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Sr. Business/systems Analyst Resume



  • 8+ years of experience as a Business Analyst/Business System Analyst in industry domains including Healthcare, Property & Casualty Insurance, e - Commerce, and GIS. Experience wif re-engineering and implementation projects. Extensively involved in Data Governance process.
  • Highly proficient in working wif users and stakeholders to elicit, analyze, communicate and validate requirements using Joint Application Development (JAD), Rapid Application Development (RAD), and Brainstorming sessions, Identify Functional, Non-Functional, and Business Rules, and then subsequently model them.
  • Skilled in business process analysis (use case, user experience design, storyboards, wireframes, user profiles and user stories) and mapping (gap analysis) techniques, conducting Joint Application Development Sessions, SWOT analysis, Cost Benefit analysis and ROI analysis.
  • Worked in various technologies such as XPATH, CSS, XML, and HTML.
  • Key contributor to projects by leading teh analysis, design, and implementation of solutions.
  • Proven experience wif end-to-end business process mapping, business and technical requirements analysis, business planning, modeling, verification and methodology and product development.
  • Clear understanding and innovative in designing teh Burndown Charts.
  • Experienced wif Medicare, Medicaid, Duals, Marketplace, Healthcare Benefits Administration and Care Reforms.
  • Experienced wif High-level noledge of both ICD 9 & ICD 10; Initiation, Planning, Execution, Control and Project Closure; Ability to plan and implement information technology strategies and build teams for large-scale technology implementations.
  • Hands on experience wif EHR and HIE system noledge.
  • Experienced working on EDI file protocols, performed detailed analysis of inbound and outbound interface data feeds and transactions in implementing eligibility, Confirmation, Claims and Remittance Advise systems.
  • Ability to TEMPeffectively communicate across multiple levels (Executives to team members).
  • Extensive hands-on experience in eliciting, defining, documenting, business, functional, non-functional requirements, decomposing high-level information into details and in critically evaluating information gathered from multiple sources.
  • Worked on several RFP projects for various companies. - Managed, researched, wrote and edited multiple product responses for Request for Proposals (RFP), Request for Information (RFI), Request for Quotation (RFQ), Statement of Work (SOW) and Standard Operating Procedures (SOP).
  • Skilled in Analysis and Design wif experience in creating Use Cases, Class Diagrams, Activity Diagrams, Sequence Diagrams, Unified Modeling Language (UML) using MS Visio and Rational Rose.
  • Demonstrated ability to work actively wif different Design Tools to create Use Cases and UML diagrams such as Use case diagrams, Work Flow Diagrams/Process Flow Diagrams; and E-R Diagrams, Swim Lanes, and Data Flow Diagrams.
  • Extensive database experience using Relational Database Management Systems (RDBMS) Oracle, PeopleSoft and MS Access.
  • SQL wif solid understanding of primary, foreign key constraints, strong and weak entities & attributes. SQL tools (SQL Developer, TOAD, etc.) wif a working noledge of relational databases and structure.
  • Proficient in executing Test Plans, providing Test Data, documenting Test Cases and in performing extensive User Acceptance Testing (UAT).
  • Experience wif various Software Development Life Cycle (SDLC) Methodologies such as AGILE (Scrum), Iterative & Incremental Development, RUP Iterative, and Waterfall Model.


Domain: Healthcare, Property & Casualty Insurance, Retail Banking and e-Commerce

Methodologies: Agile, Agile/Scrum, Waterfall

Requirement management tools: Blueprints, Rational Requisite Pro, DOORS

Business Modelling tools: MS Visio, Enterprise Architecture, Balsamiq, Pencil, Rational Rose

Testing Tools: Selenium Web Driver, TestNg

Bug Tracking Tools: HP Quality Center/ ALM, Jira, Clear Quest, BugZilla, Rally

Document Creation/Management: MS Office - Word, Excel, Outlook, PowerPoint, MS Project

CRM: Salesforce, PeopleSoft

BPM tools: Pega

Content management: MS - Share Point

BI/ Reporting tools: Crystal reports, Cognos, Informatica, Business Objects

Database: Oracle, MySQL, SQL

Language: HTML, XML, Java, SQL

Operating System: Windows, Unix


Confidential, NY

Sr. Business/Systems Analyst


  • Extensively worked in Agile frame work throughout all teh phases of Software Development Life Cycle (SDLC)
  • Worked wif teh business to document and develop formulas for teh calculation of premiums and losses statistics in teh marts.
  • Performed requirement gathering using both formal and informal sessions through interviews, NetMeeting, questionnaire, video conferencing, JAD sessions and conference calls.
  • Performed requirement analysis by gathering both functional and nonfunctional requirements based on interactions wif teh Users.
  • Worked on risk reporting requirement for Commercial casualty lines of business, Product Liability, CGL Package and Pollution Legal Liability
  • Helped to create and translate User Stories to define teh functions teh system must provide, and to facilitate requirements management.
  • Assessed and documented teh flaws in teh existing AS-IS system and made clear recommendations of Business Process Automation and incorporated them in teh future TO-BE system design to perform Gap Analysis.
  • Made Screen Mockup, Wireframes and screenshots for teh application to easily communicate it to teh users, developers, and testers.
  • Created UI Design Diagrams and consulted users as well as developers using Just in Minds prototype.
  • Developed various UML Diagrams such as Timing diagrams, business flow diagrams, Activity diagrams and Sequence diagrams using MS Visio so dat developers and other stakeholders can understand teh business process.
  • Used MS Project and assisted project manager in making Project Plan wif necessary modifications.
  • Conducted stand-up meetings to provide a status update to teh team members.
  • Actively participated in, group and individual based, problem solving and decision making throughout teh different phases of Agile. Authored progress and completion reports, which were then submitted to project management on a weekly basis.
  • Wrote SQL statements to extract data from teh tables to validate data flow
  • Gained expertise on Change Management by performing Impact Analysis for Change Requests obtained during Scope creep.
  • Used Quality Center for automated testing. Coordinated wif teh test team to check teh weekly status and report teh same to teh project manager.
  • Worked closely wif teh QA team in defining defects and planning necessary test cases for resolving teh defects wifin teh given time box.
  • Conducted User Acceptance Testing (UAT) to ensure all teh business requirements has been fulfilled by teh application.
  • Worked wif teh Production support team for issues reported by teh user group in teh production environment.
  • Conduct a smoke testing after each build and Post Production Validation after each release.
  • Prepared user manuals and conducted training sessions.

Environment: Power Designer, MS Office (Word, Excel, PowerPoint), Quality Center, Windows 08/10, Java, Oracle 10g, Informatica, Cognos, PeopleSoft.

Confidential - Naperville-IL

Sr. Business/Systems Analyst


  • Worked extensively on HCSC system, which is a Blue Cross Blue Shield medical management system (Similar to HEDIS Management System).
  • Data analysis to support UB92, HCFA, NCPDP 5.1 to D.0 conversion.
  • Trends break analysis and History data conversion to new layout.
  • Data Analysis related to ICD9 to ICD10 qualifiers.
  • Maintain ongoing communication wif state agencies to determine state-specific requirements for health information exchange (HIE) and Medicaid EHR Financial Incentive programs.
  • Reviewed existing system manuals, design documents and user guides and created As-Is Business Process flows.
  • Facilitated JAD sessions to confirm understanding of teh As-Is Business Process.
  • Interviewed business users, SMEs, end users and gathered requirements for To-Be Systems.
  • Defined Project Scope and created Business Requirements Document (BRD).
  • Facilitated Requirements walkthrough wif Business and IT stakeholders and prioritized requirements across releases.
  • Assisted teh Project Manager in building teh product release roadmap.
  • Created Detailed Functional Specifications based on teh high level requirements.
  • Traced Business Requirements (BRD) to Functional Requirements using Requirements Traceability Matrix.
  • Coordinates teh preparation of teh annual medical record review project which includes MOCK refinement, test run and analysis.
  • Collaborates wif other staff in Missed Services Report production.
  • Assists in teh Medical Record collection process including making phone calls to providers if assigned by manager.
  • Assists in teh preparation of teh annual HCSC Compliance audits.
  • Works wif teh corporate HCSC team (similar to healthcare systems like HEDIS) to monitor accuracy of data and methodologies when assigned.
  • Participates in scheduled meetings wif teh corporate HCSC team and vendors, HCSC auditors.
  • Coordinated wif teh offshore development teams and acted as a primary point of contact for Requirements/Business Rule clarification.
  • Assisted Quality Assurance Testers in preparing System Test Cases and clarified Requirements.
  • Prepared User Acceptance Test Cases and ensured dat all Business and Functional Requirements are adequately covered by teh UAT Cases.
  • Perform detailed analysis of inbound and outbound interface data feeds
  • Performed Business Requirements, Functional Specifications, and UAT walkthroughs wif teh team members and incorporated modifications and obtained Sign-off.
  • Produced clear user manuals & training guides for User Acceptance Testing (UAT) and deployment wif step-by-step instructions and created appropriate GUI screenshots.
  • Interacted wif teh Data Modelers and Data Warehouse teams to understand teh designing of teh new data warehouse.
  • Used SQL to query teh existing data warehouse. Required data was exported to an excel sheet which was then provided t+o teh Business Intelligence team for their analysis purposes.
  • Created Data mapping documents to support migration of data from Legacy to New systems in cross-platform environment.

Environment: EDI, Java, MS Visio, MS SharePoint Services, MS SQL Server, JIRA, MS Project 2000, MS Office, Oracle 10g, Windows 2000.

Confidential - Dublin, OH

Sr. Business/Systems Analyst


  • Conducted meetings wif business process owners, SME (subject matter experts) and Trading Partners for requirement gathering during teh Definition Stage.
  • Analyzed data/workflows, defined teh scope, and performed GAP analysis.
  • Analyzed teh data movement between systems, validated teh business requirements.
  • Worked on data mapping to bring data from one system and reside in another system.
  • Created use cases and maintained traceability matrix.
  • Worked on claims processing, payment adjustments, claims inquiry, benefits.
  • Conducted JAD Sessions to understand teh detailed requirements.
  • Actively participated in status report meetings and interacted wif developers to discuss teh technical issues.
  • Conducted walkthroughs and defect meetings sporadically to assess teh status of teh testing process.
  • Created Process Models for (a) initial enrollment, first billing and payment and (b) post enrollment - subsequent recurring billing and payment.
  • Created Swim Lane Diagrams and business spreadsheets for various business processes.
  • Followed Workgroup for Electronic Data Interchange standards for testing
  • Conducted UAT (user acceptance testing).

Environment: EDI, Java, MS Visio, MS SharePoint Services, MS SQL Server, JIRA, MS Project 2007, MS Office, Oracle 10g, Windows 2007.


E-commerce Business/Systems Analyst


  • User Requirements gathering by interacting wif stakeholders and other management personnel to get a better understanding of teh Business Process.
  • Worked wif Subject Matter Experts by asking detailed questions in teh form of questioners and carefully record teh requirements in a format dat can be reviewed and understood by both business and technical people
  • Conducted walkthroughs and inspection meetings wif teh stakeholders and other management teams in teh finalization of teh User Requirement Documentation
  • Prepared Business Requirement Documentation based on URS, and converted teh Business Requirement Documentation to Functional Requirement Specification
  • Wrote Use Case Specifications after identifying teh Business requirement
  • Conducted Joint Application Development sessions to gain consensus on various issues related to teh project. Acted as a facilitator and also as a scribe on different occasions
  • Involved wif teh management, Development and teh QA Team members in teh Project Planning Phase
  • Proposed and formulated use of an internal recommendations engine to power personalized content and targeted audience.
  • Launched A/B testing platform & processes.
  • Involved in teh gift registry initiative and roll out for POS.
  • Worked closely wif Quality Assurance and Development teams to clarify and understand teh functionality, to resolve issues and provide feedback in terms of teh test matrices and to nail down teh bugs
  • Managed all teh requirements in JIRA, making requirements available to all teams
  • Involved in teh formulation of Test Plan dat contained test scenarios for teh all phases of Quality Testing including functional, navigation, security, recovery and performance testing
  • Coordinated and prioritized outstanding defects and enhancement/system requests based on business requirements, allowing sufficient time frame to ensure accuracy and consider deadlines
  • Monitor client expectations through client involvement and communication throughout teh lifecycle of teh project, educate clients and stakeholders on teh benefits and risks associated wif teh project
  • Lead and provide strong direction to development team in understanding and implementing requirements
  • Involved during teh User-Acceptance Testing of teh application and interacted wif end-users, management and development team in order analyze teh risk involved in teh updating of teh existing system

Environment: JIRA, Confluence, Visio, Lucid Chart, MS Word, Excel, PPT, QC


Project Coordinator


  • Preparing, interpreting, inspecting and revising drawings, plans, diagrams, maps and charts using ‘Sketch Up’, which is Confidential ’s own tool.
  • This Sketch Up is a designing tool which can model Confidential Earth to visualize them wifin their larger landscape context. It is very easy to go back and forth for designing of Confidential Earth using Sketch Up which keeps a track of teh development of your site & further development of navigation, maintaining and database-related applications on Confidential Maps and Confidential Earth.
  • Providing design support at all design stages.
  • Checking drawings for accuracy and errors.
  • Worked on statistical analysis and GIS analysis for entire Confidential Earth.
  • Followed both Agile methodology.
  • Developed business requirements document (BRD), User stories and functional requirements
  • Conducted feasibility study and performed GAP analysis for teh proposed enhancements
  • Performed complex design computations, field, and quality tests and recording teh results.
  • Planning, scheduling, coordinating and monitoring mapping. Oversee usability testing and quality control.
  • Reporting map issues is to resolve maintenance request, submitted by users on Confidential Maps. These RMI’s (Report Map Issues) are reported on Confidential Maps.
  • Writing test cases on a regular basis during a change or writing teh entire test case from beginning when a tool is added
  • Key role in Test Execution & Defect Reporting
  • Liaise wif team members (Development Team, Technical Support, & Business Support) in order to resolve teh issues
  • Involved in Test reporting on daily, weekly basis through company prescribed format.

Environment: Sketch Up, Windows XP, SQL Server, MS Visio, MS Project Plan, MS Office Suite, MS Word, Excel, PPT, QC.


Quality Assurance Analyst


  • Compile bug reports and requests for new feature updates dat could increase productivity.
  • Prepare weekly and monthly reports summarizing teh performance statistics of teh team. Responsible for maintaining teh productivity and efficiency scores of teh entire team
  • Prepared newsletter reports for completion of work before teh deadline.
  • Conducted feasibility study and performed GAP analysis for teh proposed enhancements
  • Created UML Models such as Activity Diagrams and Flow Diagrams using MS Visio
  • Preparing presentations based on business requirements.
  • Accountable for formulation & execution of Test Cases
  • Perform Regression testing, Re-testing, Exploration testing
  • Involved in teh preparation of Negative test cases
  • Generated Test Reports
  • Liaised wif developers to resolve teh defects
  • Involved in developing and executing system and UAT test plans; developed and maintained teh test scripts wif teh necessary screenshots for reporting purposes.
  • Reporting Bugs on Buganizer overseen teh validation cycle

Environment: Sketch Up, Windows XP, SQL Server, MS Visio, MS Project Plan, MS Office Suite, MS Word, Excel, PPT, QC.

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