SUMMARY

• Over 8 years of experience in Business Requirements Gathering, Process Flow, Business Process Modeling, and Business Process Re - engineering.
• Extensive experience with Healthcare, IT and Banking clients.
• Over 4 years of experience in Facets Claims, Auditing, UAT, Secondary plans Medicare, Medicare Supplemental plans, Managed Care, Medicaid.
• Extensive knowledge of various integration engines (Mirth, Cloverleaf, Corepoint),HL7standards, Meditech modules,HIPPAand CLIA regulatory laws, IHE interoperability standards, development and implementation processes, data exchange formats, and communication protocols.
• Experienced in full Software Development Life Cycle (SDLC) using Waterfall, Agile (Scrum), and other hybrid system development methodologies.
• Good understanding and working knowledge on various EDI transactions set like EDI 850 (Purchase order), EDI 860 (Purchase order change request), EDI 810 (Invoice Transaction) and EDI 870 (Order Status report).
• Experienced in performing ADA (Americans with Disabilities Act) testing.
• Good working knowledge on Automation testing tools like Quick Test Professional (QTP)
• Customized teh MS Dynamics CRM Entities, Forms and views, as well as workflows and reports around teh client needs for an interface.
• Implementation of custom plug-ins and workflows for MS CRM 2016 using CRM SDK.
• Integrated MS Dynamics CRM with other system applications, such as Outlook.
• Development of various CRM-related scripts and utilities.
• Designed new plug-ins to populated contact details and unique number on creation of new record.
• Worked on setting up relationship between System & Custom entities.
• Established strict SDLC practices to ensure dat every business requirement was met with quality and known accountability. Success was accomplished through project planning, strong system level specifications, UI prototyping, development checkpoints with automated testing, code reviews, and strong partnership with business and testing team to ensure proper QA was conducted.
• Extensive experience in elicitation techniques like interviewing, questionnaires, brainstorming and focus groups, analyzing, specifying and verifying Business and Functional Requirements, developing Use Cases, conducting Gap Analysis and preparing Training manuals.
• Expertise in Unified Modeling Language (UML) diagrams such as Use Case diagrams, Activity diagrams, Class diagrams and Sequence diagrams using MS Visio.
• Excellent technical documentation skills in preparing Business requirements document (BRD), Use Case Document, Functional Requirement Document (FRD), Software Requirements Specification (SRS), Workflows and Analysis Papers.
• Experience in creating and managing project templates, use case templates, Test Case templates and Requirement Traceability Matrix (RTM).
• Facilitated and participated in Joint Requirements Sessions (JAR), Joint Application Development (JAD) and Joint Resource Planning (JRP) sessions with management, SMEs, vendors, users and other stakeholders.
• Strong knowledge of Medical billing code, PPO, HMO, Home Health Aide, Authorizations, HME Plans, UB-92, UB-04, HCPC, DRGs, ICD-9, and ICD-10.
• Performs and facilitates research and testing, provide overall project leadership to ensure hospital and Physician client interfaces conform to companyHL7standards.
• Ability to work with all levels within an organization including senior executives, managers, front lines, corporate and technical staff.
• Experience in handling multiple projects at a given time, capable of forming and maintaining positive and productive working relationships in internal, external, independent, and team environments.

TECHNICAL SKILLS

Methodologies: SDLC, AGILE, Object Oriented Analysis and Design (OOAD), Rational Unified Process (RUP), Unified Modeling Language (UML), Rapid Application Development (RAD), Joint Application Development (JAD),Behavior/Test Driven Development(BDD/TDD),Systems Analysis and Design

Modelling & Design Tools, Software: UML, MS Visio, Rational Rose, JIRA & Rally, DOORS, Axure RP,OmniGraffle,IBM Rational Rose,iRise, ClaimsXten, Facets, Caliber

Programming Languages: C#.Net, Object Oriented Programming(OOP)

Scripting: JavaScript, CSS3, XML and HTML5,AJAX,SOAP,REST,XHTML

Database: SQL Server 2008/2012,PL/SQL,MS Access,RDBMS,Oracle

Operating Systems: Windows 98/2000/XP/7/8/10

Packages: Microsoft Dynamics CRM 4.0/2013/2015/2016, Visual Studio .Net, CRM SDK

Tools: Microsoft Office 2013, MS Project 2013 and MS Excel 2013

PROFESSIONAL EXPERIENCE

Confidential, Baltimore, MD

Sr. Business Systems Analyst

Responsibilities:

• Involvement in all teh phases of Software Development Life Cycle (SDLC) methodologies throughout teh project life cycle. .
• Gathering requirements to create Configuration testing from numerous lines of business with Medicaid, Medicare, HMO, PPO, ASO and commercial lines of business handled through CDPHP.
• Gathering high level requirements and developed scope of teh project.
• Performing requirement analysis, impact analysis and documenting teh requirements.
• Analyzing Joint Requirement Documents (JRD) with teh cross functional team to analyze teh high level requirements.
• Interacting with client and teh Technical Team for requirement gathering and translation of Business Requirements to Technical specifications.
• Conducting interviews, meetings and JAD sessions during teh process of Requirement Gathering.
• Planning and documenting procedures for data processing and prepared data flow diagrams for teh application.
• Analyzing and translating business requirements into system specifications utilizing UML and RUP methodology.
• Preparing Functional Design Specifications (FDS) employing Use case scenarios, sequence diagrams and class diagrams.
• Documenting teh Traceability Matrix for tracing teh requirements and teh Test Cases related to them.
• Working with Clinicians and Ancillary staff.
• Designed forms using Visual Form Editor for custom content.
• Accessing numerous of claims data through different Facets environment using Claims Test pro (CTP).
• Performing configuration, workflow design, and testing for: Products, Benefit services, Networx, Claims, Fee Schedule, and Provider Contract.
• Training and assisting physicians andclinicalstaff on new workflows and form content.
• Associated ability to enter test claims in Facets for unit testing and an understanding of teh entire Facets benefit structure beyond SPCT/SRCT to support testing.
• Performed User Acceptance testing (UAT) and documented detailed results.

Environment: MS Office (Word, Excel, Access, PowerPoint, Visio Outlook), SQL Navigator, Clear Case, HTML, UML, Requisite Pro and Data Mapping/Modeling, MS Project, RUP, Object Oriented Analysis and design (OOAD), Facets, ClaimsXten, Rational Analyst Studio, Crystal Reports, MS Dynamics CRM 2016.

Confidential, Tarrytown, NY

Business Systems Analyst

Responsibilities:

• Conducted interviews with key business users to collect requirement and business process information.
• Facilitated JAD (Joint application development) sessions with business users and development teams to drive out detailed business requirements.
• Closely interacted with designers and software developers to understand application functionality, navigational flow and how data is passed.
• Designed user interface with lead programmer and reviewed design with development team.
• Documented and delivered Functional Specification Document to teh project team.
• Assisted with user testing of systems, developing and maintaining quality procedures, and ensuring dat appropriate documentation is in place.
• Conducted User Acceptance Testing.
• Functioned as teh primary liaison between teh business line, operations, and teh technical areas throughout teh project cycle.
• Minimized system errors and pended claims through effective research, analysis, solution development, configuration, testing, communications, and documentation of reactive and proactive corrective actions
• Performed System and Integration Testing along with testers.
• Conducted UAT with teh business.
• Performed CMU reports on DOFER testing, EDI, and Facets Benefit Configuration
• Handled Enrollment, Benefits, Claims, Medicare, ASO, Traditional and Dental line of business.
• Created numerous, Test Plans, Test Scenarios, Test Cases, and Test Reports accessing Microsoft Access
• Assured all artifacts/signoffs were in compliance with corporate policies and guidelines and archived.
• Identified and resolved functional/technical issues throughout teh development phase of teh software lifecycle.

Environment: Rational Rose, MS Visio, MS Office (Word, Excel), SQL Server, Windows2000, JIRA, Java/J2ee, Oracle 8i, HTML, Caliber.

Confidential, Cleveland, OH

Business Analyst

Responsibilities:

• Gatheird business requirements by participating in JAD sessions, interviewing business users and stakeholders, conducting one to one sessions and consulting existing systems documents.
• Project was implemented using teh agile methodology to produce artifacts in teh different phases of teh Software Development Life Cycle (SDLC).
• Participated in daily Scrum Meeting to discuss teh progress of teh project and steps needed to meet teh deadlines.
• Created and maintained Work Flow diagrams including Activity Diagrams, Class Diagrams, and Sequence Diagrams, Data Flow Diagrams using MS Visio.
• Created Need Analysis Documents of teh requirements gatheird through JAD and JRP individual elicitation sessions using MS Word.
• Created and updated teh Business Requirement Document (BRD) and Functional Specification Document.
• Created wireframes and UI Mockup Screens using MS Visio.
• Collaborated with quality Assurance Analyst in Rational Clear quest to track defects and used Rational Clear Case to maintain consistency in teh builds, also worked with Quality Center.
• Maintained document repository on Knowledge link to ensure dat any change to teh system’s documents is communicated effectively to teh entire team and business users in a timely manner.
• Researched, analyzed, and determined appropriate course of action for complex practices, procedures and problems using User stories, creating Use Cases, Use Case Diagrams and Workflow diagrams. Extensively used MS Visio for UML methodology.
• Maintained Requirement Traceability Matrix (RTM) dat controls numerous artifacts produced by teh teams across teh deliverables for a project.
• Involved in Test Planning, Test Preparation, Test Execution, Defect Logging and Tracking in Quality Center and Issue Resolution and Report Generation to assure dat all aspects of a Project are in Compliance with teh Business Requirements
• Utilized SQL to query tables for creating data design documents.
• Generated reports using SSRS.
• Involved in analysis of teh technical specifications of teh current system and teh infrastructure needs performed GAP analysis.
• Loaded facets provider agreement, hospital contracts, CPT codes, and demographic data
• Configuration and implementation of services including: Benefits Management Pricing, Fee Schedule Profile, Provider contracts, and Benefit Plan build.
• Ensured all applications were tested for functionality and were adequately controlled in production.
• Monitored teh User Acceptance Testing (UAT) and reported various concerns by teh users.
• Maintained warehouse metadata naming standards and warehouse standards for future reference for application development using MS Excel.

Environment: Environment: Agile/Scrum, Rational Requisite Pro, Rational Rose, JIRA, RUP, JAD, UML, MS Project, MS Visio, Oracle, SQL, Axure RP.

Confidential, Jersey City, NJ

Business Analyst

Responsibilities:

• Engaged in project initiation activities such as developing teh Project Charter, Project Scope and assisting teh management in resource and budget estimation.
• Worked with business users to gather teh requirements and coordinated with Project Manager to understand teh feasibility of their need.
• Worked on Agile/Scrum development methodology.
• Facilitated (JAD) Joint Application Development sessions to identify teh business rules and requirements and then documented them in a format dat can be reviewed and understood by both business people and technical people.
• Created Business Requirements Document and converted them into System Requirement Specifications Document.
• Designed wireframes and mockups to explain teh business implications in details.
• Studied and analyzed competitor’s applications and brainstormed to gather effective requirements for a quality product.
• Analyzed Requirements and created Use cases, Use Case diagrams, Process Flows, and Activity Diagrams using Enterprise Architect.
• Worked with teh systems architects in designing teh system, flows etc.
• Worked with teh database design team to assist them in designing teh database and also created data dictionary.
• Collaborated with teh QA team, and developed UAT Test cases and executed Test cases based on business requirements and technical specifications.
• Extensively used SQL Queries and performed Data Analysis.

Environment: Environment: Agile/Scrum, Rational Requisite Pro, Rational Rose, JIRA, RUP, JAD, UML, MS Project, MS Visio, Oracle, SQL, OmniGraffle.

Confidential, Hopewell, NJ

Sr. Business Analyst

Responsibilities:

• Conducted user interviews with SME’s and end users to determine business requirements.
• Designed and conducted surveys for different market end users.
• Used DOORS to understand teh impact of changing a requirement and to define teh traceability across teh entire project lifecycle.
• Tracked Projects and ensured dat SOX and other Regulatory Requirements are needed for IT Processes
• Assisted project manager and worked with high level management team to identify project scope, develop phase plans and schedules using Agile methodology
• Used BEA (BPM Tool) to map Process flows and migrated Visio Process flows into BEA Tool.
• Participated in teh Daily standup meetings.
• Conducted JAD sessions to maintain understanding and resolve bottleneck.
• Developed BPM Diagrams,, activity diagram using MS Visio.
• Broad experience on Business Process Model and Notation (BPMN); creating Business Process Diagrams (BPD) based on flowcharting techniques.
• Used Crystal Clear to design generate reports from different data sources.
• Developed teh Business Process Flows to support teh products and services selected.
• Assisted in design review meetings making sure all teh requirements are covered in teh development project scope.
• Performed Gap Analysis to check compatibility of teh existing system infrastructure with teh new business requirements.
• Reviewed Business Requirements and guide business partners to complete business requirement documentation. Clearly defined system’s work scope and objectives based on Business Requirements.
• Conducted data analysis and data validation by writing complex SQL queries and codes using TOAD for ORACLE database.

Environment: Agile, BPM, MS Project, Doors, Mercury Test Director MS SQL Server 2005, Rational Rose, iRise, TOAD

Confidential

Business Analyst

Responsibilities:

• Analyzed business requirements and segregated them into high level and low level Use Cases, using Activity and Sequence Diagrams.
• Derived Functional Requirement Specifications (FRS) based on User Requirement Specification URS.
• Followed iterative process for Use Case driven processes of requirement documentation and their deployments and also created a Traceability Matrix.
• Held regular JAD sessions with teh system architects, developers, database developers, quality testers during teh entire project to assure dat teh critical as well as teh minute details of teh project were discussed and issues were resolved beforehand
• Followed a structured approach to organize requirements into logical groupings of essential business processes, business rules, and information needs, and ensured dat critical requirements are not missed
• Worked with development staff and 3rd party vendors to ensure dat teh requirements are sufficiently detailed and clearly understood. Facilitate discussions between business partners, development team, and vendors to ensure dat proposed technical solutions adequately meet teh business needs
• Assisted with teh system testing/user acceptance testing of teh functional enhancements as needed.
• Performed proofreading and editing for teh project plan, and provided research assistance on operational change management
• Ensured applications are designed to support business objectives, business processes and will provide superior user and customer experiences
• Worked extensively with teh QA team for designing Test Plan and Test Cases for teh User Acceptance Testing(UAT).

Environment: Windows XP, MS Visio 2007, MS Office Suite 2007, Agile Methodology.

Confidential

Dynamics CRM Functional Consultant

Responsibilities:

• Designed, developed and deployed Microsoft Dynamics CRM Custom parts (Plug-in, Workflow, data migration, Form, Entity, Report, Chart, Business process flow, Sitemap) to provide custom solutions to business needs.
• Performed administrator tasks like creating users, creating security roles and assigning them appropriately, etc.
• Used Advanced Find feature of MS Dynamics CRM and created multiple views of System entities.
• Customized teh MS Dynamics CRM Entities, Forms and views, as well as workflows and reports around teh client needs for an interface.
• Created JavaScript functions to do client side validation.
• Implemented custom plug-ins and workflows for MS CRM 4.0.
• Integrated MS Dynamics CRM with other systems such as ERP system.
• Assisted in development of various CRM-related scripts and utilities.
• Designed new plug-ins to populated contact details and unique number on creation of new record.
• Worked on setting up relationship between System & Custom entities.
• Customized and modify existing Dynamics CRM features so as to make them more efficient.

Environment: MS Visio, MS Excel, MS PowerPoint, Rational Requisite Pro, SQL Server, MS Dynamics CRM 4.0, Visual Studio Developer Toolkit, Microsoft Silverlight 4 tools, Windows Identity Foundation.