• Over Seven years of experience as a Business Systems Analyst with extensive knowledge and experience across the project life cycle in Systems Development Life Cycle SDLC and the Software Test Life Cycle STLC in the fields of Healthcare, Telecom, Retail, Banking and Finance. A dynamic professional with skills in the field of Information Technology, Business Analysis and Software Quality Assurance with strong work experience in all phases of Requirement Management, including gathering, analyzing, and tracking requirements.
• Extensive experience in facilitating user group meetings and gathering system requirements for web application development using Quality Center and SharePoint.
• Expertise in Project Planning, Project Design, creating functional specifications and data flow diagrams.
• Knowledge of the Rational Unified Process methodology RUP .
• Highly analytical in developing the methods and measures to meet requirements and solve any issues that arise during the project.
• Performed planning and development of Test Plans, Test Cases and Test Scenario to meet product's business requirements.
• A senior team member with thorough experience in peer reviews Test Design and defect reporting .
• A vast experience in analyzing and reporting test results, providing bug fix suggestions and solutions, and logging and deciphering defects.
• Experience in setting Exit criteria's for the SDLC models to ensure quality.
• Facilitated JAD Joint Application Design sessions.
• Experience in developing surveys and interview questionnaires for interviewees and selecting the target population segment.
• Optimum use of documentation to avoid any form of miscommunication or misinterpretation during the entire software development process.
• An expert with a solid understanding and experience of a Bug Life Cycle.
• Professional expertise in MS Office, and MS Project.
• Understanding and interpreting requirement specifications.
• Experience in creating and maintaining the Requirements definition documents that included Business requirements and Functional requirements.
• Skills in developing Use Case diagrams, Sequence diagrams, State Chart diagrams, and Class diagrams.
• Exposure in creating and analyzing Data flow diagrams, and Entity Relationship diagrams.
• Extensive use of UML/RUP for modeling views in Microsoft Visio.
• Strong knowledge of Project management skills such as time estimation, task identification, and scope management.
• Experience in customer / client interaction, deep understanding of business systems functionality and technicality.
• Involved in maintaining Test Matrix and Traceability Matrix and performing GAP analysis.
• Experience in writing test plans, defining test cases, developing and maintaining test scripts.
• Expertise with QA Methodology to ensure robust functionality.
• Motivated self-starter with exceptional team building, leadership, and interpersonal skills.
• Conducted User Acceptance Testing UAT .

Responsibilities:

• Responsible for the requirement-gathering phase and project plan.
• Responsible for requirements analysis, design and developing technical requirements.
• Responsible for the full HIPAA compliance lifecycle from gap analysis, mapping, implementation and testing for processing of Medicaid Claims.
• Responsible for gap analysis in changing old MMIS and Involved in testing new MMIS.
• Used HIPAA 4010 transactions to support the analysis of current business processes and work with management to improve and implement enterprise solutions to ensure compliance and got involved in designing future state processes for HIPAA 5010 transaction processing EDI's 837, 835, and 834 and ICD-10 Code sets.
• Acted as a SME for the application team and the Infrastructure team.
• Analyzed HIPAA 5010 related to 837, 835, and 834 transactions and performed gap analysis between the 4010 and 5010.
• Conduced Joint Application Development JAD sessions and walk in interview with the business users to gather requirements.
• Used FACETS Analytics for fast and easy retrieval, display and grouping of information for performing queries and generating reports.
• Works on Data mapping, logical data modeling and used SQL queries to filter data within the Oracle database tables
• Responsible for Performing Integration and UAT testing.
• Matched the requirements for programs such as Medicare and Medicaid, which are part of the Social Security Act.
• Created Use Cases diagram and Activity diagram to depict the interaction between the various actors and the system for Business Use Case and System Use Case.
• Conducted the Functional Requirements Specifications FRS and User Requirement Specification URS documents' reviews and walkthroughs with designers, developers and stakeholders. Also conducted feasibility and adaptability study.
• Conducted JAD Sessions with Infrastructure management team, SME, policy holders and stakeholders for issues which were open and pending.
• Analyzed forms and successfully crosswalk details to corresponding ANSI X12 formats.
• Perform functional, exception and scenario testing.
• Logged the errors, reported defects, determined repair priorities and tracked the defects until resolution using Quality Center.
• Tested the changes for the front end screens in FACETS related to following modules, test the FACETS batches membership, Billing, Provider, etc.
• Developed the business anomalies workarounds and described them in documentation and presented the matter to the upper management for review.
• Performed Positive and Negative Manual Testing.
• Developed non-functional requirements and documented them as Business Rules, Quality attributes and constraint documents.
• Interacted with database developers for formulating the ER diagrams and data flow diagrams.
• Responsible for GAP analysis of ICD9-ICD10.
• Held regular JAD meetings with the system architects, developers, database developers, quality testers during the entire project to assure that the critical as well as the minute details of the project were discussed and issues were resolved beforehand.
• Worked With HIPAA compliant ANSI X12 837 formats for both professional claims and institutional claims.
• Analyzed the mainframe reports for member/eligibility/claims and mapped the fields with FACETS batch jobs and reports.
• Performed configuration/ compatibility and user interface testing manually.
• Worked with QA lead in validating Test Plan and Test Scenarios.
• Used HP Quality Center for tracking Defects and tracing requirement functionality performances.
• Executed test cases manually. Compared and analyzed actual with expected results and reported all deviations to the appropriate individual s for resolution.
• Assisted Business User during deployment in formulating User Acceptance Testing UAT for customized application and getting confirmation for product Release
• Review of high-level design document and low level design of classes and sequence diagrams.
• Ensuring that deliverables were delivered on time as scheduled.

Environment: UML, RUP, Quality Center, Facets, Excel, SQL, Windows XP, MS Word, MS Excel, MS Project, MS PowerPoint

Responsibilities:

• Gathered analyzed, documented business and technical requirements from both formal and informal sessions and validate the needs of the business stakeholders.
• Involved in the HIPAA compliance lifecycle from GAP analysis, mapping, implementation, and testing for processing of Health Insurance Claims. Worked on HIPAA Standard/EDI standard transactions: 270, 271, 276, 277, 834, 835, and 837 to identify key data set elements for designated record set. Interacted with Claims, Payments and Enrollment hence analyzing and documenting related business processes.
• Designed and developed Use Cases and Use Case scenarios, Activity Diagrams, High Level and Low Level Process Flow Diagrams.
• Conducted surveys, interviews and JAD sessions and translated them into system Requirements.
• Responsible for preparing a Business Requirement Document BRD , Functional Requirement Document FRD and then translating it to functional specifications and test plans.
• Performed Gap Analysis in every phase and stages to check the compatibility of the existing system infrastructure with the new business requirements.
• Perform functional, exception and scenario testing.
• Logged the errors, reported defects, determined repair priorities and tracked the defects until resolution using Quality Center.
• Prepared Test Cases based on business requirements and business rules for HIPPA EDI Transaction 834, 837, 835.
• Worked with PM to prepare Project charter, Project plans, daily, weekly and monthly team deliverables for each phase using MS Project.
• Served as a Peer review member to verify, validate and modify necessary changes made considering technical and business aspects, in the deliverable documents and thereby uploading it on SharePoint. Consolidated individual Statistical Summary from the team deliverables, various reports, jobs, files and Inventory documents to present it in weekly status meetings.
• Lead requirements analysis and inspection, ensuring that requirement statements and business rules are complete, consistent, concise, comprehensible, traceable, feasible, unambiguous, and verifiable, and that they conform to standards.
• Facilitated various brainstorming, requirement gathering sessions, and provided training on HIPAA Compliance, HIPAA Standard transactions and current version of X12 HIPAA 4010A1 to HIPAA 5010 GAP understanding.
• Performed Positive and Negative Manual Testing.
• Managed requirements traceability information and tracked requirements status throughout the project. Also managed changes to baseline requirements through effective application of change control processes and change management tools.
• Provided highly complex analytical support through the analysis and interpretation of data in support of cross-functional business operations.

Environment: SQL, Facets, ETL, SQL server management studio, Oracle, MS Word, MS Outlook, MS Excel, MS Access, MS Visio.

Responsibilities:

• Facilitated JAD sessions to collect requirements from system users and prepared business requirement that provided appropriate scope of work for technical team to develop prototype and overall system.
• Identified processes for developing and documenting detailed business requirements. Data was collected from end-users, and analysts.
• Requirements were gathered through interactions and meetings and periodic walkthroughs with loan analysts, credit analysts and other potential users of the application.
• Worked closely with Business teams to determine attributes for defining customer segmentation.
• Associated Offers and Campaigns with appropriate segmentation of the customer.
• Conducted Use-Case reviews and identified gaps, leading to improvements/enhancements in the same.
• Created and maintained the Requirements Traceability Matrix RTM .
• Worked with the Project Manager on various Project Management activities like keeping track of Project Status, Deadlines, Environment Request, and Compliance Issues.
• Ensured Use-Cases were consistent and covered all aspects of the Requirements document.
• Maintained the Business Impact Analysis Template BIAT to analyze and document the effect of proposed changes on the project schedule and costs.
• Used Quality Center for bug reporting.
• Was responsible for tracking issues that are detected and updating the status of existing issues based on the daily meetings with the off-shore team.
• Identified and analyzed the data requirements for the various site teams and made sure that the required data is available in the testing environment.
• Worked directly with software engineers to ensure clear communications on requirements and defect reports.
• Used the guidelines and artifacts of the Rational Unified Process RUP to strategize the implementation of Rational Unified Process effort in different iterations and phases Inception, Elaboration, Construction and Transition of the Software Development Life Cycle.
• Interacting with other teams through walkthroughs, teleconferences, meetings, etc. to resolve various issues.

Environment: Oracle, Windows NT, UML, Quality Center, MS-Visio, MS Word, MS Excel, MS Office.