Career Highlights:

• Information technology professional with strong knowledge and background in Healthcare industry, Project management, Mainframes and Testing
• Expertise in identifying and documenting business and system requirements
• Proficient at creating Use Cases, Process Flows Work-flows
• Expertise in analysis and development of complex Test plans, Test cases, and Test scenarios/scripts
• Demonstrated sound and disciplined judgment when defining/obtaining solutions
• Demonstrated ability to champion and implement software development methods
• Excellent negotiation, facilitation, and consensus building skills
• Demonstrated ability to work in project teams and within the constraints of the team environment to implement defined system solutions per defined delivery dates
• Adept at multi-tasking by managing to work on multiple projects simultaneously
• Astute learner who quickly grasps highly complicated technical material, ramps up to tasks expeditiously and delivers service with complete professionalism
• Outstanding communication, problem solving and leadership skills

Senior Business/Systems Analyst EPMO

Confidential

• Lead Business Analyst for Confidential strategic imperatives, mission-critical complex system integration, high-risk and high-visibility projects. Performed business and system requirements gathering, documenting, gap analysis, impact analysis, data analysis, testing and production support during deployment.Delievered high quality business deliverables that met the need of business and in accordance with best-practice processes established by Enterprise Project Management Office EPMO .
• ICD-10 Benefits and Claims Project: Performed Impact Analysis for all critical functions i.e., 5010 upgrades to EDI gateway, Claims Processing, Benefits, Data Warehouse, Reporting, Vendor Management, etc. Identified business and system requirements for Hospital, Medical claim systems and downstream systems by conducting detailed and comprehensive analysis by working with end users and other stakeholders. Managed Change Control Process for changes submitted for the requirements.
• Business Rules Remediation Project: Participated in ICD 9 to ICD 10 codes conversion requirement gathering sessions with Business and Vendor Edifecs and created business requirements document with a focus on identifying opportunities to improve systems availability, reliability, efficiency, performance, and overall service.
• Defined ICD-9 to ICD-10 mapping process using GEMs General Equivalency Mapping crosswalk file. Created custom maps between ICD-9 and ICD-10 codes for every business rule file that was impacted. Worked with Edifecs in creating macros and converted the ICD-9 based business rules to ICD-10 business rules. Used MS Access tables/forms and Excel to compare data and created reports to business from database and delivered results in excel format. Worked with IT and Business in resolving complex file structure issues and proposed solutions that led to direct cost savings.
• Vendor Management Project: Worked with Business and Vendor OPTUM in drafting the Proof of concept-goals and objectives for DRG groupers, and gathered requirements for migration projects. Managed vendor master inventory, developed vendor workflow diagrams, performed vendor assessments, created vendor action plans and performed gap analysis.
• Financial Neutrality Project: Worked with actuarial business intelligence team to create reconciliation process flow and requirements to achieve financial neutrality.
• Operational Readiness and Enterprise Testing: Created Release Notes and documents related to ICD-10 Operation Readiness and Enterprise level testing. Assisted the UAT team in the creation of UAT approach strategy document. Worked with IT in setting up ICD-10 test environment to support automation and minimize manual intervention. Developed test scenarios, test scripts, and test data in Application Lifecycle Management ALM to support UAT.Created adhoc reports for IT and Business.

Business Analyst UAT

Confidential

• Communicated bugs found in already implemented system logic and established claim procedures
• Documented bugs found during the test process and reported it to the development team through Share point.
• Communicated issues identified during testing to manager in order to avoid major impacts to projects.
• Developed requirements, test plans and test scenarios for functional, system and regression testing to meet HIPAA compliance assisted end-users with User Acceptance testing.
• Vendor projects, Co-ordination of Benefits, Medicare and Medicaid projects etc.:
• Assured software delivered meets all requirements and expectations of final UAT test plan.
• Liaised with the seniors and Managers in the Claims operations concerning the business requirements, planning, testing, and communication of projects.
• Verified Explanation of Benefits and Remittances after financial runs to check the accuracy of the claims processed.
• Created training documents for projects for Learning Development and CMORE

Quality Analyst

Confidential

• Created and executed automated software test plans, cases and scripts
• Documented software defects using bug-tracking system and reported defects involving program functionality, output, online screen, and content to software developers.
• Delivered thorough QA testing reports that determined product quality and release readiness.

Programmer/Systems Analyst

Confidential

• COSMOS Project: Assisted with managing all facets of project life cycle including design, development, testing and deployment. Developed and maintained batch/online systems using XGEN, COBOL, WFL, and CANDE. Interacted with the project team to help define the business and system objectives, confirmation of scope, identify constraints and the measures of success for the system to be developed. Conducted JAD sessions, daily meetings, brainstorming sessions to solve the problems and enhance the workflow. As part of service management, completed PPR/ Work order efforts which involve analysis of the issue, recreation of production issue, code changes and unit testing of the code changes to verify the resolution of the issue
• PRIME Project: Developed and maintained batch/online systems using COBOL, JCL and DB2.As a system analyst, Collaborated with end users to identify Business system needs, evaluated solutions to business problems/bottlenecks, and evaluated alternate methods to increase efficiency. Created use case narratives and use case diagrams, sequence diagrams and process flow diagrams using MS-Visio. Ensured change control for the changing requirements and scope of the project. Provided on-call support and scheduled billing jobs as per client's requirements.

TECHNICAL SKILLS

• Methodologies- SDLC, RUP, Waterfall, Iterative/Incremental, Spiral, Agile
• Databases- DB2, SQL Server, Access, IMS DB, Unisys DMSII, MS Access
• Operating System- IBM Mainframes-OS/390, Unisys Mainframes MVS, MCP
• Software Tools- Microsoft Office Word, PowerPoint, Excel, Visio Access , UML Rational Tools, SharePoint
• Programming Language- IBM- COBOL, CICS, VSAM, JCL, Unisys - XGEN, CANDE, WFL, HTML, C, C
• Testing Tools- Application Lifecycle Management, Quality center, Test Director, Quick test pro