Sr. Business Systems Analyst Resume
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CA
PROFILE SUMMARY
- 10+ years of professional IT experience in teh health care domain, conductingBusinessAnalysis, Management consulting, application development, operations and maintenance and leading large teams with focus on Results/Goals - oriented business performance and growth.
- Experienced in managing Digital Transformation of consumer-facing Websites, Portals, Mobile APP (RESTful API) based projects and dealing with Omni Channel enterprise applications with strong business analysis and Web Strategy skills to automate operations and reimagine teh customer experience.
- Responsible for driving teh Digital Transformation architecture of clients entering teh digital economy focused on solutions that anticipate digital disruptions.
- Data Analysis (cohort, time-series, etc.) andcreating interactive dashboards, data visualizations, scorecards by analyzing teh Google Analytics, Online User behavior and providing key insights from complex analysis in summarized business terms and recommendations for decision makers including C-level executives.
- TEMPEffectively managed and communicated with project team members to identify business needs and deliver Business Requirement Document (BRD), User Stories, Functional Specification Document (FSD), and Requirements Traceability Matrix (RTM).
- Experience with Software Development Life Cycle (SDLC) methodologies, and teh associated requirement gathering process (me.e., Agile, Waterfall, etc.)
- Experience conducting Joint Application Development (JAD) sessions and Joint Application Requirement (JAR) sessions, Sprint planning with project sponsors, application architects and development teams.
- Competent in multiple healthcare areas including Medicaid, Medicare, Enrollment & TRR processing, HIPAA EDI healthcare transactions, Provider Network management, TRR processing, ICD-10 migration, and HIPAA rules for sharing Electronic Health Information.
- Extensive experience working on various healthcare applications like QNXT, Metavance (MTV), Clinical Care Advance, CRM, Member 360 and other allied healthcare applications.
- Expertise in identifying and managing teh security risks of web applications including DDOS attacks, PCI compliance and HIPAA policies.
PROFESSIONAL EXPERIENCE
Sr. Business Systems Analyst
Confidential, CA
Responsibilities:
- Served as a liaison between IT and Business and contributing to development of IT processes.
- Managed projects in areas of Medicaid expansion, Duals implementation, ICD-10 implementation, CRM, Mobile enablement, online application security.
- Led requirements analysis and verification, ensuring that requirements are complete, traceable and providing guidance on best practices and optimization to improve teh efficiency of deliverables.
Sr. Business Systems Analyst
Confidential, CA
Responsibilities:
- Conducted gap analysis between teh legacy system and to-be system to validate data, show data integrity and impact on overall application.
- Skilled in delivering engaging, informative, well-organized business solutions and presentations.
- Documented system gaps and created mapping document for different data workflow items.
- Gathered requirements to map teh dependencies during sunset process and led teh preparation of a data-dictionary.
Business Analyst
Confidential, CA
Responsibilities:
- Analyzed GEMS and determined highly impacted codes/claims for various ICD-10 conversion neutrality Impact assessments.
- Identified risk-based parameters, threshold levels by category. Completed configuration and database setup changes involving configuration of ICD-10 codes.
Project Lead
Confidential
Responsibilities:
- Managed teh onsite/offshore co-ordination and delivery. Mentored and trained junior staff, manage onboarding of new team members
- Identified and resolved numerous issues during teh development/support life-cycle and contributed to improved quality and stability of teh system
- Conducted code reviews and tracked deliverables from Offshore
- Provided technical and procedural support for User Acceptance Testing (UAT).
Analyst Programmer
Confidential
Responsibilities:
- Responsible for offshore co-ordination and delivery.
- Completed coding, code review, unit testing, SIT, UAT and documentation following an agile scrum process.
- Participated in daily stand-up calls and gathered requirements and user stories.
- Maintained QA logs and metrics and helped in performance tuning of batch jobs.
Confidential
Responsibilities:
- Analysis and development of COBOL, DB2 programs related to CIM-ODS for automating backend testing
- Performing impact analysis of batch jobs during schema changes.
- Completed unit testing & scheduling of jobs and performed validations on CICS screens.