Windows 95/98/00/NT/XP, MS-DOS

Languages: SQL, C, C++, VB, UML, HTML, DHTML, UNIX

RDBMS: Oracle 8.x / 9.x, SQL Server 2000, MS Access, DB2 Change Management environments and various Customer Relation Management environments

Process Methodology: RUP, SDLC, UML, OOAD, JAD, GUI, UAT, RTM

Requirements Management: Rational Requisite Pro

Business Modeling: UML, MS Visio, Rational Rose, Smart Draw

Change Management Tools: Clear Case, Clear Quest, MS Visual Source Safe

Testing Tools: Test Director, Win Runner, Load Runner, Quick Test Pro, RMT

Applications: MS Office Suite, Adobe Suite, Rational Suite

PROFESSIONAL EXPERIENCE

Confidential, Hartford, CT

Sr. Business Analyst

Responsibilities:

• Worked towards gatheringBusiness Requirements, functional and non-functional requirements. Responsible for coordinating Joint Application Development (JAD) sessions wif business users, technical team, DBAs, testing team to analyze and validate teh requirements, application lifecycle, gather and define teh key performance indicators, document and present teh requirements specifications.
• Maintained theTraceability Matrix tabletouniquelytrace theidentified business requirements togeneral designto testing as proof datrequirements requested havebeen developed into a solution and dat it TEMPhas been tested and tracked.
• Coordinated wif developers to quickly resolve teh defects associated wif them.
• Identified gaps in teh business process.
• Leveraged Rational Rose, IBM Rational Software Modeler and MS Visio to create repeatable analysts models.
• Analyzed business requirements and segregated them into high level and low level Use Cases, Activity and State Diagrams using Rational Rose according to UML methodology.
• Gathered requirements leveraging Clear Quest (CQ) tool for any Enhancements or change requests for any defects.
• Coordinating wif teh development team to set up test environment for issue escalation and issue resolution process for SIT and UAT testing to enable smooth operation
• Wrote test cases and test scripts for teh User Acceptance Testing and logged and coordinated defects wif developments and business.
• Responsible for implementation of ICD 9 to ICD 10 changes for QRS.
• Identified and involved wif all key stakeholders, contributors, business, operations and technical resources dat must participate in projects and ensure dat contributors are motivated to complete assigned tasks wifin teh parameters of teh project plan.
• Analyzed business scenarios to track possible business outcomes for teh functions, which could be incorporated into more, detailed test scripts.
• Coordinate wif teh end users in doing teh UAT and developed manuals testing. Executed test scripts, co-ordinate and conducted System and UAT testing.
• Planned and defined system requirements to Wire Frame wif Use Case, Use Case Scenario and Use Case Narrative using teh UML (Unified Modeling Language) methodologies.

Confidential

Sr. Business Analyst

Responsibilities:

• Drove teh definition of customer business requirements by analyzing and documenting business rules, source to target mapping, business processes, process flows, and procurement documents; developed gap analysis when/where required.
• Conducted interview sessions wif users and different levels of management so as to extract requirements and to develop use cases and functional specifications.
• Developed and maintained a work plan for system projects.
• Responsible for teh execution for teh project life cycle (SDLC), including requirements gathering, design, testing, implementation and documentation, as required.
• Facilitated smooth completion of project by providing insurance subject matter expertise to teh team and utilizing subject matter know-how for quality assurance purposes.
• Provided issue resolution recommendations to project managers for each project. Ensure dat there is regular and effective communications of issues and corrective actions between teams;
• Implemented data access, storage and validation routines on teh database server using structured Query Language (SQL)
• Organized and conducted extensive JAD sessions wif users to identify and understand requirements.
• Worked on Change Requests and was a part of CCB.
• Responsible fordoing teh gap analysis for teh interfacing system.
• Developed customer deliverables, including Detailed Specification Documents, Call flow document and General system design documents.
• Coordinated wif teh different teams distributed at different geographic locations for various releases.
• Identified Actors, Activities, Artifacts and Workflows and developed use case diagrams.
• Developed and maintains Business and Use Cases.
• Involved in overall development of teh projects including status reports, client presentations, risk analysis and mitigation, defining milestone deliverables and defining critical success factors.
• Coordinated wif Reporting team for developing report prototypes.
• Facilitated requirements gathering activities, including meeting wif users to discuss System Task Requests (STRs), Enhancements, and Project Assessment Quotations (PAQs) requirements.
• Heavily involved in SIT and QA testing for NH IVR.
• Initiated test plans, develop and execute test cases and scenarios; worked wif users to develop specific acceptance criteria and prepare test exhibits.
• Assisted clients during UAT Environment.

Confidential, Indianapolis, IN

Business Analyst

Responsibilities:

• Drove multi-million dollar migration projects to change from legacy CSA application to new CRM platforms dat supported VSS/IVR, ACD/PBX and other new technologies.
• Gathered Functional and Non Functional requirements by JAD sessions, one to one meetings and detailed analysis of any existing documents.
• Documented and created Business & Technical Requirement Documents, Use-Cases, and Call Flows, Wireframes, Scope Tracking and Requirements Traceability Matrix spreadsheets.
• Worked wif different LOB & SQA teams to halp design test scenarios, test plans and test cases for User Acceptance Testing and System Integration Testing.
• Successfully resolved 47 SSCR’s dat generated in savings and efficiency in customer service benefits.
• Analyzed and gathered Level of Effort (LOE) estimates for various projects wif technical requirements to schedule teh timely solution for WAW, IVR, VSS, HIPAA 5010, ICD-10 & Telephony releases.
• Worked on MS Vision to demonstrate parts of Call Flow and Enterprise Architectures.
• Developed training curriculum for customer service staff to give them an overview of new CRM system in their respective line of business.
• Worked towards resolving various defects and updating status reports for weekly business and technical meetings.
• Arranged daily day to day meetings wif Development team, Vendors and Business to resolve any issue and ensure to keep everyone on teh same page.
• Worked closely wif Dev team and QA team.
• Created SIT Test scripts to test teh different parts of teh Call Flow.

Confidential, NY

Business Analyst

RESPONSIBILITIES:

• Developed business requirement documents based on HIPAA Guidelines by extracting business requirements from clients and users by conducting JRD and JAD sessions keeping in mind their requirements for teh application (Internet, Claims, Provider and Recipient) and coordinated wif developers for teh successful completion of teh project.
• Collected both User requirements and Business requirements from Business user group such dat to document Business/User/Functional/Technical Requirement Specification using MS word and MS Visio thereby providing proper guidance to technical team to develop prototype and overall system.
• Involved in HIPAA Claims Validation and Verification Process (Pre-Adjudication).
• Developed Use Case diagrams, Sequence diagrams and Activity diagrams for better understanding of teh project.
• Worked on claim processing module which involved Receipt and Verification of Claim Forms (837) and Claims Attachment (275), Claims Enquiry and Response (276/277), Adjudication, Health Claim Payment/Advice (835) as per HIPAA guidelines.
• Understanding of complete EDI (Electronic data interexchange) format used in electronic documentation, which was part of knowledge transfer program to teh vendors as per teh requirements.
• Provided support to UI architect to develop new UI for claims reimbursement process.
• Involved in teh day-to-day implementation of teh rational unified Process (RUP) methodology of application development wif its various work flows, artifacts and activities.
• Designed and developed Business Flow diagrams, Dataflow diagrams, UML Activity diagrams and Use Case diagrams.
• Reduction in defects of teh project by sticking to Six Sigma discipline and methodology.
• Conducted GAP analysis and documented business and system level use cases to derive teh requirements illustrating functional behavior.
• Reviewed and prioritized defects wifin a functional area by actively participating in teh Weekly Defect Status meetings.
• Engaged in different stages of testing process like Integration testing, Black box testing, user Acceptance testing, Regression testing and Back End testing

Confidential, CA

Business Analyst

Responsibilities:

• Worked as a liaison between technology and teh business clients to improve business processes and support critical business strategies.
• Utilized industry knowledge to provide executive management, teh development and implementation of interactive business tools, and strategic analysis, vital for use in mission-critical decision-making
• Gathered requirements by using interviews, observation, JAD, brainstorming sessions, and documents analysis
• Performed Gap analysis for both private and government plans, designed business rules and requirements for privacy issues, and managed development of technical specifications for data interfaces conforming to HIPAA requirements and data transaction sets
• Managed technical implementation and development wif ASP and create EAIportals for real time connectivity and ensuring HIPAA Compliance
• Gained consensus for business requirements being fully met and attainable technical development expectations
• Involved in creating Business Flow Diagrams, Dataflow diagrams, UML Activity diagrams and USE cases diagrams using MS VISIO
• Designed use-cases and use-case models to further refine teh requirements and understand teh business processes. Worked extensively in Rational Requisite Pro to organize and catalog requirements, documents, and use-case documents
• Conducted need analysis and resource allocation to determine teh most effective use of teh Design, Architecture, and Review
• Reviewed development plans, quality assurance test plans, and user documentation to ensure correct interpretation of original specifications
• Facilitated JAD sessions for defining business requirements and follow-up for Project Plan updates, gained consensus for User Acceptance Testing requirements
• Developed process flow diagrams and created Script Files containing teh test cases. These would later halp teh testing team to properly comprehend teh scope and extent of testing required

Confidential, NY

Business Analyst

Responsibilities:

• Gathered Requirements from various Business Areas like Claims, Provider Relations, Enrollment, and Benefits Administration for their updates to teh Claim Processing Engine.
• Responsible for writing Business Requirement Document and Use Cases.
• Analyzed Business Requirements and developed Process Flow diagrams, Use Case Diagrams, Class Diagrams and Activity Diagrams using Microsoft Visio according to UML methodology thereby defining teh Data Process Models.
• Created activity report, logical components and deployment views to extract business process flows and workflows involved in teh project.
• Performed enhancements on member eligibility and mass plan change, debit card authorizations for multiple subscriber and members and debit card authorization by running batches.
• Monitored Change Requests and documented requirements, integrating them wif Use Cases.
• Assisted QA team in testing phase by creating Test Plans and Test Cases documents.
• Followed teh RUP methodology for teh entire Software Development Cycles.
• Developed teh Requirements Traceability Matrix, prioritized and determined Impact of all applications.
• Conducted JAD sessions wif teh management, users and other stakeholders for open and pending issues to develop specifications.
• Identified all applications and interviewed teh application owners to recommend teh process improvements.