SUMMARY

• 7+ years of extensive experience in Business Analyst in Pharmaceutical, Life Science and Health Care Software Validation and business process re - engineering with proven ability to articulate business values.
• Exposed to diverse business processes, that includes Pharmaceutical and Healthcare... Performed business analysis and application design for an IT solution directed towards biopharma and life science CROs.
• Strong understanding of GxP quality guidelines: Good Manufacturing Practice, Good Laboratory Practice (GLP), Good clinical Practice (GCP), Good Distribution Practice (GDP), and Good Regulatory Practice (GRP).
• Extensive knowledge of compliance to FDA 21 CFR Part t11, 50, 56, 58, 210, 211, 312, 314.80, 820.
• Industry specific expertise includes life sciences (GMP & GxP systems), aerospace, discrete manufacturing, financial services, insurance, government, legal and medical equipment.
• Experience in database management; Provider Contracts, Provider Directory, Credentialing Medical Providers.
• SNOMED Mapping, HL7 Message Validation, Electronic Health Records, Electronic Medical Records.
• Expertise in UML (class diagrams, object diagrams, GAP Analysis, use case diagrams, state diagrams, sequence diagrams, activity diagrams, and collaboration diagrams) as a data analysis methodology for application functionality designs using IBM’s Rational Rose.
• Analyse existing IT infrastructure/technology strategy against industry standards to create best practices, budgets, and processes
• Well versed in all phases of Software Development Life Cycle (SDLC) and experienced using Agile (SCRUM), Rational Unified Process (RUP), and Waterfall methodologies.
• Worked on e-submissions and having good knowledge of CDISC, Code of Federal Regulation (21 CFR Part 11), ICH, GCP guidelines.
• Possess report writing and running skills with queries for the specific report using Report Writer Tools and SQL
• Designed database, stored procedure, reports and data input interfaces using SQL server to support ETL processing
• Identified/verified the Medicaid documents for different clients accounting to the Healthcare plan selected.
• Experienced in gathering requirements for HIPAA (Health Insurance Portability and Accountability Act) EDI (Electronic Data Interchange) Transactions 820, 834,
• 835, 837 (I, P and D), 270, 271, 276, 277, 278, 997 and 999 in various phases of implementation.
• Experience working with query languages like SQL
• Extensive experience in creating Functional and Technical Specifications, UI specifications and UI prototypes.
• Experience in working with QA team to develop the Test plans, Test scenarios, Test procedures, and Test cases to ensure adequate testing of software both before and after completion.
• Proficient in using version control tools such as Clear Case, Bug tracking tools such as Clear Quest, Test Director

PROFESSIONAL EXPERIENCE

Business Analyst

Confidential - New York, NY

Responsibilities:

• Involved in mentoring specific projects in the application of the new SDLC based on the Agile Unified Process.
• Assisted in developing tailored enterprise architectures that are fully consistent with CMS requirements.
• Participated with others in the planning, development, implementation, maintenance, and evaluation of business application systems as assigned.
• Proficient in authoring Project Charters, Business Requirement Documents (BRD), Functional Specifications Documents (FSD), Software Requirement Specification (SRS), Use case Document, and Software Design Specification (SDS).
• Adapted agile process earlier than scheduled and Adhere to Agile Methodologies through the entire software development process. Used SQL to generate day-to-day reports end using the SharePoint viewer.
• Performed HL7 standards analysis and documented the enhancements to meet the end state requirements.
• Created data model diagrams to perform detailed data requirements analysis and create design specifications and operational documentation. Creation of Test Scenarios for approved business requirements.
• Assisted in interfacing the EMR system with decision support analytics that summarize patient profiles.
• Prepared Test Plans for each release, written Test Cases, and executed them as part of Functional Testing. Prepared Test Reports and Deliverables and submitted them for version releases.
• Assisted in integrating Tableau data into the active archives to make it readily accessible.
• Worked closely with department managers to develop Tableau reports that added value to their daily operations.
• Designed and documented Business Process Re-engineering, Business Process Modeling, Historical Data Reports Analysis accompanied by conducting and facilitating elicitation sessions such as questionnaires, Interviews sessions, Brainstorming sessions, Focus group sessions, Requirement workshops, Interface analysis, Document analysis, and JAD sessions with internal as well as external stakeholders
• Expertise with QNX Claims Workflow (HCM), for claim pricing, member administration, and billing management.
• Reviewed MMIS documents to understand the customer requirements.
• Performed Gap analysis between customer requirements and the MMIS solution.
• Involved in implementation of EDI Transactions (835,837) and facilitated Electronic Data Interchange.
• Worked on EDI automated first-pass claim adjudication, requiring a thorough understanding of claim processing, both front, and backend operations.
• Reviewed Unit testing results, creating Test plans, performing System Testing, Partner Plan Testing, and supporting User Acceptance testing.
• Gathered technical requirements from the development team for testing Agile methodology.
• Gathered Requirement from the Client to fulfill the Application need for FACET Implementation.
• Created Implementation plans and post-implementation activities.
• Planed and controlled the testing activities and tasks.
• Identified gaps between standard FACETS functions and client requirements to write requirements for FACETS extensions.
• Worked closely with Product Manager, System Analyst, and Development team to sign off feature file test cases as part of Agile ATDD (Acceptance Test Driven Development) process.
• Worked with Facets software to maintain data about the enrollment, billing, and health care claims management and to store, send, receive HIPAA transactions. Facilitated the administration of HIPAA privacy rights.
• Worked in Facets online modules such as Billing, Provider, Claims, and Membership modules.

Business Analyst

Confidential - Hartford, CT

Responsibilities:

• Identified and documented the current business process gaps and recommended solutions.
• Worked directly with the clients and operations team members to support their different business processes under IT Security services.
• Analysed complex health domain related documentation/requirements to understand, analyse and act on data for output to clients.
• Documented business requirements related to the health domain.
• Arranged interviews with all the stakeholders to review and understand the gathered business requirements.
• Lead requirements discussions to document, analysed and translated functional and non-functional requirements into user stories, diagrams, and other deliverables as needed.
• Responsible for generating innovative ideas for content while working both independently and collaboratively as part of a team.
• Researched products, services, technology or concepts to be documented.
• Generated innovative ideas for content and workflow solutions.
• Met with subject-matter experts to ensure specialized topics are appropriately addressed.
• Reviewed content developed by other members of the team.
• Gathered and analysed technical and product information from various sources to document new or changing product functionality.
• Worked with the internal teams to obtain an in-depth understanding of the product and the documentation requirements.
• Produced high-quality documentation that meets applicable standards and is appropriate for its intended audience.

Business Analyst

Confidential - Chicago, IL

Responsibilities:

• Interacted closely with the Business users along with the administration and management to gather business requirements and analyze the functionalities to be incorporated into the system.
• Attended demo sessions to understand existing system functionalities.
• Followed the Agile methodology during the entire SDLC.
• Arranged interviews with all the stakeholders to review and understand the gathered business requirements.
• Coordinated with system architects and developers to convert business requirements into system requirements.
• Conducted meetings to document Change Requests for new requirements.
• Analyzed business requirements and segregated them into Use Cases. Created Use case diagrams and documented Use case specifications.
• Maintained various versions of the documents generated during the project using Rational Clear Case.
• Was responsible for creating and updating project schedule and managing resources and timeline using MS Project.
• Worked with the ETL development team for migrating the data from the old data mart to the new IDW (Insurance Data Warehouse) and to validate the data integrity.
• Prepared the project status reports and represented the BA team in the PMO meetings.
• Participated in UAT along with Business SME's.

Business Analyst

Confidential - New York, NY

Responsibilities:

• Responsible for defining the scope and implementing business rules of the project, gathering business requirements and documentation.
• Responsible for writing Functional Requirement Specifications (FRS) and User Requirement Specification (URS).
• Created Test Plan, Test Cases and Test Scripts with respect to Test plan
• Analysed Business Requirements and segregated them into high level and low-level Use Cases, Activity Diagrams / State Chart Diagrams using Rational Rose according to UML methodology thus defining the Data Process Models.
• Understand the As Is system and develop the To Be system concept and prepare the System Process Maps.
• Effectively used NASCO system.
• Worked with NASCO teams to get current workflow for detailed business process.
• Involved in applications analysis, which involves claims processing in NASCO.
• Created and managed project templates, Use Case project templates, requirement types and traceability relationships in Requisite Pro.
• Conduct Requirements Gathering sessions with the use of Content Data Modelling.
• Defined Functional Test Cases, documented, Executed test script in Facets system.
• Successfully conducted JAD sessions, which helped synchronize the different stakeholders on their objectives and helped the developers to have a clear-cut picture of the project.
• Conducted presentations of the Q/A test results with analysis to the stakeholders and users and documented modifications and requirements.
• Coordinating and Developing QA activities.
• Developed business process models in RUP to document existing and future business processes.
• Assigned tasks among development team, monitored and tracked progress of project following Agile methodology.
• Conducted user interviews, gathered Requirements, analysed the Requirements, and managed changes using Rational Suite.