SUMMARY

• Experienced Product Owner/Senior Business Analyst with 11+years of demonstrated history of working in the Healthcare, State, Banking and Entertainment domains.
• Experienced professional with experience leading cross functional teams throughout project life cycle.
• Strong knowledge of SDLC methodologies like Agile (Scrum) and Waterfall.
• As a Product Owner, proficient in managing multiple backlogs.
• Proficient in creating Epics and User Stories in JIRA.
• Experienced in creating and managing Product Backlog in Agile environment.
• Experienced in using various tools e.g., JIRA, ALM, REI, Confluence, MS Word, MS Excel etc. for User Stories and Requirements documentation.
• Adequate knowledge in Health Administration - FACETS Claims processing (auto adjudication), Claims pricing and testing, HIPAA, enrollment, and EDI.
• Good knowledge of Welfare Data Systems, their interactions with state and commercial vendors.
• Proficient in gathering business and technical requirements from both formal and informal sessions through interviews, questionnaire, video conferencing, JAD sessions and conference calls.
• Expert in working closely with UI/UX design teams to create wireframe/mockups for front end applications.
• Proficient in creating Business Requirements, System Requirement Specifications (SRS), Functional Requirement specification (FRS), Design Documents to formulate Test Plans, Root cause analysis, GAP analysis, Use Case Analysis, Activity Diagrams, Entity Relationship Diagrams (ERD) & Data Flow Diagram (DFD).
• Extensive experience in User Acceptance Testing (UAT).
• Experience in SharePoint implementation and enhancements.
• Possess excellent communication and interpersonal skills to conduct large meetings (delivering presentations, sharing agenda, and taking minutes).
• Worked closely with various vendors providing DME (Durable Medical Equipment), Pharma, Physician and Other professional services.
• Demonstrated experience in managing relationships with key clients, vendor management by developing tailored business proposals (RFPs), interacting with clients simultaneously in user feedback sessions through the various phases of the project life cycle, and assisting in user training.
• Mentoring new hires in acquiring knowledge on company policies, tools, and processes.
• Proficient in change management, impact analysis, feasibility analysis and risk analysis.

TECHNICAL SKILLS

Requirements Elicitation Tools: JIRA, ALM/REI, Confluence, MS Word, MS Excel

Methodologies: Agile, Waterfall

Office Tools: Microsoft MS Word, MS Excel, MS PowerPoint, MS Access, MS Outlook, SharePoint

PROFESSIONAL EXPERIENCE

Confidential, EL Dorado Hills, CA

Product Owner/Senior Business Systems Analyst

Responsibilities:

• Worked as a Product Owner on various highly visible, high priority projects e.g., Care 1st Member Migration, Real Time Claims, Advance EOB etc. as well as Mandate Projects.
• As a Product Owner and in partnership with Business, managed multiple backlogs
• On Real Time Claims project, worked and still working very closely with UI/UX design team to discuss and help create wireframes for the RTC application.
• During the Grooming sessions, groomed the UI stories with the dev team ensuring that Dev/QA teams understand the wireframe.
• Ensured during Sprint Demo that the application screens developed matches the wireframe story.
• Ensured during Sprint Demo that the field level validations are happening on the newly developed application screens.
• Worked on both Agile and Waterfall projects.
• Worked with the Scrum Master/PM and managed multiple software implementation projects, with heavy involvement in contract development and vendor management.
• Facilitated requirements sessions to capture detailed requirements for SharePoint content during Care1st Member Migration project to detail out the changes/updates needed to be made to Blue Shield's SharePoint site to accommodate Care1st's systems/applications.
• Worked on various Vendor Management projects capturing requirements for DME (Durable Medical Equipment), Pharma, Physician and Other professional services.
• Extensively used JIRA for creating Epics, User Stories and backlog management.
• Worked very closely with Business team and Product owners to create High Level Epics in JIRA.
• Facilitated Story Huddle sessions with Product Owner and key SMEs to create User Stories and write Acceptance Criteria in JIRA.
• Worked in partnership with Product Owner and Business team to create UAT test Cases.
• Worked very closely with Product Owner to manage Product Backlog in JIRA.
• Participated in Grooming sessions to explain the User Stories and Acceptance Criteria to Agile team (Dev and QA).
• Participated in other the Agile ceremonies including Daily Standups, Sprint Planning, Sprint Retro to support the Product Owner and Business team.
• Involved in claims submission and payment (remittance) retrievals for the Inbound Enrollment (834) and Maintenance, 276/277 for the claims status enquiry and response; and 835 (Explanation of Benefits) for the healthcare claim payments.
• Identify and address areas of discontinuity between ICD 9 and 10 to avoid unnecessary mappings.
• Jointly Lead Joint Application Development Sessions (JAD) with Implementation Team and Business Owners for system changes and to elicit requirements.
• Extensively used ALM/REI to create BRDs.
• Conducted JAD sessions (primarily for Waterfall projects) with management, SME, vendors, users, other stakeholders for open and pending issues.
• Created Training Document on Epics and User Stories to train and help peers to transition from Waterfall to Agile.
• Gathered user and business requirements through interviews, surveys, prototyping and observing from account managers and UI (User Interface) of the existing system.
• Perform Peer Reviews of BRDs.

Confidential

Business Analyst

Responsibilities:

• Identify technology SMEs and stakeholders and partner with EIT application/testing teams to drive technology execution and deliverables to meet business requirements and expectations.
• Gathering functional and non-functional requirements in collaboration with end clients and project business segment leads, technical subsystem leads as well as SME(s).
• Gathering and documenting requirements for the entire subsystems: Eligibility rules, Interfaces, Data Collection and Databases changes.
• Broad understanding of the Statewide Automated Welfare System and its dependency and cross functionality with other parties e.g. Federal Hub, Healthcare exchange web portal, social services offices.
• Consulting with technical SMEs in possible solutions and effective ways to implement changes.
• Assisting the Project Manager to identify project timelines and deadlines for coding, testing and go live dates.
• Documenting requirements to build High-level business requirements document (BRDs).
• Conducting client walkthrough meetings and getting approval on deliverable documents.
• Capture UAT test plans and report defects. Retest defects when fixed and create system test results deliverable document.
• Creating detailed requirements on data mapping in coordination with interfaces department to ensure proper data conversion for outbound and inbound transactions.
• Making research in production problem tickets, resolving them and opening defects if necessary.
• Identify impacted population for the production defects and advise with solutions, emergency builds.
• Participate in county readiness calls, writing release highlights and users manuals for changes.

Confidential, St. Louis, MO

Product Owner/Sr. Business Analyst

Responsibilities:

• Influence technology selection/direction by gathering and reviewing requirements, working with required business, Enterprise Information Technology (EIT) and Vendor.
• Identify technology SMEs and stakeholders and partner with EIT application/testing teams to drive technology execution and deliverables to meet business requirements and expectations.
• Ensure technology designs, solutions and implementations are in alignment with Home Lending Servicing Technology (HLST) / Consumer Lending Technology (CLT) /EIT technology roadmaps and overall EIT expectations. Ensure the correct EIT resources are engaged including third party vendors and infrastructure teams.
• Coordinate and support technology deliverables for multiple application/testing teams across all phases of SDLC including BRDs, FSDs, code builds, testing and implementation.
• Worked with business teams to develop and document risk mitigation action plans, along with recommendations to reduce security risk within their areas.
• Analyze all business processes and ensure compliance to all controlled processes according to business requirement.
• Performed Root Cause analysis on each bug/issue logged in JIRA.
• Collaborated with the Product owner for extensive Product backlog grooming.
• Facilitated Change Management within the project by performing Impact Analysis for Change Requests obtained during initial stages of the Project Life Cycle.
• Participate in release and iteration planning and represent the Business and EIT teams.
• Interact and manage expectations of multiple participants in the application development lifecycle.
• Working closely with PMs, Scrum Masters and Development team to understand project delivery guidelines and expectations from the overall team.
• Played a key role in planning UAT and implementation of system enhancements and data migration.
• Worked closely with the QA team in defining defects and planning necessary test cases for resolving the defects and Conducted UAT to ensure all the business requirements (in BRD as well as User Stories) have been fulfilled.

Confidential, Orlando, FL

Product Owner/Business Analyst

Responsibilities:

• Facilitated and participated in various Agile meetings in order to write User Stories and managing Product Backlog.
• Worked on the entire life cycle for requirements management - gathering, analyzing, documentation and delivering the requirements.
• Evaluated the business requirements for Testability.
• Actively participate in daily Scrums and project planning meetings.
• Interviewed the Business team to gather relevant business requirements, wants/ needs concerning the project and documented the requirements in ALM.
• Reviewed the BRDs with offshore team to explain the requirements.
• Prepared and analyzed AS-IS and TO BE in the existing architecture and performed Gap Analysis.
• Assisted in UAT and seek for feedback from existing and perspective users.