SUMMARY

• Over 8 years experience in the fields of business analysis, project management, data analysis, process reengineering of web based and Client Server applications.
• Expertise in Waterfall, Test Driven Development and Agile methodology.
• Expertise in creating project plans, test plans, UML diagrams, flow charts, process flows, screen mock - ups and system requirements specifications.
• Used the JIRAConfluence for the general requirements gathering and project discussion on the Confluence page and utilized Confluence and JIRA's integration to create issues from the requirements pages.
• Accomplished logistics management featuring strategic planning in many central Supply Chain Management programs.
• Looked over the main Functions, between the IT organization and the functional business clients for enhancements toServiceNow and me’ve been responsible for translating business case analysis into functional requirements and identified many potential opportunities to re-engineer business processes, improving efficiencies and reducing costs.
• Accomplished Enterprise business analysis to the entire enterprise, from the perspective of and actioning by decision-makers and executives.
• Driven many time-phased inventory replenishment using customer-demand forecasts and also aggregated store inventory needs into associated warehouse replenishment plans using Oracle AIP.
• Served on the communications conduit between IT and the business side in SOA,and also the webservices.
• Good experience in handling Oracle Retail Demand Forecasting (RDF) streamlines forecasting processes and provides actionable insight by highlighting potential problem situations that require intervention or opportunities that can be pursued proactively.
• Extensive knowledge on the various types of health insurance programs such as: Medicaid, Medicare (Part A, B, C and D), PPO, HMO, Dental claim and POS, Health Insurance Portability & Accountability Act (HIPAA) standards, Electronic Data Interchange (EDI), HL7.
• Expertise on requirements manager for JIRA
• Well versed in working withETL, Informatica, eCommerce (B2B and B2C), Data Warehouse, Data Mining, and ETL tools for loading high volumes of data and a smooth structural flow of the data.
• Proficient enough in Documentation of Test Plans, Test Cases, Test Scripts, Test Procedures based on the Design Document and User Requirement Document for the Black Box, Functional, Usability and User Acceptance Testing (UAT).
• In depth knowledge of Software Development Life Cycle(SDLC) having thorough understanding of various phases like Requirements, Analysis/Design, Development and Testing
• Strong project management skills including planning, scheduling, monitoring and budgeting with experience in requirement gathering, gap analysis, risk analysis, etc.
• Proficient at creating and transforming business requirements into Software Requirement Specification(SRS) using UML diagrams such as use case model, class diagrams, activity diagrams and sequence diagrams and MS Visio.
• Expertise in conducting Joint Application Development (JAD) sessions with end-users, expert team, development and QA team for project meetings, walkthroughs and customer interviews.
• Extensive Practical knowledge of Rational Unified Process (RUP) as Iterative SDLC with implementation of all four phases: Inception, Elaboration, Construction and Transition.
• Extensive knowledge inSQL, and also used manyUAT test scenarios and Defect tracking in Quality Center.
• Well versed with Functional testing, Regression testing, GUI testing and User Acceptance testing.
• Excellent oral and written communications, interpersonal, negotiation, judgment, decision-making, analysis and problem-solving skills

TECHNICAL SKILLS

Testing Tools: Quick Test Professional (QTP), Load Runner, Acceptance Testing.

Data Analysis Tools: SAS, SAP, TOAD, ETL (Informatica), MDM, Supplier Hub, Site Hub,Requirements management, Process mapping, Test scenarios, Functional specifications, Identity Management, Access Governance.

Bug Tracking Tools: Quality Center, Bugzilla, JIRA, QC, ALM, HPQC Tools.

Languages: C++, Visual Basic, SQL

Databases: Oracle 8i/9i/10g, SQL Server 2000, MySQL, MS-Access

OS: Windows Vista/XP/NT/2000/98, UNIX

Browsers: Internet Explorer, Netscape Navigator, Mozilla Firefox, Safari

Web Technologies: HTML, XML, XHTML

Documentation Tools: MS Office (Word, Excel, PowerPoint, Outlook, Project)

GUI Tools: MS Visio, Rational Rose, Crystal Reports, Design Studios, DataFlow Diagrams, Requirement specifications, Use cases, Data flow modeling.

PROFESSIONAL EXPERIENCE

Confidential, Rockville, MD

Sr. Business Analyst

Responsibilities:

• Worked as an EDI Business Analyst with significant experience in writing business and functional requirements and analyzing EDI solutions in a high volume environment.
• Understood the EDI Transaction Sets as well as identifying the X.12 and other EDI standards.
• Acted as the primary EDI contact for suppliers, external customers, and internal business units.
• Used the Identity Management and Access Governance in the enterprise to increase the security and productivity, while decreasing cost and redundant effort.
• UsedJIRA applications and Confluence together to find out all the integration points, great time saving features, and to checked upon exactly which JIRA application and version could be need.
• Worked upon creating Roles control access in ServiceNow for the features and capabilities in applications and modules and assigned access to the roles, all of the groups.
• Highly experienced in estimating the customer priorities that are reflected in one enterprise forecast drive planning and optimize operations via integration with financial merchandise planning, pricing, promotions, purchasing, allocation and replenishment, using Oracle retail Demand Forecast.
• Dealt with the integration and coordination of the set of many business functions rather than addressing any single function within the Enterprise Business Analysis.
• Documented the project requirements from customers, suppliers, and internal business departments and communicated them with the rest of the team.
• Strong knowledge in Data Mapping, Data Modeling, Star/Snowflake Schemas, OLTP/OLAP, and designing E-R Models; Worked with Erwin for Conceptual, Logical, and Physical designs.
• Maximized profitability and service levels within supply-chain constraints using proven algorithms and gained visibility into current and projected orders, inventory, and supply-chain performance using Oracle AIP.
• Resolvedmany transaction processing issues and followed department reporting and communication procedures.
• Implemented and controlled many efficient, cost effective flow and storage of materials, maintaining careful time and place utilities within the supply chain, and meeting or exceeding customers' requirements are all taken into consideration, alongside inventory levels, material handling, warehousing, packaging, transportation and customer service.
• Implemented the tools, that can halp define, document, and analyze business strategy and apply it throughout the business objectives, requirements, and solutions using Enterprise Business Analysis.
• Wote the Test cases and performed project testing and can develop user test cases and system integration testing and validate the test results during testing.
• Ability to review and approve test plans and monitor testing process to ensure that business results are adequately tested with minimal risk.
• Can ensure the test strategies involve appropriate integration and process components.
• Conducted data gatherings and analysed business strategy requirements.
• Assessed client needs, utilizing a structured requirements process (gathering, analyzing, documenting, and managing changes) to assist in identifying business priorities and advices on options.
• Developed, wrote, and communicates business requirements and functional specifications for the implementation of business solutions.

Environment: Big Data Analytic tools (Hadoop, Autonomy, Vertica, other) and Business Intelligence Tools (Business Objects, SAS, SAP, TOAD), MDM, Supplier Hub, Site Hub,Requirements management, Process mapping, Test scenarios, Functional specifications, DataFlow Diagrams, Requirement specifications, Use cases, Data flow modeling, Identity Management, Access Governance.

Confidential, Jacksonville,FL.

Sr. Business Analyst

Responsibilities:

• Closely interacted with business users for requirement gathering.
• Developed understanding of various transactions involved in transition from HIPAA 4010 to HIPAA 5010 like Eligibility, Benefit, Claim submission transactions.
• Worked on Big Data Analytics and BI tools.
• Initiated discussions with Clients Business/IT team for Functional query resolution.
• Extensive experience in Business and Marketing, Transportation and Distribution Management, Introduction to Purchasing and Strategic Supply Chain Management, that are complemented by a strong foundation in Communications, Accounting, and Business Law.
• Used Identity Management andAccess Governance, defined the users tasks on the network with specific devices and under wat circumstances.
• Translated the details and summarized the data efficiently into forward-looking actionable insight to guide more profitable decisions, automate data management and cleansing the historical anomalies, with manual updates by exception and also maximize forecast accuracy by applying the appropriate forecasting method to observed or predicted selling ptterns using Oracle RDf.
• Analyzed and validated requirement for HIPAA 5010 and gatheird requirement for ICD10.
• Analyzed and documented differences between the AS-IS and TO-BE processes.
• Worked extensively on gathering requirements for Fixed Income (Municipal and Corporate Bonds)Terms& Conditions Data product SDM (Securities Data Manager) from end-to-end perspective for new enhancements.
• Calculated many inventory needs and reduce waste of perishable products based on established parameters using Oracle AIP.
• Worked on EDI 270/271 (Claim Eligibility Inquiry) /276/277 (Claim Status Check) /837 Claim Submission /835 (Claim Remittance).
• Worked on different EDI (270/271/ 835/837/834 ) and ICD 10 Procedural and Diagnosis codes.
• Developed mapping documents for ICD 9 to ICD 10 application.
• Analyzed all ICD10 codes and validated the outcomes.
• Used NextGen 5.5 Electronic Medical Records to create templates and documents for EMR.
• Analyzed Business requirement document, developed functional requirement document (FRD) and got it approved by the client.
• Tested all the features of the EMR after every upgrade of NextGen. Created error categories: based on error codes, correction type, necessary intervention type, etc.
• Successfully used Agile/Scrum Method for gathering requirements and facilitated user stories workshop. Documented User Stories and facilitated Story Point discussions to analyze the level of effort on project specifications.
• Worked extensively through agile development methodology by dividing the application into iterations.
• Created halp documentation in accordance with the client's documentation guidelines.
• Facilitated sessions on Group Insurance, Eligibility, Benefit and Claims transactions in HIPAA.
• Created and maintained Issues Log and ensured timely resolution of all items.
• Supported User Acceptance testing (UAT) and collaborated with the QA team to develop test plans, test scenarios, test cases and test data to be used in testing, based on business requirements and application knowledge.
• Reviewed Integration Test Plan for integration between modules.
• Interacted with the developers to report and correct bugs.
• Efficiently interacted with designers and software developers to understand application functionality and navigational flow and keep them updated about business user’s specifications.
• Performed UAT, Regression testing on EDI 835 and format.
• Managed all the requirements effectively and made them available to all team members and presented the testing defects and resolution in the project review meetings.

Environment: Agile/Scrum, SDM,SOA,RUP, NextGen EMR, MS Project, MS Office, MS Visio, MS Excel, SQL, JIRA, UML, QTP, Big Data Analytics, TOAD, BI tools, MDM, Supplier Hub, Site Hub,Requirements management, Process mapping, Test scenarios, Functional specifications, DataFlow Diagrams, Requirement specifications, Use cases, Data flow modeling, Identity Management, Access Governance.

Confidential, Philadelphia,PA

Business Analyst

Responsibilities:

• Interacted with Business Unit members for gathering data, information and requirements related to business analysis in the clinical and regulatory area of pharmaceuticals.
• Act as a liaison between Health Authority and clinics participating in the EMR Adoption Program. Provide vendor neutral advice and guidance for clinics relating to EMR software selection and acquisition, planning, implementation, optimization, and best practices.
• Extensive knowledge in BI Tools, Data and Policy Analysis.
• Used .Net framework n-tier architecture and Object Oriented Methodologies for applications development.
• Worked with Various SMEs in gathering requirements bringing about organizational wide process modification in regards to Hospital and physician reports and Hospital patient medical records for NCQA Inspection, HEDIS and PA Department of Health.
• Developed standardized QNXT testing, implementation and QA processes
• Interacted with Business Unit members for gathering data, information and requirements related to enhancing pharmacy claims and Medical, Lab and Radiology Report for HL7, and CCDA.
• Worked with Architects and Developers in altering the various HIPAA 837,270/271,834(File Format Cleaning) Claim work flows.
• Enable SDM to run at various timings for various dock out windows on different days
• Healthcare system implementation including enterprise Electronic Medical Records (EMR) software and LIS to manage patient data.
• Worked effectively with dentists,dentalassistants, and engineers to solve problems related to EMR, EPM, and ICS to make software more user-friendly to staff and dentists.
• Conducted Functional and Design Testing for NextGen.
• Performed felid-by-field mapping of interface between parent EMR system and downstream system.
• Documented changes to 4010 and 5010 HIPAA EDI for claims, enrollments, and identifier codes facilitated JAD Sessions.
• Utilized RUP and UML methodologies and Requisite Pro tool to design, document, and manage requirement
• Used MS Visio to model use cases for integrating various modules to FACET (Electronic Version. And Diamond (Paper Claims) claim processing systems.
• Investigated Impacts using GAP analysis due migration 1) FACET (Pharmacy Benefit Program ) to Argus 2) ICD-9 to ICD-10 HIPAA Conversion
• Created Mapping and Functional Requirement specification for Clinical maps for HIPAA HL7/HLV3.
• Documented and established traceability between the MMIS Business requirements, Use Cases, Business Rules, Activity diagrams and Test Scenarios.
• Documented Business Rules surrounding the complex calculations for the service credit eligibility.
• Worked with testing team to review Use case as testing plan during UAT.

Environment: HIPAA, PHI, FACET, Agile, SAS, BI Tools, SDM QNXT, MS Visio, GIS, GE Centricity EMR (v5.6 - 9.5), NextGen EMR, LIS, CCDA, Rational Requisite Pro, Rational Rose, RUP, UML,JIRA, SQL, PL/SQL, MS Office, MS-Project, Windows XP, MDM, Supplier Hub, Site Hub,Requirements management, Process mapping, Test scenarios, Functional specifications, DataFlow Diagrams, Requirement specifications, Use cases, Data flow modeling.

Confidential, Hartford,CT

Business Analyst

Responsibilities:

• Played pivotal role in eliciting requirements and updated Scope, BRD and FRD.
• Conducted the gap analysis for HIPAA EDI Transactions.
• Managed requirements using Rational RequisitePro.
• Worked with Agile-Scrum Master to translate HIPAA requirements for HIPAAHL7 Conversion project created Interface specification during requirement sprints and update Cross-X Walk documents.
• Experience in negotiating conflicting QNXT requirements during change control process while Implementing Medicare (Part D) Claims.
• Coordinated Requirements Workshops to lock down the Dual eligible Medicare (Part-D) and Medicaid business requirements.
• Involved in the Development and consumed WCF Services to achieve Service Oriented Architecture (SOA) and communication between heterogeneous applications in .NET.
• Worked with HIPAA Team for RIMS Companion Guide of X12 ANSI 270/271 and 276/277 Companion guides for Professional andDentalclaims. Cross-functional team member in the implementation of the ANSI X12 involving 837HIPAA compliance and 835 Remittance Advice.
• Documented current business processes, business flows, rules and artifacts, and propose "To-Be/Future” business processes Medicaid and Medicare Pharmacy benefit project.
• Facilitated JAD session for altering custom HIPAA -EDI270/271(Benefit and Eligibility Inquire/Response) & 837 EDI process flows.
• Translated the Functional Requirements into use cases and use case diagrams.
• Worked with Architect, SME and Developer to enhance “AS-IS” the process diagram using MS Visio.
• Extensive experience with Claims processing on NASCO, FACET4.7.1 claims for migrated members
• Updated Requirement Traceability matrix and worked with Developer to bring in Change control PVRC Tracker for deployed code. Effectively managed version and change control during the migration from NASCO to FACETS
• Facilitated weekly status meeting and created weekly status reports on progress of key team efforts.

Environment: Agile-SCRUM,QNXT, UML, NASCO,5010 EDI, 837 Institutional, Professional andDentalClaims, Rational Requisite Pro, JIRA, MS VISIO, Big Data Analytics, SAS, TOAD, PVCS Tracker and MS OFFICE (Word, Excel, MS Access, PowerPoint), MDM, Supplier Hub, Site Hub,Requirements management, Process mapping, Test scenarios, Functional specifications, DataFlow Diagrams, Requirement specifications, Use cases, Data flow modeling.

Confidential

Business Analyst

Responsibilities:

• Defined the scope of the project based on the gatheird business requirements including documentation of constraints, assumptions, businessimpacts, project risks and scope exclusions.
• Successfully defined functional business requirements, analyzed client requirements,and generated workflow processes.
• Expertise in implementing Object Oriented Programming (OOPS) Concepts including Inheritance, Abstraction, Encapsulation and Polymorphism in .NET.
• Responsible for coordinating JAD sessions withbusinessusers to analyze, gather and define the key performance indicators, document and present the requirements specifications
• Prepared Business Requirement Document (BRD)and then converted business requirements into Functional Requirements Specification (FRS).
• Analyzed to identify which system would utilize the least development time. Assisted in project management activities like planning, development, task allocation, project execution. Provided full projectlifecycle flowcharting,analysis and documentation.
• Interacted with business users and performed Gap Analysis of Client requirements.
• Worked extensively with MS- Visio to document requirements, create the AS-IS and TO-BE process flow diagrams.
• Interacted extensively with offshore development team to make sure that the developed system matches the client requirements.
• Involved in creating UI and preparing layout for the system.

Environment: Rational Rose Enterprise, MS shares point, MS Visio, Mercury testing tool,Businessobjects-data integrator, SQL server SQL server, Oracle, EPIC clarity System, EPIC sun quest.