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Business System Analyst Resume Profile

PROFESSIONAL SUMMARY:

  • Over 8years of IT industry experience working as a Business System Analyst
  • Extensive experience in Requirements gathering using interviews, JAD sessions, BPMN/UML models experience in documenting business and functional requirements BRD, FRD effective verbal and written communication skills
  • Deep knowledge of all facets of SDLC process experienced in managing projects using Agile and RUP methodologies
  • Strengths include big picture focus while developing strategic business solutions which can include:

Areas of Business Knowledge include:

Relational database experience includes ORACLE, MS SQL SERVER knowledge of Data Warehousing concepts, experience in designing and mapping ETL processes.

Experienced in Data Analyses, Data Mapping using SQL and UML diagrams

  • Successfully provided UI design using wire frames, mockups supplemented by functional requirements
  • Creative and innovative thinker, team player with excellent communication and analytical skills, bringing energy, enthusiasm and leadership to problem resolution

TOOLS:

Requirements Excel, Word, Rational Requisite Pro

Project status MS Project

UML/BPMN models Visio, Rational Rose AXURE

Traceability RallyDev, Excel

Data modeling, mapping ORACLE SQL, MS SQL SERVER Erwin, XML

ETL, Date Warehousing DWH , Reporting MS SSIS, SSRS, SAP Business Objects, Excel, Visio

WORK EXPERIENCE:

Confidential

Business System Analyst

Confidential is one of the biggest retail chains in Confidential as well as Confidential. They have developed their own mobile activation application to support major carriers in Confidential . While working with BEAST team I came across various parts of this Application as well as POS system. While working in a clustered Matrix environment I had to work with several team to complete my project.

Responsibilities:

  • RUP combines with Scrum Methodology was followed throughout software development cycle.
  • Coordination with onsite, offsite and offshore teams during the project implementation period for development and testing activities.
  • Coordinated extensive JAD sessions with Design, Development, DBA's and SME's to tree down the business requirements into Functional requirements Technical .
  • Performed GAP analysis and analyzed system effectiveness in meeting the requirement.
  • Facilitated requirement gathering and brain storming sessions
  • Co-ordinated with developer and QA team to develop test cases
  • Worked with constantly changing Requirements and Work priorities.
  • Since worked with BEAST which is a core team for mobile application had to co-ordinate with multiple teams and stakeholders to understand requirements and deliverables.
  • Developed use cases as well as functional and none functional requirement documents.
  • Worked with onshore and offshore teams to deliver requirements.
  • Created mock-ups and user interface documents for related assignments.

Confidential

Sr.Business System Analyst

Confidential is one of the leading providers of health insurance services. The Confidential up project is to implement a centralized Claims Module that maximizes automation. The Facets based system performs all the functions of claims administration, Data Exchange, Confidential for the various EDI File formats. Implemented Claims adjudication module facets online with EMR/EHR in compliance with HIPPA 5010 approved transactions such as claim filing 837 , Claim Remittance 835 , and Health plan Eligibility 270/271 .

Responsibilities:

  • RUP combines with Scrum Methodology was followed throughout software development cycle.
  • Coordination with onsite, offsite and offshore teams during the project implementation period for development and testing activities.
  • Coordinated extensive JAD sessions with Design, Development, DBA's and SME's to tree down the business requirements into Functional requirements Technical .
  • Performed GAP analysis and analyzed system effectiveness in meeting the requirement.
  • Extensive Requirement illustration and documentation was performed and any changes were controlled by Change control board CCB .
  • Worked with FACETS Team for HIPAA Claims Validation and Verification Process Pre-Adjudication .
  • Worked intensively on FACETS for audit trails made on the used account and check and store information related to the HIPPA authorizations.
  • Worked with FACETS to port the system from and check the system responds equally fast and also is complying with the standards of the institution all the time.
  • Developed Use Case Models, Activity Flow, Business process flow, Sequence and well documented for future reference
  • Implemented Claims adjudication module facets online with EMR/EHR in compliance with HIPPA approved transactions such as claim filing 837 , Claim Remittance 835 , and Health plan Eligibility 270/271 .
  • Involved in daily scrum meetings and implemented Agile methodology
  • Executed various SQL queries to perform data validation and check data integrity.
  • Assisted QA team in creating Test plans, Test Scenario and Test Cases for smoke, Functional, system integration and regression testing.
  • Conducted UAT testing with the Business end-users and Developed Training Manuel/Guide for performing claim remittance 835 , claim status 276/277 , and health Plan eligibility 270/271 transactions.
  • Defect process management was performed with QA and Developers to resolve defects.
  • Confidential a leading pharmacy benefit manager PBM , with the nation's largest mail order pharmacy operations. Through advanced pharmacy,Medimpactimproves the health and lowers the total cost of care for clients and their members. Working directly with drug manufacturers and a nationwide network of retail pharmacies,Medimpactprovides flexible options backed by quality customer service.
  • The project involved Modifying the Point of Sale application to ensure the removal of special drugs from being dispensed from pure play pharmacies and all retail pharmacies depending on the clients and the list of drugs.
  • The Project was meant to design a comprehensive pre authorization PA / Utilization management. MedResponse automates the Therapeutic PA process.

Responsibilities: -

  • Developed detailed work flow document and Process flow diagrams.
  • Interacted with cross-functional teams for collection of detailed business requirements.
  • Analyzed Business Requirements and segregated them into high and low level Use Cases, Activity Diagrams and Sequence Diagrams using MS Visio.
  • Gathered user requirements by interviewing focus groups and brainstorming with SMEs, Business users and Product owners. Created targeted questionnaires for SMEs to refine requirements and translated into business rules
  • Ensured that functional team understands requirements to implement the Specialty Optimization Rules Station.
  • Reviewed and revised a comprehensive list of Retail and Pure play Pharmacies, to include them in the rules Station, with the help of the SME.
  • Worked in coordination with the Legal standards department to incorporate mandatory and specific State laws, related to sale and distribution of Specialty drugs, in to the Rules Station.
  • Conducted Gap Analysis to determine ways that allow Prior Authorizationbased on different Rules Engines.
  • Conducted Business process study to establish link between BA front-end tool, File Management review/approval process, and creation of back-end rules in Authorization module.
  • Used AGILE methodology and worked in short SPRINTS to achieve goals.
  • Participated in SCRUMS and discussed the open issues and statues.
  • Participated in Agile Planning Sessions and assumed the Product Owner role for the agile initiative.
  • Developed the Epics and Themes for the Scrum Project
  • Devised and prioritized the Product Backlog by conducting requirement churning sessions with various Business / Product Teams.
  • Created and explained the User Stories to the Scrum Team and helped them design the Tasks.
  • Designed acceptance criteria for validating the output of each Sprint.
  • Reviewed Team Velocity on a frequent basis and advised Scrum Master at various stages.
  • Participated in Sprint Planning and Sprint review meetings for Finalizing the Sprint Backlogs and Verifying the sprint outputs respectively
  • Created Release Tracking Documentin order totrack the necessarychanges.
  • Participated in Business Demonstrations and Decisions for the Release of the Sprint Output to Production.

Confidential

Senior Business Analyst

Confidential distribution and processing system with the goal of providing practitioners with ability to help their patients to receive prescription drug discounts via pharmacy discount card.The system designed to automate enrollment process, into the program, distribution of PDC to practitioners, process cards' activation and usage information, business intelligence reporting, online PDC print-on-demand capability for practitioners and consumers.

Responsibilities:

  • Authored detailed Product Requirements PRD
  • Facilitated requirement gathering and brain storming sessions
  • Provided AS-IS and TO-BE process analyses, Gap analyses, Business Process modeling and decomposition
  • Authored detailed Functional Requirements FRD Report Definition and Design Document
  • Provided Use Case diagrams, narratives facilitated Use Case Realization sessions with IT team
  • Developed Process Flows,screen mock-ups, and conversion requirements.
  • Provided data analyses, modeling and mapping along with ETL process description for outbound and inbound data flows.
  • Defined UI requirements and came up with detail UI designs
  • Developed Web Services requirements for exchange of card data
  • Developed UAT strategy, UAT Plan and facilitated UAT
  • Verified and validated all build or release related issues and resolved them through discussion with business analysts with users' approval.

Mississippi State Division of

Confidential of Medicaid has to comply with CMS mandated standards such as HIPAA 5010 and ICD-10 by the deadline specified by CMS.

Project Description: The state of Mississippi Medicaid had to comply with CMS mandated HIPAA 5010 and ICD-10 requirements within the timelines. The objective of the Project was to do the assessment for Mississippi state MMIS and other State systems , and perform GAP analysis between current HIPAA 4010 / ICD-9 and compliance HIPAA 5010 / ICD-10 followed by Implementation Phase, which will include the actual conversion from 4010/ ICD-9 to 5010/ ICD-10.

Responsibilities

  • Involved in overview Interview sessions, training presentation sessions and detailed interviews. Worked with State-Client to gather the information about the documents and business processes
  • Actively worked on Business requirement gathering, analysis and Data analysis
  • Contributed in 5010/ ICD-10 Awareness Training Management Plan, created evaluation tool, and survey questions
  • Conducted JAD sessions and developed various strategies to distribute the work in team, dealing with huge number of documents from state to meet the deadline
  • Reviewed state documents policies, manuals, business processes, systems documents, banners, bulletins from various divisions. Analyzed and performed quality assurance to determine areas impacted by HIPAA 5010 and ICD-10 related data.
  • Performed Gap Analysis using 'Tracer' tool, created gaps and generated weekly reports based on results and used Share point 2010 to store all Project Artifacts
  • Mapped ICD codes and prepared final result summary documents with reports
  • Created BRCs of EDI inbound and outbound transactions 837 P/I/D, 835, 270, 271, 276, 277, 834 and mapped the provided data
  • Contributed in process development, issue solving process, and creation of the process flow documents and diagrams
  • Extensively involved in HIPAA 5010 User Acceptance Testing UAT . Defined and maintained Test Cases for EDI transactions.
  • Authored and executed test cases and test scripts for 5010 testing. Used HP Quality Center for error reporting and tracking and for communicating between developers, production support and test team members

Rationalizing Duplicate Databases Processes

Confidential Project strives to achieve Standardization of the Customer Identification and House holding data management. The Project will also ensure various Western Union Applications receive relevant customer identification data leading to improved Compliance Reporting, Customer Analytics and POS customer experience. The Project involved deployment of new global EAS seed data and integrated EAS environment with batch and real time interfaces HW/SW upgrades funded from Shared Services . Expose RTRA consumer recognition functionality as web services and integrate with QAS/Address Doctor address hygiene web services and other id/number cleansing services. Implement Datastage Batch ETL jobs to cleanse process and deliver merged transaction

Responsibilities:

  • Worked with the core team to gather business requirements from multiple stakeholders, Business Teams and management groups - and reconciled conflicts by conducting Joint Application Development JAD sessions based on the project scope.
  • Created Functional Specifications Document and designed high and low level Use Cases and Process / Activity Diagrams using MS Visio.
  • Worked Closely with Application Architects and Business teams to converge on requirements for the Enterprise Consumer Matching WebServices.
  • Worked closely with Data Architects and ETL Leads/Managers and was responsible to perform detailed data requirements analysis and create design specifications and operational documentation.
  • Provided the ETL team with the Datamapping document and assisted them to create the mappings.
  • Worked closely with the architects, database administrators and technical team during Data Mapping and Data Integration
  • Involved in datamodeling and building fact and dimension tables.
  • Played a key role in the user acceptance testing UAT , and implementation of system.

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