SUMMARY

• Senior Business Analyst with 7 years of experience in healthcare domain.
• Software implementation experience through teh full Software Development Lifecycle (SDLC).
• Experience in gathering, analyzing, and prioritizing user requirements in an Agile Scrum fast - paced environment
• Sound knowledge of US Healthcare Regulations and workflows related to provider, patient portal, care plan management, etc.
• Sound understanding of Agile Scrum and Waterfall methodologies

TECHNICAL SKILLS

• SQL
• JIRA
• Excel
• PowerPoint
• MS Visio

PROFESSIONAL EXPERIENCE

Confidential, Dallas, Texas

Business Analyst Lead

Responsibilities:

• Managing a team of 5 Business Analysts working with Case Management Services delivering innovative solutions to commercial and Medicare organizations.
• Leading teh BA team in collaborating with internal and external stakeholders, gathering and documenting teh requirements for teh customization of teh end-to end solutions.
• Working extensively with teh Scrum Master and Product Owner in analyzing and prioritizing teh user stories within teh Product Backlog.
• Collecting and analyzing vast amounts of raw data related to population health, claims, eligibility files, quality, clinical feeds etc. and turning it into tangible deliverables in teh form of provider alerts/reports, patient registries, data extracts, or ad-hoc analytics
• Performing a detailed study of teh existing Medical Management Program and making recommendations to increase organizational efficiency and effectiveness, improve quality outcomes, and manage rising healthcare costs.
• Assisting teh Quality Assurance team in reviewing their test cases to ensure that teh requirements to be tested has been captured in entirety.
• Conducting annual performance evaluations and implementing disciplinary and termination process as needed

Confidential, Dallas, Texas

Business/Data Analyst

Responsibilities:

• Worked directly with client business teams to gather and document business requirements, conduct extensive data exploration, advise and consult clients on product capabilities, and assist in teh coordination of teh releases for new development.
• Developed thorough understanding of client-specific data structures and content, and provided guidance and consulting to conform data to product standards.
• Collaborated with teh business and technical teams to prepare monthly, daily, weekly and ad hoc reports that allowed teh business units to analyze and improve business performance.
• Made use of SQL queries and excel to analyze data, identified quality issues and collaborated with teh technical team members to initiate corrective action.
• Conducting UAT sessions with teh business teams at teh end of every release cycle.

Confidential, Arlington, Texas

Business Compliance Analyst

Responsibilities:

• Identified, researched and documented process improvement opportunities. Collaborated with internal and external business partners (Operations, Compliance, Facilities, Payers) to drive accountability and process improvements.
• Conducted audits to measure Quality Assurance across critical business processes. Completed analytical assessment of work product and processes to identify root cause of incidences and provide feedback to key stakeholders.
• Conducted Compliance Training sessions and created training manuals to ensure evaluations for hospice eligibility following teh guidelines of Medicare and Medicaid.