SUMMARY

• Over Six (6) years of professional experience as a Business Analyst in the Health Care and Retail E - commerce industry.
• Strong analytical, problem solving skills and multi-tasking abilities with proven experience in utilizing people and process knowledge to assist enterprises in making critical decisions.
• Excellent Knowledge of Business Analysis methodologies, Iterative and Incremental Software Development Life Cycle (SDLC).
• Expertise in areas including project management, project scope definition, risk identification, project methodology, resource allocation, and facilitation of role definition and communication.
• Managed requirements across the lifecycle of a project to ensure end user satisfaction, business stakeholder buy-in and scope integrity.
• Expertise in gathering business and technical requirements from both formal and informal sessions through interviews, questionnaires, video conferencing, JAD sessions, brainstorming sessions, conference calls and through performing Impact and Gap Analyses.
• Excellent technical writing skills in creating Business Requirements Document (BRD), Functional Requirements Document (FRD), Functional Specifications Document (FSD), Nonfunctional Requirements Document, Test Cases and Use Cases Documents.
• Experience in creating process modeling diagrams including Use Case Diagrams, Sequence Diagrams, Activity Diagrams, Swim Lane Diagrams, Wire Frame Diagrams, Context Diagrams, Data Flow Diagrams, etc. by using MS Visio and IBM Rational Rose.
• Experience in developing Test Cases, Test Scripts, and Test Plans based on both business and system requirements as well as performing functional testing and User Acceptance Tests (UAT).
• Assisted QA team in Functional Testing, Smoke Testing, Unit Testing, Integration Testing and End-to-End Testing.
• Strong knowledge of healthcare standards such as HIPAA 4010, 5010, ICD-9 and ICD-10.
• Strong knowledge regarding eligibility/benefits and claims processing models as well as EDI standards for claims processing (837I, 837P and 837D) and Enrollment (834).
• Excellent business, communication and presentation skills with a strong understanding of statistical and analytical principles.

TECHNICAL SKILLS

Operating Systems: Windows and Mac

Methodologies: Waterfall, RUP and Agile (SCRUM)

Tools: Rational Suite, CaliberRM, JIRA and MS Office, MS Project, MS Visio, MS SharePoint

Languages: C/C++, SQL, HTML, VB script, Java, XML

Database: MySQL, MS SQL Server, DB2 and Oracle

Testing Software: HP Quality Center and HP ALM

PROFESSIONAL EXPERIENCE

Confidential, Nashville, TN

Sr. Business Analyst

Responsibilities:

• Collaborated with project stakeholders throughout all SDLC phases to ensure timely delivery of specified business solutions.
• Analyzed existing business units, business process, system/application and their interfaces with their capability through open-ended discussions, brainstorming and JAD sessions.
• Gathered business requirements through meetings, interviews and interactive design workshops in a collaborative discussion with cross-functional teams that included compliance, SMEs and IT.
• Interacted with the SMEs to gather information about the health care enrollment, billing and healthcare claims processing.
• Analyzed implementation guidelines for EDI transaction sets including: 270, 271, 835, and 837 to propose strategies to implement HIPAA 5010 standards.
• Documented and maintained all the Project Change Request (PCR) documents and updated them accordingly.
• Created and maintained the Requirement Traceability Matrix to trace requirements between the business requirements document and other artifacts such as design documents and test plans.

Environment: RUP, Requite Pro, Clear Quest, MS Suite, SQL Server, DB Visualizer and SharePoint.

Confidential

Business Analyst

Responsibilities:

• Conducted feasibility study and performed GAP and impact analyses for the proposed enhancements.
• Closely interacted with web designers and developers to understand application functionality and navigational flow.
• Developed application mock ups for presentation of product configurations capabilities and enhancements.
• Performed Gap analysis for new functionality requirements, as well as prioritized them based on actual business needs to align them with the product release roadmap.
• Created Use Cases and Activity Diagrams for interactive web portals to increase turnaround time and streamline processes.
• Created the BusinessRequirements Document (BRD), Functional Specifications document (FSD) and Use Case Specifications.
• Coordinated with the PM, web designers, software development team and the testing team to enable seamless working across groups and ensure on time delivery of project objectives.
• Assisted the QA team in developing test plan and test case documents based on business use cases and functional specifications.
• Created and managed project templates, requirement types and traceability relationships in Requirements Traceability Matrix (RTM).
• Prepared and presented weekly project reports on the project cycle, progress, and expected resultsto senior management.

Environment: Waterfall, MS Office, SharePoint, MS Visio and Quality Center

Confidential, Burlington, MA

Business Analyst

Responsibilities:

• Conducted GAP Analysis to understand the reason for delays in submitting claims to the carriers and documented findings.
• Organized requirement gathering sessions and JAD sessions with stakeholders to get a better understanding of claims business processes and gathered requirements to create the Business Requirement Document (BRD) and the Functional Requirement Document (FRD).
• Conducted user interviews to analyze the requirements and managed changes by implementing a formal change management methodology using SharePoint.
• Created current and future state Process flow diagram using MS Visio and conducted walk-through sessions of the process flows with the vendor and client to validate them.
• Coordinated and performed UAT (User Acceptance Testing) to assess if the system could support day-to-day business and user scenarios and ensure the system was sufficient and correct for business usage.
• Tracked stakeholder requested enhancements and maintained changes using Requirement Traceability Matrix (RTM).
• Assisted in developing timelines for project delivery, implementing milestones, managing project and resources for successful completion of the project by using MS Project.
• Involved in authoring the Project Standards, Project Charter and Project Scope documents.
• Continually interacted with the business and technical teams to ensure consistency in ideas and other work processes related to the project.

Environment: Waterfall, MS Visio, MS Share Point, MS Office, Oracle Database and QTP.

Confidential, Nashville, TN

Business Analyst

Responsibilities:

• Identified all key stakeholders, contributors,business operations and technical resources that needed to participate in the project by creating RACI matrix.
• Gathered, analyzed and wrote business requirements in form of user stories.
• Performed GAP/Impact/Root Cause Analysis reports from As Is system.
• Participated in daily Agile-Scrum meetings and maintained the sprint back log.
• Created wireframe diagrams andbusiness process models using MS Visio.
• Created use cases, user stories and traceability relationships in CaliberRM.
• Conducted interviews with client to ensure developed functionality complied with user requirements.
• Collected and documentedbusiness processes as well asbusiness rules.
• Assisted QA team in creating Test Cases, Test Plans and strategies to ensure that businessrequirements were being addressed.
• Coordinated user acceptance testing (UAT) and provided biweekly updates to management on progress, issues and options.

Environment: Agile, CaliberRM, MS Office, MS Visio, MS Project, MS Share Point and HPQC

Confidential, Indianapolis, IN

Business Analyst

Responsibilities:

• Identified all key stakeholders, contributors, business operations and technical resources that needed to participate in the project by creating RACI matrix.
• Responsible for collection of User and Business Requirements from different User Groups and converted them into user stories.
• Created wireframe diagrams with MS Visio to provide appropriate functionality & scope of work for the technical teams to develop prototypes of the overall system.
• Prepared and designed work flow scenarios, new process flows and documented the Business Process and various activities of the business from the conceptual to procedural & functional level.
• Coordinated user acceptance testing (UAT) and provided biweekly updates to management on progress, issues and options.
• Assisted QA team in creating Test Cases, Test Plans and strategies to ensure that business requirements were being addressed.
• Co-ordinated and implemented test cases to ensure that requirements were met; Implementation of system enhancements and conversions which included developing detailed documentation for training and testing.
• Actively involved in developing and coordinating Functional and User Acceptance Testing.

Environment: Agile, MS Office, MS Visio, MS Project, SharePoint and HPQC.