SUMMARY

• A results - driven Business Analyst with over 7 years of superior performance in application development projects, implementations and improvements of business processes.
• Implemented complex projects using various SDLC methodologies like Waterfall, Agile, and RUP.
• Expertise in implementing various projects in areas like resource management, finance, and new software tools for better management control.
• Experienced in creating and analyzing Business Requirements Documents (BRD), Functional Requirement Documents (FRD), System Requirement Specification (SRS) and Work Breakdown Structure (WBS) and propose changes as per various internal and external requirements gathered for process improvement.
• Traced requirements throughout the development process and verifying adherence using Traceability Matrix (RTM).
• Experienced in conducting Joint Application Development (JAD) sessions, project meetings, reviews, walkthroughs, and customer interviews.
• Had hand on experience in creation of Use Case Scenarios, process modeling using Use Case Diagrams, Data Flow Diagrams, Activity diagrams and Sequence Diagrams using MS Visio and Rational Rose.
• In depth understanding of the AS- IS and TO- BE business processes and experience in converting these requirements into technical specifications for preparing test plans.
• Self - motivated, capable of setting up useful priorities and take instant decisions and apply them to meet given deadlines.
• Adjust easily to innovative concepts and tasks. Can undertake difficult mandates and meet tight deadlines.
• Expertise in translating user requirements into Business Requirements and Use Cases.
• Highly proficient in documenting, writing and implementing Functional and Non-Functional Requirements, Risk Analysis.
• Experienced with SDLC models such as Waterfall, Agile/Scrum, RUP, RAD methodology, Synchronize and Stabilize methodology.
• Experienced working in agile environment by preparing user stories, participating daily stand ups in each agile sprint.
• Advanced analytical and problem-solving skills in designing, developing and implementing innovative business processes using new approaches and technologies.
• Experienced in collecting and transmitting the business requirements for the project and translating them into functional specifications and detailed documentation.
• Experienced facilitator for different types of requirement gathering sessions such as Joint Application Development (JAD), Rapid Application Development (RAD), one-on-one & group interviews, requirement workshops and Joint Requirement Planning (JRP).
• Hands on experience with UAT testing in preparing UAT Test plan and assisted in UAT testing.
• Experienced in analyzing methods such as Verification & Validation, GAP analysis, SWOT analysis, Risk analysis, Business Project analysis, Process Flow analysis and Failure analysis.
• Experience in system conversions (Mapping, Migrating, Enhancement) such as HIPAA X12 4010 codes to X12 5010 codes and ICD-9-CM codes to ICD-10-CM & PCS codes in Medicaid, Medicare, Procedural and Diagnostic codes and Claims processes.
• Excellent written and verbal communication skills. Demonstrated team leading and integrative learning skills in many professional and volunteering projects.
• Strong understanding of quality process models like Six Sigma, RUP and CMM. Knowledgeable in creating Design of Experiments (DOE).
• Thorough knowledge of HP Quality Center.
• Created and maintained Requirements Traceability Matrix (RTM).
• Ability to work calmly and successfully under tremendous pressure and multiple project deadlines.

TECHNICAL SKILLS

OPERATING SYSTEM: Windows Server, Windows,UNIX

TESTING TOOLS: HPQC, Win Runner, Load Runner

FRONT - END TOOLS: Adobe Photoshop, MS Excel, MS Office, MS Project

LANGUAGES: C, C+ +, HTML

REQUIREMENT MANAGEMENT: Rational Requisite Pro, Caliber RM

MODELING TOOLS: MS Visio, Rational Rose, Caliber RDM

PROJECT MANAGEMENT TOOLS: MS Project, Share Point 2010, JIRA, Primavera

BUG TRACKING TOOLS: Rational Clear Quest

METHODOLOGIES (SDLC): Scrum, Agile, Rational Unified Process (RUP), Waterfall Model

DATABASE: Oracle, MS SQL Server, MS Access

PROFESSIONAL EXPERIENCE

Confidential, Boston, MA

Business Analyst

Responsibilities:

• Assisted in identifying project scope, to conform to the regulatory compliance related to X12 837 (I/P) and 835.
• Responsible for soliciting and eliciting requirements for conversions (deadline ).
• Involved in building training material and planning material for . Define communication plans and build a project budget for the transition.
• Carried out Risk Assessment, GAP analysis and Impact Analysis for the conversion project.
• Facilitated JAD and JRP sessions with management, development team, users and other stakeholders to refine functional requirements
• Gathered requirements for impacted system and business areas for ICD-10 and their needs to embrace the changes.
• Produced for transaction sets 835 and 837 (I/P) a full gap analysis 4010 vs. 5010 against the documented application 5010 enhancements ensuring the upgraded application included the required changes and additions for 5010 compliancy.
• Prepared the Business requirement Document (BRD) and functional requirement document (FRD), working with Requirements Traceability Matrices (RTM), re-engineering business processes for the enhancement of the existing services.
• Conducted GAP analysis assessment regarding ICD 9 to ICD 10 conversion and business work flows from legacy system to the detailed financial transaction interface
• Used General equivalence Mappings (GEM) to convert ICD 9 to ICD 10.
• Involved in up-gradation of 4010 transaction to 5010 by conducting Impact Analysis and Risk Assessment and worked on the mitigation plan to avoid the risks.
• Identified the impact on the existing services of Business Units, local impact of the transition on the organization and forthcoming challenges and issues related to the transition.
• Used Rational Rose/MS Office Suite for creating use cases, workflows and sequence diagrams according to UML methodology thus defining the Data Process Models.
• Played a key role in project planning activities, User Acceptance Testing (UAT), and implementation of the system enhancements and conversions.
• Identified the master file changes and builds needed to enable the 5010 format to be utilized.
• Conducted Business Process (As Is/To Be) sessions with various department directors and staff to ensure the Testing Plan and Test Approach would meet the identified Business Requirements, and the Training Program covered all identified new and changed processes.
• Involved in Data Analysis for data mart system for the process of report generation.

Environment: Rational Requisite Pro, SharePoint, Rational Clear Case, RUP, Spec Builder, UML, HTML, MS Project, MS Visio, MS Office (Excel, Word).

Confidential, Glen Allen, VA

Business Analyst

Responsibilities:

• Assisted in the initial project planning with the management along with project scope, budget, timelines and other parameters.
• Used Rational Rose to assist in engineering and development of Logical, Activity and Component views to better understand the requirements.
• System requirement specification documents, Test Cases and Test plans were extensively reviewed and analyzed.
• Conducted GAP analysis to determine the project’s current status against the expected.
• Worked on changes for HIPAA Transaction from version.
• Documented the detailed business as well as technical requirements to upgrade the current system to 5010 transactions.
• Got involved in designing future state processes forHIPAA 5010 transaction processing EDI’s 837, 835, 270, and 271.
• Intensive working on the current ICD code conversion from ICD 9 to ICD 10, assisting and leading various teams by complying with already going works in the health care domain and work with the conversion.
• Extensively used Rational Unified Process (RUP) guidelines through the SDLC
• Produced wire frames, UI mockups or functional prototype to demonstrate requirements to Project stakeholders.
• Used Rational Clear Quest to maintain and track changes and enhancements done by the stakeholders.
• Business Use Cases Models, Use Cases and Vision Document were presented and explained to the development team.
• Developed Class, Activity and Sequence Diagrams and Collaboration diagrams to better visualization of the project by various teams.
• Rational Requisite Pro was used to reviewing and analyzing user requirements
• Traceability Matrix was used throughout the project to track changes.

Environment: Rational Unified Process (RUP), UML, Dreamweaver, Rational Test Manager, MS Office, HTML, SharePoint.

Confidential, Franklin Lakes, NJ

Business Analyst

Responsibilities:

• Conducted interviews, live meetings and JAD sessions with business users and Subject Matter Experts (SME’s) to understand the As-Is system and gather requirements for the To-Be system.
• Analyzed the pre-existing documents to have a better understanding of the present system.
• Incorporated Rational Unified Process (RUP) and analyzed User Business Requirement Document (BRD), Technical Requirement Specification and Functional Requirement Specification (FRS) using Requisite Pro, Rational Rose and MS Visio.
• Did Presentations for Stakeholders explaining the gaps in the system and how the changes would affect different modules w.r.t. Medicare.
• Performed Gap analysis to understand the best way of incorporating the changes in the system with respect to POS.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams and End to End Scenarios using UML.
• Organized daily scrum calls to keep the team on track and the stakeholders updated.
• Documented, organized and tracked the requirements using Rational RequisitePro.
• Worked on changes regarding new CMS directives and proposed changes to be made in the current system.
• Analyzed Claims adjudication related transactionslike 835, 837, 270, 271, 276 and 277 transactions (both inbound and outbound).
• Worked with Source system Subject Matter Experts (SMEs) to ensure that the extracts are properly mapped.
• Tracked and maintained Stakeholder requested enhancements and changes using Requirement Traceability Matrix (RTM).
• Integrated Requisite Pro with Rational Rose to provide all teams visibility and maintain tractability among requirements, use cases and change requests.
• Assisted in writing test case scenarios for regression testing and end-to-end testing.
• Involved withMedicaidclaims testing.
• Assisted with user testing of systems and maintained quality procedures and ensured appropriate documentation is in place.
• Assist end users and IT staff in the use of data to satisfy informational and reporting requirements and implementing and using SQL and DBMS.

Environment: SQL Server, Windows XP, Rational Rose, Rational Requisite Pro, Clear Case, Clear Quest, UML, Rational Suite, MS Visio, MS Project, MS Office (MS Word, MS Excel, MS PowerPoint)