SUMMARY:

• Highly experienced and distinguished consultant with extensive experience in business system analysis and process engineering. Over 15 years of total IT experience.
• Proficient in working with business users and stakeholders to elicit requirements, analyze them and subsequently use design tools to model the requirements.
• Elicited requirements through interviews, questionnaires, brainstorming, focus groups, JAD sessions and prototyping.
• Full understanding of Rational Unified Process RUP using Rational Rose, Requisite Pro, Test Manager, Unified Modeling Language UML , SDLC and Object Oriented Analysis OOA .
• Experience in coordinating on-shore / off-shore teams as well as multi-site development locations.
• Assisted Project Teams in preparing technical design documents, Software Requirement Specifications SRS , User Interface Design, designing of Application Architecture Database Modeling per the RUP Iterative process.
• Experienced in conducting Rapid Application Development RAD and Joint Application Development JAD sessions to converge early towards a design acceptable to the client and feasible for the developers and to limit a projects exposure to the forces of change.
• Strong knowledge/experience in conducting GAP Analysis, User Acceptance Testing UAT , SWOT Analysis, and Cost Benefit Analysis.
• Extensively used Rational and Mercury Tools for documentation, functional, integration and performance, visualization and test script analysis.
• Highly motivated team player with excellent communication, presentation and interpersonal skills.

SKILLS:

• Methodologies: Agile, Waterfall, RUP, SDLC
• Project Management: Microsoft Project, Microsoft Office.
• Business Modeling Tools: Rational Rose, Microsoft Visio.
• Change Management Tools: Rational Requisite Pro, Clear Quest, Test Director.
• Version Control Systems: Rational Clear Case.
• Testing Tools: Rational Enterprise Suite, HPALM, Test Director, Fogbugz
• Programming Languages: SQL, PL SQL, .Net, Visual Basic, VC , Java
• Databases: Oracle 8/8i/10g, MS SQL Server 7.x/2000, MS-Access
• Web Technologies: .Net, ASP.Net, ActiveX, XML, ASP, MS-FrontPage, VB J Scripts., and Web Services calls
• Operating Systems: Windows Family, Familiar with UNIX and Linux
• RDBMS and Databases: SQL Server, Sybase MS Access,
• Reporting: MS SQL Server Reporting Services

PROFESSIONAL EXPERIENCE:

Sr. Business Analyst

Part of the Agile team. Lead BA and Scrum Master for Commercial Line's Workers Comp and Personal Lines.

Major projects include:

• Lead BA and Scrum Master for integration of Guidewire Policy and Billing Center for Personal Auto LOB. Responsible for over 42 integration points including claims center, OFAC, VIN lookup, ISO reporting, PeopleSoft Financials, Check printing, LexisNexis, documents management printing/archiving , Claims retrieval from legacy system, SIS, telephony to name a few.
• Lead BA and Scrum Master for End-to-End testing of Guidewire suite for Homeowners LOB.
• Functional Analyst for documents management for workers compensation. Designed templates of forms/correspondence documents/dec pages/ all ad hoc and inferred documents/forms from Policy and Billing Center. Documented workflows, high level design documenting complete life cycle of documents management starting from trigger from source system to porting data via ESB/XML to creating forms/documents via xPression to printing/archiving in documents repository system OnBase.
• Lead BA for WCPOLS/STATS reporting. Worked with statistical reporting team leads to develop automated recurrent data feed to 3 different bureaus NJCRIB, NYCIRB and PA BWC bureau .
• Performed Stakeholders analysis and maintained RACI matrix
• Performed JAD Sessions, walkthrough with Business, Configuration/Interface Developers
• Elicited requirements, interviewing stakeholders, business partners, and end users.
• Interacted with team leaders to identify and analyze the given information, procedures and decision flows.
• Worked extensively with SMEs and performed Fit/Gap analysis to arrive at the gaps between current and future state of the system
• Used UML extensively to specify, construct and document the software systems, business processes, workflows, context diagrams etc.
• Used Rally to create and track user stories.
• Linked test cases to requirements in HP ALM and ensure each requirement has a corresponding test case and is executed successfully.
• Maintained traceability matrices and attributes between the requirements using HP ALM.
• Performed the role of Scrum master under Agile methodology. Gathered updates from mini-teams, provided status in scrum of scrum meetings, discussed road blockers and worked on mitigating such issues.
• Translated the business and functional requirements into technical and data specifications.
• Assisted in conducting UAT.
• Participated and provided input in documenting lessons learnt towards the end of the projects.
• Designed templates, documents, forms, declaration pages etc.
• Created and maintained DMD Data Mapping Document .
• Helped Business SMEs in creating training material and imparting trainings.
• Responsible for End-to-End testing of Guidewire suite of applications.
• As a scrum master of integration team which has more than 40 integration points, managed mini-teams of policy, billing, claims, and enterprise content management.

Confidential

Sr. Business Analyst

Handled multiple complex projects with stakeholders located at dispersed locations all over the USA and off-shore teams. Underwent training and certification in Duck Creek PAS Policy Admin System at Accenture Duck Creek headquarters in Missouri.

Major projects include:

• Implemented Duck Creek PAS for personal auto and program business.
• Worked extensively on Statistical and financial reporting piece of the project ISO and WC reporting .
• Led a pilot project for Catastrophe modeling tool called RiskBrowser. The tool was integrated with policy admin system which enables underwriters to perform cat modeling risk analysis at portfolio, account and policy level before making quoting/declining/binding/issue decisions.
• Part of data acquisition project to streamline large incoming data reception from MGAs.
• Assisted in performing Cost Benefit Analysis and business case.
• Performed Stakeholders analysis and maintained RACI matrix to have transparency in physically dispersed stakeholders.
• Performed JAD Sessions, walkthrough with Business, Configuration/Interface Developers
• Elicited requirements, interviewing stakeholders, business partners, and end users.
• Interacted with team leaders to identify and analyze the given information, procedures and decision flows.
• Worked extensively with SMEs and performed Fit/Gap analysis to arrive at the gaps between current and future state of the system
• Used UML extensively to specify, construct and document the software system using Rational Rose.
• Developed traceability matrices and attributes between the requirements.
• Submitted status reports to the higher management on the progress on a regular basis.
• Assisted in conducting UAT.
• Translated the business and functional requirements into technical and data specifications.
• Worked closely with Enterprise Architect and BA Manager to streamline BA practice. Documented basic guidelines, policy and procedures for BA team, and created standard BA templates.
• Worked extensively with data stewards to create and maintain data dictionary using IBM InfoSphere.
• Participated and provided input to the PM to document lessons learnt as part of project closure activities.
• Responsible for creating training materials, release notes, and disaster recovery plans etc.
• Travelled to MGAs to impart training on newly implemented tools such as RiskBrowser and PAS to underwriters, assistants, actuarial and catastrophe modeling personnel.
• Lead project and took on PM responsibilities for 3 months along with my own BA deliverables at a crucial stage of the project in absence of the PM.

Confidential

Sr. Business Analyst

• Worked closely with the development team understand the nuances of claim management/billing, medical and payment policies. Helped the team to understand medical/pharmaceutical terminologies.
• Helped define what is and is not required for payer claims management, Third party liability, Welcome Page of CYBER system.
• Regularly interacted with development team to ensure timely delivery of project deliverables.
• Responsible for articulating business needs to developers from different user's perspective . Modify and evaluate programs, application software and services for client.
• Determined when and if product defects needed to be addressed
• Secured all required approvals to achieve product development cycles.
• Determined which claim system to interact with to display data on the UI.
• Worked with Associates and understand the business rules, systems and integrate them into the requirements document and generate test cases and test data.
• Translated the requirements to the developers and guide the team when issues arise related to business requirements.
• Translated business requirements into functional specifications for the IT organization, manage changes to such specifications, and educate the IT organization on the direction of the business.
• Served as a liaison between the internal/external business community and the IT organization in order to provide technical solutions to meet user needs.
• Considered HIPAA rules while data validation and testing.
• Designed mock-up UI screens and prototypes to help user make decisions regarding future state of the application.
• Coordinated with different application teams involved in the claim adjudication process, Medication module, Clinical Anomaly module.
• Organized and participated in regular meetings with various government agencies like OIT Office of IT, NJ , Molina Outsourced partner of Medicaid , University of Maryland Psychiatry Department, DCBHS Director level and DYFS Director level.
• Interacted closely with QA to finalize the Test strategies using Quality Center.

Confidential

Sr. Business Analyst

• Claim Center application is a claim process management system that manages claim information and processes claims from first notice of loss through execution of financial transactions, including payment and setting of reserve. Claim Center application integrates with the external systems legacy or other software application using Web services API/Enterprise Service Bus.
• The second project upgraded the existing website for more features and functionality to provide a wide range of consumer and small business products along with consumer and business Insurance needs. The upgrade was needed so that it was easy for customers to navigate the homepage.
• Performed JAD Sessions, walkthrough with Business, Legacy, Configuration/Interface Developers and ETL Team to provide comprehensive data.
• Gathered requirements interviewing stakeholders, business partners, and end users.
• Interacted with team leaders to identify and analyze the given information, procedures and decision flows.
• Worked extensively with SMEs and performed Fit/Gap analysis to arrive at the gaps between current and future state of the system
• Application was built based on Agile Methodology SCRUM .
• Used UML extensively to specify, construct and document the software system using Rational Rose.
• Used Rational Requisite Pro to developed traceability matrices and attributes between the requirements.
• Submitted status reports to upper management on a regular basis.
• Assisted in conducting UAT.
• Translated the Business functional requirements into Technical and Data Specifications that included actuarial calculations for workers compensation line of business.
• Involved in Config-Screen Composition and Data Dictionary describing the data model
• Formulated Test Plans, Test Cases to ensure the correctness of ETL process
• Created and fine-tuned complex Sub Queries and Stored Procedure for better performance
• Formulated integration test plans, test cases, test scripts and executed integration test phase.

Confidential

Business Analyst

• Helped the development team understand the nuances of claim management, code auditing, medical and payment policies.
• Helped define what is and is not required for payer claims management.
• Regularly interacted with off-shore development team to ensure timely delivery of project deliverables.
• Responsible for articulating business needs to developers from the user's perspective . Modified and evaluated programs, application software and services for client.
• Determined when and if product defects needed to be addressed
• Secured all required approvals to achieve product development cycles.
• Gathered requirements from business to determine the functionality that was utilized by the users.
• Worked toward claim processing such as Claim Adjudication and Claim Reimbursement.
• Determine which claim system to interact with to display data on the UI.
• Interacted with Claim Adjudication, Claim Reimbursement and Billing and Banking SMEs to finalize business requirements.
• Worked with Associates and understand the business rules, systems and integrate them into the requirements document and generate test cases and test data.
• Translated the requirements to the developers and guide the team when issues arise related to business requirements.
• Translated business requirements into functional specifications for the IT organization, manages changes to such specifications, and educates the IT organization on the direction of the business.
• Served as a liaison between the internal/external business community and the IT organization in order to provide technical solutions to meet user needs.
• Considered HIPAA rules while data validation and testing.
• Developed a set of best practices with regard to Part 11 remediation and have implemented innovative and cost effective strategies for achieving compliance.
• Designed UI screens and process for Suspect Duplicate fallouts and notification.
• Worked on the Outbound and inbound correspondence processes for debit card transaction as well as claims.
• Designed reimbursement detail UI screen.
• Coordinated with different application teams involved in the claim adjudication process.
• Interacted closely with QA to finalize the Test strategies using Quality Center.

Confidential

Business Analyst

• Created requirement documents and designed documentation review, test plans, identified and reported software anomalies and test results.
• Used Rapid Application Development RAD principle to design, document and manage requirement in the acute functionalities in the lifecycle of the project. The design, developing and the testing stages of the application.
• Attended and conducted meetings and workshops to discuss high level requirements and developed User Requirement Specification Document.
• Used Rational Requisite Pro in gathering the requirements.
• Responsible for implementing the Key Process areas and Impact analysis.
• Generated Use Case Diagrams, Sequence Diagrams, Business Objects, Domain Object Model using MS Visio, to depict process flows and Power Point Presentation.
• Conducted various in-house workshops with EMR/EHR software vendors and business users to provide in-depth knowledge on how medical set-ups use medical records/health record electronically.
• Used FACETS to provide a common server and client side transparent data manipulation API that can operate both inline and in an asynchronous fashion.
• Worked closely with Developers, User Representatives and participation in the product design process including specifications and other document reviews.
• Used Test Director to invoke the scripts, initially performing the baseline testing, organized all the scripts systematically and generated reports.
• Queried Oracle Databases to verify test case results. Randomly executed test scripts developed by QA team to check main functionality of application. Interacting with Development and QA team to ensure overall quality of software.

Confidential

Business Analyst

• Involved in all the phases of SDLC of the project. Conducted requirement gathering and analysis, verified requirements with business areas and acted as the primary liaison between the business area and the development team. Involved in developing class and behavior diagrams.
• Assisted Project Manager in developing design and specification, according to the requirement and information gathered in JAD/interview sessions and other information gathering sessions.
• Led analysis group who interviewed users and gathered requirements and data specifications for the actuarial software and created Business Requirement Documents. Assisted in preparing the project schedule and all required project planning documents, including the funding request, risk analysis, and others as required. Interfaced with development team to review Use Cases and define more detailed specifications.
• Coordinated with Subject Matter Experts SME to determine system and business requirements. Performed GAP analysis on business rules and process requirements. Prepared and executed the test cases, test scripts based on the technical and functional specification.

Confidential

Business Analyst

• Analyzed current business process flow by understanding preset business rules and conditions.
• Conducted formal interviews, live meetings, and JAD sessions with business users and subject matter experts SMEs .
• Documented, organized and tracked the requirements using Rational Requisite Pro.
• Designed and developed Use cases, Activity diagrams, and Sequence diagrams using UML.
• Developed Business process flows and documented the GAP analysis.
• Created Data Flow Diagrams and ER diagrams for data modeling and web-page mock-ups using MS - Visio for acceptance from end users.
• Defined project milestones, schedules, and monitored progress using MS Project and updated plans as required.
• Analyzed, organized, and updated database using SQL.
• Involved in back end testing to verify data integrity using SQL.
• Analyzed and tested data interface needs with external systems.
• Developed Test plans, Test conditions, and Test cases to be used in testing based on business requirements and technical specifications.
• Assisted with user testing of systems and maintained quality procedures and ensured appropriate documentation in its place.
• Maintained Requirement Traceability Matrix RTM and utilized ClearQuest for change requests and defect tracking.
• Worked closely with the technical team to look up for the best possible solution on requirements by keeping business needs and technical constraints in mind.
• Maintained weekly status reports.
• Updated, transferred, and shared files using File Transfer Protocol FTP between WINDOWS and UNIX machines.

Confidential

Manager EDP

• Coordinated the start-up processes necessary to convert all manual work into computerized via tailor made software using FoxPro as master database.
• Interviewed each staff member and documented their specific work flow.
• Provided detailed process flows and process documents to the senior management so that strategic planning could be completed. Particular attention was paid to the interaction of business flow with the current medical technologies, contour and data.
• Recommendations were made on ways to improve the business flow using updated technology.
• Also included in my responsibilities was the conversion of all previous patient medical record data from manual filing to computerize using data entry operators and to monitor and ensure their accuracy. Replaced the manual health records by EMR/EHR software.
• Trained, provided support and technical know-how to the medical, Para-medical staff on latest computer technologies.