SUMMARY

• Around 7+ years of continuous experience in the field of business analysis, Business process design, project management, streamlining, object oriented analysis, system analysis and design, software verification and validation.
• Expertise in defining scope of projects based on gathered Business Requirements including Documentation of constraints, assumptions, business impacts, Project risks & scope exclusions.
• Experience in the field of Information Systems as a Business Analyst experience in Rational Unified Processing (RUP), Unified Modeling Language (UML). Also exposed to all stages of SDLC (Software Development Lifetime Cycle)
• Extensive experience with Flow charts, Use Case Diagrams, Sequence diagrams, Activity diagrams, Mockup pages, Swim lanes and Use Cases.
• Involved in requirement gathering, requirement specification and requirement management through all the phases of SDLC.
• Experience in conducting Joint Application Development (JAD) and Rapid Application Development (RAD) sessions.
• Expert in working with Subject Matter Experts (SME’s) across each group during entire SDLC.
• Experience in interacting with business users and executives to identify information needs, gather Requirements, and authoring Business Requirement Documents.
• Experience of SDLC, Waterfall, Agile and RUP methodology and project life cycle.
• Experience working on the lines of business for personal and financial liability and claims
• Worked extensively with QA Team in understanding test cases, test plans, User Acceptance Testing (UAT) and ensuring that the software meets the system requirements. Specifications and design documents.
• Worked in close co - ordination with the testing team in developing test plan and test cases from functional and business requirements.
• Expertise in Verbal and Written Communication. Excellent analytical & problem solving skills.

TECHNICAL SKILLS

Business Tool(s): MS Office Suite, MS Project, MS Visio, SharePoint, IBM BlueWorks Live, IBM ClearCase

Testing Tool(s): Quality Center, ALM, JIRA, IBMClearQuest

Language(s): SQL

Database(s): Oracle, SQL Server and MS SQL

Operating System(s): Windows XP/7, MacOSX

Business Application(s): Biztalk, Filezilla, Business Objects, IBM Cognos

PROFESSIONAL EXPERIENCE

Confidential, Boston, MA

MAR Analyst

Responsibilities:

• Used use-cases/user-stories to analyze and communicate requirements to the technical team.
• Led scrum sessions to track progress, remove impediments, and analyze overall work burn rate.
• Conducted SWOT analysis, cost-benefits analysis, and GAP analysis.
• Analyze business rules and DSD’s to create/modify existing reports related to compare financial health of the project such as ROI, asset management, expenditures, cost benefit analysis etc.
• Work alongside management in figuring out and trying to solve production defects brought up by the client.
• Set up and led kick-off meetings with the business, contracting agencies and other related parties to start work on enhancement of the EMAR process/system.
• Extensively involved in the discussion with stakeholders and power-users about the data load process.
• Extensive use of IBM Cognos as a reporting tool. Ran Cognos reports against the database to validate data.
• Led root cause analysis protocols; conducted triage calls with the development, test teams, and business.
• Extensively involved with the creation of the EMAR Manual. Worked on creating the operations manual document for end-users.
• Co-ordinated efforts between Confidential and internal Cognizant and Xerox team members to get the tasks done inorder to meet deadlines.
• Set up meetings with Certification team members and discuss to find a solution to fix the reports crucial for certification.

Environment: IBMClearQuest, IBMClearCase, IBM Cognos, Enterprise, Oracle SQL Developer, MS Sharepoint, MS Office, MS Project

Confidential, Boston, MA

Business Analyst

Responsibilities:

• Elicited requirements from the business to get clarifications on the business requirements to help System Testers get a better grip on the project.
• Worked with both Manual and Automation testing teams in understanding/writing test cases or scripts.
• Involved in creating the RFP (Request for Proposal) document for the transition of the project from CGI to Confidential .
• Created RFP for the transition to the hCentive platform.
• Facilitated Joint Application Review and Design sessions (JAR/JAD) sessions.
• Performed risk analysis of the requirements to identify the key business risks areas for the project and prioritized the application development and testing.
• Assisted QA team with the understanding of requirements and bug issues.
• Developed SQL scripts to pull the data from the existing database based on the business rules with the help of the DB and Testing Team.
• Supported various other teams in the project when needed, and scribed many JAD/Kick-Off sessions for fellow BA’s.
• Extensively involved in the creation of the RTM document initially done in MS Excel, later moved to ALM to map the requirements with the test cases and design elements.
• Involved in most of the Knowledge Transfer (KT) sessions provided by CGI to Confidential . Conducted KT Sessions internally to those not involved in the transition.
• Performed Gap analysis with the help of Business Workflow models and Workflow diagrams to analyze AS-IS and TO-BE scenarios.
• Analyzed data using advanced MS Excel (VBA, pivot tables, macros) and Minitab to validate data for the ETL process.
• Monitored projects from initiation through transition and organized interdepartmental or cross-functional team activities and ensuring completion of projects on schedule. Worked on multiple internal projects at the same time.
• Extensively involved in the Triage process.
• Worked closely with Business and UAT groups and provide support during the UAT phase.
• Coordinated project management while participating in project scoping, planning, issue and risk management & mitigation.
• Improved issue tracking by configuring JIRA, an issue tracking tool and helped business prioritize the list of open issues periodically.
• This allowed the business users to efficiently use time by identifying what is required of IS in the next release prior to deployment of the current release.

Environment: JIRA, Rational Suite, Quality Center, MS Office Suite, Sharepoint, IBM BlueWorks Live

Confidential, Columbus, OH

Business Analyst

Responsibilities:

• Elicited requirements for the BIAR (Business Intelligence Analytical Reporting)/MAR (Management Analytical Reporting)/SUR (Surveillance and Utilization Review) subsystems within the Ohio MITS project.
• Created DSD’s (Design Specification Document) to get a sign off on the scope of the Change Order from the business in the absence of a PM.
• Created RSD’s (Requirement Specification Document) to get a sign off on the Requirements that was gathered during the JAD sessions from the business.
• Extensive use of Rational ClearQuest and ClearCase.
• Formulated detailed Test Scenarios after analyzing business rationale and software requirement artifacts.
• Analyzed user/business requirements and helped the Testing team develop System Test cases.
• Analyze and estimate feasibility and compatibility with other programs and projects.
• The BIAR/MAR sub-system was extensively based on Data Warehousing. Worked closely with Enterprise Data Warehousing and State Data Warehousing.
• The BIAR/MAR/SUR sub-system extensively used SAP BusinessObjects to generate various reports. Experience using both the desktop and web version of BusinessObjects.
• Tested both XML and X-12 responses for various EDI transactions.
• Used SAP Business Objects for data warehousing to generate reports by using the Business Objects GUI and also by modifying the SQL within Business Objects to obtain desired results to test the requirements stipulated by the business.
• Executed numerous Test Cases written the testing team while in a War Room situation.
• Experience in Provider Information, Recipient Information, Reference Information, Security, and Financial Information.
• Conducted Work Product Reviews with the technical team testing team to make sure that the requirements written for the projects is within the scope and to identify feasibility of developing and testing.
• Expert in Medicaid/Medicare claim processing.
• Experience submitting various types of Fee for Service and Encounter healthcare claims within the Interchange system using a Web Portal.
• Conducted Requirement Traceability Matrix (RTM) for requirement to be mapped between the Requirement and Test Case using HP ALM.
• Supported testing various sub-systems/testing teams as instructed by the SIT Manager or UAT Manager
• Worked with the billing team to resolve billing and claims payment issue.
• Provided feedback to the Management to streamline the business analytics stream.
• Used HP ALM Quality Center 11.0 and as the bug-reporting and testing tool.
• Worked as a liaison between the Change Control Board (CCB) and users and monitored the implementation of Change Controls Procedures.
• Facilitated Joint Application Development (JAD) sessions with stakeholders and system users.
• Analyzed data using advanced MS Excel (VBA, pivot tables, macros) and Minitab to validate data for the ETL process.

Environment: HP ALM 11 QC version, Quality Center 9, MMIS, Windows, SAP Business Objects, Rational Clear Case, Rational Clear Quest

Confidential, Hartford, CT

Business Analyst

Responsibilities:

• Act as primary liaison between technical and business groups to gather requirements to identify incidents and their impacts including establishing and maintaining working relationships across the businesses, IT and technology team member.
• Used quality center to manage the defects tracked by TFS (Team Foundation Server).
• Followed agile methodology to strategize the implementation of agile effort in different iterations and phases of the Software Development Life Cycle.
• Conducted JAD sessions and gathered the customer requirements, and documented them to define the systems functional requirements
• Involved in testing HIPAA 0, 271, 276, 277, 834,835 & 837) Transactions.
• Developed Requirements and Use Cases for Integrated Applications to support HIPAA EDI 4010 Transactions
• Knowledgeable on Medicare and Medicaid programs
• Prepare presentation slides in MS Project, which was extensively used in different JAD sessions and to track progress
• Facilitated Joint Application Review and Design sessions (JAR/JAD)
• Involved in Risk Analysis as a part of Risk Management to avoid software failures
• New performance management systems/processes
• Performing Impact analysis for readiness of ICD-10 conversion
• Conducted risk analysis with project team to identify potential risk associated with development of the patches and created risk response document mitigate the risk.
• Experience in User Acceptance Testing (UAT) of various Web Services / client server applications.
• Derived UAT test cases using black box and experienced based techniques.
• Worked closely with Business and UAT groups and provide support during UAT
• Involved in UAT testing and System testing of all phases of Accumulator.
• Performed UAT testing with Business Users
• Tracked to resolution all UAT environment and data test issues before code is released for test.
• Involved in processing claims and verifying whether it’s delivered to FACETS System or not involved in interactions with the Subject Matter Expert, Project Manager, Developers, and the end-users to gather key issues involved in the project.
• Validated the process of claims adjudication from the beginning till the end from an examiners point of view.
• Created Test Scenarios to ensure the medical claims are pricing properly in different situations.
• Created Test Plans, Test Cases and Test scripts to validate the Medical claims adjudication process.
• Involved in the preparation of multiple Test Plans for each specification documents.
• Involved in the preparation of test data/claims for 837 P and I.
• Good understanding of HIPAA 4010

Environment: Rational Rose, Rational Requisite Pro, JAD, UAT, MS Project, Quality Center, MSVisio, Rational Clear Case, Rational Clear Quest, XML, JAVA, HTML, Microsoft SQL Server, Oracle

Confidential, Durham, NC

Business Analyst

Responsibilities:

• Strategized the work stream and future development for the applications.
• Evaluated customer business needs, thus, contributing to strategic planning of information systems and technology directions.
• Authored and owned business case documents, business requirements to enhance, optimize and debug the applications and managed them by incorporating feedback and ensuring that it is adopted by the team.
• Validated the process of claims adjudication from the beginning till the end from an examiners point of view.
• Created Test Scenarios to ensure the medical claims are pricing properly in different situations.
• Created Test Plans, Test Cases and Test scripts to validate the Medical claims adjudication process.
• Analyze current business performance as it relates to claims processing systems and claims operations to facilitate process improvements to reduce the Administrative and Medical Expense ratios
• Created Risk Analysis documents, Risk Management Plan, URS, FRS, business process flow System
• Defects logged and Tracked by the TFS (Team Foundation Server) and managed the reports through the Quality Center
• Experience in conducting Joint Application Development (JAD)/JAR (Joint Application requirement) and Rapid Application Development (RAD) sessions
• Participated in API design for several products
• Created and owned project plans, requirement documents, use case diagrams, Requirement Traceability Matrix, system test documents, RASCI charts, UAT documents, and release notes to ensure every milestone of the SDLC was documented in appropriate documents.
• Worked closely with Business and UAT groups and provide support during UAT
• Involved in UAT testing and System testing of all phases of Accumulator.
• Performed UAT testing with Business Users
• Wrote several System Test Scripts and UAT Scripts.
• The scenarios included screen mock-ups, functional, and technical requirements, and were later fine-tuned at JAR and JAD sessions conducted with the technical staff and client.
• Managed the Software Development Life Cycle, from identifying and understanding the business problem and the impact of the proposed solution on the organization's operations to ensure the delivered solution met the needs and added value to the business.
• Supported the Technical Analyst in developing design level technical document and business users understand the "How" of "What" was required.
• Helped identify potential areas of automation to optimize the use of the applications and assisted to re-engineer the underlying business processes.
• Supported the creation of the deployment plan, implementation plan, and test and go-live phases to ensure that all projects were implemented on time and within budget.
• Coordinated project management while participating in project scoping, planning, issue and risk management & mitigation.
• Conducted post implementation analysis and lessons learned workshops to make sure that any mistakes made were avoided in future.
• Improved issue tracking by configuring JIRA, an issue tracking tool and helped business prioritize the list of open issues periodically.
• This allowed the business users to efficiently use time by identifying what is required of IS in the next release prior to deployment of the current release.
• Assisted the production support team to resolve current production issues by analyzing the incidents and helping them to identify the issue.

Environment: Quality Center, QTP, MS SQL Server 2000, Oracle, Visio 2000, Windows 2000

Confidential, Minneapolis, MN

QA Analyst

Responsibilities:

• Analyzed and performed capacity testing of production database from time to time
• Interacting with developers to resolve application defects and for configuration management.
• Performed both Manual and Automated testing of the applications.
• Used Mercury Interactive MQC for Test Planning, Test Designing, Test Analysis, Test Execution, Defect Tracking and Test Evaluation and defect logging.
• Participated in testing POS (point of sale) software.
• Performed manual testing to check the functionality of the POS.
• Communicated with developers to resolve POS software issues.
• Performed Regression testing using QTP.
• Created Test Cases, Test Scripts, Test Plan and Test Procedures and implement compliance of quality standards.

Environment: Oracle, SQL Server, MS SQL, HTML, QTP, MQC