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Sr. Business Analyst Resume

SUMMARY:

  • Business Analyst wif 8+ years’ experience in HealthCare and Information Technology domains wif extensive experience in all phases of teh Software Development Life Cycle (SDLC)
  • In - depth knowledge, understanding and work experience of Software development methodologies like Agile Scrum, Scrum-Waterfall Hybrid & Waterfall
  • Collaborated wif multi-disciplinary teams to improve product quality by emphasizing defect prevention, data quality audits, and strong user acceptance testing
  • Created and Updated teh Data Dictionary Mapping from Database to User Interface(UI) for teh Internal Portal Team
  • Has experience in healthcare industry in working wif various modules which include claims processing using EDI X12 transactions like 837, 834, 835, 270/271, and 276 which fall under teh HIPAA compliance.
  • Executed SQL queries, to retrieve data from different databases, for data validation & analysis, researching underlying data errors, and generating reports.
  • Experienced in identifying riskand financial analysis such as cost, benefit, ROI
  • Worked as a Scrum Master. Responsible for Facilitating Scrum Ceremonies - Sprint Planning, Daily Scrum, Sprint-Review, Sprint- Retrospective and Backlog Refinement Meetings.
  • Project Management skills including planning, scheduling, monitoring and budgeting wif proficiency in MS Project for planning & reporting and assisted Project Managers in teh development of weekly and monthly status reports.

WORK EXPERIENCE:

Sr. Business Analyst

Confidential, Grand Rapids, MI

Responsibilities:

  • Conducted detailed and comprehensive Business Analysis by working wif end users and other stake holders to identify teh system, operational requirements, and proposed enhancements.
  • Meet up wif different agencies such as Department of Health, Department of homeland security, etc. to gather their current process and their requirements wif respect to Grants Gateway.
  • Involved in updating an existing quoting and enrolling program based on teh business requirements and integrated eligibility check application so application can check before offering plans like Medicare
  • Coordinated wif IS and R&D Accounting groups to visualize projects through their lifecycle.
  • Monitored and supervised submission of monthly Medicaid encounters to MDCH for timely processing per State compliance.
  • Involved heavily in project resource estimationwould need to be allocated to assist projectcosts and issues tracking.
  • Successfully performed flexible project management, project task organization, budget and deadline management wif internal project team and external client teams
  • Identified all necessary Business and system Use Cases from requirements, created UML diagrams including Use Case Diagrams, Activity Diagrams, process flow diagrams, schema diagrams, Sequence diagrams using Microsoft Visio.
  • Researched and gatheird detailed requirements and translated it into proposed systems system enhancements.

Environment: MS Office (MS Word, MS Excel, MS PowerPoint, MS Visio), SharePoint, SQL, SWOT analysis, GAP Analysis, PeopleSoft, JIRA, Clarity

Sr. Business Analyst

Confidential - Pittsburg, PA

Responsibilities:

  • Responsible for day to day monitoring of requirements wif teh Business, technical and management teams of both teh client and internal teams.
  • Understanding teh Provider contracting and pricing system on healthcare grounds.
  • Using teh available data and information sources was responsible to document strategic planning & development analysis.
  • Understanding of payer business process of claims (837), (834), adjudication (270/271/835).
  • Consulted wif Claims & Benefits Management Team, and develop project plan, time frames, communication plans, milestones and deliverables.
  • Experience in writing test plans, test cases, generate test scripts and maintain reports for defect tracking
  • Working closely wif teh team onsite/ offshore and other departments that are involved in teh project.

Environment: SharePoint, Clear Quest, MS Office Suite (Word, Excel, PowerPoint), Giffy, Rally, MS Project

Business Analyst

Confidential, Philadelphia, PA

Responsibilities:

  • Extensively interacted and gatheird requirements by conducting meetings wif key stakeholders, IT departments, end-users and SMEs ensuring CMS compliance and HIPAA Regulations.
  • Extensive knowledge of EDI transactions 834 (Benefit Enrollment), 820 (Premium Payment) and HIPAAcompliance. Gatheird inputs from Subject Matter Experts (SME) and proposed changes.
  • Provided assistance in building EDI's 835, 837 and 834 transactions.
  • Configured FACETS to adhere to customers work flow for claims processing, claims automation and group administration
  • Locate teh 837 transactions and reports in teh file that are in error and validate teh data in teh transactions. Dealt wif teh 837 and 835 ANSI X12 transaction understanding loops segments, elements and structure
  • Assisted Product Owner on working wif USER stories to create Product Backlog.
  • Extensive experience in facilitating Scrum Ceremonies like Daily Scrum/Stand Up meeting, Sprint Planning, Review, Retrospective and Backlog grooming meeting.
  • Used Rally tool to capture all teh Business, Technical User stories and user stories.
  • Managed relationships wif senior business stakeholders to ensure teh TEMPeffective capturing of business requirements and commitment to project/program objectives
  • Worked heavily on SQL Server database to extract data and build Business reports

Environment: Agile-Scrum, MS Office Suite (Word, Excel, PowerPoint), SharePoint, IBM Cognos, clear quest, SQL, Rally, Team Foundation Server

Confidential, New York, NY

Business Analyst/Project coordinator

Responsibilities:

  • Developed good knowledge of Asset Allocation, Commodities, Bond Pricing, Corporate Bonds, Fixed Income, Credit Risk, Market Risk, Standard & Poor’s 500 (S&P 500) Index, Share Buyback, Payout Ratio
  • Gatheird Business Requirements, through constant interaction wif teh Product owner, SME’s, Designer and Developers to get a better understanding of teh business processes
  • Experience capturing all aspects of Wealth Management through use cases & process flow diagrams using MS Visio and UML modeling diagrams using MS VISIO.
  • Conducted stand-up meetings and created burn down charts and calculated teh Velocity
  • Identified and created User Stories and Use Cases from requirement
  • Coordinated and prioritized outstanding defects and system requests and prepared Requirement Traceability Matrixes (RTM) to track such requirements
  • Actively involved in teh creation of Test Plan, Test cases and involved in User Acceptance Testing (UAT)

Business Analyst/Data Analyst

Confidential

Responsibilities:

  • Wrote production validation test cases for teh new software team and performed functional, regression, deployment, and integration testing.
  • Reviewing of incoming data for processing and publication. Check for integrity and completeness.
  • Collaborated wif product managers and a development team to identify and resolve issues, coordinate system requirements, and create project timelines
  • Monitor testing procedures to ensure that all tests are performed according to established item specifications, standard test methods, or protocols.
  • Experience in writing test plans, test cases, generate test scripts and maintain reports for defect tracking
  • Perform initial debugging procedures by reviewing configuration files, logs, or code pieces to determine breakdown source.
  • Worked wif Enterprise Content Management and Data models and Meta data definitions for content management.
Environment: PUSHPIN, SESAME, MS Office Suite (Word, Excel, PowerPoint), SQL,IBM Requisite Pro, IBM Rational Rose

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