SUMMARY

• Results - driven, versatile consultant with over 8+ years experience as a Senior Business Analyst.
• Specialized in Healthcare, Insurance, Risk and Compliance, Document management.
• Proficient in gathering business and technical requirements from both formal and informal sessions through interviews, NetMeeting, questionnaire, video conferencing, JAD sessions and conference calls.
• Strong knowledge of Use Cases, Sequence Diagrams, Collaboration Diagrams, Activity Diagrams, and Class Diagrams.
• Experience in developing Test Plan and Test Cases as per the business process requirements to match the functionality requirements and UML diagrams.
• Possess very good organizational skills, with the ability to multi-task and deal with shifting priorities.
• Knowledge of SDLC (Software Development Life Cycle), SQL, PL / SQL
• Experience in implementing Methodologies such as RUP (Rational Unified Process)
• Experience in Software Analysis and Design (Requirement Gathering, Functional Specification, User Interface Specification, Technical Design, Test Cases and Test Plans)
• Adept in identifying Pain Points and converting Business Needs into Technical and Non-Functional Requirements
• Actively involved in Business Process Re-Engineering, Gap Analysis, Business Refinement Process and Risk Assessment
• Hands on Experience with Rational Rose, Rational Requisite Pro, Rational Clear Quest, MS Visio, Caliber RM
• Good understanding knowledge of 21CFR part 11 and FDA Regulations.
• Seasoned in preparing Requirement Traceability Matrix (RTM) and Software Requirement Specification (SRS)
• Ability to Communicate TEMPEffectively with Business Users, Stake Holders, Programmers, and Technical Staff
• Strong Written, Communication and Presentation Skills
• Good understanding knowledge on Six Sigma methodologies
• Organized many Business Requirement Writings, Joint Requirement Planning sessions (JRP), UAT and Rapid Application Development (RAD) sessions.
• In depth experience in Database Administration. Ability to work in large Cross-Functional Teams.
• Excellent analytical & problem solving skills and a team player with strong interpersonal and communication proficiency.
• Successful completion of Project Management class, conducting TEMPeffective Meetings and Cerner Fundamentals course, 97% score.
• Worked on various Professional billing and Hospital billing products.
• Knowledge of Facets Analytics and Workflow
• Experience in working with HHS, CMS or Medicaid Programs, RHIOs, IHDNs.
• Worked/knowledge on healthcare applications such EPIC, Next-Gen, Cerner, Siemens Soarian,GE Centricity, Eclypsys, Meditech, CPSI, AllScripts, iHelix and e-Clinicalworks,
• Knowledge on medical necessities, software validation and healthcare compliance auditing.

TECHNICAL SKILLS

Modeling Tools: MS Visio, Rational Rose,, Smart Draw.

Process Tools: Rational Rose Suite, RUP, MS Office Suite, MS Project, MS Visio, XP (Extreme Programming)

Reporting Tools: BIRT Reporting

Testing Strategies: Integration, Unit, System, Black Box, White Box, UAT.

Office Tools: MS Word, MS Excel, MS PowerPoint, MS Access, MS Project, MS Outlook, Lotus Notes

Requirement Management Tools: Requisite Pro, DOORS, Requisite Pro, Clear Case, Clear Quest

Defect Tracking: Mercury Quality Center 9.0

Version Control System Tools: PVCS, Rational Clear Case

Project Management: Microsoft Project

Testing Tools: Rational Enterprise Suite, QTP V9.5, Win Runner V9.2, Load Runner, Quality centre 10.0.

Change Management Tools: Rational Clear Quest7.1, Test Director 7.0, Requisite Pro v7.1,Basel ii

Database: MS SQL Server 2005 & 2008, MS Access

Environment: Win 95/98/2000/XP/Vista, Win NT, Linux, VM ware V2.0.

PROFESSIONAL EXPERIENCE

Confidential, Chattanooga TN

Sr Business System Analyst

Responsibilities:

• Design Business Process Models and USE case analysis, Statement of Work, Deliverables with Scope.
• Involved in entire Project Life Cycle Design using Rational Unified Process and Development and all the stages of the life cycle.
• Analyzed the Risks involved in the project and developed Risk Mitigation Solutions, plans and converted to projects.
• Responsible for the Interface Conversion, Integration of Windows with the new system.
• The team used Client view Builder to create the PROMAPS block mode screens as Graphic User Interface (GUI) screens in the new platform. This strategy provided a modern Windows appearance without the need to relearn the applications or the sacrifice of functionality.
• Worked closely with the environment Loading and testing for the new module with developers in BI Environment.
• Created test cases and Test templates and guidelines to be used by the QA team.
• Performing GAP analysis between applications for the Data Migration and Conversion.
• Identifying the impacts and training the users on new policies /procedures changes.
• Performing Impact analysis, Critical Path Analysis, SWOT, Resources allocation Metrics etc.
• Created, executed and translated Manual Test Cases, UAT’s and scenarios into Automated Test Scripts in order to validate Functional Requirements.

Environment: Business Intelligence, IBM Mainframes, UML, MS SQL Server 2008, Oracle 11g, PL/SQL, Windows XP, .NET, SAP

Confidential, Oak Ridge, TN

Sr Business System Analyst

Responsibilities:

• Analyzing the existing policies and procedures and providing the inputs to Executive Management Team to fit into the compass project goals.
• Conducting JAD sessions with different Business Users to develop new policies and procedures for the Service Catalogue, Charge Capture and Service Work list /Charge Router, Hospital billing, coding, special coding requirements for BCBS and Claim processing.
• Performing GAP analysis between HL7 application for the Data Migration and Conversion.
• Identifying the impacts and training the users on new policies /procedures changes.
• Developed Use cases, Test Cases for the Business users and QA team.
• Performing Impact analysis for readiness of ICD-10 conversion.
• Identifying the Security Risks in the application that being built and address them in the requirement document to avoid the security breaches.
• Facilitated all Cerner solution classroom training, individual training, and desk-side coaching for all clinical roles across multiple organizations.
• Authored participant guide for all Cerner training, brochures, and supplemental education materials.
• Supported Client “Go-Live” Conversion of PowerChart and PowerChart Office solutions. Assisted project team with resolving issues at Go-Live.
• Managed 4 associates on the Patient Care Team. Reviewed complex issues and demonstrated detailed workflows and processes to the team on new functionality.
• Mentored 10 associates in the Velocity Training Program on Cerner solution functionality, investigational skills, policies and procedures
• Involved in requirement engineering for Cerner application upgrades and implementation projects
• Created interactive computer-based training modules, competency tests, and delivered via online learning management system for all Cerner solutions
• Improved the new revenue cycle management and Electronic Medical Record (EMR) for PARTNERS.
• Designed the flexible solution for patient treatment plan and patient care plan.
• Designed the solutions for easy conversion of CCR and storage in database .
• Modified Existing policies and procedures for patient access such as Enterprise Scheduling, Patient Check-in/Out and Encounter automation.
• Supporting the Business Users after go live.

Environment: MS Project, MS Visio, RUP, Rational Suite (RequisitePro, ClearQuest, Clearcase), Blueprint, ETS and HIPAA. Cerner.

Confidential, Hershey, PA

System Business Analyst

Responsibilities:

• Analysis for making system compliant with HIPAA . Involved in making the Medicare patient profiles being compliant with the HIPAA regulations. Management of patient profile transfer (PPT) reports created by data team by verifying the associated data.
• Involved in analysis, design, and implementation of the following systems: Control Management Reporting and Security Systems: generation of daily, weekly, and monthly reports of hospital patients’ activity. Medical Billing and Collection Systems: generation of daily billing activity based on patient records and establishment of collection protocols. Accounting Systems: Financial Statement generation and analysis according to government standards and protocols.
• Coordinated and conducted system requirements walkthroughs/sessions (JRDs/JADs) with business Owner/stakeholders/SMEs as well as design/development teams. Worked with business area SMEs/analysts to develop and finalize test plans/scripts/use cases. Analysis of key business requirements and assisted in the development of Business Requirement (BRS), Functional Requirement (FRS), and System Requirement Specification (SRS).
• Working knowledge of EpicRx /Epic Lab/Epic Care Inpatient/Health Information Management and Chart Tracking
• Experience with the use of clinical laboratory information systems within a medium to large clinical laboratory
• Experience with EpicResolute Professional and Hospital Billing system experience
• Experience in a highly regulated environment (healthcare, financial, HIPPA etc)
• Hands on experience on Mercury Quality Center, Crystal Reports.
• Member of the patient information reporting project team for analyzing and designing responsible for analyzing and designing a system that would improve reporting of patient data especially with relation to Medicare population.

Environment: HIPAA, UML, MS Access, MS Office, MS Visio and Rational Suite.

Confidential, MD

Business System Analyst

Responsibilities:

• Assist with creation and maintenance all necessary documentation and training materials for Epic Ambulatory application
• Performed analysis, design, development and maintenance of the Epic Ambulatory applications and other clinical information systems.
• Experience with EPIC user and provider record provisioning, including the development of role-based access, security classes, and user profiles
• Experience in Epic Resolute product implementation and deployment
• Hands on experience with Epic Hospital Billing and Ambulatory
• Experience with Epic Healthcare Information Systems.
• Conducted user interviews, gatheird requirements, and analyzed the requirements.
• Worked with the business team to collect the business requirements, security and service level requirements and documented them.
• Analyzed set behavior and contribution to business performance, critical business metrics & tracking underlying business trends using Business Objects.
• Working with different IT & Business groups to understand and determine the Impacts to the Data Warehouse and/or Data Marts for different projects
• Participated in the logical and physical design sessions and developed design documents. Designed new process flows for the existing system as well as for the enhanced system. Conducted and lead status report meetings with the business and the IT team on a weekly basis. Manage Scope and change throughout the life cycle of the product. Captured all HIPAA-related EDI data in the repository using FACETS.
• Accepted inbound transactions from multiple sources using FACETS.
• Supported integrated EDI batch processing and real-time EDI using FACETS.
• Recommend tactic to implement HIPAA in the new System
• Worked on Electronic health record system as a CRM web based application.
• Working Experience in Electronic Submissions in standard format E2B. Knowledge of regulatory issues including State, Federal, AABB, CAP, CLIA, and JCAHO.

Environment: MS Project, Microsoft Visio, EPIC, FACETS and Business Objects

Confidential, Bluebell, PA

Business Analyst

Responsibilities:

• Conducted detailed and comprehensive Business Analysis by working with end users and other stake holders to identify the system, operational requirements, and proposed enhancements.
• Facilitated Joint Application Development (JAD) sessions with all IT group members for communicating & managing expectations and to discuss various means for integrations with current system using an adoption through execution strategy
• Gatheird business requirements from business users such as Insurance Policy Managers, credit card Managers and drafted business requirement specification (BRS).
• Co-authored Business Requirements Specification (BRS), Use Case Specifications, Systems Requirement Specification (SRS) and Change Request along with the Business Group and the IT project group members.
• Identified all necessary Business and System Use Cases from requirements, created UML diagrams including Use Case Diagrams, Activity Diagrams, and Sequence Diagrams using Microsoft Visio.
• Understood the Business Logic, User Requirements and test-objectives to develop Test plans, Test cases, Use Case Scenarios.
• Assisted in developing test scenarios, test scripts and test data to support unit and system integration testing.
• Involved in comprehensive testing of the system to check it satisfies functional specifications.

Environment: MS Visio, Rational Requisite Pro, RUP, UML, SQL, PL/SQL,MS Office, MS-Project, Windows 2000, Test Director

Confidential, Pittsburgh, PA

Business Analyst

Responsibilities:

• Conducted user interviews, gatheird requirements, analyzed and documented business requirements based on the analysis of loan processing workflow model.
• Created Gantt chart and PERT chart and used them to develop project schedule, allocate resources and make cost estimates using MS Project.
• Prioritized the requirements gatheird from financial specialists, business users, domain experts through interviews and JAD sessions.
• Identified the deliverables at the end of the inception and elaboration phase of the Rational Unified Process (RUP) life cycle in terms of business modeling and requirements analysis.
• Created and maintained the Requirement Traceability Matrix (RTM) between the requirements and other products such as design documents and test plans.
• Initiated Use Case using UML, which provided the framework for potential use case deliverables.
• Ensured verification and sign-off of business requirements by various stakeholders/investors under SOX Compliance.
• Conducted various meetings and interacted with the analysts, and developers to discuss Enhancement and Modification Request issues.
• Version control of the artifacts generated within the life cycle using Rational Clear Case.
• Performed Functionality testing and regression testing.
• Involved in executing test cases and scripts using Win Runner, Developed Sub Reports using Crystal Reports.
• Created various Charts and Graphs like Bar Chart, Line graphs, Pie Charts for analysis

Environment: MS Visio, Rational Requisite Pro, MS Project, RUP, UML, Win Runner, Rational Project Console, MS Office, Windows 2000, Crystal Reports, SQL