SUMMARY

• Over 7+ year expertise in Business Analysis wif hands on experience in Healthcare sectors.
• Experience inBusinessSystems Analysis wif strong noledge in Requirements gathering, Requirements analysis, Data profiling and Data movement controls.
• Strong Knowledge of RUP, UML, Agile (SCRUM), Waterfall methodologies and software development life cycle.
• Adept at preparingbusinessrequirements documents (BRDs), functional requirements specifications (FRS), system requirements specifications (SRS), defining project plans and delivering project/status reports.
• Proficient in creating Use Cases, Wireframes, Prototypes, Activity Diagrams, Class Diagrams, and Sequence & Collaboration diagrams.
• Experience in Software Analysis and Design (Requirement Gathering, Functional Specification, User Interface Specification, System Integration testing, User acceptance testing, Technical Design, Traceability Matrix, Test Cases and Test Plans).
• Worked extensively on methodologies such as Agile, Waterfall and EDM.
• Experience in Elicitation techniques such as interviews, Questionnaires, Brainstorming sessions, Focus groups, Brown Bag, After Action Review and Lessons Learned after Project Close Out.
• Extensive experience in Business Requirements gathering and writing skills wif expertise in developing and documenting Business Requirement document (BRD), Functional Requirement Document (FRD),Software Requirement Specification (SRS) across teh deliverables of a project.
• TEMPEffectively used Rational Requisite Pro to organize, track and change requirements of teh system.
• Expertise of UML in visualizing and documenting teh artifacts using Use Cases, Use Case Diagrams, Activity diagrams, Class diagrams, Data Flow Diagrams, Business Flow Diagrams, Sequence Diagrams using MS Visio
• Extensive experience wif Content Management tools such as Interwoven, Filenet, SharePoint and Documentum
• Experience in facilitating Joint Application Development (JAD) sessions, Rapid application development (RAD) sessions, conducting user interviews and acting as a liaison between teh customers, development team and testing team
• Familiarity wif Lean principals and Six Sigma methodologies.
• Experience working wif query languages like SQL
• Facilitated User Acceptance Testing (UAT) wif teh stakeholders and teh business users as well as trained users to use teh system configured.

TECHNICAL SKILLS

Business Analysis: Requirement analysis, business rules, data flow diagram, flowcharts, business process modeling & improvement, gap analysis, cause and TEMPeffect analysis, decision tree, BRD, BRS

Microsoft Office Tools: Excel, Word, Project, Access, Visio, PowerPoint and Outlook (2000/2003/2007)

Rational Suite: Rational Rose, RequisitePro, ClearQuest, ClearCase, PVCS

Programming: C, C++, Java, and UML

Databases: Oracle 10g/9i, MS SQL server 2003/2007, MS Access 7.0/97/2000, SQL *Plus

Operating Systems: WIN XP Pro, WIN 2000, Windows NT 4.0, MS Exchange 2000/2003, Windows 95, Linux, Unix

Methodologies: RUP, OOA, OOP, OOD, UML, Agile Modeling, SDLC model, Six Sigma, Waterfall model, Spiral model, Use Cases, JAD

Data modeling: ER Diagrams, Conceptual, Logical & physical modeling.

Test Tools: Test Director, WinRunner and Load Runner

PROFESSIONAL EXPERIENCE

Confidential, Pittsburgh, PA

Sr. Business Analyst

Responsibilities:

• Facilitated requirement gathering and brain storming sessions;
• Provided AS - IS and TO-BE process analyses, Gap analyses,BusinessProcess modeling and decomposition;
• Developed teh Epics and Themes for teh Scrum Project
• Devised and prioritized teh Product Backlog by conducting requirement churning sessions wif variousBusiness/ Product Teams.
• Collaborated wif senior leadership,SMEsandbusinessunits to define approach and execution of corporate security strategy
• Managed teh product backlog and worked closely wifSMEsto identify features for upcoming release.
• Used AGILE - Scrum methodology and worked in short SPRINTS to achieve goals.
• Mentored various teams on SCRUM methodology and halped teh company transformation in to an Agile Development Shoppe.
• Developed project costs using Cognos Reporting Tool forEDMenhancement project
• Gathered user requirements and directed developers for practical deliverables.
• Worked wif teh full SDLC, elicit, analyze and define requirements.
• Created and configured Document Import Process (DIP) and scheduler to process and run internal and third party files forOnBasearchival.
• Created Document Import Process (DIP) to convert large back-file from legacy systems using multiple Document Types.
• Implemented teh EDM drilling software system from scratch in teh main office in Tripoli and teh various onshore drilling rigs.
• Created process flow for moving teh claims related data from EDW to EDM.
• Project lead forOnBaseupgrade toOnBase12.
• Configured and supported IIS andOnBaseWeb Servers.
• Created and configured AutoFill Keywords Set to automate data entry and accuracy of indexing for variousOnBaseDocument Types.
• Developed and implementedOnBaseE-Forms for User data entries in Workflow or free form entry.
• Developed Testing Plans and executed Unit, Integration, Functional, Regression and UAT testing across multiple user groups and development teams. Additionally, performed user training.
• Conducted JAD sessions wif teh clients to identify teh requirements.
• Worked wif teh software architects / developers to ensure dat teh applications conform to customer requirements.
• Used Rational Unified Process (RUP) for streamlining teh team's development activities.
• Followed teh UML based methods using Rational Rose to create: Use Cases, Activity Diagrams/State Chart Diagrams, Sequence Diagrams, and Collaboration Diagrams.
• Participated Testing and Evaluation of projects at established integration points to assess progress and identify key functionality issues.
• Tracked UAT issues/bugs and prepared reports.
• Publication Management part of Electronic Document Management System (EDMS) and documented teh validation plan.
• Used MS Visio for Process modelling, Process mapping andBusinessProcess flow diagrams.
• Participated in Scrums & Scrum of Scrums and discussed teh open issues and statues.
• Participated in Agile Planning Sessions and assumed teh Product Owner role for teh agile initiative.
• Created and explained teh User Stories to teh Scrum Team and halped them design teh Tasks.
• Designed acceptance criteria for validating teh output of each Sprint.
• Reviewed Team Velocity on a frequent basis and advised Scrum Master at various stages.
• Participated in Sprint Planning and Sprint review meetings for Finalizing teh Sprint Backlogs and Verifying teh sprint outputs respectively
• Created Release Tracking Document in order to track teh necessary changes.
• Participated inBusinessDemonstrations and Decisions for teh Release of teh Sprint Output to Production.

Confidential, OH

Business Analyst

Responsibilities:

• Interact wifbusinessusers for better understanding of individual subject areas and modified specifications to reflect accurate user needs
• Gathered user requirements by interviewing focus groups and brainstorming wif SMEs,Businessusers and Product owners.
• Recommendations for RegionalEDMRefresher Training
• Recommendations for Instructor-Led training classes for PSI:Fusion andOnBase
• Created targeted questionnaires for SMEs to refine requirements and translated intobusinessrules
• Attending status update meeting daily/weekly basis and Work closely wif Architects and Developers.
• Worked on HIPAA Transactions and Code Sets Standards such as 837 me & P Encounters.
• Performed GAP analysis by understanding teh AS-IS system and teh TO-BE system by having discussions wif theSMEs.
• Validated and compared teh Claims generated through E2E process wif teh claims from teh existing system in backend executing SQL queries and comparison tool.
• Hands on experience on Curam.
• Work directly wifbusinessunits, various internalSMEs, and domestic regulatory agencies to identify requirements and project tasks
• Interfaced betweenBusinessUsers and teh different teams involved in teh application development for better understanding of thebusinessand IT processes.
• Conducted JAD sessions for requirement gathering, and analysis.
• Conducted GAP Analysis and formulated teh TO-BE features based on thebusinessrequirements.
• Responsible for teh delivery ofBusinessRequirements Documents (BRD) and Functional Requirements Documents (FRD).
• Managed and created work schedule for contractors working on electronic database management project (EDM). Team completed document and system preparation, and electronic scanning activity on 1.5 million documents wif 99% retrieval accuracy.
• Designed and implemented solutions for indexing, storage and retrieval of documents from teh OnBaserepository.
• Developed Workflow and configuredOnBaseto integratebusinessprocesses.
• Maintained and modified incoming Invoices and Account Payable process Workflow.
• Commissionedbusinessprocess analysis, discovery sessions; gathered and harmonizedbusinessrequirements to develop User, Functional Requirements and Designed Specifications.
• Successfully upgraded and convertedOnBaseVersion 9.2 to 11.00.
• OversawOnBaseConversion and Workflow projects across all phases of development.
• Analyzed system requirements and created Use Case Diagrams, Activity Diagrams using Rational Rose.
• Responsible for continuous process improvement and for identifying and maintaining a clear and measurable Development Process dat is deployable throughout teh enterprise.
• Created scenarios for User Acceptance Testing and conducted UAT.
• Involved in documenting defects and responding to IT in defect clarifications and resolution.
• Designed and implemented test scenarios for teh application.
• Extensively used SQL scripts/queries for data verification and validation.
• Developed Data and Data mapping requirements for teh Reports.
• Provided Detailed set of Input parameters and Report Output Wireframes & Mock ups.
• Worked Extensively wif HIPPA EDI 834 forms received from various Vendors, Partners and Producers in validating teh Data in Stage Environments, Test running teh formats and conducting issue analysis.
• Worked wif HIPPA EDI 837 & 835 files for data validation and created Data mapping and ETL process requirements for loading data into teh EDW.
• Worked wif Quality Control Teams to develop Test Plan and Test Cases.
• Address UAT issues to ensure proper action was taken based on priority and requirement
• Participated in various sessions wifBusinessto understand thebusinessrules and to come up wif naming conventions to standardize teh data.
• Played a key role in teh user acceptance testing (UAT), and implementation of system.

Confidential, NC

Business Analyst

Responsibilities:

• Performed Requirement Gathering & Analysis by actively soliciting, analyzing and negotiating customer requirements and prepared teh requirements specification document for teh application using Microsoft Word.
• Performed testing for Medicare, Medicaid and X-Over claims for Medicaid Management Information System (MMIS)
• Develop Conceptual Data Model & Logical Data Model in alignment wif MITA Information Architecture.
• Developed Test scripts for testing EDI transactions to run in different environments.
• Developed (EDM) Electronic Document Management systems to import, work via work-flow, and archive documents.
• Conducted weekly sprint review meeting wifSMEsto demo teh features accomplished during teh sprint.
• Followed SDLC (Software Development Life Cycle) to validate EDM system.
• Provided data modeling support to each logical data model according specifications of EDM.
• Coordination of numerous project initiatives including: system conversion and integration of a behavioral health acquisition, preparation of numerous RFP responses, other system initiatives related to case management, provider management, eligibility management, claims processing, and prior authorizations.
• Managed Electronic Document Management System (EDMS) for automating R&D and Regulatory document repositories for submissions to teh FDA.
• Involved in analysis for wide range of Six Sigma and Web-based initiatives, including user requirements
• Requirements Elicitation, Analysis, Communication, and Validation according to Six Sigma Standards.
• Designed and developed project document templates based on SDLC methodology
• Conducted Business Requirements meets to identify and document business requirements.
• Perform analysis on project scope parameters (gap analysis, cost /benefit etc)
• Interacted wif teh Development team to halp write technical specifications to describe Functional Requirement Documents(FRD),Business Requirement Documents(BRD), design specifications and module specifications
• Helped in teh implementation of MS share point 2007 in teh company, as a document handler.
• Interaction wif underwriters to understand multiple data points. Prepared data flow diagrams using MS Visio for better clarity and to ensure documented process
• Analyzed application requirements wif UML modeling (Rational Rose) and documented Dialogue application output management and FileNet Enterprise Content Management solutions.
• Used Agile Development methodology throughout Project Life Cycle
• Responsible for identifying requirements and translating business requirements to system requirements.
• Created DTS Packages for migration of data between MS SQL Server database and other databases like MS Access, MS Excel and Flat Files.

Confidential, Plano, TX

Business Analyst

Responsibilities:

• Gathering and documenting teh requirements in Requisite Pro those are critical to teh business mission and using those requirements to design application software using a Use Case approach
• Created EDI documents for EDI maps to generate requirement documents and Project Charter, and logical design documents for EDI transactions and code sets
• Working wif clients to better understand their needs and present solutions using structured SDLC approach
• Developed integrated tools for business assessment utilizing existing system modules from different vendors including billing data for Healthcare clinic scheduling data and Dictaphone timestamp data, as well as internal scheduling data for this large provider of radiology healthcare in hospitals and clinics
• Involved in analysis for wide range of Six Sigma and Web-based initiatives, including user requirements.
• Trained employees, called Six Sigma Black Belts or Green Belts, work wif teh businesses and organizations wifin a corporation to select critical projects
• Performed process management, process improvement, business process re-engineering, and risk management in teh analysis, design, build, test and launch phasesmodeled teh As-Is system and performed a complete Gap Analysis to identify to-be state.
• Performed GAP analysis by understanding teh AS-IS system and teh TO-BE system by having discussions wif theSMEs.
• Involved in mentoring specific projects in application of teh new SDLC based on teh Agile Unified Process, especially from teh project management, requirements and architecture perspectives
• Worked on modules related to Providers, Contract & Claims and worked wif Claims, Provider attributes, enabling EOB & Remit rules associated wif Provider configuration process in QNX
• Teh HIPAA component efforts included mapping and gap analysis of legacy claims formats, CMS 1500 and UB92 to 837P and 837I
• Responsible for creating test scenarios, scripting test cases using testing tool and defect management for Policy Management Systems, Payables/Receivables and Claims processing
• Created DTS Packages for migration of data between MS SQL Server database and other databases like MS Access, MS Excel and Flat Files
• Developed Use Case diagrams, business flow diagrams, Activity/State diagrams and Sequence diagrams so dat developers and other stake holders can understand teh business process by using UML