SUMMARY

• Results - driven, versatile consultant wif 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 teh business process requirements to match teh functionality requirements and UML diagrams.
• Possess very good organizational skills, wif teh ability to multi-task and deal wif 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 wif 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 wif 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 wif 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 wif 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 wif Scope.
• Involved in entire Project Life Cycle Design using Rational Unified Process and Development and all teh stages of teh life cycle.
• Analyzed teh Risks involved in teh project and developed Risk Mitigation Solutions, plans and converted to projects.
• Responsible for teh Interface Conversion, Integration of Windows wif teh new system.
• Teh team used Client view Builder to create teh PROMAPS block mode screens as Graphic User Interface (GUI) screens in teh new platform. This strategy provided a modern Windows appearance wifout teh need to relearn teh applications or teh sacrifice of functionality.
• Worked closely wif teh environment Loading and testing for teh new module wif developers in BI Environment.
• Created test cases and Test templates and guidelines to be used by teh QA team.
• Performing GAP analysis between applications for teh Data Migration and Conversion.
• Identifying teh impacts and training teh 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 teh existing policies and procedures and providing teh inputs to Executive Management Team to fit into teh compass project goals.
• Conducting JAD sessions wif different Business Users to develop new policies and procedures for teh 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 teh Data Migration and Conversion.
• Identifying teh impacts and training teh users on new policies /procedures changes.
• Developed Use cases, Test Cases for teh Business users and QA team.
• Performing Impact analysis for readiness of ICD-10 conversion.
• Identifying teh Security Risks in teh application dat being built and address them in teh requirement document to avoid teh 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 wif resolving issues at Go-Live.
• Managed 4 associates on teh Patient Care Team. Reviewed complex issues and demonstrated detailed workflows and processes to teh team on new functionality.
• Mentored 10 associates in teh 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 teh new revenue cycle management and Electronic Medical Record (EMR) for PARTNERS.
• Designed teh flexible solution for patient treatment plan and patient care plan.
• Designed teh 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 teh 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 wif HIPAA . Involved in making teh Medicare patient profiles being compliant wif teh HIPAA regulations. Management of patient profile transfer (PPT) reports created by data team by verifying teh associated data.
• Involved in analysis, design, and implementation of teh 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) wif business Owner/stakeholders/SMEs as well as design/development teams. Worked wif business area SMEs/analysts to develop and finalize test plans/scripts/use cases. Analysis of key business requirements and assisted in teh 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 wif teh use of clinical laboratory information systems wifin a medium to large clinical laboratory
• Experience wif 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 teh patient information reporting project team for analyzing and designing responsible for analyzing and designing a system dat would improve reporting of patient data especially wif relation to Medicare population.

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

Confidential, MD

Business System Analyst

Responsibilities:

• Assist wif creation and maintenance all necessary documentation and training materials for Epic Ambulatory application
• Performed analysis, design, development and maintenance of teh Epic Ambulatory applications and other clinical information systems.
• Experience wif EPIC user and provider record provisioning, including teh development of role-based access, security classes, and user profiles
• Experience in Epic Resolute product implementation and deployment
• Hands on experience wif Epic Hospital Billing and Ambulatory
• Experience wif Epic Healthcare Information Systems.
• Conducted user interviews, gathered requirements, and analyzed teh requirements.
• Worked wif teh business team to collect teh 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 wif different IT & Business groups to understand and determine teh Impacts to teh Data Warehouse and/or Data Marts for different projects
• Participated in teh logical and physical design sessions and developed design documents. Designed new process flows for teh existing system as well as for teh enhanced system. Conducted and lead status report meetings wif teh business and teh IT team on a weekly basis. Manage Scope and change throughout teh life cycle of teh product. Captured all HIPAA-related EDI data in teh 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 teh 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 wif end users and other stake holders to identify teh system, operational requirements, and proposed enhancements.
• Facilitated Joint Application Development (JAD) sessions wif all IT group members for communicating & managing expectations and to discuss various means for integrations wif current system using an adoption through execution strategy
• Gathered 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 wif teh Business Group and teh 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 teh 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 teh 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, gathered requirements, analyzed and documented business requirements based on teh 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 teh requirements gathered from financial specialists, business users, domain experts through interviews and JAD sessions.
• Identified teh deliverables at teh end of teh inception and elaboration phase of teh Rational Unified Process (RUP) life cycle in terms of business modeling and requirements analysis.
• Created and maintained teh Requirement Traceability Matrix (RTM) between teh requirements and other products such as design documents and test plans.
• Initiated Use Case using UML, which provided teh 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 wif teh analysts, and developers to discuss Enhancement and Modification Request issues.
• Version control of teh artifacts generated wifin teh 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