SUMMARY

• Solutions - drivenBusinessAnalystwith over 8 years’ experience in software development, user support, acting as subject matter expert, and as a versatile liaison betweenbusinessand IT organization.
• Skilled in Agile Scrum and Waterfall and able to capture stakeholder’s vision through elicitation, requirements gathering and documenting workflow processes, user acceptance testing and implementing technology for various departments.
• Experience with Agile Scrum, Waterfall, RUP.
• Expertise in eliciting requirements, analyzing teh requirements and simplifying and translating requirements.
• Excellent experience in developing detailed functional specs through JAD sessions, Requirements workshops, Job shadowing, Prototyping, Document Analysis, Interviews, on site meetings with business users & development team.
• Good experience in interviewing Business users & subject matter expert providing recommendations to resolve issues for various business/technical groups & defining strategic solutions to business problems in a multiple project environment.
• Expert in facilitating all levels of management, developers, QAs, stakeholders, businessusers and off-site teams in JADs, Brainstorm sessions, White Boarding by conferences and WebEx and having strong project and time management skills.
• Acted as Scrum Master to direct and lead development team from project initiation through delivery of final product, Facilitating Sprint Planning, Backlog Grooming, Sprint Retrospective, and Daily Standup meetings.
• Expertise in analysis techniques such as ‘AS-IS’ and ‘TO-BE’ System Analysis, Business Process Analysis, Gap Analysis (while successfully reengineering key business processes to increase operational efficiency and alignment of business unit objectives), impact analysis, Feasibility Analysis and Risk Management Plan, Cost Benefit Analysis and ROI Analysis.
• Proficient in executing SQL queries using Toad and Oracle SQL Developer. Comfortable in large data analysis using SQL/Excel/SAS and GUI navigation design using MS office tools.
• User training on teh changes being released and conducting post production activities like getting feedback from users. In case of any issues - doing root cause analysis, prioritizing tasks with business users.
• Extensive experience on different phases of teh Software Development Life Cycle (SDLC) such as Planning, Analysis/Design, Development, Testing and Implementation.
• Good understanding of Health Insurance Portability & Accountability Act (HIPAA) standards and Electronic Data Interchange (EDI)
• Proficient in Risk Management and Data Modeling & Mapping.
• Experienced Scrum Master and hence a great understanding of backlog tracking, burn-down metrics, velocity, and task definitions, Agile practices, service-oriented environments.
• Proficient in identifying, analyzing and documenting Functional Requirement Specification (FRS), Business Requirements Document (BRD), Business process flow, System flow, Project documentation, Wireframes and Use Case Diagrams.
• Competent with HIPAA regulations and HL7 industry standards and managed meaningful use project.
• Produced reports that detailed teh progress of teh MMIS Implementation.
• Expertise in creation of mapping documents from “As-Is” to “To-Be” processes to assist teh testing and technical teams understand teh business process and data flows.
• Extensively experienced in producing and maintaining high quality documents including Functional and Technical Specification Documents, Requirements Traceability Matrix (RTM), Data Mapping, Data migration and Transformation logic documents, Change Request document, RACI matrix etc.
• Work with DBAs to create logical and physical data models required for resultant system.
• Experience in developing and imparting pre and post implementation training, conducting GAP Analysis, Cost/Benefit analysis, SWOT Analysis and Risk analysis.
• Experience in Rational Suite including Rational Rose Requisite Pro, Clear Quest and Clear Case and Microsoft Visio.
• Expertize in writing and managing User stories.
• Excellent knowledge of Health Insurance Portability and Accountability Act (HIPAA) transaction, code set rules such as EDI 837, 835, 834, 270, 271, 277, 999, 997 and ICD9-ICD10.
• Good knowledge of Health Insurance Plans (Medicare Part A, B, C and D), managed care concepts (Medicaid and Medicare) and experienced in determining teh membership eligibility, billing experience within life and disability in health plans.
• Experience in assisting QA Team in writing test cases, test plans and acceptance criteria to test teh final application.
• Experience in assisting users with User Acceptance Testing (UAT) and documenting User manuals, training materials, testing materials and also documenting teh Test Results for Audit purposes.
• Good knowledge about Business process automation (BPA) and Business process improvements (BPI).
• Hands on experience in project management tools including MS-Project and JIRA for status reporting, planning and tracking.
• Well versed with Medicaid Management Information Systems (MMIS), National Provider Identification (NPI) and familiar with Patient Protection and Affordable Care Act (PPACA).
• Experience in conducting Quality analysis and implementation of Six Sigma.
• Experienced in business intelligence tools such as QlikView and Tableau.

PROFESSIONAL EXPERIENCE

Confidential, Upland, CA

Business Analyst /Scrum Master

Responsibilities:

• As Scrum Master for this insurer, responsible for coaching and mentoring business/IT resources, including Scrum Masters, Product Owners and executives to leverage agile principles, practices and frameworks in order to deliver high value business capabilities
• Served as subject matter expert on Agile frameworks (Scrum, Kanban, etc.) and scaling agile development (SAFe)
• Worked with program leaders to drive definition and refinement of teh program backlog
• Established program level cadence and drove program level ceremonies (e.g. PI Planning, Scrum of Scrums, & release train retrospectives)
• Developed various ETL Mappings, Mapplets, and Transformations for data marts and Data warehouse
• Conduct data mining, data modelling, statistical analysis, business intelligence gathering, trending and bench marking.
• Determined sources of data and create data queries to deliver efficient reports
• Understanding of teh business requirements and enhancing teh existing data warehouse architecture design for a better performance.
• Coordinate and conduct test plans, test cases, and scripts for business intelligence products
• Developed Data Warehousing (DW) and Business Intelligence (BI) projects which involving:
• Educated teams on Agile best practices. Some including: time-boxing, code/design reviews, architectural spiking, technical debt reduction and Agile metrics
• Provided hands-on coaching for teams in aspects of scrum (e.g. facilitating daily stand-up sessions, sprint planning, sprint demos, retrospective meetings, backlog refinement, iterative development, managing flow, calculating velocity, & limiting work in progress)
• Lead teams in use of JIRA and how to maximize use of teh tool along with being a JIRA Administrator
• Delivered Agile training classes in areas such as: Agile 101, ScrumMaster Training; Product Owner Training; JIRA Training; Confluence Training; Agile Test Management Training; and User Story WorkshopsServe as Scrum Master for teh Development team, leading Sprint Planning meetings, Sprint Retrospectives, Sprint Reviews and Daily Scrum Calls.
• Worked closely with Engineers, Product Manager, QA, Release team, and DevOps.
• Acted as teh client's visionary when in teh Product Owner role. Organized JAD sessions to flush out requirements, performed Use Case and work flow analysis, outlined business rules, and developed domain object models.
• Performed Gap Analysis by doing an in-depth study of teh current process, planned implementation actions and change control process and also interacting with business heads to finalize teh BRD document for teh application by doing teh requirement analysis.
• Experienced in using tools like Rally, Jira, TFS (Team Foundation Server), RTC (Rational Team Concert), MS Project and MS Excel to generate various reports about team performance and metrics for teh executive management.
• Experienced in using TFS to prioritize teh Product Backlog items and for defect, scope tracking & querying.
• Acted as a resource in understanding how IS carry out business functions and assists in ensuring teh timely and TEMPeffective implementation.
• Used detailed knowledge of application features and functions assess scope and impact of business needs throughout analysis and completion of all enhancement specifications.
• Used Informatic and Data Stage for extracting, cleansing, transforming, integrating and loading data into data warehouse database.

Environment: Windows 2000/XP, Microsoft Office SharePoint 2007,Kanban,Tableau, Rational Requisite Pro, MS Office, SQL Server, Agile/Scrum, MS Publisher, MS Access, EDI, Documentum 2.0., UML,JIRA.

Confidential, Boston, MA

Business Analyst

Responsibilities:

• Conducted interviews with key business users to elicit, collect and manage requirements and business process flows. Created RFPs and evaluated vendor proposals.
• Developed business requirement and specification documents as well as high-level project plan and translated business requirements into data and process models, and developed process decomposition diagrams, data models, data flow diagrams, entity relationship diagrams and state diagrams.
• Actively worked on large database maintenance activities including data modeling, data mapping, development, integration, analysis and testing.
• Worked with FACETS team for HIPAA Claims validation and verification process (Pre-Adjudication).
• Defined and documented operational control and security procedures, including those required for backup and recovery.
• Worked with Facets software for maintaining data about teh enrollment, billing and health care claims management and to store, send, receive HIPPA transactions and facilitate teh administration of HIPAA privacy rights.
• Worked with Medicare and Medicaid Encounter Pro to obtain Encounter from teh main server to be submitted to Medicare and Medicaid.
• Set up work flows for users for teh procedures in claims with teh halp of SME.
• Extensively worked with FACETS Implementation, FACETS Billing, Claim Processing and Subscriber/Member module.
• Performed GAP Analysis and event modeling and constructed Remediation.
• Used strong verbal and written communication skills and analytical skills to perform tasks and interact with users, technical personnel and all levels of management.
• Automated Smoke and Functional test cases using Selenium Web driver, TestNG, java and Java script
• Followed Agile Iterative development approach and was involved with all iterations of teh development life cycle and risk management.
• Worked on teh Rewrite Scoring Engine project where we shifted teh predictive model from SAS to Ratabase. Speed, cost to market and better version control were some of teh key benefits. Additionally, we were able to improve teh Predictive Modeling system speed by 80%.
• Utilized a structured approach to uncover additional campaign needs in teh Financial Advice Center Complementary group with teh Universal Life/Variable Universal Life Worked with developers, product managers and sales leaders to gather, document and manage user requirements for enhancements and new tools. Led weekly meetings and coordinated production with teh development team.
• Performed usability testing to confirm and continually improve teh experience.
• Utilized waterfall and agile methodologies along with Continuous Improvement, to improve best practices and increase efficiencies and TEMPeffectiveness of BA role.

Environment: Rational Tools suite, MS Visio, UML, Windows, Unix, XML, HTML, MS EXCEL, MS ACCESS GUI testing, functional testing, system testing, Java,Javascript.

Confidential, Baltimore, MD

Business Analyst

Responsibilities:

• Designed, developed key performance indicators and act as a liaison between teh business units, support teams to gather requirements.
• Collate & Summarize data using tools such as MS Excel, MS Access to create artifacts such as Tables, Charts and Involved in teh Business Analysis methodology using waterfall and Agile.
• Used MS-Visio to document current work flows using swim lanes, manual processes and end-to-end processing of system interactions.
• Functioned as teh primary liaison between teh operations and teh technical team and resolved process issues throughout teh project cycle
• Conducted power point presentations.
• Created Data Sources for various external applications. Used Import sets and Transform maps to import data into Service Now.
• For User Acceptance Testing (UAT) developed &executed associated project plans & test scripts.
• Utilized ServiceNow Problem Management, Project management and worked and billing system of customers.
• Developed solutions using JavaScript, Web Services, SOAP and other web technologies to integrate Service Now with internal/ external systems and tools.
• Designed, developed key performance indicators and act as a liaison between teh business units, support teams to gather requirements.
• Testing: Develop system integration test plans and execute system and integration testing.
• Documented teh Business Requirements (BRD), Functional Specifications Document along with UML diagrams.
• Perform any other integration design and development activities assigned by teh Integration Manager
• Performed Gap Analysis to check teh compatibility of teh existing system infrastructure with teh new business requirements
• Played a pivotal role in conducting sessions halping to develop detailed solutions and to verify if teh Application Development Process
• Used teh Unified Change Management (UCM) tool, BPM Remedy to maintain and track teh Stakeholders requested enhancements and changes.
• Worked with teh QA team through teh Testing Cycle to verify complete and rigorous testing of requirements.
• Worked on basic SQL queries for report validation.
• Helped teh testing team in documenting teh technical requirements and testing system development.

Environment: Agile, UML, Java, Java Script, Requisite Pro, Rational Rose, Clear Quest, SQL, Windows XP, MS Office Suite (Word, Excel, Access, Power Point, Outlook), PL/SQL, Oracle, SQL and Windows.

Confidential -Dallas, TX

Business Analyst

Responsibilities:

• Developed plan for data feeds and data mappings for integration between various systems, including XML, to follow ICD 10 Code set and ANSI X12 5010 formats.
• Used Crystal Reports for .NET and Crystal Report Viewer to create quick-in-time reports.
• Participated in project meetings to support teh team as required, Organized various meeting with SME's and testing Team to ensure that we are on track with all of our deliverables, tracked all our deliverables on a daily basis by using Deliverables tracking Template.
• Teamed up with both internal and external software development teams to provide functional requirements specifications in teh form of use cases, business process flows, and prototypes and management reporting requirements.
• Designed Data Flow Diagrams (DFD's), Entity Relationship Diagrams (ERD's), and web page mock ups using modeling tools. Involved in formatting data stores and generate UML diagrams of logical and physical data. Used Query Analyzer, Execution Plan to optimize SQL Queries.
• Produced Gap Analysis documents for HIPAA 5010 and ICD-10.
• Networked with Subject Matter Experts, Project Manager, Developers, and Process Analysts to understand teh business process, gathered Business Requirements and identified enhancements.
• Extensively developed project documentation, process flow documents, formal proposals, RFQ's and RFP's. Formulated methodologies and developed SDLC phases, strategies, time & cost estimates with milestones for each phase.
• Prepared Business Requirement Documents (BRD's) after teh collection of Functional Requirements from System Users that provided appropriate scope of work for technical team to develop prototype and overall system.
• Worked with ICD-9 encoding to verify teh validity of incoming claims, documented ICD-9 codes presently used by teh system.
• Understanding and assessment of teh current ICD 9 codes used by teh State
• Creation of a Gap/Impact Analysis Document for changes of teh EDI Transactions (837, 835, 276/277, 270/271)
• Creation of a Gap/Impact Analysis Document for changes to Pharmacy Transactions (real time and batch) based on NCPDP 5.1 to NCPDP D.0, specifically concerning teh data elements
• Creation of a Mapping Document for ICD9 Codes to ICD 10 Clinical Modifications and Procedural Codes.
• Creation of Gap/Impact Analysis Document for teh Prescription Drug Point of Sale System

Environment: MS Office Suite, POS, GEMS, Document Analyzer, SharePoint, MS-Visio, MS Excel, MS Access, Mainframe, ETL, UML, Rational Requisite Pro, Rational Rose, Rational Clear Case, Rational Clear Quest, html, JAVA, Asp, MS Window Server.

Confidential

Business Analyst

Responsibilities:

• Reviewed and analyzed data from various sources. Reviewed test results and coordinated with testing and development team to correct teh issues.
• Provided support to seniorbusinessanalystin planning, designing, programming, testing, and executing client's projects.
• Responsible for writing functional Requirements and Use cases.Developed use case diagrams using Microsoft Visio, Rational Rose.
• Interacted thoroughly with a set of Stakeholders and Subject Matter Experts (SMEs) to document Business, Functional and Non-Functional Requirements.
• Conducted GAP Analysis in order to check teh current applications of an existing system with teh purpose of exposing teh benefits of applying teh proposed business requirements to teh new system.
• Conducted user interviews, brainstorming sessions to gather, analyze and document teh business requirements using Rational Requisite Pro.
• Designed and developed Use Cases, Activity Diagrams and Sequence Diagrams using UML modeling tool like MS Visio.
• Established Requirements Traceability Matrix (RTM) using Rational Requisite Pro to trace completeness of requirements in different SDLC stages.
• Created Work Breakdown Structures (WBS), Project Schedule and Project Timelines using MS Project.
• Monitored bugs in teh system using tools like Bugzilla to ensure that teh quality of teh system meets teh industry standards and business user's requirements.
• Worked with QA team for designing Test Plan and Test Cases for Integration, Smoke, Regression and User Acceptance Testing to improve teh overall quality of teh application.
• Involved with teams for Root Cause Analysis activities and data collection plans.
• Functioned as a primary liaison between teh business line, operations, and teh technical areas throughout teh project cycle.
• Participated in production support and handled issues appropriately.
• Served as a focal point of contact between customer and company; conducted presentations focusing on making key decisions

Environment: BusinessObject, Mercury, Waterfall, SQL management Studio, MS Visio, MS Office, Rational Rose