SUMMARY:

• 6+ years of business analysis experience in Healthcare, Telecommunication and Finance domain with hands on expertise of Business Requirement Gathering, Business Process Flow, Business Process Modeling and Business Analysis.
• Successfully completed GAP analysis, impact analysis and build versus buy analysis to estimate the effort between as - is and to-be business and determine best practices for business needs.
• Efficient in gathering and translating business requirements and user expectations into detailed functional and non-functional requirements.
• Solid Experience in developing Scope/Vision Document and Project Plan, as well as tracking Project Process, and manage resources to ensure successful delivery.
• Proficient in creating Business Requirement Documents, Use Case Specifications, Functional Specifications, System Requirement Specification (SRS), Workflow and UML Diagram such as Activity Diagrams, Class Diagrams and Sequence Diagrams.
• Ability to work in Agile/Scrum, RUP and Waterfall software development environments Broad knowledge of Test plans, Test cases and test scripts from the Requirements Document.
• Strong experience with Scrum methodology and well versed in writing User stories.
• Experienced in design work of Service Oriented Architect (SOA) web services.
• Provide technical and functional assistance on various platforms.
• In-depth knowledge of Rational Unified Process (RUP); risk engineering, data modeling and mapping, and design using UML (Unified Modeling Language), Rational Rose and Visio.
• Experience working with various Rational tools like Requisite Pro Requirement gathering/maintenance, Use Case document maintenance, Clear Case- version control and Clear Quest, Rational Rose for Use case diagrams, Sequence diagrams and activity diagrams.
• Extensive experience in the development, implementation and integration strategies within a team oriented environment, utilizing quantitative and qualitative analytical skills.
• Involved in creating, editing, and coordinating extensive communication networks facilitation of Joint Application Design (JAD) sessions and interviews, written correspondence, reports, implementation requirements, project status reports, oral presentations and email, to keep executive staff and team members apprised of goals, project status, and resolving issues and conflicts.
• Expertise in writing and executing test plans and test cases.
• Experienced in conducting User Acceptance Testing (UAT) with Business users.

TECHNICAL SKILLS:

Methodologies: SDLC, Agile/Scrum, RUP, Waterfall, UML

Requirement Management: Rational Requisite Pro, Quality Center

Operating Systems: Windows NT/95/98/2000/XP/Vista, UNIX

Business Modeling: MS Visio, Enterprise Architect, Rational ROSE

Document Management: SharePoint, JIRA, Rally

Test Reporting Tools: Quality Center, Clear Quest, Quick Test Professional

Office Tools: MS Excel, MS PowerPoint, MS Word, MS Access

Languages: SQL, Visual Basic, XML, Java

Project Management Tools: MS ProjectDatabases: MySQL, MS Access

Other: SPSS, Adobe CS5

PROFESSIONAL EXPERIENCE:

Business Analyst

Confidential, Simi Valley, CA

Responsibilities:

• Gathered Business Requirements, Interacted with the Users, Designers and Developers, Project Manager and SMEs to get a better understanding of the Business Process.
• Defined and developed business functional requirements and participate in technical walk-through meetings to develop the functional design for the implementation.
• Organized and ran requirement gathering sessions with the business team to collect the business reporting standards, security and service level requirements, and documented them using Requisite Pro.
• Prepared Business Requirement Document (BRD), Functional Requirement Specification (FRS) document and Data Dictionary containing functional definitions and process details.
• Delivery of business requirements for all interfaces into a commercial lending origination and servicing system for a large straight through processing implementation and conversion project
• Developed RUP Analysis Model that included entity classes, use case diagram, sequence diagrams that provided a view of the requirements.
• Analyze business requirements and segregated them into high level and low level Use Cases, Activity and Sequence using Rational Rose according to UML methodology.
• Wrote clear, concise detailed system requirements specification (SRS) documents and user documentation in accordance to guidelines and standards of a level where developers can interpret, design and develop the application with minimum guidance.
• Analyzed the existing system and process gaps in context of new business changes (Gap Analysis).
• Designed Use Cases, Use Case diagrams, Class diagrams, Activity diagrams, and Sequence diagrams in UML methodology using Rational Rose.
• Conducted JAD Sessions periodically with various stakeholders at various phases of the Software Development Life Cycle (SDLC) to discuss open issues and resolve them.
• Analyzed and optimized the process to prepare Business Requirement Document and then converted the business requirements into Functional Requirements Specification.
• Identified Use Cases from the requirements and documented the processes using UML Diagrams
• Communicated with design, development and test team using MS exchange Messaging and Defect Tracking System.
• Created Requirement Traceability Matrix (RTM) in Rational Requisite Pro from functional specifications
• Supported the QA team in complying with quality standards.
• Developed and maintained relationships with clients on all on-going projects.
• Extensive interactions with the client and the management teams to understand the requirements and report the status of the testing efforts on their applications.
• Used MS Project to manage schedules, deadlines and resources, and collaborate on the project.

Environment: Oracle, HTML, and Windows, Rational Rose, RUP, UML, Gap Analysis, Lotus Notes, Change Point, Rational Requisite Pro.

Business Analyst

Confidential, Cypress CA

Responsibilities:

• Interacted with business owners to identify business system needs, proposed solutions for business problems and evaluated alternate methods to increase efficiency of the overall process
• Analyzed and documented business system requirements and the corresponding impact on business processes.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, OOAD using UML and Business Process Modeling.
• Consulted with healthcare insurance company to develop conversion specifications for other insurance Coordination of Benefits (including Medicare).
• Created Requirements Specification Document that translated business requirements into Technical specification including business and validation logic for ease of understanding to the development team.
• Developed SQL queries using SQL Navigator to extract data from the target tables to prove the data mapping.
• Involved in analysis for wide range of Six Sigma and Web-based initiatives, including user requirements.
• Analyzed claim adjustments, claim processing from point of entry to finalizing, claim review, identifying claims processing problems, their source and providing alternative solutions using best practice model and principles for Claims Management.
• Defined the scope and implemented business rules to the project, as well as gathering business requirements and documentation
• Designed specifications and Test Cases usages for the HIPAA 837i, 270/271, 276/277, 835 and others.
• Validated the following: 837 (Health Care Claims or Encounters), 835 (Health Care Claims payment/ Remittance), 270/271 (Eligibility request/Response), 834 (Enrollment/Dis-enrollment to a health plan)
• Provided suggestions and ideas more from a strategic and long term perspective
• Maintained the minutes of the entire requirement gathering sessions
• Responsible for creating high-level wireframes
• Facilitated Product & Sprint Backlog meetings
• Effectively communicated with the developers to explain the proposed changes and understand the system requirements to handle these changes
• Supported the test team to check the weekly status and reported the same to the project manager
• Extracting the business requirements from the end users by several Requirement Gathering Sessions (RGS) keeping in mind their need for the application, and documenting it for the developers.
• Responsible for the creation and approval of the functional specification.
• Reviewed test scripts and made sure that the Test scripts covered all scenarios of the requirements.
• Logged defects into QC while doing Functional Testing and followed through the process until the defects were closed.
• Reviewed the Defects entered by the QA team and prioritized the defects and assigned them to the development team
• Interacted with the users and logged any defects, enhancements from the UAT.
• Worked with the Group to build materials as well provided any suggestions/ tool tips to assist in User

Environment: MS Office, SQL Server, Agile, MS Project, MS Access, Rational Clear Quest, Rational Clear Case, Rational Requisite Pro, Rational Rose, UML, MS Excel, MS Word, MS Power Point, MS Visio.

Business Analyst

Confidential, Woodland Hills, CA

Responsibilities:

• Translated Business requirements to functional and technical language with the help of Use cases and UML diagrams for developers.
• Mapped process flows; assess as-is processes through user interviews, data collection and analysis, design and evaluation of to-be process solutions.
• Assisted defining Change Management Process for Release Management Team.
• Prepared Business Object / Business Process Models that included modeling of all the activities of business from conceptual to procedural level.
• Created Service Level Agreements for Dental and Vision service providers.
• Developed data conversion programs for, claims, and benefit accumulator data - converted thirteen corporate acquisitions. Developed data field mappings. Provided programming and support for claims processing functions and auto-adjudication.
• Created the business process model using MS Visio for better understanding of the system and presented it to Project Manager and other team members for validation.
• Performed detailed financial data migration analysis for Stand-alone Group-Vision product.
• Coordinated work with Medicare Team on implementing Compliance changes to the Medicare Advantage embedded Dental and Vision products.
• Worked with internal government services department on new regulations/mandates from Department of Health & Human services (HHS) and Center for Medicaid & Medicare (CMS).
• Sound understanding of Object Oriented Analysis and Design OOAD and proficient in documentation of as-is and To-be business processes
• Prepared Use Cases through MS Visio for Functional Requirement Documents
• Conducted risk engineering to derive and execute action plan on time
• Created data models and business process models using MS Visio down level technique
• Interacted with Business Users to generate and review business test cases to upgrade User Interface system.
• Performed detailed product filling analysis pulling filled products from California Office of Insurance Regulation (CA-OIR).
• Gathered Requirements and documented the proposed additional extension to the existing HIPAA application
• Developed Project charter and defined project goals, objectives and success criteria
• Identified and documented project constraint and assumption
• Developed supporting plans such as scope, cost, risk, schedule, and change management.
• Worked on HIPAA Transactions 270, 271, 276,277, 834, 835 and 837
• Prepared Questionnaires to Gather Requirements for Business Process (BPM), conversion reports, interfaces and authorizations
• Created Use Case Scenarios for a clear understanding between the vision document and stakeholder using MS Visio and Rational Rose
• Worked with QA’s in creating Test Cases and RTM
• Corrected and Updated the Requirement Traceability Matrix (RTM) after completion of the UAT phase
• Reviewed charter documents/ Business Requirement Documents for tagging and tracing to Use Case, Supplemental and User Interface Functional Requirement Documents.

Environment: EDI, HIPAA, ICD-10, InfoBank, eRate, Adobe Pro, Requisite Pro, Rational Rose, PL/SQL, MS Office, MS Visio, EDI, Rational Clear Quest, Rational Clear Case, UML, Agile.

Confidential, Bellevue, WA

Business Analyst

Responsibilities:

• Studied existing business application and processes, collected end user requirements and suggested the improvised business process model.
• Gap Analysis of client requirements, generated workflow process, flow charts and relevant artifacts.
• Defined and documented the vision and scope of the project.
• Conducted one on one interviews with high level management team and participated in the JAD session with the SME’s.
• Worked as a liaison between the business and technical side to convey the business needs to the system architects.
• Worked in association with RUP mentors to ensure fidelity to the standard RUP practices of the institution.
• Participated in weekly status meetings to present status and in corporate any digressions from the original scope.
• Designed Use Cases using UML and managed the entire functional requirements life cycle using RUP.
• Created and managed project templates, Use Case project templates, requirement types and trace-ability relationships in Requisite Pro.
• Carried out a thorough target organization assessment and risk analysis.
• Involved in cross-functional teams, developing new ways to boost efficiency and delivering results in a fast changing environment to achieve company goals.
• Provided the management with test metrics, reports, and schedules as necessary using MS Project and participated in the design walkthroughs and meetings.
• Analyzed the “As is” and “To be” system documents to show the current and proposed functionalities of the system using MS VISIO.
• Worked with the clients on the final signing process in the User Acceptance stages.

Environment: MS-Visio, Test Director, UNIX, Windows NT, Java, HTML, Oracle, MS Word, MS Excel, MS Power Point.

Jr. Business Analyst

Confidential

Responsibilities:

• Gathered Business Requirements, analyzed data/workflows, defined the scope, and performed GAP analysis.
• Responsible for business system analysis of customizing the BPS Risk Management product with involvement through the whole SDLC.
• Prepared Business Requirement Documents (BRD’s) after the collection of Functional Requirements from System Users that provided appropriate scope of work for technical team to develop prototype and overall system.
• Teamed up with both internal and external software development groups to provide functional requirements specifications in form of use cases, business process flows, and prototypes and management reporting requirements.
• Used Test Director and Mercury Quality Center for updating the status of all the Test Cases & Test Scripts that are executed during testing process.
• Generated server side SQL scripts for data manipulation and validation and created various Snapshots and materialized views for remote instances.
• Involved in interactions with Subject Matter Expert, Project Manager, Developers, and the end-users in more than one JAD sessions. MS Project proved useful in coordinating activities with project manager and various other teams
• Extensive experience in using collaborative tools like Mercury Quality Center to facilitate development across disparate teams
• Authored progress and completion reports which were then submitted to project management on a weekly basis in MS project.
• Worked in mainframe environment and used SQL to query various reporting databases.
• Followed the UML based methods using MS Visio to create Use Case, Activity and Sequence Diagrams.
• Met with client groups to determine Claims User Requirements and Goals, thus converting User Requirements and Business Requirements into Functional Requirement Specifications.
• Developed Data Flow, Work Flow, Process Flow, and Entity Relationship Diagrams in MS Visio, and refined them.
• Follow-up with the Developers and QA team for maintaining schedules for release, bug fixes and any issues related to the application.
• Prepared UAT Materials UAT Test Cases to include various steps involved for UAT and to have proper coverage of requirements.
• Interacted with the users and logged any defects, enhancements from the UAT and communicated them to the development team.

Environment: MS Word, Excel, Visio, RUP, Access, and Project, Mercury Quality Center, MS SQL Server 7.0, HTML, XML, UNIX.