Sr. Business Systems Analyst Resume Profile
Skills
Please use this table to list the skills noted in the Required/Desired section of the Peoplefluent requirement. In addition, please respond with the years of experience for each skill and the last time each skill was used. Add or delete rows as necessary.
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Employment History
Confidential
Sr. Business Systems Analyst
Responsibilities:
- Serve as an active member of PDP team, interacting with developers, business users and subject matter experts SME to analyze and configure Web-Portal functionality based on business requirement.
- Gather and analyze requirements for Member eligibility Group and Individual , Coordination of Benefit COB , Billing and Payment.
- Create and Analysis of Data Transaction Reply Report DTRR , Schedule meetings with Business team and Developers on project status. Try to make sure that all three releases A, B and C follows deadline.
- Conduct JAD sessions with Business Team and Developers to discuss the Code implementation and configuration of Web Portals.
- Perform Regression testing on both internets PBF and Intranet PBM Web-portals to check compatibility between two code releases.
- Create and Maintain Requirements, Test Cases and Test Plans, Perform Agile development methodology on development process we are going through.
- Coordinate with BSA to analyze User requirements, Current operational procedures, functional specifications and User data processing.
- Run Batch eligibility query BEQ files check Transaction Code TC and Transaction Reply Code TRC to make sure Member enrollment has been completed.
- Hands on experience with using Microsoft SharePoint for documentation, version control and security of the deliverables.
- Perform object-oriented analysis, discuss finding with Developers to make sure both teams are on same page during this development process.
- Attend walk through meetings for Requirements Review, Analysis and Approval of them.
- Conducted user interviews, gathered requirements, analyzed, and documented Business requirements based on the analysis of security/portfolio swapping process.
- Use Mantis Bug tracking tool to report and monitor issues in code, Perform Manual Testing to make sure issues have been fixed.
- Deal with CMS Member Pending Enrollment on daily basis like Low income Part LIP -D, Late enrollment penalty LEP etc.
Environment: MS Office MS Word, MS Excel, MS PowerPoint, TFS, MS Visio LotusNotes, Mantis, Rational Requisite Pro, Sql, Java scripts, JSP
Confidential
Sr. Business Analyst
Roles and Responsibility:
- Worked with client to gather Requirements, Design, Approval of CR Change request and Implementations.
- Organized JAD sessions between Client and Developers so that everyone stay on same page during development process, Intention was to bring accuracy in whole implementation process.
- Worked as Lead BA for Dental Issues on 837 Claim Processing, shared responsibility on other two types of claim processing Professional and Institutional .
- Worked on 834 Premium Payment Transaction Processing, including Header level fields like 1000A Sponsor Name, 1000B Payer, 2000 Member level details and 2300 Health Coverage.
- Worked on 820 Transaction processing, including Header level information fields 1000A Premium Payer Name, 1000B Premium Receiver Name . Individual Remittance.
- Worked on 820 Data Clarification Process includes Organization Summary and Individual Remittance.
- Worked on Enterprise Manager Oracle 11g including Applications Developments, Server Oriented Architecture SOA , Web Logic Domain, Business Activity Monitoring BAM , MetaData Repositories and User Messaging Service.
- Worked on setting up Member and User profiles in ITKO LISA, and testing those member profiles on SOAPUI/Web Services testing tools.
- SOA- its Main Server where all the logics reside, Claim comes in and passes through various Business Rule logics and finally it goes out of the door to get accepted, if claim doesn't appear to be the right one it gets rejected while passing through the Business Rule.
- Knowledge on PCI standards.
- Analyzed the security implementation of the application with respect to user's perspective.
- BAM Business Activity Monitoring - claim goes to the BAM and notify the action needed in order to process coming claim processing requests, and also it will have count recorded on DashBoard for every single claim processed.
- MetaData Repositories is the place where all the claims reside after processing, Actually we call it DMS repository and can pull out any level of information by running some SQL queries
- User Messaging Services is the other area where SOA and BAM servers are passing messages to each other, if claim is on hold and didn't process through SOA server a message will be send to BAM saying this claim is on hold.
- Hands on experience on HP Quality Center 10.0, including Defects Management, Requirements, Test Plan and Dashboard.
- Worked on Defect management, including Opening New Defect, Defect Assignment, Setting up priority, Current status, Description, setting up different environments DEV, SYT, SIT, PROD and PVS and many more activity related to Defects
- Talked to the Client based on Requirements of that particular defect, uploading required documents, checking history, status notes, setting up resources to analyze and fix it.
- Worked on CaliberRM, tool to handle various requirements like Functional, Non-functional, High-level, Scope statement and Use Case. Also Added new requirements to the CaliberRM, Updated existing ones, removed them if not needed.
- Performed task like checking existing version, Owner of the requirements, updating each and every Tab Name, Responsibility, Traceability, Validation, History, Details, Manage Attributes, Notes if required.
- Worked on UAT and various phases of Performance Testing PVS and PROD Env , Task includes Watching server activity, Generating Reports, Monitoring BAM dashboard, Checking Enterprise Manager for flow of claims and Verifying messages. Ran SQL Queries to see if total number of Claims came in are equal to total number of Claims went out.
- Worked on SharePoint 2010, supporting New features like Support for Analytical Services formatting, Business Intelligence Center, Enhanced navigation, including filtering and sorting top/bottom 10, switchable measures
Environment: HP Quality Center 10.0, Caliber RM, SAP, MS Office, TFS, Windows 2000, Windows Vista, MS Visio, HP SharePoint, MS Project, MS Visio, SQL, SOA Infra, XML, SOAPUI and WSDL.
Confidential
Business Analyst
Roles and Responsibilities:
- Gathered requirements from stakeholders for provider management and member management.
- Identified and validated business rules and data elements.
- Developed the stakeholder list and created stakeholder assessment matrix to prioritize them.
- Developed and Maintained Requirements work plan and assessed the performance metrics of the team members.
- Worked on Property and causality insurance, maintaining database, handling client and stakeholders at the same time
- Worked on Personal Injury Protection PIP , Analyzing Individuals Policies and Updating Web portal for their personal information and Data.
- Integrated Facets with SOA Service Oriented Architecture server to process P C claims, Used OSB Oracle service bus to connect different modules Claim intake and claim status check and communicate as needed.
- Worked on Document management, used Workflows to route documents from person to person so they can complete their document management tasks, such as Reviewing documents, approving their publication and managing their disposition.
- Worked as a Lead BA with HCA Dedicated Team for Property and causality Insurance, Created Documents like Business Requirement Document BRD and Estimate for Development Team.
- Modeled the 'as-is' process flow and the 'to-be' process flow and analyzed the gap and developed the action steps to fill the gaps.
- Conducted Risk analysis and developed mitigation plans.
- Knowledge on PCI standards.
- Conducted Impact analysis when there is any change in the requirements and updated the Business Requirements Document BRD and Systems Requirements Specification SRS .
- Facilitated meetings with the technical team and client team to analyze the current process and gather requirements for the proposed process.
- Proposed strategies to implement HIPAA 5010 in the new MMIS system and worked on planning and documentation
- Developed the User Interface UI prototypes to capture and validate requirements and spike solutions to the current problem.
- Designing Functional Specifications for the target physical database.
- Facilitated JAD sessions for Requirement Validation with Client Dept. of Health Human Services DHHS
- Worked on Electronic Data Interchange EDI , and Implementation and knowledge of HIPAA code sets, ICD-9, ICD-10 Migration, Mapping, Verification of ICD coding and HL7.
- Developed UAT test cases associated with the functional requirements.
- UAT involved SOA Server testing on three stages Unit, Integration, and System testing
- Worked on setting up Users profiles in ITKO LISA, testing that member profile on SOA/SOAPUI/Web Services testing tools.
- Maintained a Bi-weekly Status Report for the requirements team and incorporated the same to the PMO status reports send to CMS.
- Analyzed different data cross-walks, complicated logic look ups required by different fields for the source to target transformations.
- Analyzed EDI X12 data elements captured by the existing system to validate it against the data elements required for new system.
- Broke down the services from the HCA MMIS Logical Design into multiple layers of normalized functionality that correspond to utility services, general business services and Medicaid specific services.
- Participated in developing test plan, test scripts, and test scenarios and designed user documentation
- Worked with legacy team in developing BRD for multiple system change requests and participated in System Testing.
- Worked on SharePoint 2007, Browser based customizations, Business connectivity Services, Human Work Flows and Access are some composites I have been working on.
- Uploading and providing easy access to the client, Migration of content are other area where I did some work.
Environment: MS Office, Windows 2000, .NET, MS Visio, MS SharePoint, TFS, MS Project, MS Visio, SQL, Oracle, SOA, HTML, FMS/3.
Confidential
Business Analyst
Roles and Responsibilities:
- Interacted with stakeholders and gathered requirements as per the business needs.
- Implemented RUP methodology for iterative and incremental development of the system.
- Involved in the planning of the RUP iterations and documenting of the artifacts throughout the various phases of the development process.
- Conducted user interviews, gathered requirements, analyzed, and documented Business requirements based on the analysis of security/portfolio swapping process.
- Conducted GAP analysis by understanding the AS-IS system and the TO-BE system requirements by having discussions with the SME's.
- Worked on Healthcare domain including Electronic Data Interchange EDI , and Implementation and knowledge of HIPAA code sets, ICD-9, ICD-10 coding and HL7.
- Worked on BPM business process management which integrate SOA server within its functionality, coordinated functional improvement and testing to make sure that we deliver system within deadline.
- Maintained Quality Center 10.0 and CaliberRM for quality management issues in SOA Server where we handled Defects and requirements management to for better quality of system.
- Compiled the Vision Document and composed detailed Use Case Specification Documents in RationalRequisitePro.
- Knowledge on PCI standards.
- 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 for various modules of the project.
- Created ProcessFlow Charts, Business Requirements Documents, Functional Specification Documents.
- Worked on Required Traceability Matrix RTM in Rational Requisite Pro for traceability of requirements through test cases.
- Hands on experience with using Microsoft SharePoint for documentation, version control and security of the deliverables.
- Involved in managing the Daily Standup meetings and also ensured that quality standards were enforced as per the build-release schedule.
- Developed Test Plan and Test cases based on the Use cases and Functional specifications and also performed User Acceptance Testing UAT of the functionality of the application by inserting varying data on different test runs.
- Developed Flowchart and process diagram using Microsoft Visio.
- I was in regular contact with Business partners on the status of issues, action plans and timeframe for resolution throughout the development cycle.
- Contributed in reviewing and editing of the test scripts.
- Worked on SAP Data Migration Involve series of preparation steps, some of these preparation steps may have a significant lead time or system reboot to take effect.
- These steps involve Obtaining a Data Migration Login, Technical Configuration, Configuration for IDOC Processing, Basic Setup Data, General User Lockout and Connection to the external servers.
Environment: Windows, MS Office MS Word, MS Excel, TFS, MS PowerPoint, MS Visio , MS Access, MS Project, RationalRose, Community Manager, BPML, SQL, ClearCase, Agile, Informatica 7/8, Load runner