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Business Analyst Resume

Maryland Heights, MO

SUMMARY

  • More than 7 plus years of professional experience as a Business Analyst wif broad exposure and experience in teh entire system development lifecycle.
  • Experience wif healthcare system, Medicaid and wif prime focus on claims adjudication, provider, eligibility and prior authorization.
  • Great experience in Management processes such as Reporting, Self Service portal, Service Catalog, Incident & Problem Management, Change Management, Configuration and Asset Management in ServiceNow
  • Built and managed successful client relationships wif representative, director, and deputy chief level contacts wifin teh Centers for Medicare & Medicaid Services (CMS)
  • Ensured accurate Transmission of teh eligibility file and membership file to vendors and delegates as a result of teh annual benefit changes.
  • Provided major corporate clients wif reports documenting teh re - engineering process for identified administrative tasks and functions which included defined goals, objectives, critical success factors, cost analysis, administrative analysis and recommendations.
  • Extensive experience in Strategic development of a Data Warehouse and in Performing Data Analysis and Data Mapping from an Operational Data Store to an Enterprise Data Warehouse.
  • BA to evaluate business pain points, designed and implemented Business Process Reengineering methodology, and to improve business revenue through improved employee performance. (Cost, service, quality and speed).

TECHNICAL SKILLS

Business Modelling: UML modelling using Rational Rose Enterprise Suite, UML CASE Tools, MS Visio

Requirements Management: DOORS, Rational RequisitePro

Project Management: MS Office Suite & MS Project

Defect Management: ClearQuest, JIRA, QA, ALM

Methodologies/Frameworks: Rational Unified Process (RUP), Agile, Waterfall

Programming Languages: Core Java, J2EE, C/C+, C#, .Net, Visual Basic, JSP, XML, Perl, Shell Scripts, HTML, JavaScript, VBScript, JCL

DatabaseSystems/Query Languages: Oracle database, MS Access, SQL, PL/SQL, SQL Developer, TOAD

Operating System: Unix, Linux, AIX, Solaris, MS Windows, Mainframe

Business Intelligence Tools: Crystal Reports, Informatics

PROFESSIONAL EXPERIENCE

Confidential, Maryland Heights, MO

Business Analyst

Responsibilities:

  • Develop and run global “ITSM monthly Performance metrics report” wif scheduled reports in ServiceNow and compare wif IT Services Scorecard wif focus on strategic KPIs.
  • Participated in agile process - planned iterations, created tasks, assigned tasks to quality assurance team based on teh priorities and estimated capabilities of quality assurance team for every iteration.
  • Participated in teh migration of BMC Remedy wif ServiceNow and developing ITSM/ITIL processes, roles, business procedures to support (ITSM) best practice.
  • Usedagile methodologyand used 15-day iterations for completion of projects and conducted dailySCRUM/Stand-up meetings to track teh progress of teh Team on a day to day basis.
  • Monitoring teh migration of BMC Remedy wif ServiceNow and developing ITSM/ITIL processes, roles, business procedures to support (ITSM) best practices.
  • Converted MS Access database to MS SQL database using MS SQL 7.0 Server Enterprise Manager. Created SQL scripts for uploading procedures.
  • Continuous communication wif teh team to track requirements on rally and discuss to fix defects wif JIRA tools, and corrected lesson learnt from each sprint.
  • Knowledge of update set import set and transforms maps in ServiceNow for data mapping and data transformation from legacy system to ServiceNow.
  • Claims Management and Reconciliation application dealing wif claims management and processing. CMR system collects PHI.
  • Reported errors and defects viaJIRA tooland kept an eye on its status to retest to determine final status of defects and errors.
  • Assisted Process & Service Owners in continuous process improvements and enhancements by encouraging continuous automation of incident, change & problem management process on ServiceNow platform.
  • Worked on Agile SDLC during teh project phase, performed teh role of Product Owner and Team member in Scrum Meetings.
  • Assisted stakeholders in defining teh enhancement of incident deflection to reduce rate of creating incidents and call volume to service desk for issues.

Confidential

Business Analyst

Responsibilities:

  • Executed SQL queries using PL/SQL on Oracle database for validating and analyzing teh data during scenario presentation to teh client as part of requirement gatherings.
  • Conducted teh full SDLC lifecycle to implement ServiceNow Software and Hardware Asset Management and integrated it wif an external discovery tool.
  • Re-mediate issues on applications and make sure updates are done in ServiceNow. Troubleshoot and perform corrective action on teh IT Service Management software HP Service Manager and ServiceNow.
  • Continuous communication wif teh team to track requirements on rally and discuss to fix defects wif JIRA tools, and corrected lesson learnt from each sprint.
  • Designed and Developed programs to transform Claims and Membership of most of teh regional and operations systems into Enterprise Data Warehouse
  • Responsible for Requirement Analysis, User Acceptance Testing, Implementation and Data Mapping, Use Cases and Test Cases
  • Manage configuration/customization of ServiceNow such as Single-Sign-On, Dashboard, workflow administration, SLA management, Report setup, data imports, Knowledge management tool training as per teh need of teh business.
  • Participate in projects when assigned infrastructure tasks in Jira. Document and trackapplication failures and bugs using tools like Jira and Confluence. Coordinated wif foster parents and children to ensure safety.
  • Supporting ServiceNow new process to include, standard workflow process, standard group membership build design, catalogue items (workflows, approvals, task sequences).
  • Manage teh quarterly upgrades of ServiceNow tool. Conduct full software development life cycle for customized applications including requirement analysis, design, coding, testing, and training activities.
  • Data mapping, logical data modelling, created class diagrams and ER diagrams and used SQL queries to filter data wifin teh Oracle database.
  • Executed SQL queries using PL/SQL on Oracle database for validating and analyzing teh data during scenario presentation to teh client as part of requirement gatherings.

Confidential

Business System

Responsibilities:

  • Performed Data mapping, logical data modelling, created class diagrams and ER diagrams and used SQL queries to filter data.
  • Working knowledge of implementing software development projects using methodologies such as Waterfall, Rational Unified Process, and Agile/Scrum. Develop and implement change control policies and procedures for EMR template change requests.
  • Involved in requirement gathering and database design and implementation of star-schema, dimensional data warehouse using Erwin.
  • All MITA business processes were reviewed and a feasibility study was conducted to integrate teh EMR Provider Program business process into standard MITA business process.
  • Analyze medical and claim data from various EMR, PDS (Practical Data Solutions) and PMS (practice management software) systems
  • Ability to analyse engineering product support issues described wifin a bug-tracking system (JIRA) and provide guidance to other Client Services members in an advisory capacity, focusing on teh quick resolution of teh production issue and using this as a training opportunity for other team members
  • Proficiency wif Microsoft Office applications (Word, Excel, PowerPoint, and Visio and Project Management Software), and Atlassian (JIRA, and Confluence).
  • Analyzed data architecture, documented and delivered data mapping, performed risk analysis.
  • Proficient in using Agile Scrum methodologies, performed roles of Scrum Master following sprint/stand-up sessions and used Excel extensively to write user stories, analyzed teh Iteration Burn Down charts and reviewed defects.
  • Implemented, supported, configured, and evaluated clinical needs related to templates in teh EMR and clinical system, while becoming familiar wif teh latest information regarding mechanism of disease, diagnostic tests, treatments in assigned disease and therapeutic areas and appropriate coding / billing

Confidential, Hartford CT

Business Analyst

Responsibilities:

  • Facilitate all agile ceremonies including daily stand-ups, weekly grooming, retrospective, and review and planning session.
  • Manages process improvement initiatives, seeking root cause and developing appropriate corrective action related to system configuration and claims.
  • Formulated system design, methods, procedures, policies and workflows effecting Medicare/Medicaid claims processing in compliance wif government compliant processes
  • Analysis of functional and non-functional categorized data elements for data mapping from source to target data environment. Developed working documents to support findings and assign specific tasks.
  • Often coordinate changes between teh Configuration team and teh specific requesting group Claims, PDM or Customer Services
  • Utilized Agile Software Methodology using Scrum framework. Actively participated in creating teh user stories and prioritizing user stories along wif tracking of burn up, burn down charts to estimate sprint delivery
  • Assist Technical Team to better manage teh Data Governance process throughout existing Data Warehouses, Facets and Epic systems.
  • Analyzes and resolves problems and complaints about payment of claims for Health services provided to Medicaid recipients. Prepares letter responses and answers inbound and outbound telephone inquiries from Medicaid providers.
  • Worked extensively wif developing business rules engine enabling teh business rules such as referral, prior authorization, eligibility, claims processing
  • Continuous communication wif teh team to track requirements on rally and discuss to fix defects wif JIRA tools, and corrected lesson learnt from each sprint.
  • Project lead utilizing scrum agile methodology to manage user stories, product and sprint backlog using JIRA tool to define, assign, estimate effort each user story and associated tasks

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