SUMMARY

• 7+ years of industry experience as a Business Analyst in identifying business needs and determining solutions to business problems for complex software projects, including system development component, business process improvement, strategic planning and policy development.
• Last three years of experience working on Health Care Reform projects such as Health Insurance Exchange (HIX), ICD - 10 Remediation and HIPAA 5010 Implementation.
• Experience in Business Requirements Gathering, Application Design Specifications, Development and Testing.
• Excellent analytical skills to understand the business processes and functionality, requirements and to translate them to system requirement specifications (SRS).
• Experience in Data Analysis, Gap analysis, Business Requirements, Traceability Matrix, UML diagrams.
• Experience as JAD (Joint Application Development) Facilitator and Meetings Coordinator ensuring that change and New Process is organized, managed, documented, controlled and risk weighted.
• Experience in using methodologies such as UML (Unified Modeling Language) and Rational Unified Process (RUP).
• Proficient in relational databases, SQL queries, reporting tool and data analysis.
• Excellent team player to work in conjunction with team of business, developers and QA members in testing complex scenarios and projects and in the maintenance of Quality Standards in Projects.
• Expertise in analyzing Business Requirements and develop System Specifications,Test Plans, Test CasesandTest Scriptsand execute them.
• Excellent Exposure to OOAD techniques, Struts, Spring, Hibernate, SOA, SOAP, WSDL, Web Services, XML and developing Use Case diagrams(UML).
• Extensive experiencein Unit, Functional, Integration, Regression, User Acceptance Testing.
• Experience in different phases ofSoftware development Life cycle (SDLC)including Strategic Systems Planning Designing, Programming, Testing, Documentation, andPresentation to clients and preparing customer specifications as part of software technical requirements and Customer support.
• Good expertise in the review and documentation of systemtest plans, creating and executingtest scripts, test casesand data sets on the basis of product release features requirements and technical documents.
• Proven ability to work in team-environment as well as independently.
• Excellent logical and analytical abilities for understanding and developing system workflows, computing and verifying Software Metrics and well suited for communicating with both technical and non-technical professionals.
• Experience in working with .Net, VBScript, XML, Java/J2EE, Visual Basic and Oracle applications.
• Expert in ManualTesting applications developed on windows Environment.
• Good knowledge of identifying various test scenarios. Holds strong ability to handle multiple tasks and prioritize it.
• Assisted QA Team in defining the Test Plans, Test Cases and test execution.
• Conducted User Acceptance Testing(UAT) to ensure all the User Requirements were met by the application.
• Experience in working with test team in resolving defects, presenting the defect status reports, resolving requirement.
• Execution of Manual Test Scripts and responsible to track and log the defects usingQuality Center.
• Exceptional ability to quickly master new concepts, very co-operative team player, fluent communicational skills, and interpersonal skills, innovative and self-motivated.
• Experience in Estimation of Work Effort and coordinate Test Schedule with overall Project Schedule.
• Experience with various ICD codes (Diagnosis and Procedures) andEDItransactions under HIPAA environment.

TECHNICAL SKILLS

Methodologies: Agile, Waterfall, RUP, UML, SDLC, Scrum, V-shape modeling

Business Modeling & Versioning Tools: MS VISIO, Visual Paradigm, Rational Rose; Rational Requisite Pro, MS SharePoint, Power Designer, Visible Analyst, Magic Draw UML

Change Management Tools: Rational Clear Quest, Rational Clear Case

Documentation & Project Management Tools: MS Project, MS Word, MS Excel, MS PowerPoint, Rational Plan

Database Management Tools: MS Access, Oracle 11i, SQL Server 2008, MySQL

OLAP and Data Analysis Tools: MS Excel Analysis, SQL Analysis Server

Programming Languages: SQL, VB 6.0, Java, Python, C/C++

Testing Tools: Test Director, HP Quality Center

Operating System: Windows NT/98/2000/XP, 7

PROFESSIONAL EXPERIENCE

Confidential, Albuquerque, NM

Business Analyst

Responsibilities:

• Interacted with stakeholders to get a better understanding of client business processes and gathered requirements.
• Collaborated with business analysis team members in understanding existing business processes and requirement management process.
• Followed a structured approach to organize requirements into logical groupings of essential business processes, business rules, and information needs, and insured that critical requirements were not missed
• Planned the meetings by providing advanced meeting Agendas and previous minutes
• Kept record of the meeting minutes and action items
• Ensured clear communication via Activity Diagrams, Workflows, Use case Diagrams, Swim lanes
• Identified the Gaps and conducted GAP analysis
• Conducted Product Review on various aspects of the business documents that were submitted by clients, to see the progress of the project.
• Worked on the consolidation of the Oversight Checklist area based on the Product Review to identify the process of the business and identify the gap to provide feedback to the client.
• Worked as a secondary lead on Requirement Management, Data Management and System and Acceptance Testing to help the lead of the designated areas to accomplish the task.
• Prepared Weekly and Monthly Report with the guidance of Project Manager to be submitted to the client.
• Maintained the Daily Meeting Log to keep track of the Meetings attended and assuring that a Meeting worksheet has been submitted.
• Designed use cases and activity diagrams for the processes highlighted specifically by the business.
• Facilitated JADs for requirement walkthrough, identification of nonfunctional requirements from system users and updated business requirements that provided appropriate scope of work for technical team to develop prototype and overall system.
• Mapped the test scenarios to business requirements as part of creating traceability matrix
• Verified the Business Scenarios on new builds to allow extended testing by the QA team
• Attended various meetings with the NMHIX, GetInsured, CMS and Public Consulting Group (CMS).
• Attended a two day Final Design Review Meeting with NMHIX, PCG, CMS, Deloitte, HSD (Human Services Department) to see the progress of the project.
• Ensured that the Project SharePoint site is up-to-date and versioning of the documents are clearly maintained
• Maintained a high level of documentation in respect to requirement gathering, keeping track of the product evaluation documents and any agenda received from the meeting or any progress status of the project.

Environment: MS Project, MS Visio, MS Word, MS Excel, MS PowerPoint, MS SharePoint, JIRA, Windows XP, HIPAA

Confidential, Eagan, MN

Sr. Business Analyst

Responsibilities:

• Developed UAT Test Plan to guide select group of key end-users in testing the business processes on the application
• Performed System testing, Regression testing and UAT for several claim types and test scenarios
• Interacted with stakeholders to get a better understanding of client business processes and gathered requirements.
• Tested the ability to accept an 834 electronic application and validate complete transactions.
• Tested the ability to store Identification number received from the Exchange and create a unique identifier for members received through the Exchange.
• Involved profoundly in the GAP Analysis of Employer Rosters, Employee and Employer Application Fields focusing on changes required in existing COTS products to meet client business needs.
• Conducted requirement-gathering sessions with the purpose of creating and defining the Business Requirement Document (BRD).
• Created Swim Lane Diagrams and business logic & calculation spreadsheets for various business processes.
• Performed data mapping to define the Source data on 834 Benefit Enrollment and Employer Group File (EGF) EDI Transfers.
• Created Process Models for (a) Initial Enrollment, First Billing and Payment and (b) Post Enrollment - Subsequent Recurring Billing and Payment.
• Collaborated with vendors (CURAM, CONNECTURE & PWC) in order to ensure smooth transition of requirements from State to Vendors.
• Involved in Small Business Health Option Plans (SHOP) activities across vendors -
• CURAM - Emphasis on Employee Application and Case Worker Portal with customized triggers to send notices via EP Notify.
• CONNECTURE - Emphasis on Quality Health Plan (QHP) Presentment, Employer Application and Enrollment, DEED Interfacing for Employer Eligibility Determination, Group Plan Administration and Employee Enrollment with customized triggers to send notices.
• Worked on streamlining SharePoint to meet project policies and processes.
• Performed Data Mapping for State Administration Enrollment Management function to define the data elements, their source and read only/editable parameters.
• Documented and Analyzed impact upstream and downstream when change in editable data elements in State Administration Enrollment Management function is recorded.
• Documented the “Configure Billing Cycle” scenarios and billing rules for the employer.
• Mapped Employer Subscription Service with Enrollment data from CONNECTURE and identified gaps.
• As the processes and methodology moved from waterfall towards agile, wrote requirements in form of User Stories and Acceptance Criteria Documentation.

Environment: MS Project, MS Visio, MS Word, MS Excel, MS PowerPoint, MS SharePoint, JIRA, Windows XP, HIPAA

Confidential, Rochester, NY

System/Quality Analyst

Responsibilities:

• Interacted withstakeholdersto get a better understanding of clientbusiness processesandgathered requirements.
• Incorporated HIPAA standards, EDI (Electronic data interchange), Implementation and Knowledge of HIPAA code sets, ICD-9, ICD-10 coding.
• Conducted requirement gathering sessions with the purpose of creating and defining theBusiness Requirement Document(BRD) and theFunctional Requirement Document(FRD) usingRationalRequisite Pro.
• Developed Use Cases for each of the Service Types for each of the application - Inpatient, Outpatient, DME, Transportation, Homecare, Referrals, ER Notifications, and Office.
• Responsible for the UAT testing of the ICD 9 to ICD 10 Diagnostic and Procedure codes while reviewing the information to ensure accuracy
• Developed (UAT) User Acceptance Testing plan to guide a select group of key end-users in testing the user interface and functionality of the application.
• Also developed Requirements Traceability Matrix (RTM) mapping UAT plan and BRD.
• Designed Test Input Sheet for entering cases in different applications.
• Conducted Fields Mapping by explaining each column name in the backend database tables.
• Developed Functional Testing Approach for ICD-10 Remediation and included in UATP Plan.
• Conducted Smoke Testing of the new ICD-10 UAT region and recorded all the testing results in RTM.
• Develop Test analysis report from ALM/Quality Center after test execution
• Developed UAT Test Cases to cover overall quality assurance testing.
• Performed System testing, Regression testing and UAT for several claim types and test scenarios.
• Compared and validated 5010 system test results with 4010 results for the same test scenarios.
• Reporting experience with business intelligence tools such as Cognos products, Crystal Reports.
• Performed reviews of the test scripts written by others team members against the requirements and suggested any enhancements required
• ConductedJAD sessionsto allow different stakeholders to communicate their perspectives with each other,resolveanyissues and come to an agreement quickly.
• Documented the Use Cases and prepared the Use Case, Activity, Sequence diagrams and Logical views using MS Visio, MS Office and Rational Rose for a clear understanding of the requirements by the development team.
• Clarified QA team issues and reviewed test plans and test scripts developed by development team and QA team to make sure all requirements have been covered in scripts and tested properly.
• ExecutedSQL queriesto test the database for records that detect and submit functional acknowledgement and remittance advice in the claims application.
• Checked files in Electronic Data Interchange (EDI) transaction support tool and reporting tool and modified the files based upon the errors and also checked them if they were loaded successfully in CIS.
• Conducted extensive Functional and Regression testing.

Environment: HP Quality Center, MS Office (MS Word, MS Excel, MS PowerPoint, MS Visio), Windows XP, UML, HIPAA, Oracle, SQL, Toad

Confidential, Harrisburg, PA

Business/System Analyst

Responsibilities:

• Identified the business needs of their clients and stakeholders to help determinesolutions to business problems.
• Managed the process of gathering functional requirements from key stakeholders and Subject Matter Experts (SME’s).
• Functioned as the primary liaison between the business line and the technical areas throughout the project cycle.
• Involved in gathering requirements and mapping the business process to createdocumentation on workflows.
• As a Business systems Analyst, extensively written Use Cases and Business Flows andwork flow diagrams for effective plans.
• Performed GAP Analysis with system functionality and existing Business Processes.
• Managed changes to requirements using Change Control processes.
• Used UML and RUP process for productivity in communicating specifications to design& development team.
• Attend weekly change request meetings to document changes and implementprocedures to test changes upon completion.
• Ensure projects are delivered to production timely with approvals from business, development, and subject matter experts with all issues resolved or deferred with a resolution plan for a future release.
• Involved in analysis and design with team members to make Use Case diagrams,Sequence diagrams using UML/Visio to depict process flows and PowerPointpresentations.
• Analyzed the Business Requirements Document (BRD), modified the Master Test Planand prepared detailed Test Cases for the UAT.
• Involved extensivelyinUser Acceptance Testing (UAT), andRegression Testing.
• Prepared implementation check out plans and involved in the deployment of the application.
• Extensive use of MS Office, UML and Visio for creating software Architecturedocumentation.
• Involved in Joint Application Development (JAD) sessions to define technologyapplications for business requirements.
• Managed scope and requirements throughout the project lifecycle.

Environment: Quality Center 10.0/9.2, Mainframe, Oracle 11g, Windows 2000, soapUI, SQL, JAVA, FLEX, HTML, MS Excel, XML, MS SQL SERVER

Confidential, Hartford, CT

System/Quality Analyst

Responsibilities:

• Reviewed the Business Requirements document with the business and development team to understand the architecture and functionality of the application (Ordering entry applications, billing systems and data flow to provisioning systems and interfaces between them).
• Involved in understanding of functionality and design of different applications based upon the Requirement Specification document.
• Participated in Joint Application Development (JAD) sessions.
• Acted as liaison b/w end users/business owners and technology team.
• Involved in developing Performance QAstrategy and in writing and implementation of the test plan and various test cases.
• Involved in testing of the application manually and tested the design and functionality of the application.
• Created Test Scenarios based on business requirements.
• Wrote System Integration test cases and functional test cases using Quality Center.
• Developed detailed UAT test cases from technical system requirements documents to meet deadlines and verify system functionality as per the requirements.
• Executed Test cases using Quality Center in the Test lab.
• Communicating with offshore team for QA related activities, Planning Integration, system testing activities, and version controlling.
• Involved in designing test scripts, generic and business functions using Test Complete.
• Loading the Test Cases into Quality Center.
• Designed the Requirements Traceability Matrix (RTM) to trace the relationship between business and functional requirements to test cases and achievement metrics on an ongoing basis for keeping the project team informed on the progress report of the project.
• Involved in preparation of document and test Strategy before User Acceptance testing is done.
• Logged the errors and coordinated efforts with the development team to solve the problems using Quality Center.
• Prepared the Test Strategy and Test plan documents.
• Participated in weekly status meetings, walkthroughs and documented the proceedings.

Environment: Quality Center, VB, ASP, SQL Server 2005 and Windows NT