SUMMARY

• 7 years of Business Analysis experience in teh healthcare industry with expertise in requirements gathering and analysis and business process management.
• Strong noledge of Software Development Life Cycle (SDLC). Extensive noledge of Agile Scrum, Waterfall, Rational Unified Process (RUP) and Scrum - Waterfall hybrid methodologies.
• Strong noledge of requirement gathering with teh halp of several Elicitation Techniques like Brainstorming, Requirement Workshops, Surveys, Focus Groups and Interviews.
• Highly proficient in working with cross-functional teams and stakeholders to elicit and validate requirements using Joint Application Development (JAD) sessions; conducted teh Rapid Application Development (RAD) sessions.
• Adept in creating Business Requirements Document (BRD), Functional Specifications Document (FSD), Functional Requirements Document (FRD) and Systems Requirements Specifications (SRS).
• Understanding of teh Organizational Framework that halps to map teh AS-IS and TO-BE model using GAP Analysis.
• Proficient in SWOT Analysis, Impact Analysis and assisted Project Managers in preparing Risk Analysis documents.
• Experience working with Microsoft Office Suite (Word, Excel, Access, and PowerPoint), MS Visio and IBM Rational tools (RequisitePro, Rational Rose) for documentation, modelling, analysis and presentation.
• Proficiency in creating Use Case Diagrams, Activity Diagrams, Sequence Diagrams, Swim lane Charts and process flow diagrams using different tools such as MS Visio and IBM Rational Rose.
• Proficiency in creating Graphical User Interface (GUI) Screen Prototype (Mock up Screens/Wireframes) for Web Based Application Development using Axure, Mock up screens.
• Analyzed user requirements, attended Change Request meetings to document changes and implemented procedures to test changes using teh Rational Clear Quest.
• Assisted working for Data warehouse, supporting data extraction, transformations and loading process through ETL tools (Informatica, SQL Server Integration Services (SSIS)).
• Extensive experience with Data Analysis on Data warehouse system for various reporting systems within an organization using Cognos, Crystal reports and SQL Server Reporting Services (SSRS).
• Possess good understanding on Data mapping, Data Analysis and Client Server Architecture.
• Knowledge and working experience in teh Service-Oriented Architecture (SOA), Simple Object Access Protocol (SOAP) Protocol, Web Services and Web Services Description Language (WSDL)/ Universal Description Discovery and Integration (UDDI) to provide governing concepts used during phases of systems development and integration.
• Extensively interacted and worked with QA Team in analyzing Test Data, Test Scenarios, and creating Test Cases, Test Plans. Also interacted with developers to report data related bugs and re-tested teh fixed issues.
• Expertise in gathering requirements and documenting them, tracking, managing and communicating teh requirements using Requirements Traceability Matrix (RTM).
• Experience in User Acceptance Testing (UAT) and mentoring Business Users in teh developed application.
• Energetic, positive, and self-motivated. Ability to adapt quickly to challenges and changing environment.
• Comprehensive noledge of Health Insurance including Medicaid, Medicare Advantage Plans (Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Point of Service (POS), Exclusive Provider Organization (EPO)), Medicare (Part A, B, C, D), and Affordable Care Act (ACA)/Obamacare.
• Experience working with teh EHR (Electronic Health Records) and EMR (Electronic Medical Records).
• Experience in designing Claims Processing System Interfaces, for automating and updating teh systems.
• Proficient in medical terminology and procedures using ICD-9, ICD-10 codes.
• Experience in a Medicaid Management Information System (MMIS) environment, Health Insurance Portability And Accountability Act (HIPAA), High Level (HL)-7, Electronic Data Interchange (EDI) Transactions (834, 835, 837, 270, 271, 276, 277 and 278

TECHNICAL SKILLS

Methodologies: SCRUM, SDLC, AGILE, Waterfall, RAD, RUP

Business Skills: Defining Business Requirements, Business Process Analysis & Reengineering, Use Case Modeling, JAD Sessions, Infrastructure redesign, Requirements Workshops, Gap Analysis, SWOT Analysis, Impact analysis and Data Analysis.

Front End Tools: JIRA 6.x, Rally, Microsoft Project 2007/2010/2013, Share point 2007/2013,SAS, Infomatica, Version One, Axure, SQL Server Integration Services (SSIS), SQL Server

Documentation: Microsoft Excel, Word, Microsoft Visio, Rational Rose, Rational Requisite Pro, Caliber

Languages: SQL, PL / SQL, VB Script, HTML, CSS, ASP.NET

Testing Tools: HPALM, HPQC, Load Runner

Databases: MS-Access, SQL Server 2008/2012, MySQL

Reporting Tools: Crystal Reports, SQL Server Reporting Services (SSRS), IBM Cognos, Spotfire, Tableau

Operating Systems: Windows, Mac OS

PROFESSIONAL EXPERIENCE

Confidential, Cerritos, CA

Sr. Business Systems Analyst

Responsibilities:

• Gatheird requirements by conducting meetings with key stakeholders, end users and Subject Matter Experts (SMEs).
• Extensively interacted with teh stakeholders and teh IT Department in finalizing teh requirements according to teh Center for Medicare and Medicaid Services (CMS) Compliances/Regulations and HIPAA Regulations.
• Facilitated JAD sessions involving teh management, development and user teams for clarifying requirements and facilitating better communication.
• Working within a growing noledge of ANSI 834 (Benefit Enrollment), 820 (Premium Payment), EDI, Privacy, and Security.
• Interacted with teh business users in noing teh business rules and gatheird teh reporting requirements to design teh business objects reports.
• Performed Gap Analysis of teh processes to identify and validate requirements.
• Involved in business requirements (BRD/High Level Document (HLD) / Low Level Document (LLD)), Functional Requirement Document (FRD), Project Specifications Document (PSD).
• Prepared Unified Modelling Language (UML)diagrams, Business Process and Data Process Model using MS Visio.
• Organized requirements into high level Use Cases and low level Use Case Specifications.
• Created wireframes and developed a prototype of teh GUI using Axure and demonstrated it to teh stakeholders and business users and noted feedback from them.
• Coordinated with project stakeholders to track teh progress of teh project, updated status and lead teh review meeting to ensure that schedules and deliverables are met.
• Assisted product owner on working with USER stories to create Product Backlog.
• Facilitated daily scrum meetings to review teh status of sprint backlogs and sprint review meetings to discuss teh accomplishments and issues that teh Scrum Development team faced.
• Facilitated teh process by resolving teh conflicts in teh team and avoiding teh impediments.
• During requirements churn, did impact analysis and application feasibility study.
• Tracked defects in HP ALM and worked with QA team to resolve defects.
• Assisted in teh UAT and in teh preparation of teh Test Plan, Test cases with teh testing team as well as ensuring testability, reliability, usability, maintainability and performance of teh application.
• Worked on JIRA for continuous update with project schedules, quality, issues/defects and managing resources.

Environment: Agile - Scrum, SQL Server 2012, MS Office (Word, PowerPoint, Excel), MS Visio, SharePoint, Spotfire, HP ALM/QC, Axure, JIRA

Confidential, Dublin, OH

Sr. Business Analyst/Scrum Master

Responsibilities:

• Performed GAP analysis by understanding teh AS-IS system and teh TO-BE system requirements by facilitating JAD sessions, workshops, and questionnaire sessions with business users, system architects and development teams.
• Involved in creating high level document and low level document such as BRD, FSD and Use case.
• Involved in creating a requirement management plan and maintaining teh RTM.
• Assisting and managing a project plan and a Work Breakdown Structure (WBS) using MS project and JIRA Agile Scrum Framework (during design, development and testing phases).
• Created Use Case diagrams and Activity diagrams using UML for developers and testers to describe whole scenarios using MS-Visio.
• Assisted architects in creating Entity Relationship (ER) diagrams for mapping data from various databases into a single source.
• Have a working noledge of ICD9 and ICD10 codes and HIPAA 4010 and 5010 compliance.
• Involved in HIPAA assessment and ANSI X12 EDI transaction (835, 837 ) mapping and identified changes that needed to be done to comply with HIPAA regulations.
• Designed and implemented report layouts according to reporting standards of teh department. Worked on daily basis with lead Data Warehouse developers to evaluate impact on current implementation.
• Extensively involved in Data Extraction, Transformation and Loading (ETL process) from source to target systems using Informatica.
• TEMPEffectively visualized and analyzed data for teh business intelligence purpose by teh Tableau.
• Created a comprehensive report about teh successful and unsuccessful test cases.
• Involved in implementing deployment like authoring teh user training schedules and conducted user training.
• Managed issues and defects throughout teh project lifecycle and escalated issues to upper-management via status reports.
• Worked with development and testing teams to accomplish timely release objectives.
• Coordinated for preparation of all project documentations, weekly status meeting, WBS and walkthroughs

Environment: Scrum-Waterfall, Microsoft Office (Word, PowerPoint, Excel), MS Visio, Informatica 9.0.1, SharePoint, Caliber, SQL Server, Tableau, Version One

Confidential, San Francisco, CA

Sr. Business Analyst

Responsibilities:

• Assisted in transforming user requirements into functional solutions.
• Facilitated meetings (JAD Sessions) and interviews with stakeholders to gather teh Business Requirements.
• Developed and maintained models and documented teh business and system requirements & configuring of teh system took place accordingly.
• Collaborated and communicated with other Business Analysts to coordinate project initiatives and activities.
• Involved in creating high level document and low level document such as BRD, FSD and Use Case.
• Analyzed user requirements, attended Change Request meetings to document changes and implemented procedures to test changes.
• Data validation, analysis and generating accurate reports for different testing of pharmaceutical drugs.
• Assisted architects for developing star schema. Involved in identifying fact tables and establishing relationships using dimension modeling as basis for designing data warehouse.
• Used SQL queries to extract data from teh database.
• Assisted in teh client side data validations for teh data and generated many reports for teh data mapping in data warehouse by SSRS.
• Created Use case diagrams and activity diagrams using UML for designer and developer to describe whole scenarios using MS-Visio.
• Identified teh users for participation in UAT efforts, communicated teh testing requirements to them and collaborated with teh testers for UAT.
• Prepared test cases, test scripts and coordinated with teh QA team for testing and interacted with teh developers to report and track bugs using Team Foundation Server.

Environment: Waterfall, MS Office (Word, PowerPoint, Excel), MS Visio, Team Foundation Server (TFS), SQL Server, SSIS, SSRS, HP ALM/QC.

Confidential, East Hartford, CT

Business Analyst

Responsibilities:

• Extensively involved in conducting Market Research, Feasibility Studies, Gap Analysis, and Risk Analysis and maintained a Risk Register.
• Acted as a liaison between teh business team, application developers, end users and teh stakeholders to halp answer technical and application specific queries.
• Involved in requirement scoping, documenting and analyzing high priority requirement for implementation; created BRD, FRD and use case documents using Waterfall methodology and used SQL queries to extract information from database.
• Conducted JAD and Rapid Application Development (RAD) sessions for communicating expectations.
• Performed AS-IS and TO-BE analysis of current system and expectations of users and stakeholders.
• Created story boards to best understand user scenarios and structured documents with use case scenarios for developers, from a system perspective using Data Warehouse ETL tools.
• Used UML to perform Use-Case analysis to capture teh dynamic aspect of teh application.
• Worked with members at teh management level to understand teh business process and decision models and was also involved in compiling teh vision document and produced detailed use case specification artifact.
• Analyzed business requirements, assisted in teh system testing and defect resolution to facilitate data validation.
• Coordinated UAT, created UAT Plan, Test Cases and UAT summary report as part of teh standard project deliverables documentation and involved in teh project release implementation process.
• Worked closely to relate all lab reports with Medicare Management Information System (MMIS) in compliance with HIPAA regulations.
• Participated in user meetings to understand requirements for integration with vendor EHR solutions to ensure compliance with HL7, HIPAA regulations and Meaningful Use guidelines.

Environment: Waterfall, MS Project, MS Office (Word, PowerPoint, Excel), MS Visio, MS Access, Rational Requisite Pro

Confidential

Jr. Business Analyst

Responsibilities:

• Key role in teh planning, testing and implementing system enhancements and conversions.
• Provided key project inputs by working with users in defining teh project and system requirements.
• Reviewed teh business process and teh functional requirements.
• Worked on teh hospital data processing for improving teh database for storing teh user files.
• Analyzed teh business needs, created and developed new functionality to meet teh real time data integration that facilitated teh prompt decision making.
• Worked on creating Change Control and Request process.
• Managed complaint database to analyze and implement teh process activities to amplify customer satisfaction.
• Experience of managing multiple stakeholders across teh organization, and in Quality Analysis integration of systems.
• Involved in detailing project scope, data process flow diagrams and timeline.
• Assisted in building a business analysis process model using Microsoft Visio.
• Worked with teh development team to handle errors.
• Designed and developed Use Cases.
• Assisted in process modelling; conducted and participated in JAD sessions with system users; halped with design walkthroughs with stakeholders for base lining architecture.

Environment: Waterfall, MS Office (Word, PowerPoint, Excel), MS Visio, Mock up screens, SharePoint

Confidential

Jr. Business Analyst

Responsibilities:

• Elicited requirements necessary for teh analysis and documentation of teh hospital’s process. Analyzed different departmental processes and their interconnections.
• Performed GAP analysis and conducted JAD sessions with Project Managers, SMEs and Business Users.
• Assisted in gathering and analyzing teh hospital’s flow of data. Understand, evaluate and communicate data integration options to appropriate parties.
• Responsible for creating and converting BRD into functional requirements.
• Designed and developed use cases, activity diagrams using MS Visio.
• Created and maintained RTM for tracking requirements with test cases and confirmed teh testability of all teh requirements.
• Interacted with teh developers to report and track bugs using Mercury Quality Center (QC).
• Facilitated teh UAT and created test case.
• Developed teh ETL Mappings for importing data from Operational Data Store (ODS) into subsequent data marts.

Environment: Waterfall, MS Office (Word, PowerPoint, Excel), MS Visio, SharePoint, SQL Server, SSIS, Mercury Quality Center (QC)

Confidential

Assistant Systems Engineer

Responsibilities:

• Participated in teh JAD Sessions and interviews with stake holders to gather teh business requirements.
• Define and establish end user requirement for configuration and maintenance of EMR.
• Provide healthcare specific operational noledge to support system design - including workflows charts, diagrams.
• Documented user and technical interface design documents to specify data files, control files, trigger files, receiving and sending systems.
• Prepare business process flow diagrams and perform use case analysis.
• Data Validation, analysis and generating accurate reports for different testing of pharmaceutical drugs.
• Analyzed UAT Test Cases and scenarios for functional testing of new development, reports and issue resolution and also created user manual for users.

Environment: Waterfall, MS Office (Word, PowerPoint, Excel), MS Visio, Rational Requisite Pro.