Business Analyst

Skills

ConfidentialEmployment History

Business Analyst

Responsibilities

• Studied existing business application and processes, collected end user requirements and suggested the improvised business process model.
• Gap Analysis of client requirements, generated workflow process, flow charts and relevant artifacts.
• Conducted one on one interviews with high level management team and participated in the JAD session with the SME's.
• Managed user accounts and security using Business Objects Supervisor.
• Worked as a liaison between the business and technical side to convey the business needs to the system architects.
• Worked in association with RUP mentors to ensure fidelity to the standard RUP practices of the institution.
• Involved in end to end analysis of Claims, Products and Subscriber/Member module.
• Design, analyze and performed Integration and wrote System requirements on different leading health care software's such as FACETS.
• Validate EDI Claim Process according to HIPAA compliance.
• Test HIPAA regulations in Facets HIPAA privacy module.
• Participated in weekly status meetings to present status and incorporate any digressions from the original scope.
• Designed Use Cases using UML and managed the entire functional requirements life cycle using RUP.
• Created and managed project templates, Use Case project templates, requirement types and trace-ability relationships in Requisite Pro.
• Carried out a thorough target organization assessment and risk analysis.
• Involved in cross-functional teams, developing new ways to boost efficiency and delivering results in a fast changing environment to achieve company goals.
• Provided the management with test metrics, reports, and schedules as necessary using MS Project and participated in the design walkthroughs and meetings.
• Analyzed the As is and To be system documents to show the current and proposed functionalities of the system using MS VISIO.
• Perform data mining activities of gathering and compiling data to make a thorough analysis and to extract the relevant information.
• Worked with the clients on the final signing process in the User Acceptance stages.
• Coordinated testing for UAT Team.

Environment: HTML, UML, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Access, Microsoft Project 2003, Microsoft Visio, SDLC, Load runner and Quality Centre

Confidential

Business and System Analyst

Responsibilities

• Worked on the ODJFS's various subsystems EDI, Finance, MCP, and Pharmacy on the MITS which was migrated from MMIS 20 legacy system developed by HP. Worked on various subsystems work flows and process flows.
• Managed the project using the Agile Method of project development.
• Created Requirement Specification Documents after conducting interviews with End Users, JAD Sessions and analyzed their current systems.
• Facilitate meeting discussions between business users, Business analysts and Technical analysts. Documenting organizational policies and procedures in the context of system requirements.
• Worked with technical staff and business users in problem-solving and identifying workable solutions.
• Review EDI testing requirements and develop Test plans, physical mapping, communication protocol setups and application support.
• Testing on EDI 4010. Doing the GAP Analysis for the transition to EDI 5010, Developing project plan Test plan for 5010 transition.
• Compiled, tabulated and coded statistical reports using pivot tables to produce spreadsheets, graphs and databases.
• Testing on the Claim submissions through portal changes, and validating the panels as per the HIPAA 5010.
• Prepared file extracts for Member, Provider, Medical Claim and Pharmacy Claim information stored in Facets and Care Advance Enterprise.
• Created Use Cases using UML and managed the entire functional requirements life cycle using Rational Unified Process, Requisite Pro.
• Developed new reports using Business Objects/Crystal Enterprises on SQL Server and DB2 databases utilizing T-SQL and DTS, focusing on data verification and query performance.
• Involved in verification of interface programs, boundary system testing, functional set ups, Data mining, Data Validation, Data migration from ERP/CRM systems to web bases internal systems, reports validation,
• Develop EDI X12 based implementation guides and ODJFS's application file formats.
• Work on developing logical mapping for new trading partners, develop cross references, and store inbound and outbound data files.
• Experience in doing User Acceptance Testing and also perform testing with the trading partners to accomplish project deadlines.
• Utilizing Pivot tables and charts, extracted data for statistical analysis and trend reports for corporate management and director clientele based on the nature of the request and impact on the business unit
• Worked with the business/functional unit to assist in the development, documentation, and analysis of functional and technical requirements within FACETS.
• Performed 4010 X12 analysis, resolved various compliance issues which are causing Translator failure of X12 which results in generation TRC's and rejected 997's.
• Participate in technical design sessions, working with technical resources, to provide insight during solution development.
• Generate reports for various projects using HP Quality Center and Rational Clear Quest Proficient in producing new information and developing new techniques for reclaiming information.
• Did system analysis for various systems such as CareAdvance Application, Facets and Web Service to understand the Inbound and Outbound transactions.
• Used Rational Rose to create, analyze and implement use case diagrams, activity diagrams, state diagrams, sequence diagrams, collaboration diagrams and deployment diagrams.
• Developed detailed BRDs and DFDs using various modeling tools and developed databases based on the system model following the techniques in Agile.
• 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 from Legacy system Amysis to FACETS Client Server based system .

Environment: HTML, UML, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Access, Rational rose, Microsoft Project 2003, Microsoft Access, Microsoft Visio, and Test Director.

Confidential

System Business Analyst

Responsibilities

• Responsible for requirement and design documentation review, test plans, identifying and reporting software anomalies and test results.
• Worked on the various phase for development of web based systems.
• Responsible for Business Process Management BPM for development of various projects.
• Rapid Application Development RAD principle was used in acute functionalities to design, document and manage requirements throughout the lifecycle of the project, i.e. definition, design and testing phases.
• Attended and conducted meetings and workshops to discuss high level requirements and developed User Requirements Specification Document.
• The URS contained detailed requirements, which were formatted such a way that a set of traceability could be matched from features to test cases.
• Developed business use cases and also extensively worked on Rational Requisite Pro in gathering the requirements.
• Responsible for implementing the Key process areas and Impact analysis. Generated Use Case diagrams, Sequence diagrams, Business Objects, Domain Object Model using Visio, to depict process flows and PowerPoint presentations.
• Responsible for Business Process Management BPM
• Managed Version Control, each version of the application was stored in Clear case and necessary modifications, updates, analysis was done. Developed ER diagrams for depicting relationships between entities. Mapped ER Diagrams to relational database.
• Worked with Oracle and SQL Server.
• Catered to all kinds of user requests and played an active role in negotiation of Change Requests.
• Worked closely with Developers, User Representatives and participated in the product design process including specifications and other document reviews.
• Configured test environment for specific test cases, created test data, executed automated or manual tests, document results and updated defect-tracking systems.
• Used Test Director to invoke the scripts, initially performed the baseline testing, organized all the scripts systematically and generated reports.
• Queried Oracle Databases to verify test case results. Randomly executed test scripts developed by QA team to check main functionality of application. Interacting with Development and QA Team to ensure overall quality of the software.

Confidential

System 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
• Played an active and lead role in gathering, analyzing, and writing business requirements.
• Followed the RUP and UML methodology throughout the SDLC.
• Collected and documented business processes as well as business rules. Provided key input in working with users in defining project and system requirements.
• Utilized corporation developed Agile SDLC methodology. Used Scrum Work Pro and Microsoft Office software to perform required job functions
• Translated the business needs into functional requirements and communicated with the business users on a non-technical level
• Analyzed and worked with HIPAA specific EDI transactions for claims, member enrollment, billing transactions. Worked specifically with 837, 835, 834, 270/271, 276/277
• Worked on Transaction Set 835 which is used to make a payment, send an Explanation of Benefits EOB .
• Worked on EDI Health Care Claim Transaction set 837
• Established, documented, and maintained EDI procedures. Tasks include identifying errors and taking corrective action, reconciling EDI transactions through coordinating information with internal and external customers, and working closely with internal departments and external vendors to maintain EDI integrity
• Worked on modules related to Claims, Providers, Contracts and worked with Claims attributes, Provider attributes, enabling EOB Remit rules associated with Provider configuration process
• Documented the System Specifications Document.
• Created and maintained the Requirements Traceability Matrix RTM .
• Created use cases and Use case diagrams.
• Interacted with other teams through walkthroughs, teleconferences, meetings, etc. to resolve various issues.
• Conducted JAD sessions when needed.
• Ensured Use-Cases were consistent and covered all aspects of the Requirements document.
• Designed and developed scenarios based on business requirements.
• Prepared UML activity, collaboration and sequence diagrams for detailed analysis of business objects using the Rational Unified Process RUP .
• Created and managed project templates and used case project templates.
• Used Quality Center for manual testing.
• Carried out User Acceptance Testing UAT .
• Performed Integration and regression testing along with testers.
• Assisted with Test Cases and developed strategies with Quality Assurance group to implement them.
• Efficiently responded to client inquiries and resolved discrepancies.
• Collaborated with Quality Assurance Analysts to track defects.

Environment: HTML, UML, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Access, Rational rose, Microsoft Project 2003, Microsoft Access, Microsoft Visio, and Test Director.

Confidential

Business Analyst

Responsibilities

• Created documents that incorporated both the technical and functional details.
• Involved in creating documents and diagrams for Membership Enrollment according to the HIPAA 834 Compliance Standards for Membership Enrollment.
• Created Test Documentation and Test Plans
• Worked with user to define user acceptance test cases. Involved in UAT testing User Acceptance Testing and Implementation.
• Involved in HIPAA/EDI Medical Claims Analysis, Design, Implementation and Documentation.
• Entered numerous claims for testing purposes to ensure accurate and quality adjudication and implementation of business and operational requirements.
• Worked on Data Mapping to map Facets data to outbound eligibility extracts
• Wrote complex SQL queries to extract and validate the data from the Facets database
• Designed Activity, Sequence and Process Flow Diagrams using MS Visio to simplify and elaborate certain selection criteria and filter conditions
• Extensively worked with Member/Subscriber and HIPAA Privacy Facets application groups
• Use Test Director to create to create Test Plan, Test cases and test scripts as well as steps for manual and automated implementation of test cases in Test Director
• Documented requirements using Use Case UC analysis for the development team. Also, stored the documentation in a common SharePoint Repository for version control.
• For testing purposes, manipulated members information in the QA environment through Facets front-end application
• Documented requirements using Use Case UC analysis and User Experience UX GUI design.
• Regression testing on weekly builds. Performed weakly Walkthroughs and Inspection meetings
• Performed Functional and Regression testing using Win Runner
• Monitor and analyzed activity report. Created reports for Server monitoring and Transaction time
• Bug reporting using Test Director
• Documented requirements using Use Case UC analysis, and created As-Is and To-Be process flows to conduct gap analysis to improve efficiency.
• Involved in manually testing the application from the backend to carry out data validation.
• Maintained open and clear communication with the team on change requests.
• Co-authored and reviewed Operational Guidance Documents along with Design Documents and Deployment Plan Documents.

Confidential

Business Analyst

Responsibilities

• Involved in interactions with SME's, developers and other members of the business team.
• Created Use Cases, activity diagrams and state diagrams using Rational Rose.
• Interviewed end-users to create the business requirements and then to clearly relay the design requirements necessary to the development team.
• Prioritized Requirements to ensure timely reviews and availability.
• Created detailed workflow diagrams for the proposed new system.
• Provided clear documentation regarding requirement management plans, functional requirements, supplemental requirements, test plans and test cases.
• Functioned effortlessly and efficiently, as a liaison between the development, testing.

Environment: RUP, MS Visio, C , Oracle 7.3, SQL, Windows XP, UNIX