SUMMARY

• Business Analyst with 6 years of experience in the Life Insurance, Personal Property and Casualty Insurance, pharmaceutical, healthcare and banking domain.
• Experienced in all stages of Software Development Life Cycle (SDLC) in different methodologies such as Waterfall, Iterative Development Frameworks such as Rational Unified Process, Agile and Scrum with comprehensive knowledge of business and requirements analysis.
• Highly proficient in interacting with business users to identify information needs, identifying and initiating process changes where required, and gathering Business and System Requirements.
• Proficient in determining feasibility, identifying and recommending business process improvements where appropriate, and finding realistic solutions.
• Conducted Joint Application Design (JAD) sessions and interviews to elicit and analyze requirement as well as resolve outstanding issues.
• Full understanding of Rational Unified Process (RUP), AGILE, and WATERFALL software development methodologies.
• Adept at authoring Use Case Models, Activity Diagrams, and Business Process Flow diagrams based on UML methodology using MS Visio.
• Strong experience working with requirement management tools and applications such as Rational Requisite Pro and HP Quality Center.
• Expertise in resolving business as well as technical issues and served as the liaison between clients and technical developers and designers.
• Expertise in identifying, developing, and documenting Business and Functional Requirements Specifications (BRDs and FRDs),
• Experience with general written correspondence such as reports, oral presentations, meeting minutes and email to keep executive staff and team members apprised of goals, project status, and resolving issues and conflicts.
• Outstanding communication skills and ability to work effectively with technical teammates in order to translate business requirements into an effective technical solution and serve as an effective communication channel between key IT personnel and business stakeholders.

PROFESSIONAL EXPERIENCE

Confidential, NY

Healthcare Business Analyst

Responsibilities:

• Carried out extensive quantifiable analysis over the Business Requirement Specifications with respect to legislation reform implementations on the current system.
• Carried out a parallel process for Cost - Benefit evaluation for the current UniCare system and proposed migration.
• Extensively participated in planning RUP iteration deliverable and documented the artifacts throughout the various phases of migration.
• Analyzed the impact of new HIPAA standards on targeted systems, processes, and business-associate relationships.
• Enhanced the transition process flow to facilitate a smooth migration, hence closing cross-walk gaps in the two versions of standards.
• Recommended corrective actions, if necessary, along with the progress against Development/Action Plan routinely to the Project Manager.
• Tracked and maintained Stakeholder requested enhancements and changes using Requirement Traceability Matrix (RTM).
• Knowledge of the complete EDI format used in electronic documentation, which was part of the knowledge transfer program to the vendors as per the requirements.
• Worked with Source system Subject Matter Expert (SME) to ensure that the extracts are properly mapped.

Confidential, Mclean, VA

Healthcare Business Analyst

Responsibilities:

• Involved in the GAP Analysisof thetransitionfromHIPAA to analyze impact of the transition.
• Analyzed requirements for developing a crosswalk for understanding major changes fromICD-9toICD-10 with the help of SME’s.
• Applied Agile framework and Scrum methodology. Integral in authoring user stories based on prioritized product backlog and reviewing/approving built functionality towards the end of sprint cycles.
• Designed and developed Use Cases and UML diagrams
• Organized meetings with the development teams to elicit use cases and document them into Business Requirements Document (BRD), Functional Requirements Document (FRD)
• Developed mock up screens and Wireframes.
• ExecutedSQL queriesto test the database for records that detect and submit functional acknowledgement and remittance advice in the claims application.
• Responsible for documenting test scenarios, elaborating those into test cases using HP Quality Center, and assisting in functional testing
• Involved in UAT, executing test cases, evaluating test results, preparing test summary reports, and analyzed defects reported.

Environment: SQL Server, MS Office, Mainframe System, MS Project, MS Visio, HP Quality Center, MS excel, Oracle.

Confidential, Quincy, MA

Business Analyst

Responsibilities:

• Developed Process flow diagrams, Business Requirements Documents, Traceability Matrices of requirements with respective Test cases and several Use Cases for Physician Services, Physical and Occupational therapy services, Hearing and Vision services, Transportation services including Ambulances.
• Participated in defining Project objectives, assumptions, constraints, ROI and Impact Analysis with the PMO (Project Management Office) and the Technical Architects of HPHC.
• HL7 was used to provide a framework and specific standards for the exchange, integration, sharing and retrieval of electronic health information. Standards supporting Clinical, Medical, Behavioral, and evaluation of Health Services were reviewed and implemented. New User Interfaces and action items were added to the new processes as a result of the joint venture product.
• Evaluated alternative solutions and recommend solution that best meets the need of the business.
• GAP Analysis of client requirements, generated workflow process, flow charts and relevant artifacts.
• Used Rational Requisite Pro for overall Requirements Management and to build the Requirements Traceability Matrix (RTM’s)
• Worked extensively with the QA and Developers teams for designing Test Plan and Test Cases for the User Acceptance Testing (UAT). As well as to clarify/understand functionality, resolve issues and provided feedback to eliminate the bugs.

Confidential, Atlanta, GA

Business Analyst

Responsibilities:

• Conducted phase planning and requirements gathering session with project team, clinical staff and physicians to customize EMR system.
• Prepared Business Requirements Document (BRD), Functional Requirements Document (FRD), Process Flows and Requirement Traceability Matrix (RTM).
• Conducted risk analysis with project team to identify potential risk associated with development of the patches and created risk response document mitigate the risk.
• Prepared master test plan and test cases to support quality assurance (QA) and User Acceptance Testing (UAT) efforts.
• Exposure to HIPAA Compliance requirements and HL7 standards for the exchange, integration, sharing, and retrieval of electronic health information.
• Managed defects using defect tracking tool track the bugs and maintain Issue logs.
• Conducted multiple test cycles to ensure end to end validation of the developed solution.
• Prepared training manual and schedule for providing hands on training to clinical staff .
• Designed and developed Use Cases, Activity Diagrams and Sequence Diagrams using UML.