SUMMARY

• Over 8 years of experience as a Business Analyst and 4+ years as Business Systems Analyst in Healthcare.
• Business Transformation, Business process Re - Engineering, Business Process Improvement, Change Management, Deployment training.
• Demonstrated ability to work actively in different phases of Software Development Life Cycle (SDLC) using Agile & Waterfall methodologies.
• Experienced in gathering user requirements, analyzing and preparing Project Deliverables and proposed changes for process improvement.
• Highly proficient in working with Business Owners and Stakeholders to elicit, analyze, communicate and validate requirements using JAD, JAR, and Brainstorming sessions.
• Comprehensive understanding of the Organizational Framework that help to map the AS-IS and TO-BE model using the GAP Analysis and plan and monitor effective approach to build/buy solutions to the business problems/needs/opportunities.
• Preparing graphical depictions of use cases including State Diagrams, Activity Diagrams, Sequence Diagrams, Use Case Diagrams including the Business Workflow Charts.
• Excellent Documentation skills to generate Business Requirement Document (BRD), Functional Specification Document (FSD), Technical Design Document and Project Charter.
• Strong Experience in creating Test plans and Test Cases for User Acceptance Testing and overlooking test script execution for Integration, Regression, Performance, Functional and System Testing.
• Adequate knowledge in EDI/HIPAA health information & health care services regulatory environment working knowledge and compliance experience along with proficiency in using ICD10/ CPT/ANSI/HL7 coding standards.
• Excellent knowledge of Health Insurance Portability and Accountability Act (HIPAA) transaction and dcode set rules such as EDI 835, 837, 270, 271,
• Extensive knowledge of UML modeling, Drawing Sequence Diagrams, Flow diagram and Activity diagram using tools such as Microsoft Visio and Rational Rose.
• Expert in testing and debugging GUI and Multi-Applications environment and automated testing using Quick Test Pro 6.5/8.0 on Windows and UNIX Environment.
• Experience with building reports-SSRS, Crystal Reports, dashboards for analytics - Performance Point Services and collaborative team sites (using Microsoft SharePoint Server 2010).
• Expertise in using Rational Requisite-Pro for Requirement Management and developed Requirement Traceability Matrix (RTM) to manage association between requirements and other project artifacts.
• Designed and implemented SQL Queries using joins, unions, outer joins, group by and aggregate functions to extract data from different databases like Oracle, SQL Server for timely reporting and validation.

TECHNICAL SKILLS

Operating Systems: Microsoft Windows 8/7/XP, Unix, Linux, Windows Server 2003.

SDLC Methodologies: Agile/SCRUM & Waterfall

Languages: C/C++, Java/ J2EE, Python, VB.Net, JavaScript, VB6, PHP, Perl, ASP.NET, C#.NET

Internet Languages/ Web Applications: UML, HTML, CSS, XML, Shell Scripting

Quality Management: IBM Rational Manual Tester, HP Quality Center, QTP, JIRA, HP ALM, Test Director

Change Management: Rational Clear Quest 7.1, Requisite Pro v7.1

Version Control: Rational Clear Case, Rational Rose, Rational Requisite Pro

Business Intelligence / Reporting: SQL Server Reporting Services (SSRS)& SSIS.

Content Management System: Microsoft SharePoint Server, SharePoint 2010, SharePoint Designer 2010

Database: Oracle 9i/10g/11g, SQL Server, MS SQL 2005, DB2, MS Access 2007

PROFESSIONAL EXPERIENCE

Confidential, Virginia

Business Consultant

Responsibilities:

• Worked in diversified markets to generate reports for Medicare and Medicaid (TX, FL, NV).
• Generated reports for Adult Care Services in the Texas market, Maternal Birth Statistics for Nevada Market and Claim Aging for Florida Market and many more reports.
• Extensive Experience working on Claims, Member, Pharmacy & Provider reports.
• Have done detail oriented Reverse Engineering on SQL code to find the inclusion and exclusion criteria for reports which dint have proper requirements from Business Owners.
• Had an opportunity to work on many kinds of Data Mapping Documents (Facets Mapping).
• Day to Day communication with Business Owners to gather the requirements and with the developers to achieve the targets.
• Responsible for writing a new BRD, Re-Write of BRD, Modification of BRD including Facets Mapping and Report Modification History.
• Detail oriented research to understand an existing report & SQL code to document the Business Requirements in scenarios where the B.O has changed or when they were no requirements mentioned.
• Involved in peer reviews for BRD’s from other Analyst as well.
• Prepared Data Flow Diagrams (MS VISIO) as well as High Level Workflow Diagrams.
• Extensive experience working in all stages of system development Life Cycle. Extensive experience leading, facilitating conducting Joint Application Development (JAD) sessions among user community, stake holders and technical management, creating project plans and schedules and managing changes.
• Also, Analyzed and synthesized results from Joint Application Development (JAD), proposed alternative tasks and transformed those into Business Requirement Document (BRD)
• Expertise in writing Test Plans & Test Cases and conducted UAT with the Business Owner
• Working on Health Risk Assessments, Behavioral Health and Claims related reports.

Environment: Facets 5.01, Facets Explorer, SQL Management Studio 2008 and 2012, Manual testing, MS Office, JIRA, Microsoft Visio, SSRS, SSIS.

Confidential

Business System Analyst

Responsibilities:

• Gathered requirements through JAD sessions, interviews (group and one-on-one) with users and stakeholders for the service verification and claims transaction extraction projects.
• Involved in all four phases of the requirements development including Elicitation, Analysis, Specification and Quality Validation.
• Established and performed detail project plan using project management tools like MS Project.
• As a Scrum Master, conducted Scrum meetings and ensured that project deliverables and milestones were met.
• Understood the requirements and prepared technical requirement document (TRD) for the Service Verification letter project.
• Conducted the TRD walk through for stakeholders sign off.
• Created the Use Cases Diagrams, Activity Diagrams, Class Diagrams, and Sequence Diagrams using MS Visio.
• Facilitated Electronic Data Interchange and worked on developing the business requirements and use cases for Facets batch processes; automating the claim status entity, and claim status response processes.
• Developed Screen Mock-ups/Prototypes to provide demonstration to the Business teams.
• Developed BRD for Functional and Non-Functional Specifications.
• Developed New Used Cases and updated existing ones.
• Reviewed and analyzed the file specifications document from the clearing house.
• Conducted data mining on Facets tables for the required data elements in accordance with the file specifications document given by the clearing house using SQL queries.
• Worked on the extraction of HIPAA EDI Transactions (276,277,837) using the SQL scripts.
• Prepared test plans with detailed test steps, involved in testing and defect tracking.
• Prepared UAT document and assisted in UAT and regression testing.

Environment: MS Office, Quality Center, SQL Server, Facets 4.21, MS Project, Server, MS Visio, Unix, J2ee, Java, XML, Mainframes and Rational Clear Quest, Clear Case, Windows XP

Confidential, TX

Business Analyst

Responsibilities:

• Analyzed consumer surveys and gave technical inputs in Business meetings.
• Actively participated in the resolution of Production Report issues and also the gathering and analysis of ever changing Reporting Requirements of users
• Involved in the meeting with business and marketing team for requirements gathering in definition stage.
• UsedHTML5, JavaScript,Ajax, and CSSfor implement UI pages.
• CreatedHLD's (High Level Design)artifacts.Conducted change management using Change Man and Maximo, and created customuserdocumentationand standards / governance guides.
• Gathered the Requirements, Develop Process Model and detailed Business Policies and modified the business requirement document.
• Create Data Flow/data Lineage Diagrams (DFD/DLD) to depict the Source-to-Target Mapping and Data Lineage Analysis.
• Identify/document Data Quality Controls review Business Rules Spreadsheet (BRS) and attend project release meetings.
• Created Use Case Diagrams, Activity Diagrams, Sequence Diagrams and ER Diagrams in MS Project.
• Ability to organize, document and track changes and defects using the Rational Clear Quest and archive change request in Clear Case.
• Implemented complex views, procedures, functions, packages and triggers in PL/SQL.
• Performed Data Validation of the data flow from the front-end to the back-end using SQL to perform the Back-end testing on the database.
• Facilitated negotiations with clients (other arrangers) for the finalization of syndicated facilities (conditions, term sheet, covenants).
• Ensured that relevant UML diagrams and Tools (Rose, Requisite Pro) were used in all requirement documents e.g. Business Requirements, Functional Specifications.
• Established Traceability Matrix using Rational Requisite Pro to trace completeness of requirements in different SDLC stages.
• Prepared Requirement Traceability Matrix (RTM) to establish traceability between requirements and test cases and procedures.
• Extensive success in translating business requirements and user expectations into detailed specifications employing Unified Modeling Language (UML) on Service Oriented Architecture (SOA) platform.
• Facilitated the Customer in defining the high-level Functional Requirements and needs.
• Documented approved change controls to add them into business design.
• Conducted JAD sessions for communicating with Stakeholders and Project directors.
• Developed Test Plan and Test Cases using HP Quality Center to test the application for the new code.

Environment: .NET, SQL Server 2012, SQL Server Reporting Services (SSRS), Rational Clear Case, Rational Clear Quest, Rational Rose, Rational Requisite Pro, SharePoint 2013, UML, Microsoft Project Professional, MS Office Suite (Word, Excel, PowerPoint, Visio), HP Quality Center.

Confidential

Business Development

Responsibilities:

• Gathering and elicitation of requirement from the client via Email, Phone, Chat or Onsite Visit. Travelling domestically for requirement gathering and kick-off of projects.
• Preparing mobile strategy presentations for the clients and develop mobility roadmaps. Assessing the requirement and propose mobile business models.
• Also, analyzing and determination of problem/ opportunity/ solution resolution.
• Closely working with Sales team to close the deals in mobility application sector.
• Brainstorming and Ideas generation to promote mobile application usage.
• Anticipation, Quantification and Problem resolving with respect to issues with requirements.
• Preparing strategy for clients based on their business requirement.
• Understanding requirement feasibility to determine whether the requirement is doable technically, operationally and as per available resources.
• Preparing project plans, hence coordination with Technical team and Project management team on the estimates and project plans.
• Interaction with clients for understanding and defining the scope of work.
• Depiction of User Interface as per the requirement. Also preparing relationships and dependencies
• Preparation of Visual Prototypes and solution components to provide visual model of solution. User Acceptance testing at the end of each development life cycle.
• Writing SRS document, Requirement traceability matrix for every project.
• Handling functional queries raised by the development team.
• Handling change requests from client. Performing impact analysis on requested changes to the requirements and controlling changes to requirements.
• Publishing, Distributing and ensuring sign-off of the business requirement documents.
• Developing end-user training content for use in instructor-lead and technology based training.
• Collection & analysis feedback from end users to create requirement for subsequent releases of recommending improvements to business process.
• Understanding & Documenting requirements from potential clients on Web & Mobile Applications (iPhone, iPAD, Android, BB Platforms).

Confidential

Business Analyst

Responsibilities:

• Worked extensively with SMEs in understanding and documenting their requirements. Worked with all levels of client staff in the process of solution definition.
• Assisted with product evaluation, product customization and system integration. Conducted GAP analysis around the identification of business rules, business and system process flows, user administration, requirements and assumptions.
• Analyzed user problems, including automated and manual business processes, and identified, researched, investigated, defined and documented business processes.
• Designed and developed Use Cases, Use Case Diagrams and Activity Diagrams using UML.
• Acted as a SCRUM Master, creating sprint backlogs, organizing and conducting sprint planning meetings and daily scrum meetings. Created sprint burndown charts and released backlogs for effective Project Management.
• Authored business requirements documents with the business users. Extracted, discussed, and refined business requirements from business users and team members.
• Assisted the project managers with the development of project schedules.
• Involved in documentation during various phases of development life cycle.
• Coordinated activities between business unit and technical staff, developed new methods, policies, and procedures to meet the business needs, as well as acted as primary trainer in educating the business units, related to business applications.
• Performed UAT on business requirements, technical specifications and product knowledge.
• Collaborated with the training department to provide users with training on the enhanced functionality and newly built tools.
• Supported testing, Test Cases in HP Quality center that would test various Test scenarios.

Environment: Rational Rose, Clear Quest, Microsoft Project, Oracle, UNIX, MS Excel, MS Visio, UML, Rational Requisite Pro, HP Quality Center, Load Runner, Agile SCRUM