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Business System Analyst Resume

Nyc, NY

SUMMARY

  • 7 years of cross - functional experience in complete lifecycle of leading-edge technologies in Software Development Life Cycle (SDLC); including gathering user requirements, business analysis, system analysis, design, development, testing, change control and implementation of projects in business systems and applications.
  • Highly skilled Business Analyst with strong domain knowledge in Mortgage, Financial, Healthcare and Insurance industries.
  • Strong subject matter expertise in Credit Card Industry, Mortgage Loan Organization, Loan Servicing, Defined-contribution Plans, Retail/Investment Banking and Risk Analysis. Good understanding of Cash management, Capital market, Straight Through Processing (STP) and Credit risk fundamentals with hands on experience.
  • Having expertise in ICD-9 CM to ICD-10 CM/PCS Conversion, legacy 4010 claim processing systems, EDI Transactions (4010 and 5010) and ANSI X12 5010 and ANSI X12 4010 including the standards for medical transactions like 837 (medical claims), 835 (medical claim payments), 270 (eligibility inquiry), 271 (eligibility response), 276 (claim status), 277 (claim status response), 820 (enrollment), and 834 (premium payments).
  • Extensive knowledge of Medical Management Information Systems (MMIS), National Provider Identification (NPI), Health Insurance Portability & Accountability Act (HIPAA) standards, Electronic Data Interchange (EDI), Health Level -7 (HL7), HIX (Health Information Exchange), EMR/EHR, Health Care Reform and Patient Protection and Affordable Care Act (PPACA).
  • Excellent knowledge of Medicare (Part A, B, C and D) and Medicaid Health Insurance Policies, Personal Injury Protection (PIP) insurance, billing experience with life and disability in health plans with thorough understanding of CPT coding, HCFA-1500 and CMS-1500 claim forms and reimbursement forms.
  • Experience with full Software Development Life Cycle (SDLC) including Feasibility Study/Gathering Requirements, Analysis, Design, Development, Testing, User Acceptance Testing (UAT), Implementation and Post-Implementation Validation.
  • Extensive knowledge of Object Oriented Analysis and Design (OOAD) using Unified Modeling Language (UML), Rational Unified Process (RUP), Waterfall, Capability Maturity Model Integration (CMMI) and Six Sigma (DMAIC). Hands on experience using various methodologies such as Agile, Rapid Application Development (RAD), Joint Application Design (JAD) and Prototyping.
  • Extensive experience in producing documents like Business Requirements Documents (BRD), Functional Requirement Specifications (FRS), Software Requirement Specifications (SRS), Request for Proposals (RFP), Requirements Traceability Matrix (RTM).
  • Experience in developing and imparting pre and post implementation training, conducting GAP Analysis, JAD sessions, User Acceptance Testing (UAT), SWOT Analysis, Cost Benefit Analysis and Return on Investment (ROI) analysis.
  • Knowledge of Equity Derivatives - Option Pricing Models, Futures, Forwards, Exotics, Swaps, Economics, Corporate Finance, Applied Mathematics and Capital Markets.
  • Knowledge in Business Intelligence, Business Architecture and Data Warehousing including Data Analysis, Data Modeling and Data Mapping.
  • Extensive experience on Excel, Word, PowerPoint, MS Project, MS Visio, Rational Suite and SQL.
  • Experience with Property and Casual Insurance and Business Process Management System (BPM).
  • Efficient in handling Change Requests by the client and adhering to Service level Agreements (SLA).
  • Experience in White Box, Black Box, Unit, Functional, Integration, Regression, Back End and System Level Load and Stress Testing for many type of applications including web and client server applications.
  • Working knowledge and experience with SQL/PL, SQL, HTML, and MS Access.

TECHNICAL SKILLS

Microsoft Tools: MS-Project, MSOffice, MS Visio, MS (Excel, Word, PowerPoint) and MS SharePoint.

RDBMS/DBMS: SQL, My SQL, Oracle and Access.

Rational tools: Rational Clear Quest, Rational Rose, Rational Clear Case, Rational Doors and Requisite Pro.

Known Scripts/Languages: HTML, JavaScript, C, C++, Java, VB and .Net.

Application/Web servers/OS: Apache, Web Logic and Windows XP.

QA Tools: Quick Test Professional (QTP) and HP Quality Center (ALM 11.5).

Case Tools: Rational Requisite Pro, Rational Rose, Clear Quest, Quality Center, Rational Doors and Clear Case.

Business Skills: Business Definition Requirements, Business Process Analysis & Research, Use Case Modeling, JAD/RAD Sessions, Requirements Gathering, Gap Analysis and Impact analysis.

Methodologies: SDLC (Waterfall), RUP, UML, CMM, Six Sigma and Agile.

Data Modeling Tools: Erwin, Rapid Miner and Informatica.

PROFESSIONAL EXPERIENCE

Confidential, NYC, NY

Business System Analyst

Responsibilities:

  • Interacted with project team to define system objectives and scope and to identify constraints and the measures of success for the system to be developed.
  • Conducted user interviews and JAD sessions to get an understanding of client’s business process.
  • Gathered primary input/output requirements and modeled the processes using Rational Rose.
  • Gathered data requirements for the system by interacting with the users and data administrators.
  • Created Business Requirements Specification Document (BRD).
  • Designed Business Process Model (Activity diagrams, Sequence diagrams and Collaboration diagrams).
  • Ensured application forms and reports followed client’s development standards and guidelines in terms of usage, naming conventions etc.
  • Conducted workshops for internal users (processors, underwriters etc.) to provide training.
  • Assisted in performing data mining of customer databases to analyze key business issues.
  • Provided hands-on project schedule management using MS Project during the various stages of the project.
  • Responsible for creating and maintaining documentation related to the project, including, scope document, vision document, functional specification document, defect status report, risk analysis document, mitigation plans, supplementary requirements specification document and impact analysis document.
  • Managed all the requirements in Requisite Pro to ensure proper communication of requirements available to all team members.
  • Identified, researched, analyzed and documented business processes and uses case scenarios.
  • Analyzed the business requirements and participated in creating Test Plan for GUI and database testing.
  • Responsible for processing change requests from the client by filling Change Request Forms (CRF).

Environment: Rational Requisite Pro, Rational Rose, UML, PL/SQL, Citrix, MS Office, MS Project, Windows 2000, Crystal Reports, Agile, Mainframe, Java, HTML and Oracle.

Confidential, Dallas, TX

Business Analyst

Responsibilities:

  • Worked as a business analyst to build enterprise reporting system to support Risk Analysis, Securities and their valuation, Portfolio Asset Management (PAM) - Tax Savings, Risks and Returns, Bond Pricing, Mortgage Backed Securities (MBS), Mutual Funds, Financial Derivatives, Financial Statements, Cash Management, Financing Structures, Capital Management, Portfolio Analysis, Stock Valuation, Amortization, Capital Structures and Budgeting.
  • Defined project goals, objectives, products, services, constraints, assumptions and risks. Facilitated processes by working with the project team, sponsors and stakeholders to baseline the scope of the work and enable development of the plan.
  • Used MS-Excel to create test data sheets and to do financial calculations. Also created pivot table reports to compare the finance data.
  • I used Primavera suite for tracking project cost, schedules, cost variance analysis, document management to measure progress and to improve project team collaboration.
  • I have used Rational Doors tool to manage the requirements. This tool is very useful in improving the quality by optimizing communication and collaboration and by promoting compliance and verification.
  • Conducted user interviews at both in-house and client locations.
  • Took part in creating Request for Information (RFI) document to get our service provider’s information on how to market our services.
  • Conducted meetings with the team every day to share the knowledge with the team.
  • Involved in improving CMM level with the business processes improvement. Also involved in CMM audit process for our project auditing.
  • Created lots of the User stories from the users’ meetings that helped in the development of use cases through knowledge transfer.
  • Created some of the business cases and analyzed it to give result so that we could implement new functionalities into the system.
  • Identified, researched, investigated, analyzed, defined and documented business processes and Use Case Scenarios.
  • Focused on a family of standards for business rules that ensured a natural fit between the use cases and the technology. Also documented policies, guidelines and corporate culture related business rules.
  • Performed Gap analysis by identifying existing technologies and documenting the enhancements to meet the end state requirements.
  • Lead the project team of business analysts and quality analysts in gathering requirements for BRD, analyzing problems and getting their solution, planning, scheduling and testing during the software development life cycle.
  • Also performed Content management using Live link. Created and managed multiple versions of the documents, involved in review process and worked as an editor to edit the reviewed documents. Also involved in Taxonomy governance process.
  • Involved in Six sigma process by defining the process improvement goals that were consistent with customer demands and enterprise strategy.
  • Assisted with User Acceptance Testing, developing and maintaining quality procedures and ensuring that appropriate documentation is in place.
  • Worked with development and testing teams to accomplish timely release objectives.
  • Provided superior client interaction to ensure all needs were met.
  • Communicated with implementation team during deployment in the Prod region.
  • Ensured on-time and on-budget performance of the assigned efforts to the mutual satisfaction of the business partners/ sponsors.

Environment: J2EE, RDMS, RUP (SDLC), UML, Rational Modeler, SQL, MS-Office, Oracle financials, VBA, MS Project, MS Access, Live link and Quality Center.

Confidential, Cleveland, OH

Sr. Business Analyst

Responsibilities:

  • Gathered requirements from stakeholders for provider management and member management.
  • Identified and validated business rules and data elements.
  • Proposed strategies to implement HIPAA 4010 in the new Medicaid (MMIS) system and eventually move to HIPAA 5010.
  • Gap analysis for HIPAA P and 835 transactions and HIPAA P and 835 transactions
  • Analyzed EDI - X12 data elements captured by the existing system to validate it against the data elements required for new system.
  • Worked with legacy team in developing BRD for multiple system change requests and participated in system testing.
  • Used Clear Case for change management and version control.
  • Worked within project team to identify and interpret state Medicaid policies as applicable to customer defined algorithm research as well as assisted with internal development of new healthcare analytics.
  • Conducted Impact analysis whenever there was any change in the requirements and updated the Business Requirements Document (BRD) and Systems Requirements Specification (SRS) accordingly.
  • Facilitated meetings with the technical team and client team to analyze the current process and gather requirements for the proposed process.
  • Created various functional requirement specification documents such as UML diagram, use case diagram, scenarios, activity diagrams and data mapping.
  • Developed the User Interface (UI) prototypes to capture and validate requirements and spike solutions to the current problem.
  • Facilitated JAD sessions for Requirement Validation with Dept. of Confidential to validate requirements for the new MMIS.
  • Participated in developing test plan, test scripts, test scenarios and designed user documentation.
  • Examined the system design deliverables and validated it against the SLA.
  • Developed UAT test cases associated with the functional requirements.

Environment: MS Office, Windows 2000, .NET, Agile, MS Visio, MS SharePoint, Clear Case, MS Project, MS Visio, SQL, Oracle, SOA and HTML.

Confidential, NYC, NY

Sr. Business Analyst

Responsibilities:

  • Interacted with stakeholders and gathered requirements as per the business needs.
  • Implemented RUP methodology for iterative and incremental development of the system.
  • Created Process Flow Charts, Business Requirements Document, Functional Specification Document.
  • Researched and understood the claims adjudication and reimbursement systems based on HIPAA X12 4010 standards.
  • Developed flowchart and process diagrams using Microsoft Visio.
  • Conducted GAP analysis by understanding the AS-IS system and the TO-BE system requirements by having discussions with the SMEs.
  • Gather requirements and estimated efforts for HL7 interfaces.
  • Created and maintained EDI business rules with strict adherence to ANSI ASC X12 and industry standards 837(P, I, D) and 276/277.
  • Defined HL7 interface requirements, conducted gap analysis and developed detailed specifications for ADT (Admit- Discharge-Transfer), Lab orders, results and charges.
  • Created Use Case scenarios and documented work flow and business process using Rational Rose.
  • Compiled the Vision Document and composed detailed Use Case Specification Documents in Rational Requisite Pro.
  • Created High Level Design document for the new process and integrated with legacy and Facets.
  • Prepared Functional Design Specifications (FRS) employing Use case scenarios, sequence diagrams, DFDs and class diagrams.
  • Used UML to perform Use-Case analysis to capture the dynamic aspect of the application.
  • Ensured the accuracy and consistency of the data during the data loading process.
  • Developed State Diagrams, Activity diagrams and Class Diagrams in MS Visio using UML.
  • Assisted the development team in designing the GUI of the application by building wireframes.
  • Worked on Required Traceability Matrix (RTM) in Rational Requisite Pro for traceability of requirements through test cases.
  • Developed Test Plan and Test cases based on the Use cases and Functional specifications and also performed manual testing of the functionality of the application by inserting varying data on different test runs.
  • Contributed in reviewing and editing of the test scripts.
  • Used Clear Quest to track the bugs.
  • Assisted with user testing of systems (UAT) and ensuring that appropriate documentation is in place.

Environment: Windows, MS Office (MS Word, MS Excel, MS PowerPoint, MS Visio), MS Access, MS Project, Rational Rose, SQL, Clear Quest and Balsamiq.

Confidential, Philadelphia, PA

Business Analyst

Responsibilities:

  • Identified system integration requirements and coordinated the collection and verification of business needs.
  • Collected and documented business processes as well as business rules and conducted project related presentations.
  • Assisted in administration, commissions and broker management and financial reporting and analytics for Property and Casualty division. Assisted the PM in setting realistic project expectations and in evaluating the impact of changes on the organization and project plan accordingly.
  • Conducted claim validation and pending/denied claims analysis for the Medicaid health programs.
  • Participated in the identification, understanding and documentation of business requirements including the applications capable of supporting those requirements.
  • Accountable for Medicaid Claims Resolution/Reimbursement for peach state health plan using MMIS.
  • Translated the business needs into system requirements, communicating with the business team on a non-technical level and with the System Analyst on a more technical level.
  • Documented and delivered Functional Specification Document to the project team.
  • Responsible for multiple roles such as requirements gathering and solution development across the full insurance life cycle from CRM (marketing, sales and service) to underwriting and quoting the policy.
  • Gained extensive experience with tools such as Lombardi and MS Visio.
  • Collaborated with development architect and the business team to develop both high-level and detailed application architecture to meet the business needs.
  • Participated in the logical and physical design sessions and developed design documents.
  • Contributed in designing and developing the database for the project.
  • Worked extensively with Oracle and SQL Server.
  • Also helped the business units understand how data warehousing and data mining techniques can help them do their decision making in a more organized and easy manner.
  • Helped the developer team understand the needs of the business environment using the programming terminology.
  • Developed test scenarios and implemented test plan, providing key input in working with users in defining project and system requirements.
  • Conducted User Acceptance Testing (UAT) with the help of Quality Center.

Environment: Windows, MS Office, MS Visio, Lombardi, Oracle, SQL, Quality Center, UML, MS Project and Rational Requisite Pro.

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