SUMMARY

• Sr. Business Systems Analyst with 10+ years of diverse experience in healthcare, and Healthcare Insurance domains.
• Strong understanding of Medicare, Medicaid, commercial insurance plans like Indemnity Plans, Managed Care Plans such as Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Point of Service (POS), and Diagnosis Coding Standards like ICD - 9, ICD-10.
• Good understanding of HL7 standards, Fast Healthcare Interoperability Resources (FHIR), Health Information Technology for Economic and Clinical Health Act (HITECH), Healthcare Common Procedure Coding System (HCPCS), Current Procedural Terminology (CPT), functioning of Electronic Health Record (EHR), Electronic Medical Records (EMR), Laboratory Information Management System (LIMS).
• Good understanding of working with different Software Development Life Cycle (SDLC) methodologies such as Waterfall, Agile project methodologies (SCRUM, Large Scale Scrum Framework (LeSS), Kanban), and Water-Scrum-Fall hybrid model.
• Efficiently engaged with business stakeholders, subject matter experts (SMEs), senior executives, developers, architects, and quality assurance team by utilizing business, analytical, and communication skills throughout the entire project lifecycle.
• Facilitated requirement elicitation using surveys/questionnaires, interviews, document analysis, and brainstorming.
• Identified the various AS-IS and TO-BE process systems and appropriately conducted GAP, SWOT, impact, and feasibility study to supplement decision making.
• Proficient at creating artifacts such as Business Requirements Document (BRD), Functional Requirements Specifications (FRS), Requirement Traceability Matrix (RTM), Data Mapping Documents, and User Guide.
• Skillful in SCRUM ceremonies such as backlog grooming, sprint planning, daily standups, sprint reviews, and retrospective.
• Experienced in breaking down epics into user stories that satisfy the criteria of 3C's, INVEST, and in estimating the user stories using agile poker planning, t-shirt sizing, bucket system, and Fibonacci series.
• Experienced in writing precise, achievable, and accurate acceptance criteria and assisting the Product Owner (PO) and the development team in establishing a proper definition of ready (dor) and definition of done (dod) for the user stories.
• Assisted the Product Owner (PO) and the ScrumMaster in planning for project releases by using team capacity and velocity Models to forecast delivery estimates. Supporting the Scrum Master in preparing information radiators for the team, such as sprint burndown chart, product/release burndown chart, and burnup charts.
• Good knowledge of Conceptual and Logical Data Modeling, Data Integration, Data Migration, Data Warehouse, Facts, Dimensional Modeling, Data Marts, and Schemas, and Online Analytical Processing (OLAP) operations such as Roll-up, Drill-Down, Slicing, Dicing, Pivot, and Online Transactional Processing (OLTP) operations.
• Knowledge of using SQL queries like SELECT, ORDER BY, GROUP BY, JOINS, and Aggregate functions like MAX, MIN, SUM, and AVERAGE with a good understanding of Functions, Triggers, and Stored Procedures. Have used tools like MS SQL Server Management Studio and MySQL Workbench to write queries.
• Assisted in documenting, validating& testing different Application Programming Interface (API) such as SOAP, REST using software like POSTMAN.
• Assisted the QA team in developing test plans and test cases. have extensive working knowledge in black-box testing, functional testing, non-functional testing like usability, security testing, load/stress testing, and performance testing.
• Performed User acceptance testing, participated in defect tracking, defect analysis, documented defects, and tracked changes.
• Expertise in project management such as Jira, Confluence, and SharePoint, and have extensive knowledge in understanding Business Intelligence tools and create interactive dashboards with heat maps, bar graphs, pie charts, and pivot tables.

TECHNICAL SKILLS

Modeling tools: MS-Visio, Lucid Chart, Balsamiq, AXURE RP

Methodologies: Waterfall, Scrum, Water-Scrum-Fall, Essential SAFe

Project Management: MS Teams, Confluence, SharePoint

Project Management skills/Tools: SmartSheet, MS Teams, Rally, JIRA, Confluence, SharePoint, Trello

Databases: Microsoft SQL Server, Oracle, DB2

Operating systems: Windows XP, Vista, 7,10

Testing tools & Defect Management: Selenium, HP QC/ALM, Cucumber, FitNesse

BI and Reporting tools: Microsoft Power BI, Tableau

PROFESSIONAL EXPERIENCE

Sr Business System Analyst

Confidential, Chicago, Illinois

Responsibilities:

• Elicited and prioritized business requirements with business users through Brainstorming, one-to- one meetings and Interviews and transformed these requirements and enhancements into different artifacts like Functional Requirement Specification (FRS), final scope reports inventory list, Cognos New Features User Guide, and Query>IT Excel template.
• Constructed Process flow diagrams which include AS-IS Process and TO-BE process for the Query>IT tool automation with ServiceNow using the tool VISIO.
• Defined the final list of Cognos reports/inventory for the Cognos tool version upgrade project.
• Functioned as a point of contact for collaboration between the Confidential team and IBM support team, and Ab Initio support team.
• Defined the approach for the analysis and profiling of the toxic-data (PHI/PII data) in the production datasets and incoming files (from vendors) using Excel, Ab Initio Semantic Discovery tool, and SQL.
• Used SQL to validate the tables data in the Production Schema/Environment in the IBM DB2 tool, and the incoming file’s data in the Production Schema/Environment in the Query>IT tool.
• Examined Source to target mapping documents and Ab Initio Metadata Hub tool to understand the data lineage of the datasets and the incoming files.
• Provided project and timeline estimates and was responsible to get approvals from Stakeholders.
• Conducted daily stand-ups with the project team and weekly Stakeholder calls.

Environment: Waterfall-Agile environment, Query>IT, DB2, Ab Initio Semantic Discovery (SD), Ab Initio Metadata Hub (MDH), CyberArk, Toad, SQL, JIRA, MS Project, SharePoint, Data Mapping, MS Teams, MS Visio, MS Word, MS Excel, MS Access, MS SQL Server Management Studio (SSMS)

Senior Business System Analyst

Confidential, Charlotte, North Carolina

Responsibilities:

• Investigated HIPAA compliances and guidelines about Protected Health Information (PHI) to ensure secure data transmission.
• Defined business requirements with business users through Interviews, and document analysis, and transformed these requirements and enhancements into different artifacts like Business Requirements documents (BRD), Use-Case Specifications, User Stories, and Solution Design Document (SRS).
• Created mockups of patient pages and related screens like Claims Search page, Claims EOB page, My Profile page using Lucid Charts and utilized skills in MS Visio to model UML diagrams, e.g., Information Flow Diagrams, and Use Cases Diagrams.
• Actively Participated in Scrum ceremonies like Daily Standups, and created User stories for the Member Portal, writing acceptance criteria, and prioritizing the user stories based on business value.
• Created a three-pointers data mapping document indicating the target Member’s Portal UI Elements, data types on the left, the FHIR Resource Model in the middle, and the source tables, data types, transformations required, and the business rules to be applied.
• Assisted the Project Manager (PM) in day-to-day project execution activities like conducting meetings on her behalf, helping in the preparation of the RAID Log, Projects Monthly Steering Committee Reports, and Go-Live Readiness Reports.
• Assisted the testing team to develop a test plan and ensure SME inputs to the testers and assist in testing when needed.
• Performed Manual Testing including functional, non-functional, browser compatibility, Usability, GUI testing on the member portal. Used Smartsheet for tracking bugs and enhancements requests. Developed, documented, and maintained functional test cases and other test deliverables like UAT Test Data, and was actively involved in Defect Lifecycle management.

Environment: Waterfall-Agile environment, MS-Office Suite, HTML, CSS, SmartSheet, MS- Teams, AXURE RP, RESTful API, MS SQL Server.

Senior Business System Analyst

Confidential, Danville, Pennsylvania

Responsibilities:

• Elicited business requirements through Interviews, Joint Application Development (JAD), and Requirements Workshops.
• Performed Document Analysis and GAP Analysis between EDC clinical research data and the EHR system data to understand the discrepancies between the data elements. This also helped design and document the As-IS EDC business flow and To-Be EDC-EHR Integrated System's requirements.
• Proactively involved in breaking down Epics into User stories keeping the INVEST criteria within acceptable limits. Assisted the Product Owner (PO) in prioritizing the User stories and keeping the Product Backlog healthy.
• Participated in slicing the user stories using Vertical Slicing Techniques, estimating the user stories by Planning Poker method, and defining the Definition of Ready (DoR) to include these items into Sprint Backlog.
• Actively participated in the Scrum Ceremonies such as Backlog Grooming/Refinement, Sprint Planning meeting, Daily Scrum, Sprint Review Meeting, and Sprint Retrospective.

Environment: Agile-Scrum environment, MS-Office Suite, HTML, CSS, JIRA, Confluence, Tableau, AXURE RP, Python, MuleSoft, RESTful API, MS SQL Server.

Business Systems Analyst

Confidential, Denver, Colorado

Responsibilities:

• Accumulated information on HIPAA (Securing data), GALP (Good automated laboratory practices), Good Laboratory Practice (GLP), current Good Manufacturing Practice (cGMP), and FDA 21 CFR Part 1 rules and guidelines.
• Performed GAP Analysis between the LIMS Patient Data Elements and EHR Patient Data Elements to understand the As-IS LIMS System and To-BE EHR-LIMS Integrated System. Documented the captured the As-Is and To-be workflow process diagrams.
• Created mockups of patient pages and related screens using Lucid Charts and utilized skills in MS Visio to model UML diagrams, e.g., Data Flow Diagrams, and Use Cases.
• Assisted the Product Owner in prioritizing the Product Backlog Items (PBI's) using MOSCOW Techniques, Slicing the User Stories, defining Acceptance Criteria, and Definition on Ready (DOR) utilizing JIRA.
• Participated in Backlog Grooming sessions and ensured User Stories were compliant with the 3C's and the INVEST Criteria.
• Participated in the Scrum Ceremonies: Backlog Grooming/Refinement, Sprint Planning meeting, Daily Scrum, Sprint review meeting, and Sprint Retrospective.
• Worked with the Data Team to create a Data Mapping document to capture the Source EHR Patient Data, target LIMS Patient Data, and the transformation information. Designed, implemented HL7/ FHIR to the elements for data transaction.

Environment: Agile-Scrum environment, HTML, RESTful API, CSS, JIRA, Python, JIRA, Confluence, Lucid charts, Power BI, MS PowerPoint, MS Excel, Postman, Oracle Database.

Business System Analyst

Confidential

Responsibilities:

• Gathered Business requirements by performing various elicitation techniques such as Brainstorming, document analysis, and Joint Application Design (JAD) sessions.
• Conducted Interviews with Business owners, Stakeholders, and SMEs to understand project scope, business process workflows, Requirement workshop for functional and non-functional requirements.
• Developed Business Requirement Document (BRD), Functional Specifications Document (FSD), System Requirement Specification (SRS), conducted Feasibility and Cost-Benefit Analysis.
• Created, updated, and eliminated different types of tasks using MS Project.
• Developed various UML diagrams like Activity, Use Case, Sequence diagram using MS Visio.

Environment: Waterfall, JavaScript, Deployd, Redux Architecture, Appium, HP ALM, Rally, MS Office Suite, Windows 7, MS-Project, MS-Visio.

Business System Analyst

Confidential

Responsibilities:

• Gathered Business requirements by performing various elicitation techniques such as Brainstorming, document analysis, and Joint Application Design (JAD) sessions.
• Interacted with the client to assess needs, identify key challenges, and define project scope and deliverables.
• Worked closely with both the Business and IT Departments along with the SMEs to amend, created, and updated process flow charts from AS-IS to TO-BE system.
• Acted as Proxy Scrum Master as required and facilitated Scrum Ceremonies like Sprint Planning, Daily Stand-Ups, Sprint Review, and Sprint Retrospective Meetings.

Environment: Waterfall-Scrum Hybrid Framework, MS Office, JIRA-Confluence, DB/SQL, MS Project, MS Visio, XML, J2EE, Microsoft SQL.

Junior Quality Assurance Analyst

Confidential

Responsibilities:

• Worked in Waterfall Methodology and extensively involved in Software Testing Life Cycle (STLC) phases, Requirement Analysis, Test Planning, Test Case Development, Environment setup, Test Execution, and Test cycle closure.
• Participated in the JAD session with developers, business analysts, and other stakeholders to get a detailed understanding of the requirements.
• Updated Requirements Traceability Matrix (RTM) and was involved in defining the Entry and the Exit criteria for all the phases in Software Testing Lifecycle.
• Assisted Sr. Quality Assurance Analyst to prioritize testing objects, document test environment details, and carry out Automation Feasibility Analysis.

Environment: Waterfall, MS word, MS Access, SQL Server, Informatica PowerCenter, MS Office Suite, MS Visio, Power BI, MS SQL Server.