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Business System Analyst Resume Profile

Albany, NY

Summary:

I have been working in the field of IT for the past 8 years as a Healthcare Business Analyst, System Analyst and QA Tester. I am very passionate about my work, which has helped me throughout my career to accomplish many challenging tasks. I have helped companies in Business Process Improvement, Quality Analysis Testing and Implementation, driving the projects from road of ambiguity to clarity. I possess the quality to lead and also be a solid team player at the same time with my focus being toward the betterment of business.

  • Extensive experience in gathering and understanding business requirements, communicating effectively with Stakeholders, SME's, Tech Leads and Business Users.
  • Experienced Joint Application Design JAD facilitator and meetings coordinator/moderator with excellent interpersonal and conflict resolution skills.
  • Expertise includes project planning, risks and issues analysis and mitigation, business requirements elicitation, budget management and literature and communication strategies
  • Experience in writing Test Plans, Test Scripts, Test Cases and executing them.
  • Assisting the QA team in planning and performing Functional Testing, Integration Testing, and Regression Testing.
  • Extensive experience in conducting Joint Application Development JAD sessions for project definition involving analyzing requirements, creating prototypes, user interface, database schema and system design.
  • Good Experience in Integrated Eligibility System IES and ACA.
  • Experience in writing PL/SQL Stored Procedures, Triggers, Cursors and Functions and SQL statements.
  • Experience in facilitating session between SME and providing them with recommendations to resolve issues for various business/technical groups.
  • Extensive knowledge and experience in Software Development Life Cycle SDLC methodologies like Waterfall, and Agile Scrum, RUP .
  • Expertise in capturing requirements to the core and developing precise Business Requirement Documents BRD and Functional Requirement Documents FRD .
  • Proficient in conducting GAP Analysis, Risk Analysis.
  • Experience in working with Data Management and Data Governance based assignments.
  • Good Knowledge in Care Management / Medical Management and Utility Management area.
  • Expert in Trizetto's Clinical Care Advance , Landacorp's MaxMC Medical Management and Trimed Care Management Pro software's.
  • Theoretical knowledge in Trizetto FACETS.
  • Working Knowledge of EDI, ANSI X12 and HIPAA Standards.
  • Proficient with high-level Logical Data Models, Data Mapping and Data Analysis.
  • Worked closely with the System Architect to implement Service Oriented Architecture.
  • Worked closely with Change Management team to update the requirement changes and maintain them after implementation.
  • Excellent knowledge of HIPAA Health Insurance Portability and Accountability Act transaction codes such as 270/271 Inquiry/response health care benefits , 276/277 Claim status request/response , 835 Payment or remittance advice , 837 Health care claim and 834 Benefit enrollment .
  • Confident, pro-active, analytical, fast learner and detail-oriented candidate with excellent multitasking capabilities to perform exceptionally in ever changing and stressful environments.

Technical Skills:

BA Methodologies

SDLC, Waterfall , Agile RUP and SCRUM

Medical management Tools

Trizetto Clinical Care Advance , Landacorp MaxMc, CareManagement Pro

Operation Research Techniques

GAP Analysis, SWOT Analysis, Risk Analysis, ROI

EDI Transactions

X12,HIPAA 270,271,276,277,278,820,834,835,837

Security/Service Request Management Tools

CA Identity Minder, IBM Tivoli

Databases

Oracle 10g/11g, MS Access, SQL Server

Business Process Modeling Tools

MS VISIO, Rational Rose

Quality Management

IBM Rational Manual Tester IBM Test Manager, Rational Clear Quest HP Quality Center/ ALM

Documentation Tool

SharePoint, MS Office Suite Word/Excel/Power Point

Languages

C, C , HTML Visual Studio, Java

Business Analysis Tools

Rational Clear Quest, Rational Requisite Pro

Operating Systems

Windows 95/98/2000/XP/Vista/7, UNIX,DOS

Mainframe Applications

NASCO, CS90, TLC

Projects Summary:

Confidential

Business System Analyst

Responsibilities:

  • Interview business users Nurse and Doctors-MD's to gather requirements and analyzed the feasibility of their needs by coordinating with the Project Manager and technical lead.
  • Partnered with the business stake holders, process owners, users to identify their requirements, produced detailed specifications, planned the project deliverables.
  • Working closely with the company's IT department.
  • Drafting the process activities through Ms-Visio as Use case Diagram.
  • Conduct regular meetings and actively coordinated with Developers and Business Team worked with Functional leads, Business Analysts and Project Managers.
  • Understanding Trizetto Clinical Care Advance/ MaxMC Landacorp Data model and helping business to understand and implement the same in new environment.
  • Established great interpersonal relationship with the users and provided extensive user support for the central application. User support was a crucial aspect of this project.
  • Reviewed test cases written by QA team and ensured all the functionalities are being tested thoroughly.
  • Coordinated and conducted JAD sessions for Utilization Management and Case Management area requirements.
  • Drafting detailed Business Requirement for IT to proceed with their Design document.
  • Planned and coordinated the UAT effort prior to go-live.
  • Conducted UAT walkthrough sessions to updates participants on the expectation and the UAT process.
  • Strong SQL Knowledge to pull and configure data in backend for Data Management.
  • Coordinated testing effort in creating EHR Electronic Health Record .
  • Involved in Risk-Management Process, whereby identifying critical areas of business risk and modifying the business process to reduce the same.
  • Provided support during UAT and addressed show-stoppers in timely manner.
  • Collected UAT sign-off's and documented them for audit purposes.
  • Did Defects Management for different phases of release.
  • Administrator for the existing application, which involves receiving request through IBM Tivoli and configuring the users into CA Identity manager to grant/revoke access to application users.
  • Inspecting Change Order Requests, completing cost effort estimates, planning and prioritizing the work for a suitable iteration
  • Providing the management with Organizational metrics and reports.
  • Assist in development of training materials for new technology and process improvements.

Environment:

MS-Visio, Share Point 2010, Microsoft Office Suite MS Word, Excel, PowerPoint , XML, JAVA, Clear Quest, Rational Req Pro, AQT, Trizetto Care Advance, MaxMC Landacorp ,IBM Tivoli , Toad , Filenet, Content Management Tool and CA Identity Manager.

Confidential

Senior Business Analyst

Responsibilities:

  • Worked as Business Analyst and analyzed the Medicaid Eligibility Determination System standards for documenting Business requirements document and Functional requirements document of the system.
  • Conducted regular meetings and actively coordinated with Developers and Business Team worked with Functional leads, Business Analysts and Project Managers.
  • Gathering Requirements from client and document the system requirements and GUI Specifications.
  • Analyzed all the Business and System requirements and participating in Technical and Functional Requirement review meetings.
  • Prepared Test Strategy document and Master Test plan, Test Estimations.
  • Tracking, Managing and escalating appropriate issues in a timely manner.
  • Reviewing Test conditions in compliance to the requirements.
  • Involved in preparing the test strategy, test plans, test scripts, reviewed QA test plans for appropriate test coverage and conducted system testing functional, regression and integration testing.
  • Identifying, Documenting, Tracking defects through HP Quality Center and Performing initial triage of issues. Updating and providing status on the defect tracker to higher management.
  • Prepared the Business Flows.
  • Performed SWOT analysis, GAP analysis for the modules in production, conducted Feasibility study and performed impact analysis for proposed enhancements
  • Assessed current operational procedures, input and output variable and security requirements.
  • Interfaced with internal clients and technical vendors on new feature requirements.
  • Conduct massive requirement sessions with the stakeholders to elicit and analyze requirements.
  • Execute complex integrated systems planning and solution alternative analysis and design.
  • Performed Process change to align organization to process, strategy and adaptability for migrating projects.
  • Involved in Risk-Management Process, whereby identifying critical areas of business risk and modifying the business process to reduce the same.
  • Assist in development of training materials for new technology and process improvements.

Environment:

MS-Office, MS-Visio, MS-Access, MS-Project, Share Point 2007, Microsoft Office Suite MS Word, Excel, PowerPoint , XML, JAVA, Waterfall, SOA, Oracle Service Bus, Oracle Fusion Middleware, Oracle and SQL Server

Confidential

Business System Analyst / Testing

Responsibilities:

  • Followed the Texas Medicaid Eligibility Determination System standards in documenting Business requirements document and Functional requirements document of the system.
  • Worked closely with Functional leads, Business Analysts and Project Managers. Conducted meetings and actively coordinated with Developers and Business Team.
  • Responsibility includes analyzing the Business and System requirements.
  • Prepared Test Strategy document and Master Test plan, Test Estimations.
  • Gathering Requirements from client and document the system requirements and GUI Specifications.
  • Tracking, Managing and escalating appropriate issues in a timely manner.
  • Analysis of requirements and participating in Technical and Functional Requirement review meetings.
  • Reviewing Test conditions in compliance to the requirements.
  • Prepared the Core User Requirements Specifications CURS and the Functions Specifications FS .
  • Prepared the Business Flows.
  • Performed SWOT analysis, GAP analysis for the modules in production, conducted Feasibility study and performed impact analysis for proposed enhancements
  • Assessed current operational procedures, input and output variable and security requirements.
  • Interfaced with internal clients and technical vendors on new feature requirements.
  • Conduct massive requirement sessions with the stakeholders to elicit and analyze requirements.
  • Performed Process change to align organization to process, strategy and adaptability for migrating projects.
  • Involved in Risk-Management Process, whereby identifying critical areas of business risk and modifying the business process to reduce the same.
  • Performed Data modeling, data mapping and XML Mapping. Worked in SOA environment.
  • Involved in formulating the test strategy, test plans, test scripts, reviewed QA test plans for appropriate test coverage and conducted system testing functional, regression and integration testing.
  • Assist in development of training materials for new technology and process improvements.

Environment:

Oracle, SQL, SQL Server, MS-Office, MS-Visio, MS-Access, MS-Project, Share Point Microsoft Office Suite MS Word, Excel, PowerPoint , XML, JAVA and Waterfall

Confidential

System Analyst

Responsibilities:

  • Reviewed Business Requirements and analyzing the technical specifications.
  • Support existing EDI systems/subsystems and migration projects for new/existing partners
  • Automated repetitive tasks and processes in order to maximize performance.
  • Conducted walkthrough for all ICD-9 compliant codes.
  • Overall accountability for the construction, quality and timely delivery of the project.
  • Worked with end users to determine business needs for new or enhanced systems or applications.
  • Established and maintained communication channels with senior managers, key team members and stakeholders.
  • Running the Autosys / EMT Job when scheduled jobs fail.
  • Performed applications enhancements, troubleshooting, and bug fixes as required.
  • Tracking, Managing and escalating appropriate issues in a timely manner.
  • Developed and implemented 837 Maps.
  • Claims 837 /Electronic Remittance 835 Issues.
  • Ensured all Inbound / Outbound transactions are backed up appropriately and integrity checking are regularly carried out
  • Post Implementation support
  • Provided the management with Organizational metrics and reports.
  • Assisted in development of training materials for new technology and process improvements.

Environment:

IBM WTX, Mercator, MS-Office, MS-Visio, MS-Access, MS-Project, Share Point , Rational Clear Quest, Microsoft Office Suite MS Word, Excel, PowerPoint and JAVA

Confidential

Jr. Business Analyst

Responsibilities:

  • Interacted with business heads to finalize the business requirements for the application.
  • Worked with internal and external users to define requirements and coordinated user management and developer expectations.
  • Successfully conducted JAD sessions, which helped synchronize the different objectives of stakeholders and helped the developers comprehend user requirements.
  • Collected and documented business processes as well as business rules. Provided key input in working with users in defining project and system requirements.
  • Created business flow diagrams, performed SWOT analysis, and assisted in designing the web structure.to define requirements and coordinated user management and developer expectations.

Environment: MS Office, MS Visio, SQL, SharePoint, UML and MS Access

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