SUMMARY

• 8+ years of diverse experience as Business Analyst with the expertise in business process analysis, business requirements and strategic planning in Insurance and Health Care domains.
• Experienced in writing and documenting Business Requirement Documents (BRD) and Functional Requirement Documents (FRD).
• Professional knowledge of Medicare, Medicaid and managed care health plans.
• Knowledge of CPT and HCPCS codes and other medical terminology.
• Extensive experience in requirements elicitation techniques like JAD sessions, Document analysis, Brainstorming, Requirement workshop with Users, Subject Matter Experts (SMEs) and Business Stakeholders.
• Experience in conducting Joint Application Development (JAD) sessions and White Board Sessions with end - users, Subject Matter Experts (SMEs) team.
• Excellent Analytical skills to conduct feasibility studies and develop business cases.
• Architects and design group development and QA team for Project meetings, walkthroughs and customer interviews commensurate with excellent communication skills.
• Experienced in Software Development Life Cycle (SDLC) methodologies—Traditional Waterfall Model and iterative approach to software development as per Agile (Scrum) methodology.
• Experience in distributed healthcare domain and User Acceptance Testing (UAT).
• Proficient in writing SQL queries for testing and data validation.
• Proficient in conducting User Acceptance Testing and verifying performance, reliability and fault tolerance issues. Also, familiar with testing tools to design and develop Test Plans and Test Scripts.
• Adept at creating and transforming business requirements into functional requirements and designing business models using UML diagrams - Context, Use Case, Sequence, Activity Diagrams in Enterprise Architect and MS Visio.
• Proficient in Stakeholders Management, Subject Matter Experts (SMEs), System Analysts and Technical team with excellent communication and interpersonal skills.
• Outstanding organizational skills including ability to multitask, multi team, prioritize and manage complex.
• Acted as a part in tracking, documenting, mitigating and resolving project risks and issues with the help of Project Manager.
• Supported PM in analysis the cost/benefit of the project.
• Self-starter and comfortable in high intensity, high rewarding work environment.
• Good team player with excellent communication and interpersonal skills.

TECHNICAL SKILLS

Modelling Tools: Microsoft Visio, MS Word, MS Excel, and MS Power Point.MS Outlook, SharePoint.

Methodologies: Agile, Scrum.

Application Packages: MS Project Professional 2010, MS Word, MS Excel, MS Power Point, MS Outlook, Adobe Reader

Operating Systems: Windows, UNIX and Mac OS

Databases: SQL Server

Testing Tools: HP Quality Center (QC), JIRA, RALLY.

Business Processing Tool (BPM): Pegasystems.

PROFESSIONAL EXPERIENCE

Confidential, Minnesota

Pega Business Analyst

Responsibilities:

• Participated in the development of functional business requirements and helped users assess relative priorities for both business process and technology solutions.
• Good understanding of the business processes and priorities. Evaluated alternative business process and technology solutions, and participated in making technology recommendations to enhance business operations.
• Developed business and system requirements, functional designs, process flows, and test plans.
• Conducted system testing and facilitated user acceptance testing.
• Worked collaboratively with peers to coordinate the overall delivery of technology solutions to business groups.
• Developed working knowledge of the client’s industry and used this information to support continuous improvement initiatives.
• Interfaced with the application development team to validate test results for new applications verifying that they meet the requirements of their business group.
• Also, Educated and Enabled Confidential Quest Business Leaders via Enablement Workshops.
• Created Assessment Questionnaires and shared with the Quest Business Leaders/SME’s.
• Analysed the Questionnaire Responses and identified and associated CORE IAP functions to the business units which intended to use them.
• Identified variations/changes to existing IAP functions and associated it to the business units which intended to use them.
• Uncovered new functions which were not yet available in IAP and associated to the business units which intended to use them.
• Documented specialization requirements for the functions which do not have any Core implementation.
• Classified Audit Program Groups and corresponding Audit Stages/Steps.
• Understood Sampling Requirements for all Audit Programs.
• Captured Data and Integration Requirements for all Audit Programs.
• Determined Complexity of all new and specialized IAP functions.
• Consolidated Analysis Findings across all business units.
• Reviewed content developed by other members of the team.

Confidential, Hartford, CT

Senior Business Analyst

Responsibilities:

• Identified and documented the current business process gaps and recommended solutions.
• Worked directly with the clients and operations team members to support their different business processes under IT Security services.
• Analyzed complex health domain related documentation/requirements to understand, analyze and act on data for output to clients.
• Documented business requirements related to the health domain.
• Arranged interviews with all the stakeholders to review and understand the gathered business requirements.
• Lead requirements discussions to document, analyzed and translated functional and non-functional requirements into user stories, diagrams, and other deliverables as needed.
• Responsible for generating innovative ideas for content while working both independently and collaboratively as part of a team.
• Researched products, services, technology or concepts to be documented.
• Generated innovative ideas for content and workflow solutions.
• Met with subject-matter experts to ensure specialized topics are appropriately addressed.
• Reviewed content developed by other members of the team.
• Gathered and analysed technical and product information from various sources to document new or changing product functionality.
• Worked with the internal teams to obtain an in-depth understanding of the product and the documentation requirements.
• Produced high-quality documentation that meets applicable standards and is appropriate for its intended audience.

Environment: Agile, MS Visio, MS Project, MS Office Suite Word, Excel, Access, Power Point, Outlook.

Confidential, Atlanta, GA

Business Analyst

Responsibilities:

• Responsible for defining Stories and prioritizing the Team Backlog to streamline the execution of program priorities while maintaining the conceptual and technical integrity of the Features or components for the Scrum team.
• Coordinated with application users and various stakeholders (including other POs) to understand business problems, requirements, and goals that the business team need to achieve.
• Worked with technical SMEs to come up with a solution and ensure that solution meets business needs.
• Lead requirements discussions to document, analyzed and translated functional and non-functional requirements into user stories, diagrams, and other deliverables as needed.
• Participated in Scrum Agile events and other agile activities.
• Managed multiple priorities, customer expectations and relationships with all stakeholders.
• Assisted the team as needed to complete stories and with troubleshooting problems and developing recommendations/solutions.
• Supported training development for end users and staff members.
• Collaborated, coordinated, and communicated across disciplines and departments.
• Ensured the project requirement compliance with HIPAA regulations and requirements.

Confidential, Chicago, IL

Business Analyst

Responsibilities:

• Interacted closely with the Business users along with the administration and management to gather business requirements and analyze the functionalities to be incorporated into the system.
• Attended demo sessions to understand existing system functionalities.
• Followed the Agile methodology during the entire SDLC.
• Arranged interviews with all the stakeholders to review and understand the gathered business requirements.
• Coordinated with system architects and developers to convert business requirements into system requirements.
• Conducted meetings to document Change Requests for new requirements.
• Analyzed business requirements and segregated them into Use Cases. Created Use case diagrams and documented Use case specifications.
• Maintained various versions of the documents generated during the project using Rational Clear Case.
• Was responsible for creating and updating project schedule and managing resources and timeline using MS Project.
• Worked with the ETL development team for migrating the data from the old data mart to the new IDW (Insurance Data Warehouse) and to validate the data integrity.
• Prepared the project status reports and represented the BA team in the PMO meetings.
• Participated in UAT along with Business SME’s.

Environment: Agile, MS Visio, MS Project, MS Office Suite Word, Excel, Access, Power Point, Outlook .

Confidential, Charlotte, NC

Jr Business Analyst

Responsibilities:

• Conducted analysis studies that serve as input to the strategic planning, goal setting, and approach to achieving the goals.
• Involved in gap analysis workshops to facilitate the proper requirements strategy and defined existing business process (BPM-Business Process Modeling) and identified the gap (Gap Analysis) between the existing & improved business process.
• Worked closely with Business Users to gather and understand requirements for streamlining the Claims Processing System. Prepared business requirements documents (BRD) and functional requirements (FRD).
• Involved in claims and records data mapping and data modelling with technical teams.
• Explained the solution model, analyzed functional requirements, prepared Use cases, defined user profiles, defined supplementary requirements, defined assumptions and prepared traceability matrix and validated requirements.
• Conducted joint application development (JAD) sessions by convening project sponsors, end-user representatives, SME. Also, used Brain storming, Document analysis, and user task analysis for various reporting types like CLUE (Comprehensive loss underwriting exchange, Change Report, Claim Count, Claim summaries).
• Helped the PM in initiating the project, preparing the Business case and planning it.
• Interacted with the SMEs and stakeholders to get a better understanding of client business processes and gather business requirements.
• Prepared and maintained Requirement Trace ability Matrix (RTM) in Rational ReqPro.
• Assisted in locking bugs, in order to meet specific requirements and deadlines for successful execution of the project.
• Created Business Intelligence reporting, performed analysis data/report integration & provided functional specification to development team for better understanding of business process and data.
• Createduse cases, process flow models, data flow diagrams and logical flow diagramsusingUMLfor various integrations.
• Gathered requirements from the end-users and acted as a liaison between the end-users and the development team and QA team.
• CreatedQAandUATtest strategies,including regressionandintegrationtesting, wrote test scripts,end-to-end testingscenarios and test plans, managed testing, defect reporting and change requests
• Assisted Quality Assurance (QA) Analysts in creation of various tests by using Quality center. Followed the Waterfall methodology during the entire SDLC.
• Assured that all artifacts are in compliance with corporate SDLC policies and guidelines.

Environment: Visual Basic, Oracle 11i, MS-Project, MS-Visio Windows 2000 Server, Windows 2000, Rational Tools, Waterfall, HP Quality Center, Dot Net Framework, Java.

Confidential

Account Manger

Responsibilities:

• Provided quality control on agency deliverables, managed budgets and implemented strategic communications program. Served as senior-level partner and media contact for clients.
• Provided day-to-day servicing of clients that included developing PR strategies in line with marketing plans. Maximized exposure and contributed to building the brand identity and implementation.
• Responsible for Business Development and ensuring the team's adherence to the organization's systems and processes. Provided guidance to Senior Account Executives.
• Conducted creative inputs and briefing sessions with the client and internal team.
• Created detailed pitch documents for business development and participated in pitches.
• Strategized and initiate visibility in media and non-media platforms to increase awareness of client’s core business, performance, new ventures and spokespersons.
• Managed client expectations and synchronized deliverables to ensure satisfaction.
• Responsible for all client media initiatives, documentation
• Initiated key relationships with media houses, portals, publications for client profiling opportunities.
• Evaluated media and target audience consciousness to determine effectiveness after programs were implemented.