SUMMARY

• Over 7 years of diverse refined experience as Lead Business System Strategy Analyst in the field of Information Technology with emphasis on Business Analysis, and Quality Assurance in Healthcare. Delivery on projects focused on distinct domains such as Customer relationship management CRM , Data Warehousing, Business Process Management Notation, Business Intelligence, Oracle HRMS, Securities. Claims Management System, Policy Administration, Predictive Modeling techniques domain, HIPAA compliance.
• Expert skills in creating Business Requirement Documents, User Requirement Specifications, Functional Technical Specifications based on the respective domains and bring about radical innovative ideas to suit business needs.
• Expert analyzing skills in Claims Migration Projects, Due Dilligence, Analyzing RFP's provided by vendors, PBM's.
• Extensive experience in analyzing and Creating Use Cases, Use Case Diagrams, and Activity diagrams, Data Flow Diagrams, Business Flow Diagrams and Navigational flow diagram, Wire frame Diagrams and Sequence diagrams.
• Expert understanding on the whole SDLC life cycle with focus on prototyping.
• Expert skills in creating Business Required Document BRD following, Current Future State Process following EPMO standards.

TECHNICAL SKILLS

• Business Modeling Tools: MS Visio, Provision, Excel, PowerPoint, UML
• Change Mgt Tools: Borland tools, StarTeam
• P C Products: Risk Management, Loss Control, Get quote, Policy Admin, Claims Management
• Testing Tools: Clear Quest, Test Director, Quality Center
• Database: Oracle11i, SQL, DB2, Access
• Languages: XML, HTML
• Operating System: UNIX
• Co-Operating System: Ab-Initio
• Office Tools: MS Office Suite
• Reporting Tools: Actuate, Microstrategy, Crystal Reports, TM1
• Standards: RUP, CMM, CMMI, ISO 9001
• Business Modeling Tools: MS Visio, Provision

EXPERIENCE

Confidential

Business Systems Analyst

Responsibilities:

• Organize JAD Sessions to collect requirements from Subject Matter Experts SME's and prepare business requirement and Technical requirements that provide appropriate scope of work for technical team to develop prototype and overall system.
• Transition from BCBS Minnesota for Claims Migration Due diligence project BCBS Horizon NJ
• Analyze PBM given Request for Proposal RFP , and create PPT presentations to assist executive team in preparing project charter.
• Conduected JAD sessions with PBM to gather their Current State Process and High Level Interface with their current connections and processes with their clients.
• Work with Various departments in preparing their Current State Process, gather business requirements Functional Requirements
• Various Departments including EDW Enterprise Data Warehouse , CDH, Pharmacy Combined, Claims Processing, and all Manual Part B D process automation.
• Acted as Subject Matter Expert SME for PBM Claim Migration from previous BCBS Minnesota.
• Map Future State Process Map after gathering business requirements from business side.
• Create and send documents for approvals according to EPMO standard as BCBS Horizon is ranked Top 3 in nation for having accurate project deliverables.
• Assist Quality Assurance team in SIT Testing.
• Assist executive team in UAT Testing for various projects, active Work Orders in Clear Quest CQ .
• Worked on 3-4 projects as considered Bluelist above 250,000 each project.
• Lead a team of 2-3 business analysts for PBM due dillengence.
• Develop, design implement department plan to operationalize new claims processing system, to include but not limited to, workflow, and management oversight and performance analysis.

Confidential

Business Systems Analyst

Responsibilities:

• Organize JAD Sessions to collect requirements from Subject Matter Experts SME's and prepare business requirement and Technical requirements that provide appropriate scope of work for technical team to develop prototype and overall system.
• Work with the PBM team to document their needs.
• Develop, design implement department plan to operationalize new claims processing system, to include but not limited to, workflow, and management oversight and performance analysis.
• Work closely with stakeholders and SME's for requirements gathering and identified end-to-end requirements for all systems and business units that may be impacted by the project.
• Create Documentation Analysis reporting, strategy planning, risk analysis, contingency plans for company executives.
• Environments: Windows, MS Visio, Quality Center, MS Project, SQL, ReqPro, ClearQuest, MS office Products, UML

Confidential

Business Analyst

Responsibilities:

• Analyzed the claims process, gathered requirements and framed on a functional requirement documents.
• Acted as a liaison between stakeholders: system users, clients and managers, who have a business problem, and software development team to gather requirements.
• Created targeted Questionnaires for SME's to gather requirements.
• Responsible for giving solution to assist enterprises to administer important business as well as operational risks and to identify best practices, operations cost reduction, and development opportunities.
• Conduct training sessions to ensure end users are prepared for system deployments.
• Environment: Windows, MS Office MS Word, MS Excel, Adobe illustrator, MS PowerPoint, MS Visio , J2EE, DB2,MS SharePoint, J2EE Technology, Oracle, RUP, UML, SQL.

Confidential

Business Analyst

Responsibilities:

• Expert skills in determining root cause assessments.
• Supported short and long term operational/strategic business activities via developing, enhancing and maintaining operational information and models.
• Worked closely with developers and system analysts to identify for issues in Policy Admin. claims management problems and assist to resolve them.
• Created and maintained the Use Cases Business Use Cases, System Use Cases and modeled Use Case Diagrams, Activity Diagrams, Business Flow Diagrams, Data Flow Diagrams using MS Visio, revised functional specifications and other core materials throughout the SDLC.
• Performed an Impact Analysis of the major issues affecting the system and Cost-Benefit analysis of executing a cleanup exercise. Also devise the strategy to execute the cleanup systematic vs. manual.
• Environment: Data Analysis, RUP, Rational Requisite Pro, Project Co-ordination Management, Sybase, Java, J2EE, Borland Test Scripts and test templates, MS Visio, MS Office Suite

Confidential

Senior Business Analyst

Responsibilities:

• Data analysis and requirements gathering of all SMEs, including interviewing customer personnel, conducting JAD sessions, conducting domain analysis and researching data anomalies.
• Prioritizing the business processes and features based on analysis and assessment.
• Work closely with Project Managers, client stakeholders to create planning documents and provide regular status reports.
• Help end users and stakeholders providing the ultimate solution based on the technical, cost and achievable time frame standards.
• Environment: JAVA, J2EE, Oracle, UML, Micro strategy, Crystal Reports, MS Visio, MS Office Suite, SSIS, Risk Management, Loss Control, Oracle E- Business Suite, AMDOCS supply chain management system integration, Rational Rose, Requisite PRO