SUMMARY

• Seasoned Business Systems Analyst in HealthCare domain with over 7 years of experience in IT. Involved in cross - functional teams supporting theBusinessstrategy with technology and provided solution and worked as an implementation partner for the products.Actively served clients in solving their Business challenges and being a partner in growth.
• Have a unique combination of Business Process Engineering, Health Claim System, Datawarehouse, Business Process Improvement, Enterprise level Process Mapping, UML, Testing (Smoke testing, UAT, Sanity testing). Identifies and resolves design gaps in the modules while testing.
• Experienced in the phases of Software Development Life Cycle (SDLC) and Software Testing Life Cycle (STLC), including requirements gathering, UI design, UAT testing and maintenance. Proficient in using Waterfall approach, IBM RUP, Agile Scrum. Quickly get up to speed and easily adapts to new client environments, their technology, and business.
• Passionate about learning new technology and adaptation mechanism to leverage it for optimizingbusiness processes.
• Outstanding client interaction and interpersonal skills, with excellent communication and presentation skills.
• Experienced in conducting Joint Application Development (JAD) sessions and Discovery Workshops for requirements gathering, analysis and design
• Drafted Requirements Traceability Matrix (RTM) to check the project requirements and to track the documentation and project tasks
• Appraised the AS-IS and TO-BE business processes (GAP analysis) and experienced in converting these requirements into technical specifications for preparing Test plans.
• Worked on Waterfall, Hybrid and Agile SCRUM methodologies.
• Experienced in creating UML diagrams like Activity, Use case and Sequence diagrams using tools such as Rational Rose and Microsoft Visio
• Experienced in Web Enhancement projects related to improving customer and user experience at payer side applications.
• Vast experience in dealing with the Claim Processing System adhering to HIPAA compliances.
• In depth knowledge of ICD-9-CM, ICD-10-CM structures
• Experienced with various Hospital reimbursement methods like DRG, Per Diem, Capitations
• Corresponded regularly with the development team, database designer, system administrator and the higher management to meet the deadlines of Project milestones
• Created Requirement Traceability Matrix (RTM) to relate the requirements on a Parent-Child basis and track the documentation and project tasks using Rational Requisite Pro
• Participated in several Sprint Planning, Sprint Review, Daily Scrum and Backlog Grooming Sessions
• Involved in reviewing Test plans, Test strategies and Test cases with the QA team.
• Experiences in manipulating and retrieving data from database using SQL Queries.
• Experience with Statistical Analysis System(SAS)
• Experienced in development of metrics, reporting and dashboards including excel reporting (Charts, vlookup and advanced formulae).
• Experienced in SQL Server Reporting Service (SSRS), SQL Server Integration Service (SSIS), Executing Queries and Running Stored Procedures Knowledge of Data-warehouse and ETL process.
• Well-versed with Relational and Dimensional Modelling techniques like Star, Snowflake Schema, OLAP, Fact and Dimensional Tables.
• Worked on data integration of multiple data sources and targets like Oracle, SQL Server, and MS Access, Flat files and XML.
• Strong experience in leading UAT/ SIT (SystemIntegration testing) plans and test cases based on theBusiness/SystemRequirements.
• Excellent communication and presentation skills. Experience working with business user as well as senior management
• Experience in working with cross functional teams and translate business needs into solution requirements.
• Worked individually, as well as in team environment, to achieve project goals

TECHNICAL SKILLS

Project Methodologies: Agile Scrum, Waterfall, RUP

Database: Oracle 9i/8i, MS-SQL Server 2005/2008, MySql4.x, Data warehouse, ETL, Zoho

Operating System: Windows, Vista, DOS, Mac

Microsoft tools: MS Outlook, MS Project, Microsoft Office Suite, SharePoint

Data modeling tools: MS Visio, balsamic, mock up, pencil

Testing tools: Mercury Quality Center, HP ALM, Soap UI

Tools: and Package: Rational Requisite Pro, JIRA, TOAD, Trello, SPSS, SAS

PROFESSIONAL EXPERIENCE

Sr. Business Analyst

Confidential, Sacramento, CA

Responsibilities:

• Worked in a Hybrid Agile project delivery environment facilitating Epics, Themes, user stories, sprint planning, daily scrum/stand-ups, sprint review, sprint retrospectives and demos onto Rally Agile development software
• Responsible for working with the State to review and modify process flows to increase productivity and effectively utilize enterprise solutionfeatures not provided by the legacy systems.
• Actively involved in analyzing the Web Service Application and Check the API documents.
• Created detailed report specification document that included KPI descriptions and data mappings.
• Interviewed the stakeholders and project sponsors for mappingrequirements and analyzing structured & normalized data sets
• Responsible for Requirement Gathering from business, Requirement Analysis, Functional Point Analysis, Client Interaction, Work Allocation to the team members in accordance to focus factor
• Identified the tools and data models to translate and migrate data such as, SQL Server (ETL)
• Captured business rules related to access rights related to reports, in compliance with HIPPA regulations and security standards
• Completing the Fit Gap and impact analysis and identifying gaps between the current and future state.
• Worked closely with development teams to create new reports and migrate old reports to new system
• Co-ordination with the Dev Ops team for smooth transition.
• Worked closely with database teams to help them transform the data from flat files, excel sheets, pdfs and other databases using ETL (Extract Transform Load) techniques
• Owning and managing requirements traceability matrix (RTM), gap analysis and change impact to enable business processes
• Conducted/Part of Release Readiness reviews, Milestone Reviews, and Business Go/No-Go reviews
• Identified various Key Performance Indicators (KPI) for daily, weekly and monthly reporting

Business Systems Analyst

Confidential, Richardson, TX

Responsibilities

• Reviewed detailed documentation for EDI X12 837 transactions including loops, segments and data elements.
• Extensively worked withSMEsto better understand the existing standards and conduct Gap Analysis ofEDI 837 transaction.
• Performed data mapping and data modeling and used canonical data model to map data fromX12 834 transactions.
• Did the forward andbackwarddata mapping between the fields in mainframe andFACETS.
• Worked onData tables and created audit reports using queries. Manually loaded data inFACETSand have good knowledge onbusiness rules.
• Documented business and logical rules for impacted segments.
• Gathered requirements afterconducting Discovery workshopswith the purpose of defining the business and system requirements.
• Created the Product Backlog and converted PBIs to detailed user stories.
• Made sure the conversions were according to CPT, HCPCS and Modifiers adhering to HIPPA regulations
• Developed Sprint Burn down chart to check if the delivery of the system is on time.
• Ensured the compliance of the EDI transaction (837- Healthcare Claim Form).
• Ensured smooth translation of the business requirements to the developers at various Sprint cycles.
• Mentioned in the Sprint Backlog and also ensured that all the rules were followed.
• Leaded the team in conducting User Acceptance Testing for the Claims Processing System.
• Worked with QA team to test the application quality and perform UAT, conducted Root Cause analysis for UAT environment.

Sr. Business Systems Analyst

Confidential, Plano, TX

Responsibilities:

• Elicit requirements by conducting phone interviews, JAD sessions with SMEs and clients.
• Participate in IVR review sessions to understand the current process and document GAP analysis.
• Captured business rules for new features to be added to IVR system
• Measured system behaviour by producing system use cases to capture all the functionalities expected from updated system.
• Tuning analysis - using various speech recognition analysis/tuning tools & methods (Nuance Application Report (NAR)), live call monitoring, call logs, analyse caller behaviour and transaction success rates with respect to IVR applications.
• Create tuning reports that include a detailed analysis of areas in an IVR application needing improvement and include recommended enhancements.
• Create and maintain a method of tracking the success rates of tuning enhancements.
• Recommend speech and touch-tone user interface design enhancements via call flow, dialogue, and/or prompt change.
• Assist in implementing design changes by interacting with designers and developers, directing voice talents, and by managing usability tests
• Collaborated with testing teams for running detailed UAT tests before roll out.
• Work with business and call centre resources to better understand the needs of each with respect to IVR, in an attempt to put forward detailed & balanced tuning enhancement recommendations.
• Keep an open & persistent line of communication with call centre & business resources to understand operational changes and potential impacts to IVR usage.
• Act as the liaison between our Legal, Audit, Risk and Compliance teams to ensure that IVR systems are managing risk appropriately.

Business Systems Analyst

Confidential, Dallas, TX

Responsibilities:

• Facilitated and led group discussions in Joint Application Development (JAD) sessions and elicited functional and non-functional requirements.
• Responsible for accuracy of customer profile and engagement data.
• Deployed, configured and supported the prototype application for its demo /UAT for various segments of customers, prepared deck for UAT & gathered feedback and followed up with further updates on the prototype and related documents.
• Primarily involved in developing use case document for the application, traceability matrix, system requirement specification (SRS) and presentations for proposed solution
• Worked on various Salesforce.com Standard objects like Accounts, Opportunities, Leads, Campaign and Reports.
• Created various Custom objects, Tabs, Workflows, Reports, Apex triggers and validation rules for the application.
• Defined various Validation rules to validate the data in the application.
• Customized Page Layouts for Salesforce.com Standard and Custom objects.
• Created custom report types and generated report using the report types.
• Experience in working with Development team for solving the gaps in Business requirement
• Used Data loader for all data adding, updating, and deleting, exporting data.
• Documented Sales force fundamentals and reporting for easy understanding and navigation for business users
• Familiar with SFDC MVC architecture, Salesforce.com Sales cloud, Service cloud, Data cloud functionalities.
• Worked on SQL queries for data extraction from Salesforce

Business Analyst

Confidential, San Jose, CA

Responsibilities:

• Followed Agile-SCRUM methodology to build the application. Participated in scrum-planning meetings, daily standup meetings and retrospective meetings and ensured the status is updated
• Conducted Backlog grooming sessions for capturing epics and user stories with Product owner and the team.
• Captured customer specific information by working closely with Product Owners and Business Users.
• Tracked and managed product backlog, burn-down charts and story points.
• Created activity diagrams and use-cases to capture information flow between the website and backend systems.
• Created wireframes and mockups for the web interface and discussed with UI designer to develop the prototypes for the website.
• Completing impact analysis of new requirements and accommodate change requirements in coming sprints.
• Identified and documented data sources needed to fetch and populate required data fields.
• Created data dictionaries for capturing customer information in the required forms.
• Reviewed test plans and test cases and ensuring test cases reflect user needs; responsible for conducting user training and user acceptance testing to ensure and verify system is designed according to user needs
• Documented the potential functional improvements in the current information system as future enhancements