PROFESSIONAL SUMMARY

• 9 years of IT experience as Business Analyst with solid understanding of Business Requirements Gathering, Business Process Flow, Use Case Modeling using UML, Data Modeling, Software Development Methodologies, Business Process Modeling, and Business Analysis
• Worked in diverse business domains i.e. retail, banking, telecom, healthcare, marketing and e-commerce
• Proficient in using UML for Business Process Modeling, Use cases, Activity diagrams, Sequence diagrams, Data flow diagrams, Collaboration diagrams, Class diagrams and document them using MS Visio, other open source tools
• Extensive experience in gathering business requirements, analyzing and preparing project deliverables such as project charter, project plan, business requirement document, functional requirement document, developing Use Cases, creating screen mockups, preparing training manuals and business impact analysis.
• Excellent written and oral communication skills with the ability to communicate appropriately in business and technical situations at all levels.
• Performed Gap analysis, SWOT analysis, Risk analysis, ROI and Cost/Benefit analysis. Coordinated with various technical and managerial teams at all levels
• Excellent knowledge in Healthcare domain like Claims system, Medicare, Medicaid, Managed care, Health Plan
• Expertise experience in change management and managing scope of a project including scope creep and negotiating with the management for any scope creep that needs to be included.
• Experience in determining task dependencies, identifying milestones monitoring critical paths using Gantt charts, resource plans schedule allocations , network diagrams and entity relationship diagrams ERD
• Possess a disciplined, professional and quality centered approach with strong analytical and problem solving skills. Able to work under pressure and in dynamic cross-functional, cross cultural-environment.
• As a functional Business Analyst, oversaw strategic IT development projects through entire lifecycle including initiation, planning, execution and closure. A self-directed leader with rich expertise defining, developing and implementing change through strategic initiatives and process improvement.
• Validated technical designs created by developers against functional specifications.
• Business process re-engineering studied, developed, and implemented new, effective and efficient processes that brought down the overall time and effort for performing a function and also reduced the overall cost of business.

TECHNICAL SKILLS:

PROFESSIONAL EXPERIENCE:

Confidential

Sr. Business Analyst

Responsibilities:

• Facilitated Intensive Focus Group Sessions to assist in the implementation of SJHS MEDITECH Standardization Project
• Served as the liaison for ministry business leaders, clinicians and project sponsors, to elicit, evaluate, analyze, validate, develop and document business and/or operational requirements.
• Developed and maintained project artifacts such as Action Items and Issue log
• Worked directly with the VP and Director of the Clinical Information Systems to develop the complex multidisciplinary workflows for Executive level presentations and Gap Analysis
• Developed and documented processes using MS Visio to optimize the system and resources to increase productivity, employee satisfaction as well as patient experience
• Analyzed and validated process flows with the SMEs and maintained Enterprise Process Catalog.
• Assisted Education Team to develop end user education/training materials,
• Involved in discussions with MEDITECH on critical processes such as electronic medical record eMPI , and Third Party Applications such as Allscripts
• Modules involved with: SCH/ARM Scheduling/Authorizations Referral Management , PCS Patient Care System , LIS Laboratory , PHA Pharmacy, ED Emergency Department etc.
• Involved in internal team discussions on implementing multidisciplinary processes such as Authorizations, Medical Necessity, and Transfusion Administration Record etc.
• Used tools such as SBAR and SIPOC, which have Six Sigma origins.

Environment: MEDITECH, MS WORD 2010, MS SHAREPOINT 2010, MS EXCEL 2010, MS VISIO 2010, Rally, SQL Server, QuickBase, Cherwell

Confidential

Sr. Business Analyst

• Completed Project deliverables throughout all main phases of Software Development Life Cycle which included Initiation, Startup, and Outline/Design, Realization, Validation, Deployment and Close-out utilizing RUP methodology.
• Conducted high level meeting with the executive sponsors to discuss the Budget, progress of the project, Milestones Achievements and Work Delegation.
• Generated ad hoc reports using MS Reporting services and Crystal reports.
• Evaluated data gathered from multiple source systems, reconciled differences, decomposed high-level information into details, abstracted up from low-level information to understand, and distinguished optional user requests from what is required.
• Analyzed existing reporting processes to result in proposals for automating manual processes utilizing new systems or enhancement of existing systems.
• Collaborated with various business units to determine and analyze the information needed and functional requirements and documented these requirements in business requirements / functional specification documentation, Use Cases, Misuse Cases, Activity diagrams and other UML diagrams.
• Worked on planning and implementing Department Projects and Strategic initiatives.
• Responsible for effective communication to all business partners and users to ensure that critical strategic decisions are vetted and well thought out prior to implementation.
• Responsible for the critical examination of current business processes, Gap/Fit analysis and for providing recommendations for improvement of the quality of the product, of the process, and the efficiency of its production.
• Maintained knowledge of project management standards and developed project plans as needed Maintained adherence to project schedules and timelines prioritized multiple tasks and projects efficiently.
• Worked extensively on UI design, building prototypes, creating simulated versions of the applications.
• Extensively worked Actimize Platform including Enterprise Risk Management, Brokerage Compliance, AML, Fraud Prevention systems.

Environment: Lotus Notes, COGNOS, MS Word, MS Excel. Business Objects, SQL, Rational Rose, SLAs, MS project, Citrix, MS Access,

Confidential

Sr. Business Analyst

• Played a key role in the planning, testing, and implementing system enhancements and conversions.
• Reviewed business process, and functional requirements.
• Worked on Laboratories data processing for improving database for storing user files.
• Analyzed business needs, created and developed new functionality to meet real time data integration that facilitated decision.
• Experience of managing multiple stakeholders across the organization, and in QA integration of systems.
• Involved in detailing project mission, data process flow diagrams, and timelines.
• Worked with SQL queries for data manipulations.
• Designed and developed Use Cases, Activity Diagrams and Sequence Diagrams.
• Assisted in process modeling conducted and participated in JAD sessions with system users helped with design walkthroughs with stakeholders for base lining architecture.
• Developed strategic partnerships with the business unit to develop a solid knowledge base of the business line, including the business plan, products and processes.
• Research operational procedures and methods and recommended procedures for improvement with an emphasis on automation and efficiency.
• Assisted Test Lead, Testers understanding business process and help them successful completion of Unit Testing, Integration Testing.

Environment: Oracle, MS Visio, SQL, MS Access, MS Excel and MS Word

Confidential

Sr. Business Analyst

• Performed analysis on existing systems, recommended enhancements, and implemented strategies to streamline current processes using UML.
• Heavily used Business process modeling to streamline the existing processes.
• Created the Use Case diagrams, sequence and collaboration Diagrams using Rational Rose based on RUP, UML methods thereby defining the business process model.
• Prepared High Level Logical Data Models and BRDs Business Requirement Documents supporting documents containing the essential business elements, detailed definitions, and descriptions of the relationships between the actors to analyze and document business data requirements. Also prepared detailed functional specification documents.
• Assisted the PM in setting realistic project expectations and in evaluating the impact of changes on the project plans accordingly and conducted project related presentations.
• Involved Gap assessment between current transaction and the HIPAA 5010 mandated requirements.
• Analyzed, recommend and implement corrective action for patient data repositories for conformance with SOX compliance.
• Supervised BAs that prepared Joint Application Development JAD and Joint Application Requirement JAR sessions with committees from various business arenas.
• Analyzed trading partner specifications and created EDI mapping guidelines.
• Create processes to protect PHI Protected Health Information for HIPAA compliance.
• Documented the Traceability Matrix for tracing the Test Cases and requirements related to them.
• Created simple and effective posters, dashboards and summary sheets using PowerPoint, Excel, and Crystal Reports on behalf of the team for presentation at meetings and conferences.

Environment: Informatica, MS Office Suite Word, Excel, Access, PowerPoint , MS SharePoint, MS Visio, EDI, HIPPA, SOX, Rational Requisite Pro, Agile, MS Project, SAS, MS SQL

Confidential

Business Analyst

Roles and Responsibilities:

• Prepared presentation slides in MS Power Point, which was extensively used in different JAD sessions and to track progress. Gathered requirements from Insurance Users and subject matter experts through Joint Requirement Planning and JAD Sessions, mostly through web and teleconferencing
• Involved in defining the whole project life cycle. Facilitated interviews with clients for the purposes of gathering product requirements and understanding client workflow.
• Gathered Requirements by discussing GAP Analysis of the current and future state of the system.
• Follow UML based methods using Microsoft Visio to create Use cases, Activity diagrams, State chart diagrams, Sequence diagrams.
• Authored high level and low level use case model, sequence diagrams, activity diagrams and MS Visio.
• Conducted Business Reviews, User Interviews, weekly/ Monthly meetings with Business Users, SME's
• Identified and documented and reported a variety of software artifacts, its compliance, changes, configuration, and release and implementation status.
• Organized requirements gathering work sessions with application users and translated the results into use cases, activity diagrams, web page mock-ups and recommended the system changes on existing applications
• Managed requirements through Requirements Traceability Matrix
• Conducted User Acceptance Testing with stakeholders and system users to uncover latent defects in the system. The defects were corrected and verified through a new cycle of regression testing and assisted the development of User Manuals for customers.

Environment: Windows XP/2000,J2EE,EJB,ApacheTOMCAT,JSP,MS VSS, PL/SQL, Visual Basic, HTML, XML, Oracle, Requisite Pro 2002, Rational Rose.

Confidential

Business Analyst

• Researched/Analyzed the various steps in the claims processing lifecycle and then wrote the Business Requirement Document and Functional Requirement Document in such a way that the developers could construct the system.
• Management of patient profile transfer PPT reports created by data team by verifying the associated data.
• Conducted workflow, Process diagram and GAP analyses to derive requirements for existing systems enhancements.
• Prepared test plan and test cases using Test Manager based on the function specifications.
• Created Traceability matrix between Requirements and Test Cases.
• Elicited and documented business requirements, perform data and transaction mapping, completed a GAP analysis and documented the impact of the migration from HIPAA 4010 to HIPAA 5010 on current business processes and applications.
• Designed functional specifications for HIPAA 5010 transactions 837 Dental, Professional, Institutional , 835 Remittance , and 834 Enrollment and Benefit Maintenance .
• Worked with SQL queries for data manipulation and reports generation and assisted data analyst in data mart design and prototyping.
• Designed and validated the source target mappings and performed data mapping, and data modeling.
• Used SQL queries to filter data within the database tables, and to pull data from various databases.
• Involved in creating and maintaining Use Cases and modeled Use Case Diagrams, Activity Diagrams, and Data Flow Diagrams using MS Visio.
• Tracked the adaptive RUP structure for the whole Project life cycle PLC .
• Involved with the QA team to conceptualize, establish and develop test approaches and schemes for unit testing, integration and functional testing, load and usability testing according to the requirements.

Environment: Java, J2EE technology, Windows 2000 Advanced Server, Liberty, UNIX / Oracle Platform, MS Visio, RUP, UAT, Rational Rose 2002, Rational Clear Quest, Rational Clear Case, Rational requisite pro, rational test manager.

Confidential

Business Analyst

• Developing strategic partnerships with the business unit to develop a solid knowledge base of the business line, including the business plan, products, processes and revenue streams.
• Employed Rational Unified Process RUP framework for efficient execution of the project
• Analyzed and collected business requirements, identified system interfaces and created the BRD by user interviews identifying ambiguous, incomplete and incorrect requirements.
• Prepared vision document for defining the scope of the project and the various functional and non- functional requirements involved in it.
• Collected and documented business processes as well as business rules.
• Created the communication matrix and participated in the risk analysis meeting with senior management including business directors, vice presidents across various teams.
• Discuss limitations, risk, dependencies and assumptions pertaining to the scope of the forecasting application.
• Prepared and documented Use-Cases using UML based on requirements gathered from stakeholders.
• Used questionnaires, surveys and brainstorming sessions as requirement elicitation techniques.
• Framed a detailed agenda for JAD and facilitated JAD sessions between the various teams involved in the development of the application.
• Effectively coordinated with the QA team to ensure their effective involvement at the appropriate stages of the project Ensured that bugs are tracked effectively, reported in a timely manner and resolved effectively.
• Managed a great deal of risk associated with the project delivery and took appropriate steps to document and highlight the various levels of risk involved and steps to mitigate the risk. Prepared the risk assessment matrix for this purpose.

Environment: MS Visio, MS Project, UML, RUP, Bugzilla, Windows XP, HTML, XML, SQL