SUMMARY

• Over 6 years of experience as a Business analyst in Industries like Healthcare, Biotech/ Pharmaceuticals with through understanding of software development life cycle including requirements gathering, testing and deployment of various applications.
• Extensive experience in defining user and functional requirements for off - the-shelf & in-house applications; deep understanding of regulatory compliance standards. In-depth knowledge at preparing business requirement document, use case specifications, functional requirement specification and Unified Modeling Language (UML) diagrams.
• Applied knowledge on SDLC, RUP and Agile development methodologies as well as Knowledge on SCRUM environment at different phases of the project life cycle.
• Experience in assisting the Project Manager in creating work breakdown structure, planning milestones/key performance indicators and deliverables.
• In-depth understanding and exposure to Health Insurance and Portability & Accountability Act (HIPAA).
• Experience working on Medicare claims processing, including experience working on Facets application, the healthcare industries leading claims and benefit administration solution.
• Extensive knowledge on Medicare Part A, B, C & D.
• Experienced FDA guidelines, GLP, GMP and 21 CFR.
• Exposure into GxP guidelines and regulations.
• Experience in conducting requirements gathering sessions to define system requirements via interviews, questionnaires, brainstorming sessions & prototyping.
• Assisting in conducting Joint Application development (JAD) sessions.
• Proficient in creating requirements artifacts such as User requirements specification, Functional requirement specification (FRS), detailed use cases.
• Prepare functional specification documents, AS-IS and TO-BE workflows.
• Assisted in designing page mock-ups and wireframes to conceptualize the user interface.
• Extensive knowledge of UML including creating process flows with use case models, activity diagrams, sequence diagrams & flow charts in MS Visio.
• Experience in creating test plans, test cases, perform manual testing and assist QA’s in performing User Acceptance Testing (UAT).
• Experience in developing Requirements Traceability Matrix (RTM), SWOT analysis.
• Lean Six-sigma Yellow Belt

TECHNICAL SKILLS

Databases: MS SQL Server 2003/07, MS Access.

Business Modeling: MS Visio, Smart Draw.

Project Management Tools: Microsoft Project, MS Office Suite (PowerPoint, Excel, Word).

Languages: SQL.

Industry Standard skills: HIPAA, ISO, CMM, CFR 21, SOX.

Quality management: Lean six-sigma, 5S.

Methodologies: SCRUM, Agile & RUP.

PROFESSIONAL EXPERIENCE

Confidential, Americus, GA

Business Analyst

Responsibilities:

• Served as liaison between product owner and internal IT groups.
• Discuss business needs and find solutions by collaborating with cross-functional teams.
• Responsible for gathering requirements from clients, end users and existing business requirements document (BRD).
• Translating BRD into functional and non-functional specifications; translate AS-IS to TO-BE models.
• Develop use cases from requirements and help them convert into software specifications.
• Working on Unified Modeling Language (UML) including creating process flows with use case models, activity diagrams, sequence diagrams & flow charts in MS Visio.
• Conduct retrospective meetings to review and improve the functionality of the products.
• Performed SWOT analysis.
• Was involved in managing the Daily standup meetings and also ensured that the quality standards were enforced as per the build-release schedule.
• Develop test plans, test cases and validate the stability of the build at each executable release; assist QA’s in performing User Acceptance Testing (UAT).
• Led and managed the User Acceptance Testing (UAT) for the implementation of e-provider system with emphasis on ensuring that the HIPAA regulations are met across all the modules.
• Identify, track and report bugs starting from the initial phases of iterative software cycle.
• Clear understanding of Medicare (Part A, B, C & D) benefits, co-insurance, supplemental benefits, disputes as well as business processing.
• Worked with FACETS team for HIPAA claims validation and verification process.
• Worked with claims, enrollment, billing, eligibility verification for members and providers in FACETS.

Environment: Facets Extended Enterprise administrative system, Oracle, MS Project, MS Office Suite, MSSQL, VB.NET, HTML.

Confidential, Louisville, KY

Business Process Associate

Responsibilities:

• Prepare CEO agenda’s for the targeted companies.
• Analyze competitive data, financial statistics and Key performance Indicators.
• Identify Key business areas and opportunities.
• Conducted brain storming sessions to find business solutions.
• Document project goals, objectives, constraints, assumptions, risks and interact with cross-functional teams and clients for the smooth flow of the process.
• Involved with the project management team in developing the project plan.
• Validating business rules and feasibility of the project.
• Provided technical and business knowledge to clients.
• Prepared business templates to track performance indicators; maintain a record of recommendations, communications, activities, schedules to monitor the progress of the project.
• Improved process quality using Lean Six-sigma tools like Value stream mapping, cause and effect diagrams, flow-charts, histograms & Pareto’s.
• Applied advanced Excel skills (Pivot tables, macros, v-lookups, charts) in streamlining the processes.
• Maintained MIS for different processes.

Confidential, Tampa, FL

Business Analyst:

Responsibilities:

• Interacted with stakeholders and end users in order to define the purpose and scope of the application.
• Gather user requirements.
• Created Requirements specifications Documents after conducting sessions with end users and cross-functional teams.
• Involved in Medicare and Medicaid claims processing.
• Conducted and involved in functional requirements review and walkthrough with designers, developers and stakeholders.
• Interacted with data migration team to assist in defining data migration strategy for migrating member data from EMR to DMS.
• Monitored defect tracking to ensure that the testing effort is in progress with the development team.
• Involved in GUI design sessions with the usability team and testing browser compatibility and navigation.
• Actively involved in analyzing the As-Is process and designing To-be process.
• Managed the change request and analyzed the impact of the change request on the application in regards to project plan, project scope and project schedule.

Environment: Oracle, MS Office, MS Visio, Business Objects, AS/400 Server.

Confidential

Business Analyst

Responsibilities:

• Followed RUP as a SDLC methodology from requirement analysis through deployment.
• Gathered Business requirements, documented them and translated into functional specifications.
• Exposed to regulatory requirements set forth by FDA 21 CFR part 11.
• Involved in system validation according to FDA guidelines, GLP, GMP and 21 CFR.
• Specified security settings, storage policies, auditing policies, and expiration actions for business records in accordance with compliance regulations.
• Defined user access rights, permission matrix, for the clinical trail documents.
• Worked with the compliance group to make sure that the electronic data was CFR part 11 compliant.
• Used workflows to gain more visibility into business activities such as document review and approval, issue tracking, and signature collection.
• Developed use cases, data models and maps for testing purposes.
• Developed test plans & test cases based on business requirements.
• Worked with development and testing teams to accomplish timely releases.
• Used SQL for data extraction and took part in User Acceptance Testing.

Environment: Microsoft Content Management Server, ASP.NET, IBM DB2 data server, MS Office, MS Visio.

Confidential

Business Analyst I

Responsibilities:

• Served as a liaison between the users and cross-functional teams in application development for better understanding of the business process.
• Involved in preparing overall project plan.
• Prepared accurate and detailed requirements specification documents and functional specification documents; assisted in developing user interface guides.
• Documented the acquired results of analysis and workflows as well as obtaining sign-off from the appropriate personnel.
• Evaluated the data collected through task analysis and business processes.
• Provided suggestions to the development team at the development phase to meet the business needs of the product.
• Assisted Project Manager in preparing Joint Application Development (JAD) sessions to identify business rules and requirements and then documented the details for department review.
• Provided weekly status updates and generated follow up tasks.
• Developed use case diagrams, activity diagrams and sequence diagrams using MS Visio.
• Designed and executed the test scripts and test scenarios.
• Managed any change request related to the working project plans to meet the agreed deadlines.

Environment: MS SQL, C++, MS Project, MS Visio, MS office (PowerPoint, Excel, Word), Mercury Quality Center.