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Business Analyst / Uat Resume

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Eagan, MN

SUMMARY:

  • Healthcare Business Analyst with 9 years of experience in HealthCare, Pharmacy, Insurance and IT based Industries.
  • Expertise in all the phases of the Software Development Life Cycle (SDLC), Agile Development and RUP methodology.
  • Expertise in documenting the Business Requirements Document (BRD), generating the UAT Test Plans, maintaining the Traceability Matrix and assisting in Post Implementation activities.
  • ICD 9 - ICD 10 Conversion Project - Worked in the analysis of the ICD 9 - 10 codes conversion Project. Worked with GEM processes and concepts.
  • Complete Understanding of the ICD-10-CM (Diagnosis) and ICD-10-PCS (Hospital procedure) code sets.
  • Experienced in GAP Analysis, SWOT Analysis and Regression analysis.
  • HIPAA Conversion Analysis - Involved in the documentation of HIPAA 5010 changes to EDI 837, 834, 835, 276, 277 Transactions.
  • Experience working with different Business Areas - Finance, Billing, Claims, Benefits Administration, Group Administration and Provider Administration.
  • EDI Claims Processing - documented enhancements to the EDI Claims Processes to ensure accurate processing of claims of members.
  • Expert in creating Use Cases, Use Case Diagrams, Class Diagrams, Sequence Flows using MS Visio and Rational Rose using UML concepts.
  • Mercury Test Director - Experience in all phases of the web based application.
  • User Acceptance Testing (UAT) - Specialized in Usability Testing and Regression Analysis.
  • Defect Management - Fully involved in the process of defect identification and resolution using Test Director and HP Quality Center

AREAS OF EXPERTISE:

Business Modeling Tools: MS Visio, Statistical Analysis using MINITAB, UML, Rational Requisite Pro, Rational Clear Quest.

Computer Languages: C, C++, SQL, .NET, Visual Basic 6.0, HTML.

Databases: MS Access, SQL Server, Oracle 8i.

Tools: and Packages: MS Office, Adobe Acrobat suite, Mercury WinRunner 7.0, TestDirector 5.0, Quality Center, Service-now.com application suite based on ITIL practices.

Methodologies: Agile, RUP, UML, OOAD, Business/Data Modeling, S/W immersion, ITIL, SDLC, SOA.

Testing / UAT Tools: Mercury Quality Center, Rational Test Manager.

PROFESSIONAL PROFILE:

Confidential, Eagan, MN

Business Analyst / UAT

Responsibilities:

  • Worked on gathering the business requirements from SME’s and impacted systems. Created BRD for review and sign-off from all the stakeholders.
  • Worked with business on defining and documenting clinical rules for IT team.
  • Prepared data mapping documents.
  • Acted as a SME for Medicare (Part D) and Medicaid clinical rules and programs.
  • Scheduled core team meetings involving PM’s of different work streams, Program Owner and stakeholders.
  • Sending out meeting minutes after each meeting. Thus making sure a standard and neat process was followed which greatly helped in avoiding conflicts in the later part of the project.
  • Documented and described the workflow which integrated pharmacy and medical claims data into a single, consolidated data source
  • Defined all the platform requirements.
  • Worked with Corticon developers for the clinical rules clarifications.
  • Defined requirements for the ETL - Database - Java workflow.
  • Communicated with the external vendor (Bolger) for the engagements files.
  • Gathered business as well as system requirements for engagement options like member letter, provider/prescriber letter, telephony, Blue plan CM/DM etc.
  • Interviewed Stakeholders to elicit and document business needs for system modifications.
  • Defined functional, high-level and detailed system requirements for the requested changes in an iterative process.
  • Presented requirements on behalf of the Stakeholder to Business and IT Leads and facilitate discussion to build consensus on the completeness and accuracy of requirements.
  • Analyzed and documented the business requirements and processes and communicated these requirements via the necessary tools/templates to the appropriate team members.
  • Created process flow or other procedure diagrams and workflows.
  • Obtained sign-off of on all deliverables by all impacted parties.
  • Participated in technical reviews and inspections to verify 'intent of change' is carried out via the solution design.
  • Assisted in providing UAT and BA related project tasks and their corresponding estimates.
  • Created and executed UAT plan, scenarios and cases. Documented and reviewed results with subject matter experts and program owner.
  • Collaborated with IT (developers and QA lead) to ensure smooth transition from QA to UAT.
  • Collaborated with other team members too based on dependencies.
  • Contributed to status, progress reports, and communication to internal & external project team.
  • Actively planned and executed testing, tracking defects through resolution.
  • Collaborated with Project Manager, other UAT analysts, and project team to plan and execute the UAT testing.
  • Collaborated with Prime’s Test Management on planning and execution of UAT testing
  • Actively managed issues, risks, actions, decisions and deliverables for infrastructure in conjunction with the PM.
  • Collaborated with Prime’s project team to plan the project test and to plan environment migration.
  • Participated in planning for remaining phases.
  • Worked in depth on defect tracking and requirements management tool like HP Quality Center - Lifecycle Application Management.
  • Analysis and working around XML files.
  • Writing and executing testing scripts in SQL. Worked on creating joins, looking up tables, updating tables, deleting rows.
  • Planned and held meetings with the clinical specialty pharmacist for reviewing and discussing the test cases of almost all the clinical rules.
  • Worked with individual members of IT team as well on ad-hoc basis.
  • Worked closely with business on testing rules.
  • Worked with business and tactical team on resolving defects.
  • Owned testing scripts, test cases as well as final UAT results documents.
  • Debugging SQL queries and testing results.
  • Developed Strong UAT Testing skills.
  • Followed extensive agile methodology.

Environment: Microsoft suite, MS Visio, Word, Excel, IBM Lotus Notes, PowerPoint, HP Quality center, SQL, Oracle, J2EE technology, Java, Corticon, ETL, DB2, Notepad++, AQT v9, Text pad

Confidential, Minneapolis, MN

Business Analyst

Responsibilities:

  • Experienced in Agile Methodology, worked on all phases of software development life cycle.
  • Created User Stories, Epics and Themes.
  • Experience working on Multiple Projects.
  • Experience with Sprint Planning and Project Estimation.
  • Experienced taking requirements from the Business Group.
  • Developed Use Cases and High Level Design Document.
  • Created and executed test plans and test cases to insure high quality of platform management software.
  • Experienced in Research, Evaluation, development, and application of new processes and test methodologies.
  • Experience in working with Call Centre team. Developed a new tracking system that will reduce the number of phone calls that comes to the Enterprise Call Centre.
  • Experience in electronic signature in the Checkout process.
  • Experienced in project management expertise in Business Intelligence.
  • Experience in interpreting XML and XSDs/WSDLs.
  • Experience indata analysis and data mapping.
  • Experience in creatingbusiness process flows for web services.
  • Experienced in working out solution with developers.Collaborated with development teams during development and test.
  • Experienced in deployment and UAT session.
  • Experience in developing business Intelligence strategies.
  • Analyze and document reporting requirements.
  • Requirements gathering, analysis process and developed quality deliverables.
  • Owned deliverables and timelines for pieces of the product assigned.
  • Provide maintenance and production support on existing reports.
  • Experience working with Offshore Teams. We had daily morning and late night scrum calls.
  • Gathered Business Requirements from the Subject Matter Experts (SMEs) and documented the requirements in the BRD. Utilized data flow diagrams, use case diagrams and process flow diagrams to represent information provided by the Business Owners.
  • Worked in Agile/Scrum environment.
  • Involved in scoping and scheduling meeting with Project manager,business (sponsors) and delivery manager.
  • Assisted in breaking the requirements out into stories and sprints.
  • Assisted PM in dividing projects into Sprints.
  • Helped PO in breaking product backlog items into coherent user stories in advance of iteration.
  • Created High and low level use cases.
  • Performed Gap analysis and documented it.
  • Responsible for Backlog Groomingto make sure the user stories were asgranularas possible to avoid ambiguity.
  • Worked on writing and prioritizing User Stories.
  • Gathered requirements from Claims Business Area for the Auto Term project. Prepared Process Flows and Diagrams for the manual to automated conversion Project.
  • Worked in week to week Sprints
  • Performed Analysis of ICD 9 Procedure and Diagnosis Codes in accordance with ICD 10 CM and ICD 10 PCS Conversion Compliances.
  • Organized meetings and led JAD sessions to ensure legal and compliance deadlines of CMS (Centers for Medicare and Medicaid Services) are met.
  • HIPAA Conversion Analysis - Involved in the documentation of HIPAA 5010 changes to EDI 837, 834, 835, 276, 277 Transactions.
  • Got a great exposure to Electronic Medical and Health Records (EMR & EHR)/Automated Health Care Systems.
  • Worked with Vendors like Workflow One to ensure printing of Welcome Kits and ID cards are scheduled on time for the new and existing members.
  • Worked with the UAT and QA teams to conduct an assessment and determine how effective UAT and QA guidelines can help the company achieve timely completion of projects.
  • Worked with Business Owners of IDX, the claims adjudication system, and documented updates and enhancements to the application.
  • Effectively elaborated the Current process and gave a clear picture of the proposed process for the projects in the organization. Worked aggressively towards timely completion of High Priority Tasks.
  • Vendor Management - Worked as a facilitator for Testing Efforts and
  • New Requirements between the Healthcare Company and its various Vendors.
  • Change Control Process - Led the Change Control Process for changes submitted for the BRD once the document was submitted to IT department.
  • Worked with IT to resolve issues and clarify Business Requirements from the Business Owners.
  • Wrote test cases, test script and test plan for testing.
  • Documented the UAT Test Plan for the project and worked with the UAT Team to ensure every acceptance criteria for the requirements has been included in the UAT task plan.
  • Maintained the Traceability Matrix table to uniquely trace the identified business requirements to general design to testing as proof that requirements requested have been developed into a solution and that it has been tested and tracked.
  • Worked with SharePoint to upload the documents and also fetch others document.

Environment: Mumps Cache, IDX, MS Visio, Word, Excel, Share Point, PowerPoint, CMMI, Rational Rose, Requisite Pro, SQL, Oracle, J2EE technology, Java, Agile Methodology,JIRA, UML.

Confidential, Columbus, OH

Business Analyst

Responsibilities:

  • Gather requirements and document the proposed processes to the existing system. Modules included: Claims Processing Files and HIPAA Guidelines adherence across the company.
  • Enhanced applications associated with Claim Numbers so that duplicate Claim Numbers could be allowed in the system. Updated the Electronic Claims, Patient Screen and Sales Administration processes.
  • Understand and analyze, design, and write functional requirements for new software products.
  • Worked on As is-To be system and performed Gap Analysis.
  • Developed UML diagrams like flow chart, activity Diagram, Use Cases.
  • Claim Transactions and Billing Transactions - Created flows for adequate matching of Claims. Matched Billing File and EDI Claim File records upon receipt.
  • Duplicate Claim Number Project - Enhanced three different applications - EDI Feeds and Patient Screen App to allow duplicate claim numbers to exist in the database.
  • Drug Card Project - Worked in a project involving Miami Systems to create Drug Cards.
  • Created Test File to be sent to the Drug Card Vendors for approval. Worked on a Paid without prejudice project for various States.
  • Testing - Developed Test Scripts using Test Director/Quality Center and coordinated with developers to quickly resolve the defects associated with them.
  • Conducted JRP sessions and JAD sessions with the management, users and other stakeholders for open and pending issues to develop specifications.
  • Analyzed and evaluated User Interface Designs, Technical Design Documents and Quality Assurance Test Conditions the performance of the application from various dimensions.
  • Helped create the ‘Business Glossary’ to facilitate efficient understanding of the business process amongst the other teams.
  • Used SharePoint for the day to day file viewing and uploading.

Environment: MS Visio, Word, Excel, PowerPoint, CMMI, Rational Rose, Requisite Pro, Clear Case, Clear Quest, SQL, Oracle, J2EE technology, Java, Perl.

Confidential, Milwaukee, WI

Business Analyst

Responsibilities:

  • Conducted detailed and comprehensive Business Analysis by working with the IT staff, project managers, supervisors, SME’s, and other stakeholders to identify the system, operational requirements and improvements.
  • Gathered Business Requirements and prepared business requirements documentation.
  • Converted Business Requirements documents into Functional Requirements Specification and Technical Specification.
  • Conducted JAD sessions to allow different stakeholders to communicate their perspectives with each other, resolve any issues and come to an agreement quickly
  • Identified all necessary Business Use Cases from requirements, created UML Diagrams including Use Cases Diagrams, Activity Diagrams, Sequence Diagrams, Class Diagrams and web Page Mock-Ups using Microsoft Visio and Microsoft FrontPage.
  • Understood the business logic, User Requirements and test-objectives to develop Test plans, Test cases, Use Case Scenarios, Test case execution using Test Director.
  • Created documents like the Business Glossary, Actors Catalog and Data Dictionary to facilitate the other teams in understanding client business.
  • Experience in preparation of RFP for setting up prospective business with new clients.
  • Extensive work was done in configuring and using Win Runner.
  • Performed Smoke Testing to evaluate builds.
  • Participated in Bug-Review meetings with software developers, QA engineers, managers, suggested enhancements to the existed application from business perspectives, provided solutions to existing bugs.
  • Used Test Case distribution and trend reports to track the progress of test case planning, implementation and execution results.

Environment: Windows XP, MS Visio 2003, Sybase, MS Word 2003, MS Excel 2003, Oracle, Share Point Mercury Quality Center, Autosys, Ascential DataStage 7.5,Power Center

Confidential, New York, NY

Business Analyst

Responsibilities:

  • Conduct JAD sessions periodically with various stakeholders at various phases of the Software Development Life Cycle (SDLC) to discuss open issues and resolve them.
  • Interacted with the Subject Matter Experts (SME’s) and Stakeholders to get a better understanding of client business processes and gather business requirements.
  • Worked with Internal and External Users to define requirements and coordinated user management and developer expectations.
  • Used SQL queries for extracting desired data from multiple databases.
  • Developed Use Cases using MS Visio, and a detailed project plan with emphasis on deliverables.
  • Monitored Change Requests and documented requirements, integrating them with Use Cases.
  • Developed and Implemented Test Strategies using the Test Director.
  • Assisted QA team in testing phase by creating Test Plans and Test Cases documents.
  • Facilitated User Acceptance Testing (UAT) and reported the results to the Business Stakeholders.
  • Maintained proper communication with the developers ensuring that the modifications and requirements were addressed and also monitored these revisions.
  • Created as-is and to-be process models, specifications, and process flow diagrams.
  • Worked with stakeholders and project team to prioritize collected requirements.
  • Validated business rules and all artifacts with users, approval and sign off.

Environment: CMMI, Rational Rose, Requisite Pro, Clear Case, Clear Quest, SQL, Oracle, Share Point, J2EE technology, Java.

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