Business Analyst

Skills

Employment History

Confidential

Lead Business Analyst

Responsibilities

• Utilized SDLC Methodology to configure and develop process, standards and procedures
• Conducted JAD sessions with business units and stakeholders to define project scope , to identify the business workflows, Budget Process task analysis, and determine whether any current or proposed systems are impacted by the new development efforts.
• Analyzed and designed current business processes and proposed solution for business process re-engineering throughout the process mapping lifecycle.
• Coordinated with various IT teams related to various backends WGS, Facets, Nasco etc for Test Data Setup in SIT UAT environments
• Designed Test Plans, Scripts after analyzing various scenarios/requirements performed defect tracking using Test Director Clear Quest
• Actively participated in, group and individual based, problem solving and decision making throughout the different phases of RUP. Authored progress and completion reports, which were then submitted to project management on a weekly basis
• Performed User Acceptance testing End to End testing in interaction with Offshore QA/dev teams for various system releases pushed them to production
• Provided Production support, documented System Release/deployment issues SOX documentation for Business Signoff.
• Coordinated the upgrade of Transaction Sets 837P, 835 and 834 to HIPAA compliance. Responsibilities include the
• Analysis of inbound and outbound interfaces and extensions to Erisco FACETS claims processing system
• Completed Data Mapping for Group and detail Product analysis and report writing
• Analysis and Design of the Erisco FACETS data model to ensure optimal system performance and tuning
• Configured facets modules such as Claims, Membership, Billing, Benefit and plan
• Work closely with EDI to ensure accuracy in data transmissions and shared processes.
• Involved in claim adjudication process of facets application
• Responsible for writing the Test Cases and Test Scenarios based on the Functional Specification and technical Specification and documented in Mercury Quality Center.
• Used UML to create use case diagrams, sequence diagrams and activity diagrams
• Responsible for Back-End Testing Using SQL Commands.
• Developed SQL queries, functions, stored procedures and triggers to perform the backend testing of the data.

Confidential

Sr. Business System Analyst

Responsibilities

• Interviewed business users, SMEs, Trading Partner asking detailed questions to gather business requirements, wants, and needs concerning the project and carefully recorded the requirements in a format that can be understood by both business and technical teams.
• Gathering, Analysis Management of Requirements, Business Process Reengineering, Business and Functional Analysis, Systems Analysis and Design
• Work with other Business System Analysts for any Gap Analysis. Involved in Solving business and Technical problems independently, creating innovative solutions
• Use Rational Tools like Rational ReqPro for requirement management, Rational Clear Quest for defects, Rational Test Manager for Test Cases and Rational Rose for Use Cases to track, analyze and document system requirements and defects.
• Followed UML based methods using Rational Rose to develop use cases and activity diagrams
• Work with QA Team to develop test strategies and test scenarios. Also help clarify specific requirements to System Tester/s to help develop test cases.
• Work with other Business System Analysts for any Gap Analysis and Budget planning.
• Conduct unit testing and system testing to ensure the product meets all the requirements specified for the end user.
• Developing test strategies, test scenarios and test cases.
• Executing and reviewing test runs.
• Responsible to provide day to day status of projects and communicate the project schedules, open issues, and project risk/mitigation plans to all the impacted teams.
• Had good exposure on scripting on Visual Studio automation test ion tool

Confidential

Sr. Business Analyst

Responsibilities

• Worked with a cross functional and diverse team of business users and developers to enable accurate communication of requirements and ensure consensus.
• Gathering, Analysis Management of Requirements, Business Process Reengineering, Business and Functional Analysis, Systems Analysis and Design
• Experience in Software Development Life Cycle SDLC including Waterfall, Agile/SCRUM methodologies
• Participated in review and analysis of business requirements, adding additional cases as needed, insuring they are complete and testable.
• Reviewed the Joint Requirement Documents JRD with the cross functional team to analyze the High Level Requirements
• Involved in Solving business and Technical problems independently, creating innovative solutions
• While working on requirements of the 835 HIPAA project, jumped half way in the 820 report project, continued working on 835, 276 / 277 and HIPAA EDI Transactions across enterprise, meanwhile new project initiation of 4010 to 5010 migration began.
• Initiated with a comparison report of migration of 4010 to 5010.
• Tested the EDI transactions HIPAA like 270, 271, 276, 277, 837P, 837I, 837D, 835 remittances
• Wrote Test scenarios and test cases for testing the migration of EDI 4010 to 5010 and the processing of member enrollment and benefits, batch jobs corresponding to the claims 837 and real time transactions like 270/271/276/277
• Did the forward and reverse data mapping between the fields in mainframe and QNXT.
• Tested the changes for the front end screens in QNXT related to following modules, test the QNXT batches member load, Billing, Provider, etc .
• Worked with HIPAA Team for RIMS Companion Guide of X12 ANSI 270/271 and 276/277 Companion guides for Professional and Dental claims.
• Analyzed the front end Customization requirements on QNXT applications Member, Group/Subgroup application, Member maintenance, etc
• Conducted extensive analysis on migration and conversion of Provider and Member data, Group configurations, plan codes, benefit set-ups, fee schedules, provider pricing, capitation set-ups, etc.
• Did gap analysis for HIPAA 4010 837P and 835 transactions and HIPAA 5010 837P and 835
• Involved in impact analysis of HIPAA 5010 835 and 837P transaction sets on different systems
• Performed GUI testing, Integration testing, Regression testing, Ad -hoc testing, Negative testing, End to End testing, Smoke testing Load testing, User Acceptance testing and Pilot testing
• Wrote Test Scenarios, Test cases in excel sheet and imported them to Rational Manual Tester/Test Manager
• Logged defects in Rational Clear Quest, re-tested defects, analyzed defect with Users and Developers.

Confidential

Business Analyst

Responsibilities

• Utilized Rational Unified Process RUP to configure and develop process, standards and procedures.
• Met with report users and stakeholders to understand the problem domain, gathered customer requirements through surveys, interviews group and one-on-one along with JAD sessions.
• Administer and control multiple financial reporting OLAP cubes used worldwide for budgeting, forecasting, and actual reporting
• Followed Unified Modeling Language UML methodology using ReqisitePro and Rational Rose to create/maintain: Use Cases, Activity Diagrams, Sequence Diagrams, and Collaboration Diagrams.
• Involved in understanding the current business process, defining scope of the project along with position statement.
• Wrote BRD, FRD, use cases, test scenarios, test cases for testing the functional requirement.
• Implemented automated COB processing of Medicare claims into Facets
• Validated business rules and all artifacts with users, got approval and sign off.
• Followed Unified Modeling Language UML methodology using ReqisitePro and Rational Rose to create/maintain: Use Cases, Activity Diagrams, Sequence Diagrams, and Collaboration Diagrams.
• Tested and delivered Inbound/Outbound Facets interfaces.
• Experience with Trizetto Facets System implementation, Claims and Benefits configuration set-up testing, Inbound/Outbound Interfaces and Extensions, Load and extraction programs involving HIPPA 837 and proprietary format files and Reports development.
• Assisted Design Team in preparing SRS, Software Design Document SDD , User Interface Design, Application Architecture Database Modeling.
• Helped in project testing efforts for doing integration tests, regression tests and user acceptance tests.
• Worked on Data mapping, logical data modeling, used SQL queries to filter data within the Oracle database tables.
• Made sure that the systems complied with the rules of HIPAA and CFR Part 11.
• Documented the dimensional models of ETL system.
• Led the testing efforts of the data marts in development, coordinated moving/setting up of processes in dev/qa/production. Worked with QA team and UAT team to go over the various test scenarios for different types of loads in the data marts.
• Used SQL to test various reports and ETL load jobs in development, QA and production environment

Confidential

Business Analyst/Quality Analyst

Responsibilities

• Gather Business Requirements from the Business users, Subject Matter Experts SMEs and document the requirements in the BRD.
• Excellent in Business Process Identification and Re-engineering business processes.
• Involved in Software Development Life Cycle SDLC including Waterfall, Agile/SCRUM methodologies
• Implemented the RUP methodology to help analyze the Technical problem, understand user's needs, manage requirements
• Utilized data flow diagrams, use case diagrams and process flow diagrams to represent information provided by the Business Owners.
• HIPAA 4010 5010 Conversion Analysis Involved in the documentation of HIPAA 5010 changes to EDI 837, 834, 835, 276, 277 Transactions.
• Conducted JAD sessions with business units and stakeholders to define project scope , to identify the business workflows, Budget Process task analysis, and determine whether any current or proposed systems are impacted by the new development efforts
• Did gap analysis for HIPAA 4010 837P and 835 transactions and HIPAA 5010 837P and 835 transactions.
• Creating Mapping documents for translating 837 I/P to internal XML format and vice versa.
• Completed Data Mapping for Group and detail Product analysis and report writing.
• Developed Data Mapping and Crosswalk documents.
• Did data analysis, created data mapping and data interface documents and kept the documents updated with changes in requirements and functional specifications.
• Worked on developing the business requirements and use cases for Facets batch processes automating the billing entity and commission process.
• Involved in claim adjudication process of facets application.
• Prepared Test Data for the UAT as per the specifications of the FRD.
• Interaction with the payers and submitters for 5010 UAT certification.
• Analyzed payer/submitter specific 4010 claim editing to migrate it to 5010 claim editing system Identify and document transition issues from 4010 to 5010 format.
• Helped testers to create Test scenarios and test cases for testing the migration of EDI 4010 to 5010 and the processing of member enrollment and benefits, batch jobs corresponding to the claims 837 and real time transactions like 270/271/276/277.

Confidential

Business Analyst

Responsibilities

• Performed stakeholder analysis to identify key players for project success
• Identified and involved all key stakeholders, contributors, business, operations and technical resources that must participate in a project and ensured that contributors are motivated to complete assigned tasks within the parameters of the project plan
• Implemented the RUP methodology to help analyze the Technical problem, understand user's needs, manage requirements
• Conducted JAD sessions to identify the business flows and determine whether any current or proposed systems are impacted by the EDI X12 Transaction
• Played an active and lead role in gathering, analyzing, and writing business requirements.
• Collected and documented business processes as well as business rules. Provided key input in working with users in defining project and system requirements.
• Translated the business needs into system requirements and communicated with the business on a non-technical level
• Assisted in building a business analysis process model using Rational Rose and Visio.
• Work with EDI to ensure accuracy in data transmissions. Transaction sets processed 837P, 835, 834
• Documented the Functional Specifications Document using UML.
• Scheduled meetings with developers, systems analyst and testers to collaborate resource allocation and project completion using MS Project
• Created use cases using UML and managed the entire functional requirements life cycle using Rational Unified Process, Requisite Pro
• Created and managed project templates, use case project templates, requirement types and traceability relationships in Requisite Pro
• Responsible for creating business flow diagrams using MS-Visio.
• Created product documentation, including online help, printed user manual, and training materials.
• Created risk assessment, SWOT analysis and mitigation plan documents.
• Used test director for defect management and defect rectification.
• Experience with User Acceptance Testing UAT , System testing.
• Performed System and Integration Testing along with testers. Conducted UAT with the business.
• Assisted with Test Cases and developed strategies with Quality Assurance group to implement them.
• Efficiently responded to client inquiries and resolved discrepancies. Identified, prioritized, tested and proved essential business functions to assure compliance with vendor and internal auditing.
• Collaborated with Quality Assurance Analyst in Rational Clear Quest to track defects and used Rational Clear Case to maintain consistency in the builds.