SUMMARY

• Business Analyst with 8 years of experience in business requirement gathering, business process flow, and business analysis in transportation, finance, healthcare, insurance and pharmaceutical industries.
• Strong understanding of Software Development Life - cycle (SDLC) and methodologies including Rational Unified Processing (RUP), Agile and Waterfall methods.
• Adept at gathering requirements by organizing Joint Application developments (JAD) and Joint Requirement Planning sessions (JRP), Brain Storming Sessions, Interviews, workshops and requirement Elicitation sessions.
• Excellent documentation skills including writing Business Requirements Documents (BRD), Functional Requirement Document (FRD), User stories as well as designing business models.
• Adept at creating Use Case Diagrams, Activity Diagrams, Business Process Models, Work Flow Diagrams, Data Flow Diagrams, Flow, Sequence Diagrams, Process Flows (Business and System) using UML modeling tools such as MS Visio and Rational Rose.
• Experience in developing Test Plan, Test Cases and Traceability Matrix as per the business requirements.
• Knowledge of Geographical information system (GIS) and ArcGIS.
• Experience in HIPAA X12 EDI transaction codes such as 270/271, 276/277(Claim-status), 834 (Benefit-enrollment), 835(Payment/remittance advice), 837(Health care claim).
• Experience in Conversion of HIPAA X12 4010 codes to X12 5010 code, ICD 9 codes to ICD 10 codes and HL7.
• Outstanding organizational skills including ability to multi-task prioritize and manage increasingly complex issues with integrative thinking, communicating skills and recognized for being a valued team player.

TECHNICAL SKILLS

Methodologies: Agile, Waterfall, RUP, RAD, V-Model

Databases: Oracle, MS Access, DB2, MySQL, MS SQL

Documenting and Modeling Tools: Graphviz, iRise, Blasmiq, Rational Rose, Visual Paradigm, MS Visio, BRD/FRD templates, MS Project, MS Office (Word/Excel/Access/ Power Point), MS SharePoint, MS Outlook, Team foundation server(TFS).

Languages: C, SQL, HTML, XML

Testing Tools: Pivotal, JIRA, Rational Test Suite, HP Quality Center, BUGZILLA

Tools: Atom, MS Office Suite, MS Project, MS Visio, MS SharePoint, SVN, CVS

PROFESSIONAL EXPERIENCE

Confidential, NY

Business Analyst

Responsibilities:

• Coordinated with business owners to determine project requirements.
• Responsible for leading JAD sessions with Subject Matter Expert, stakeholders, project manager, developers, and end-users.
• Documented and elicited business requirements from subject matter experts by writing user stories resulting in a clearer, more detailed and more complete understanding of project deliverables.
• Created FRS and system requirement documents.
• Reviewed, analyzed, and evaluated business systems for end user needs.
• Participated in sprint planning, daily scrums, testing, retrospectives and sprint reviews.
• Assisted in the maintenance of product backlog and requirement traceability matrix.
• Created work-flow and state transition diagrams using Atom and Graphviz.
• Analyzed functional requirements segregated them into use case specifications and created use case diagrams using MS Visio, according to UML methodology.
• Created test deliverables and performed static, functional and end-to-end testing.
• Conducted demo/training of the software to gather user feedback and acceptance
• Coordinated meetings with the vendors to explain stake-holder requirements

Environment: Trans-AM, Ruby on Rails, ArcGIS, Agile, JIRA, PostgreSQL, TansAM, HP Quality Center, Telerik test studio, SharePoint, Microsoft Word, Microsoft Visio,Graphviz, Atom, Microsoft Excel, Crystal reports, iRise, Blasmiq.

Confidential -Charlotte, NC

Business Analyst

Responsibilities:

• Coordinated with business owners to determine project requirements.
• Responsible for leading JAD sessions with Subject Matter Expert, stakeholders, project manager, developers, and end-users.
• Documented and elicited business requirements from subject matter experts by writing user stories resulting in a clearer, more detailed and more complete understanding of project deliverables.
• Created FRS and system requirement documents.
• Reviewed, analyzed, and evaluated business systems for end user needs.
• Participated in sprint planning, daily scrums, testing, retrospectives and sprint reviews.
• Assisted in the maintenance of product backlog and requirement traceability matrix.
• Wrote SQL queries to pull data from the database in Unit and Test stage, and also for UAT.
• Analyzed functional requirements segregated them into use case specifications and created use case diagrams using MS Visio, according to UML methodology.
• Created test deliverables and performed static, functional and end-to-end testing.
• Used HP Quality Center/ALM 11.0.0 to create and execute test scripts.

Environment: Agile, Team foundation server, HP Quality Center, SharePoint, Microsoft Word, Microsoft Visio, Microsoft Excel etc.

Confidential -Baltimore, MD

Technical Business Analyst

Responsibilities:

• Involved with the STC team in analyzing the CMS CRs and maintainer CRs from Infoman and echimp.
• Worked with the Common working File (CWF) team and submitted claims with CWF.
• Worked with claims and how to look for all the /277CA/276 requests and responses.
• Worked with the provider 835’s and checking to ensure there are no Out of balances and the valid out of balances be reported.
• Working knowledge of e chimp and 3270.
• Knowledgeable on looking at responses for the files sent and look at the 999 and 277CA and TA1 responses.
• Wrote test cases for each change request and identified the risks and issues associated with it in the Fiscal Intermediary Standard System (FISS).
• Documenting the responses for each test case and attaching it in QC for CMS Review and bringing into light any odd unexpected behavior to the team which might lead to possible defects.

Environment: Quality Center, Pro 32, e chimp, Infoman, Microsoft Excel, Microsoft Visio etc.

Confidential -West Palm Beach, FL

Business Analyst

Responsibilities:

• Met with various HMO, PPO, and Medicaid/Medicare Representatives discussing benefits of contracts on behalf of facilities.
• Gathered requirement for HIPAA 4010-HIPAA 5010 and ICD9-10 conversion.
• Analyzed HIPAA 4010 -HIPAA 5010 changes.
• Responsible for processing Medicare claims and coordination of benefits (COB) claims.
• Responsible for checking Medicare eligibility and verifying claim payment.
• Created Use Cases / Activity Diagrams / Sequence Diagrams, and Collaboration Diagrams thus defining the Data Process Model and Business Process Model.
• Written multiple Use Cases and test cases for multiple transactions including 837, 835, 270, 271, 276, and 277.
• Maintained Requirement Traceability Matrix (RTM) documents for change request and implemented procedures for testing changes.

Environment: Rational Unified Process (RUP), Rapid Application Development (RAD), UML, Rational Test Manager, Rational Clear Quest, Windows, MS Office, HTML

Confidential - Bloomfield, CT

Business Analyst

Responsibilities:

• Worked on the Quote Renewal system (QRS) for the Individual buyer.
• Worked extensively with the users and with different levels of management to identify requirements, use cases and to develop functional specifications
• Created Use-Cases and Business Use-Case Model after accessing the status and scope of the project and understanding the business processes.
• Managed all the requirements in Rational RequisitePro, making requirements available to all team members.
• Created requirements analysis and design phase artifacts using Rational RequisitePro used Rational Rose to create Use cases, Activity and Sequence diagrams.
• Used the change management tool from rational to track changes to multiple artifacts by versioning artifacts, associating requirements specific change requests to streamline the defect/change tracking process.
• Undergone various phases like analysis, design, functional and technical specification, and testing.

Environment: MS Access, MS Visio, RUP, MS Excel, Oracle, MS Office, SQL, etc.

Confidential

Business Analyst

Responsibilities:

• Played vital role to create BRS (Business Requirement Specifications) and FDS (Functional Design Specifications)
• Used workflow processes, screen views to create effective FDS
• Used Visio to generate UML diagrams like state diagrams, Classic diagrams, business process flow diagrams and Entity-relationship diagrams
• Responsible for keeping the track of action items captured during workshops by using SharePoint
• Responsible for writing meeting minutes and meeting transcript from workshop

Environment: Windows XP, Microsoft word, Microsoft Excel, Microsoft Paint, Microsoft Visio.