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Senior Business Analyst Resume

Austin, TexaS

AREAS OF EXPERTISE

  • Hands on experience in PEGACRM Ticketing tool
  • Knowledge of CGI JIRA
  • Hands on experience in Version One Management tool
  • Knowledge of CMT Salesforce tool
  • Hands on experience on ServiceNow (SNOW) tool
  • Hands on experience wif Microsoft Project tool for Project Management class
  • 4+ years of experience wif Word, Excel, PowerPoint and Visio
  • Axure RP Clouds for mockup
  • 1+years of experience wif V/H - Lookup, and Pivot tables
  • Excellent documentation skills (User manual, SOP, and ICD document)
  • Experience wif Salesforce and Salesforce Connect, CMS ServiceNow (SNOW)
  • Experience wif teh Center for Medicare and Medicaid Innovation AHC Models
  • Experience wif teh CMS Expedited Lifecycle (XLC) SDLC
  • Exceptional analytical and conceptual thinking skills
  • Hands on experience wif Outlook, Market Prominence Software, Health Edge, Google Doc, SharePoint, Nuance PDF and Merge Note take
  • Hands on experience wif business Microsoft Teams, CMS Cisco WebEx, Zoom and IM Skype
  • Hands on experience software GMS Grant Management System and PRMS Peer Review Management System, FICAM and PRD Peer Review Database
  • Highly organized and focused wif ability to compile data and prepare variety of reports
  • Strong interpersonal communication skills combined wif a positive attitude
  • Team player, reliable, honest, moral, eager to learn, and strong work ethic
  • Ability to resolve issues, lead projects, meet deadlines, and stay motivated to develop successful solutions
  • A propensity and willingness to learn new technologies while possessing teh ability to remain focused
  • Fluent in oral and written English, Hindi, Nepal, and Urdu

PROFESSIONAL EXPERIENCE

Confidential, Austin, Texas

Senior Business Analyst

Responsibilities:

  • Provided Tier II level Operations and Maintenance (O&M) support for iFAMS Momentum Financial System
  • Created Service Request ticket in PEGACRM ticketing tool
  • Designed Microsoft Modern SharePoint for iFAMS teams
  • Participated in IFAMS System Dry Run Sessions
  • Worked wif financial system implementation and sustainment activities including change management and service operations
  • Worked wif Scrum Team, CGI and Service Operations team on Change Request
  • Created Change Request (CR) ticket in Version One Management tool
  • Reviewed CGI JIRA Change Request O&M tickets
  • Worked on Change Request Triage Process
  • Created Process Flow in Visio and identified areas for process improvements
  • Analyzed historical data for incidents and changes reported
  • Created dashboard for leadership and audit
  • Worked on SOPs document and Process Implementation
  • Participated in, established and documented training and ensure execution per defined processes and procedures and business operations
  • Created ticket in ServiceNow (SNOW)
  • Captured meeting minutes

Confidential, Baltimore, MD

Business Analyst

Responsibilities:

  • Worked as a BA wif CMS/CMMI client for different models
  • Served as a liaison between stakeholders and users
  • Worked on 4 different web applications (online forms) Accountable Health Communities (AHC), Worked on AHC and Radiology Oncology (RO) Model, Value Based Insurance Design Model (VBID) and Part D wif SCRUM team for CMS project
  • Assisted wif developing and implementing procedures and processes to meet Capability Maturity Model Integration (CMMI) requirements
  • Worked wif CMMI/CMS Model team to gather requirements for different release followed sprint planning
  • Worked in Azure Devops (ADO) to create User Stories and Acceptance Criteria using Agile Methodologies
  • Evaluating business processes, anticipating requirements, uncovering areas for improvement, and developing and implementing solutions
  • Gatheird critical information from meetings wif various stakeholders and producing to drive system designs
  • Prepared Excel Spread Sheets for storing and sorting data, pie charts and create functional hierarchy
  • Troubleshooting client problems
  • Used V - look up in excel to retrieve data and specific column in table
  • Worked on meeting minute
  • Worked on Microsoft applications including Word, Excel, Microsoft Visio, Flow chart and Outlook
  • Used Axure RP Clouds to create Web applications Mock up for Client presentation
  • Worked on different Change Request received from Salesforce (CMT) from CMS client
  • Worked wif Scrum Master and followed proper CMS Expedited Lifecycle (XLC) SDLC for projects
  • Hands on CMT Salesforce tool
  • Used CRMsystem to connect to customers, streamline processes, and improve profitability
  • Updated User Manual for AHC applications
  • Updated Interface Control Document (ICD)
  • Used ServiceNow (SNOW) for ticketing
  • Run O & M meeting wif stakeholders for ticketing

Confidential, Baltimore, MD

Medicare Health Analyst

Responsibilities:

  • 3 + Years of experience used CRM system for application review
  • 2+ years of experience wif business analysis and process improvement
  • 2+ years of experience wif issue resolution and/or remediation planning
  • Provide timely, efficient support for processing daily CMS transactions (BEQ, BEQR, Accretion file, TRR) on a daily basis
  • Hands on experience wif Market Prominence Software (Data entry, update PHI information, run scripts), Health Edge (update HIPAA information, Audit log, data entry, plans update), Cavulus, and MARx
  • 4+ years of experience wif MS Project, Word, Excel, PowerPoint and Visio
  • Reviewed and mail all CMS mandated enrollment and disenrollment letters to members in accordance wif CMS guidelines
  • Assisted Director of Medicare Services in teh operational needs of teh business into requirements for implementation as well as manage and coordinate various projects simultaneously
  • Worked on FIR and FRM, MMR variance monthly report
  • Worked on EDV CMS audit report and loss of DSNP report
  • Work on MAXIMUS document
  • Work daily on reconciliation Medicare report CVS and Healthedge missing data and work on data mapping
  • Knowledge of SharePoint
  • Reviewed regular and periodic processing reports to ensure all transactions associated wif enrollments and disenrollment are accepted by CMS
  • Researched and reconcile all member eligibility data and mitigate errors and rejections received on teh daily/monthly reports
  • Participated in various CMS and Internal (Performed by Compliance Department) Enrollment Audits
  • Check EVS and Senior Prescription and Drug Program (SPDAP) website to validate member Medicaid Status and SPDAP
  • Check MARx CMS website to valid member Part A B D and Low-Income Subsidy (LIS) Eligibility
  • Worked on EDW report for CMS TRR Transactions Code
  • Worked wif other departments (Appeals and Grievances, compliance, and provider relations) in various projects
  • Excellent time management including teh prioritization of tasks, controlling scope, and ensuring deadlines are met
  • Create and present periodic membership reports identifying enrollment, cancellation and disenrollment trends for CMS
  • Research and resolve membership discrepancies between teh plan and other vendors

Confidential, Gaithersburg, MD

Project Analyst/Data Analyst

Responsibilities:

  • Worked on various project for 8 programs for Bureau of Justice Assistance (BJA), Bureau of Statistics (BJS), National Institute of Justice (NIJ), Office of Violence Against Women (OVW), Smart Sex Offender Sentencing Monitoring Apprehending Registering and Tracking Office (SMART), Office of Juvenile Justice, and Delinquency Prevention (ODDJP), Office for Victims of Crime (OVC) and Community Oriented Policing Services (COPS)
  • Prepared Excel Spread Sheets for Budget detail worksheet, produce graphs and charts, and for storing and sorting data
  • Worked on Basic Minimum Requirements Screening (BMR) Checklist for Grant applications
  • Hands on experience wif GMS Grant Management System Software and PRMS Peer Review Management System, FICAM and PRD Peer Review Database for reviewer information for 1st level BMR and 2nd level BMR
  • Used Share-point for Office of Justice Programs (OJP) and Office of Violence Against Women (OVC)
  • Worked on Quality Check on grant applications
  • Worked on COI/NDA reviewer form
  • Email reviewer to remind for peer review
  • Check BMR score reports
  • Prepared final tiered template
  • Attended Consensus call and orientation wif reviewers
  • Prepared forms and templates for applications
  • Coordinated peer review system process wif team members
  • Worked on wall chart of scoring matrices for reviewer rating score form
  • Used Microsoft Word for Program Narrative, Abstract, and Budget Narrative
  • Upload grant applications, BMR and scanned rating form in OJP and OVW Share-point
  • Worked on outreach, Merge and Note-taker for BMR

Confidential, Catonsville, MD

Intern

Responsibilities:

  • Evaluated compliance wif COMAR regulations governing assisted living facilities
  • Worked in OHCQ administration License Renewal application and initial application for Adult Medical Day Care policy
  • Participated in various audit, regulatory meetings, and administrative hearings
  • Gatheird various data from stakeholders and uploaded in teh electronic filing systems
  • Conducted various surveys wif Registered Nurse Surveyors on Living Facility
  • Participated in DHMH/OHCQ human resources globetrotter travel system projects
  • Worked wif human resources, finance, and IT related projects wif other team members
  • Worked on OHCQ Lodging reservation policy whitepaper
  • Assist teh Complaint Coordinator in case report

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