PROFESSIONAL SUMMARY:

• 7+ years of experience in as business analyst, business requirements modeling and development of Web Based, and Client/Server applications in diverse business domains of Healthcare insurance.
• Entrepreneurial self - starter capable of functioning with equal efficiency as an individual contributor or a team leader/player
• Experienced in managing various aspects of the software development lifecycle (SDLC) including requirements gathering, design, development, testing, deployment and support
• Wide-ranging experience in managing artifacts in methodologies such as Waterfall, RUP, Agile (SCRUM)
• Experienced in Web-based / PC-based /AS400/ E-business / E-commerce and CRM applications.
• Facilitated and participated in Joint Application Development (JAD) and Joint Resource Planning (JRP) sessions with management, SMEs, vendors, users and other stakeholders.
• Experience working with the business users as well as the senior management for web-based, and client server applications.
• Experience in FACET as an enrollment system.
• Experience in implementing Change Management Process (Identify, Analyze, Evaluate, Plan, Implement, Review and Close).
• Sound understanding of Gap Analysis using Swim lane diagrams, requirement management, risk analysis and project plans
• Excellent knowledge of HIPAA standards, EDI (Electronic data interchange) Transaction syntax like ANSI X12, Implementation and Knowledge of HIPAA code sets, ICD-9, ICD-10.
• Experience with data mappings including ANSI 4010A1 835, 837I, P, 276/277, 278, 270, 997, 850, 834 for institutional, professional, and commercial.
• Strong skills in Software estimation - effort, time and budget
• Expertise in object oriented analysis and design (OOAD), unified modeling language (UML), use cases, UI development, usage models, layout and wireframes, test cases and user
• Strong communicator and problem-solver skilled at analyzing/eliciting business needs and transforming them into technical designs, applying technical skills and business knowledge to achieve sound results.
• Excellent interpersonal dexterity with proven ability to converse, liaise, negotiate and relate with a wide range of personalities from diverse socio-economic and cultural backgrounds.

TECHNICAL SKILLS:

Operating Systems: Microsoft Windows 95/98/NT/2000, XP,AS 400, Vista, Mac OSX 10.3, MS-DOS, Linux.

Programming Languages: C++, ASP.NET 3.0/3.5, WPF, HTML/DHTML, VB.Net

Modeling/Requirement Mgmt. Tools: MS Visio, CaliberRM, Rally, Rational RequisitePro, Rational Rose Data Modeler, Erwin.

Testing Tools: Quality center, QTP, Load Runner, Win Runner, Test Director

Defect Tracking/Change Management Tools: Rational Clear Quest, Rally, Bugzilla, MS TFS

Databases: MS Access, SQL Server 2000/2005/2008, MYSQL, Oracle10g/9i/8i.

PROFESSIONAL EXPERIENCE:

Confidential, Bloomington, IL

Business/Systems Analyst

Responsibilities:

• Involved in all phases of Software development life cycle (SDLC) using Agile Scrum methodology.
• Conducted GAP Analysis to show current and proposed functionalities for the Data Migration Project.
• Followed Agile, and Waterfall SDLC methodologies for project execution, and used Storyboards as one of the requirements elicitation technique.
• Gave walkthroughs to the product owners after completion of every sprint cycle
• Conducted and participated in sprint planning meeting to define the Sprints and the duration of each sprint and prioritized the requirements and placed them into the sprint backlogs
• Experience developing storyboard and user stories to elicit requirements from the product owners.
• Delivered Instructor Led (ILT) for insurance professionals for general commercial insurance and commercial property insurance underwriting courses for insurance designations
• Extensively interacted with both subject matter experts and business stake holders and created Business process diagrams for the as- is process and the to-be process using BizAgi BPM tools.
• Managed and tracked change control process of requirements and design changes. Documented the changes, issues and their impact on the system design and delivery.
• Worked on Policy underwriting system for Auto Insurance.
• Used SQL queries to extract data from database to perform data analysis.
• Participated in daily SCRUM meetings to discuss the bottlenecks and the tasks status
• Documented User Requirements Specification (URS) and Functional Requirements Specification (FRS) by working as a liaison between the business Stakeholders and the Development teams
• Prepared BRD and FRD, and simultaneously managed the documents using Rational RequisitePro
• Developed use cases, policies/procedures/work instructions for J.D. Edwards One World with MES bolt-on (LDAP authentication) and MFGPRO ERPs, mainframe applications (including AS400), and infrastructure/middleware.
• Maintained AS400 denial letters in Microsoft Access
• Created Use case diagrams, using MS Visio, by performing Use-Case Analysis on the requirements
• Facilitated JAD sessions with the End-users ensuring that the system met all business needs
• Worked with GUI team for designing the screens, and assisted in Prototyping the User Interface (UI)
• Utilized MS SharePoint as the central repository for requirements management and communication
• Responsible for product factory and policy administration modules
• Responsibilities include managing Siebel CRM program releases through all phases of the SDLC.
• Designed and developed project document templates based on SDLC methodology
• Used SDLC (System Development Life Cycle) methodologies like the RUP and the waterfall.
• Used the Agile methodology to build the different phases of Software development life cycle.(SDLC)
• Drafted and analyzed project Deliverables, and created Checklists for Checkpoints in the project
• Developed Requirements Traceability Matrix for maintaining system requirements using MS Excel
• Interacted with Production and Design teams for change requests and problem report documentation
• Performed Knowledge Transfer of the elicited requirements to the DB Architect for Database Design
• Assisted the Database team in Data Migration, from MS Excel to SQL Server Reporting Service, using SQL Loader for the future system
• Retrieved data from database for Data Validation and Data Integrity tests using SQL queries
• Analyzed User requirements in Stakeholder meetings to document changes, and implemented procedures to test changes using Rational Clear Quest
• Assisted the Testing team in creating Test Plans, Test Scenarios, Test Cases and collect Test Data for successful completion of Integration Testing and Functional Testing
• Performed process mapping, data mapping and created artifacts for data requirements and data mapping
• Work on the Data Modeling, Entities and Attributes of the Data points and Templates. Building API in XML based on the requirements.
• Used SOAP UI to test various web services based on SOAP.
• Assisted the database team in understanding the ETL requirements
• Communicated with management concerning development process within areas of assigned responsibilities using MS Share point (MOSS)

Environment: Oracle 8x/9i, Asp. Net, SQL, MS Project, MS Office Suite, Agile, UML, CA Clarity, Rational Rose, JIRA, Rational Clear Quest 2002, MS office suite 2003, MS Visio 2003.

Confidential, Rochester, NY

Business Analyst

Responsibilities:

• Facilitated JAD sessions with SMEs’, Product owner, and Development managers to understand the business process, gather Business Requirements and identify enhancements for the application.
• Followed AGILE methodology viz. Scrum throughout the project.
• Prepared release plan and iteration plan for the project working with the stakeholders
• Re-factor Epics to Stories and maintain the prioritized Sprint backlogs
• Assisted JAD sessions to identify the business flows and determine whether any current or proposed systems are impacted by the EDI X12 Transaction, Code set and Identifier aspects of HIPAA.
• Extensively worked on EDI 834 transaction set and Experience in 835, 270/271, 276/277, & 997 processes of medical claims/underwriting for support and point of for the vendor in business issues.
• Worked on EDI transactions: 270, 271, 834, 835, and 837 (P.I.D) to identify key data set elements for designated record set. Interacted with Claims, Payments and Enrollment hence analyzing and documenting related business processes.
• Worked on FACET to terminate or reinstate health coverage for the subscriber.
• Developed plan for data feeds and data mappings for integration between various systems, including XML, to followICD 10Code set andANSI X12 5010formats.
• Documented requirement for HIPAA, EDI transaction 837 and for Medicare Part A, Part B, Part C and Part D.
• Involved in gap analysis and implementation of HIPAA 5010, ICD 10 and Claim Validation.
• Researched/Analyzed the various steps involved in claims processing life cycle and then wrote the BRD in such way that developers could construct the system to identify riskier claims.
• Conducted requirement sessions, identifying business needs, getting sign-off on requirements and capturing requirements in CaliberRM and Rally.
• Developed use cases, policies/procedures/work instructions for J.D. Edwards One World with MES bolt-on (LDAP authentication) and MFGPRO ERPs, mainframe applications (including AS400), and infrastructure/middleware.
• Responsibilities include managing Siebel CRM program releases through all phases of the SDLC.
• Designed and developed project document templates based on SDLC methodology
• Used SDLC (System Development Life Cycle) methodologies like the RUP and the waterfall.
• Working with clients to better understand their needs and present solutions using structured SDLC approach.
• Used the Agile methodology to build the different phases of Software development life cycle.(SDLC)
• Maintained AS400 denial letters in Microsoft Access
• Facilitated pre-planning meetings, demos and daily stand ups.
• Wrote test cases and test scripts for the User Acceptance Testing (UAT).
• Prepared graphical depictions of Use Cases, Use Case Diagrams, State Diagrams, Activity Diagrams, Sequence Diagrams, Component Based Diagrams, and Collateral Diagrams and creation of technical design (UI screen) using Microsoft Visio.
• Working with clients to better understand their needs and present solutions using structured SDLC approach.
• Assured that all Artifacts are in compliance with corporate SDLC Policies and guidelines.
• Worked with design team to prepare Project plan for User Interface documents.
• Conducted GAP analysis for fixed fee projects.

Environment: Windows XP professional, MS Office suite, MS Project, UNIX/Oracle Platform, XML, Oracle Application server, Oracle Pl/SQL, MS Visio, Bugzilla,.MS Visio, Quality center, Clear quest, clear case.

Confidential, Columbus, OH

Business Analyst

Responsibilities:

• Participated in various stages of data and requirement analysis for project needs.
• Extensively involved in every phase of the RUP process starting from Inception to Transition Interviewed Business Users to gather Requirements and analyzed the feasibility of their needs by coordinating with the project manager and technical lead.
• Interact and negotiate with Vendors to complete the tasks related to data conversion Responsible for the development personal lines various insurance.
• Expertise in iterative approach of AGILE development with all the teams members (Requirement, Development and QA teams) reporting to me for issue resolution and each iteration was 3 weeks long.
• Development and maintenance of the organization's content and document on intranet, extranet and portals.
• Involved in JAD sessions to gather requirements, and to analyze the requirements.
• PreparedBusiness Requirement Documents (BRDs) for the new system after requirements analysis.
• Used UML to model business requirements and logically convert them to functional requirements.
• Assisted in PerformingGAP analysis (As-Is & To-Be) and supported full traceability for all the software artifacts.
• Assisted the Jr. Business Analystin writing Functional Requirement Specifications (FRS) and User Requirement Specification (URS).
• Developed use cases, policies/procedures/work instructions for J.D. Edwards One World with MES bolt-on (LDAP authentication) and MFGPRO ERPs, mainframe applications (including AS400), and infrastructure/middleware.
• Maintained AS400 denial letters in Microsoft Access
• Designed and developed Use Cases, Activity Diagrams, and Sequence Diagrams using Rational Rose.
• Organize requirements into high level Use Cases and low level Use Case Specifications and modeled them into UC, Activity and Sequence Diagrams using Rational Rose and MS Visio. Performed task decomposition, delegated tasks and monitored project milestones using MS Project.
• Designed GUI: interface screens shots and mock-ups.
• Responsibilities include managing Siebel CRM program releases through all phases of the SDLC.
• Designed and developed project document templates based on SDLC methodology
• Used SDLC (System Development Life Cycle) methodologies like the RUP and the waterfall.
• Working with clients to better understand their needs and present solutions using structured SDLC approach.
• Used the Agile methodology to build the different phases of Software development life cycle.(SDLC)
• Identifiedinternal and external system requirementsfor design and configuration set-up.
• Maintained and kept track of stakeholders’requests for enhancements and changes usingUnified Change Management tool (UCM)such as Rational Clear Quest.
• Used Rational Test Manager to review defects in functional requirements.
• Active involvement in executing test scripts, and coordinatingUAT testing.
• Performed backend testing using SQL queries and analyzed the server performance.
• Coordinated activities with project manager and various other teams using MS Project.
• Assisted in on-going process improvement efforts to ensure Test Planning, Execution, and Reporting is effective, efficient, standardized, coordinated, and integrated.
• Assisted other project teams with data analysis, Process Mapping and data profiling as needed.
• Involved in generation and execution of SQL queries.

Environment: RUP, UML, Share Point, MS Project, MS Visio, Rational Requisite Pro, MS Office, SQL, Java, Windows 2000/NT

Confidential, Philadelphia, PA

Business Analyst

Responsibilities:

• Facilitated JAD sessions to collect requirements from system users and prepared business requirement that provided appropriate scope of work for technical team to develop prototype and overall system.
• Identified processes for developing and documenting detailed business requirements. Data was collected from end-users, and analysts.
• Created Use-Cases and Requirements documents to document business needs.
• Conducted Use-Case reviews and identified gaps, leading to improvements/enhancements in the same.
• Created and maintained the Requirements Traceability Matrix (RTM).
• Worked with the Project Manager on various Project Management activities like keeping track of Project Status, Deadlines, Environment Request, and Compliance Issues.
• Prepared documents such as Project Scope, Project Vision, Project Success, Business Requirements, Functional Specification, Data Warehouse Process Flow (SQL queries & Crystal Reports) using MS Office (Word, Excel, Visio) and dashboards
• Involved in Documented the impact of migrating from the HIPAA 4010A1 transaction set to the HIPAA 5010 transaction set.
• Design, analyze and performed Integration and wrote System requirements on different leading health care software’s such as FACETS.
• Ensured development coding was created for external web, IVR, intranet, and Customer Service screen changes
• Was responsible for tracking issues that are detected and updating the status of existing issues based on the daily meetings with the off-shore team.
• Developed use cases, policies/procedures/work instructions for J.D. Edwards One World with MES bolt-on (LDAP authentication) and MFGPRO ERPs, mainframe applications (including AS400), and infrastructure/middleware.
• Responsibilities include managing Siebel CRM program releases through all phases of the SDLC.
• Designed and developed project document templates based on SDLC methodology
• Used SDLC (System Development Life Cycle) methodologies like the RUP and the waterfall.
• Working with clients to better understand their needs and present solutions using structured SDLC approach.
• Used the Agile methodology to build the different phases of Software development life cycle.(SDLC)
• Maintained AS400 denial letters in Microsoft Access
• Identified and analyzed the data requirements for the various site teams and made sure that the required data is available in the testing environment.
• Worked directly with software engineers to ensure clear communications on requirements and defect reports.
• Interacting with other teams through walkthroughs, teleconferences, meetings, etc. to resolve various issues.
• Tested SOA processesand methodologies used to deliver Customer online application, New Web Application and Finance application for quality standards interface to meet customer expectation.
• Validated the scripts to make sure they have been executed correctly and meets the scenario description.
• Involved in project status meetings, QA review meeting, and System Test meeting.
• Wrote test cases and test scripts for the User Acceptance testing. . Design, write and maintain data requests and/or queries to support the business.
• Identify data process improvements and leverage technology to automate and streamline existing processes.
• Assist in the development of ad-hoc reports or presentations as needed by senior management.

Environment: MS Visio, Windows, Ms Excel, FACETS, MS Power Point, SQL, Java and Lotus Notes.

Confidential, Erie, PA

Business Analyst

Responsibilities:

• Assistedbusinessusers in identifying functional gaps, and developed detailed FSD for the gap
• Migrated Data from MS Excel to SQL Server Reporting Service Using DTS and SQL loader utilities.
• Generated SQL queries to develop risk reports.
• Understanding the specifications for Data Warehouse ETL Processes and interacting with the dataanalystsand the end users for informational requirements.
• Designed and developed test plan, wrote and executed test scripts for the Data Warehouse.
• Conducted JAD sessions for communicating with Stakeholders and Project directors
• Involved in generating Test cases for property and casualtyInsurancesfor Different Levels ofBusiness.
• Designed and developed project document templates based on SDLC methodology
• Used SDLC (System Development Life Cycle) methodologies like the RUP and the waterfall.
• Working with clients to better understand their needs and present solutions using structured SDLC approach.
• Used the Agile methodology to build the different phases of Software development life cycle.(SDLC)
• Designed and developed workflow templates and lifecycles for process involving creating content to publishing product information on web.
• Wrote Test Cases in Mercury Quality center that would test various Test scenarios.
• PerformedBusinessProcess Mapping and performed AS IS and TO BE analysis Applications tested were integrated to mainframe Vantage system which includedbusinessapplications for new sales, policies, quotes, and web based applications.
• Correspondence included solicitation letters, financial transaction confirmations, and quarterly and annual policy statements.
• Developed use cases, policies/procedures/work instructions for J.D. Edwards One World with MES bolt-on (LDAP authentication) and MFGPRO ERPs, mainframe applications (including AS400), and infrastructure/middleware.
• Maintained AS400 denial letters in Microsoft Access
• Used Unified Modeling Language (UML) for process modeling and use cases.
• Coordinated participation and sign-off of variousbusinesspartners and customers.
• Interfaced betweenBusinessnew product builders and System platform builders.

Environment: Rational Enterprise Suite (Rose, RequisitePro, ClearCase, Clear Quest), Case wise modeler, Sybase, SQL Server Reports, Etc.