PROFESSIONAL SUMMARY:

• A Qualified professional with 8+ years of experience in the field of Business Systems Analysis, Data Profiling, Data Migration, System Management and Data Integration in domains such as Healthcare, Insurance and E - commerce.
• Proficient in Business Process Engineering and SDLC Software Development Life Cycle methodologies such as Waterfall, RUP and Agile including analysis, design, development and testing of software.
• Experience in working with cross-functional groups, different levels of management and liaison between system users, company management and development team.
• Provided project management oversight to manage scope, track and mitigate risks, raise issues and lead project team from scope to implementation.
• Skilled in translating business objectives into prioritized functional requirements (FR) and recommending feasible solutions to the business problems.
• Expertise creating use cases, functional specifications and activity diagrams.
• Interviewed SMEs and Stakeholders to get a better understanding of client business processes and gather business requirements.
• Prepare and maintain Requirements Traceability Matrix (RTM) throughout the project lifecycle
• Worked dedicatedly on MS Project and Clarity PM for project management
• Experience in conducting / participating in JAD sessions for project definition involving analyzing requirements, creating prototypes, user interface.
• Extensive Experience in conducting GAP Analysis, User Acceptance Testing (UAT), Operational Readiness Testing (ORT), SWOT analysis, Cost benefit analysis and ROI analysis.
• Adept in RDBMS such as Oracle, MS SQL Server and MS Access and also skilled at writing SQL queries and Stored Procedures.
• Worked in HIPAA complaint environment and good knowledge on Claims Adjudication/Processing, EDI transactions & 4010/5010 versions. Participated in mapping of Medical Codes Data conversion from ICD 9 to ICD 10.
• Expert in conducting requirement gathering sessions, feasibility & Impact Analysis, Cost & Benefit Analysis and Risk analysis
• Broad knowledge of Medicare, Medicaid, & Commercial Insurances and Claims Adjudication.
• Demonstrated ability to work in collaborative, fast-paced environments and with variety of teams as well as the ability to coach other team members to improve their performance and abilities.
• Excellent interpersonal skills, effective written & oral communication, and presentation skills.

TECHNICAL SKILLS:

Operating Systems: Windows and Unix

Languages: HTML, Java, XML and SQL

Database: Oracle, MS SQL Server, MS Access, DB2

Testing Tools: HP ALM, HP Quality Center, JIRA, Test Director, Clear Quest

Other Tools: MS Office - Word, Excel, PowerPoint, Outlook, MS Visio, ProjectShare point, OBIEE, Rational Rose, Front Page, TOAD

Methodology: Agile/Scrum, Waterfall, RUP

PROFESSIONAL EXPERIENCE:

Confidential, Herndon, VA

Sr. Business Analyst

Responsibilities:

• Gathered detailed business and technical requirements and participated in the definitions of business rules and data standards
• Liaison with business sponsors to understand business functioning and detailed processes, gather requirements and deliver appropriate solutions.
• Demonstrated users as how to create business workflows using Procure Pass.
• Interfaced with team leaders, identify and analyze the given information, procedures and decision flows, evaluated existing procedures, methods and technical documentation. Communicated with executives, managers and other stakeholders regarding project scope
• Used MS-Visio for flow-charting, Use- Case process model and architectural design of the application
• Responsible for business process analysis that includes requirements facilitation, definition & analysis, alternatives, software selection, prototyping, business process design and mapping.
• Conducted meetings and JAD sessions for project definition, resource identifications and deliverable prototype identification
• Discussed operational scenarios, identify issues and errors and resolve them. Review all the work products being delivered to the end user.
• Leveraged strong relationships with both the business and technology teams to collect high quality requirements resulting in successful end products.
• Completed all deliverables and project tasks in a timely manner with a high degree of quality by successfully multi-tasking and by prioritizing tasks appropriately.
• Developed Functional Requirement Document and Use Case Specification document.
• Coordinated with developers to ensure understanding of the user requirements.
• Conducted structured walkthroughs with developers and subject matter experts to validate the requirements.
• Interacted with the technical team in resolving the bugs and other technical issues.
• Designed and developed use cases, and sequence diagrams using UML.
• Performed Gap Analysis of the processes to identify and validate requirements
• Document all outcomes including minutes, action items, and next steps; track and resolve all action items in support of the sessions.

Environment: HP ALM, Oracle 11g, TOAD, Windows 2010, HTML, Excel, Outlook, Java, SQL, MS Visio, MS Office, MS Project 2010.

Confidential, Warren, NJ

Sr. Business System Analyst

Responsibilities:

• Analyzed User Requirement Document, Business Requirement Document (BRD), Technical Requirement Specification and Functional Requirement Specification (FRS).
• EmployedSDLCfor the purpose of monitoring the project and also followed the step-by-step procedure.
• Study the current state of the processes. Prepare the AS-IS process map and the TO-BE scenario.
• Authored functional requirements and conduced User Interviews to identify and document the data discrepancies.
• Prepared RequirementTraceability Matrixin order to map the requirements effectively with the factors.
• Also implementedChange Managementtechniques for successfully monitoring and fine-tuning the project changes to obtain the desired production results and to meet Client deadlines.
• Developed mapping of various physical to business layer objects within OBIEE.
• Created traceability of elements in various insurances within data warehouse to data mart.
• Worked on personalization of the screens for a user based on this profile
• Work with the development, UI, testing and other work streams to ensure effective communication of requirements. Also, serve as liaison for all other phases of the project and ensure that project deliverables meet the business requirements and expectations.
• Created reporting wireframes and layouts after talking with Business users.
• Documented the current process and business opportunity by interviewing stakeholders and end users to elicit better understanding of the business need.
• Conducted JAD Sessions for requirements capturing.
• Prepared Business Requirements document for theReportingapplication based on the requirements gathered.
• Identified testing scenarios and defined test cases for detailed functional testing.
• WroteSQL scriptsforgeneratingreports.
• Built Use cases from the requirements gathered to create use case diagrams and Use case documents.
• Extensively used MS Visio for customizing and filtering requirements to maximize the informative value of each requirement.

Environment: MS Office Suite, Java, J2EE, OBIEE, Oracle, UML, MS Visio, JIRA, HP ALM, Agile, STAR Schema.

Confidential, Waltham, MA

Senior Business Analyst

Responsibilities:

• Worked with business representatives to understand requirements and priorities and ensure that software development work is appropriately aligned
• Involved in the meeting with Business Process Owners, Subject Matter Experts (SME) and Health Center users for Requirement gathering in Definition Stage using Rational Requisite Pro.
• Facilitated Requirements Sessions, as well as weekly client & team meetings.
• Performed Gap Analysis to identify the deficiencies of the current system and to identify the requirements for the change in the proposed system.
• Documented Transfer Specifications and Implementation Guide for ADT messaging.
• Organized system risks into high, medium and low impact to help business analyze the level of effort for remediation activities and ease resource allocation work.
• Participated in user meetings to understand requirements for the Data- Warehouse design.
• Created various Use Cases and workflow diagrams, using MS Visio.
• Maintained Traceability Matrix in Excel.
• Created Report Mockups and Sample Mapping documents for the Error Reporting.

Environment: RUP, MS Office, MS Visio, UML, Adobe Acrobat, MYSQL, Windows 7.

Confidential, West Des Moines, IA

Business Analyst

Responsibilities:

• Interacted with Business users and Technical team in providing clear solutions to requirements.
• Conducted GAP Analysis in understanding how the upgraded system carries out the business functions and assists in ensuring the timely and effective implementation and conducted feasibility study and performed impact analysis for proposed enhancements.
• Prioritizing the business needs of the customer while balancing the capacity available
• Conducted business process modeling and analysis; identified assessed and articulated gaps /operational risks associated.
• Designed and developed Use Cases, Activity Diagrams, and Sequence Diagrams using UML.
• Drafting elaborate KT documents.
• Executed the test cases and test scenarios using HP Quality center (QC).
• Assisted the Scrum Master to maintain the capacity plan, iteration board, sprint backlog, velocity charts and burn down charts.
• Assisted Scrum Master including sprint-planning sessions, backlog-grooming session, daily scrums product demos, sprint reviews and sprint retrospectives.
• Facilitated and led JAD sessionsaimed at functional requirement walkthroughs for all the impacting projects and updated the documents based on recommendations.
• Created Process and work flow diagrams as part of CPS Architecture.
• Understanding the existing operational procedures and workflow of the client business.
• Created Use Cases and defined Business Rules.
• Planned and defined use case scenario for processing of New Business, Renewal, Cancellation, Reinstatement, Billing for various lines of business (Fire, Auto, and Commercial).
• Wrote Business Cases for the Stakeholders to understand the functioning of the new system.
• Reviewed test plans, test cases and maintained traceability matrix.
• Conducted User Acceptance Testing (UAT) and trained users on the implemented system.

Environment: Agile, UML, MS Office (Word, Excel, Outlook, PowerPoint, SharePoint), MS Project, MS Visio, JIRA, Windows 2010.

Confidential, NYC, NY

Business Analyst

Responsibilities:

• Performed the requirement analysis, impact analysis and documented the requirements.
• PreparedFunctionalRequirement Documents (FRD’s) after the collection of Business Requirements from System Users that provided appropriate scope of work for technical team to develop prototype and overall system.
• Involved in the full HIPAA compliance lifecycle from GAP analysis, mapping, implementation, and testing for processing of Medicaid Claims.
• Performed RCA on denial claims for rejections based on new ICD-10 adjudication.
• Performed impact analysis for readiness of ICD-10 conversion and dual processing to continue run out of ICD-9 claims.
• Worked onEDI transactions:X12, 835, and 837 (P.I) to identify data set elements for designated record set.
• Interacted with Claims, Payments and Enrollment hence analyzed and documented relatedbusinessprocesses.
• Documented ICD9 to ICD 10 mappings (one to one/one to Many according to the GEM files from CMS with the functional and structural changes related to the conversion)
• Used different ad-hoc analysis, the Reports assist in defining strategy for each customer category.Informatica was used for ETL processes.
• Performed Analysis on Data mapping between different data models.
• Assisted in developing a single application to process data from multiple integration points, convert the data for reporting purposes and feed data into mainframe system to be compliant to reporting requirements.
• Created various reports such asbillingpayment reports,Billing Grouping Payment and discount reports
• Use HP Quality Centerto house all test documentation and report/track all issues and defects (Defect Management).

Environment: Windows XP/2007, Window2010 Server, MS Visio, BEA Web logic, Ultra Edit, Clarity, Apache Tomcat, Java, SharePoint, MS Office Suite, Mercury Quality Center 9.0, Oracle 10g, DB2, TOAD, MS-Project 2000/2003.