SUMMARY

• 7+ years of experience in the field of information systems as Business Analyst and worked extensively on various domains in diverse business and technical environments.
• Worked extensively in Healthcare, Pharmaceuticals and Finance domains in diverse business and technical environments.
• Extensive experience in requirements gathering, Work Force Management, Use Case design and analysis, Work flow diagrams, & Change Management.
• Exceptional ability to research, analyze and translate technical information to end - users at all levels.
• Extensive experience in providing help desk support with required skill sets to the stakeholders and other members of the team.
• Strongly possess Project /Program management skills, keeping in mind the objectives of the project and constraints affecting time, scope and budget.
• Experience in performing Feasibility analysis, Risk analysis, Gap analysis, Impact Analysis and Quantitative analysis.
• Organized many Joint Application developments (JAD) and Joint Requirement Planning sessions (JRP), Interviews, workshops and requirement Elicitation sessions.
• Experience in providing supportHelp Desk to the off shore team (Developers, Testers) for the successful implementation of the project.
• Strong business acumen, strategic thinking, communication, interpersonal and presentation skills.
• Implemented SQL scripts, stored procedures, triggers and indexes for various database operations.
• Deep technical background and solid working knowledge of SQL Server Data warehouse systems.
• Created Data Mapping Documents and worked with business to write transformation rules.
• Excellent Experience in Rational Unified Processing (RUP), Waterfall Methodologies, Unified Modeling Language (UML), and Solution Requirements Specification Documents (SRS).
• Strong experience with Agile Scrum methodology and well versed in writing User stories.
• Strong work ethics, taking ownership of all duties and responsibilities and efficient time management skills.
• Ability to manage teams and encourage communication among team members so as to build strong team
• Communication and coordination so as to achieve organizational goals and objectives.
• Creative and aggressive Person capable of performing under pressure and maintaining positive and productive team environments.
• An effective communicator with excellent relationship building&interpersonal skills.
• Worked closely with Business teams/project stake holders/SME to map the expectations to the delivery capabilities.
• Wrote SQL queries for data extraction, ad hoc reporting and testing purposes.
• Assisted in the development of training materials for new technology and process improvements and conducted end-user training sessions for exercising full use of application.

TECHNICAL SKILLS

Business Tools: MS Visio,MSProject, MS Access, MS Office Suite.

Business Skills: Business Definition Requirements, Business Process Analysis, Gap Analysis, Use Case Modeling & Analysis, Business Environment and Market Research Analysis.

Methodologies: Waterfall, RUP, Agile-Scrum, UML & Business/Data Modeling.

Testing Tools: Mercury/HP QTP 11/9.2/8.2, Clear case, Clear Quest, HP Quality Center 9.2, JIRA

Database: MS Access, MS SQL (Stored Procedures, Functions, Keys, Joins, Complex and Simple queries), DB2

Languages: HTML, AJAX, XML, CSS, JavaScript, .Net

Operating System: Windows XP, Mac OS X, DOS, UNIX, Linux.

PROFESSIONAL EXPERIENCE

Confidential, MN

Responsibilities:

• Performed extensive analysis on system's 'As Is' and 'To be' flow to build the User Requirements Specification
• Planned and defined system requirements to create Use Cases, Data Flow Diagrams and wireframes for User Interface (UI) design using the UML (Unified Modeling Language) methodologies.
• Developed artifacts of Unified Modeling Language (UML) such as Activity diagram, Sequence Diagram, State diagrams, Process flow diagrams as well as ERD.
• Involved with upgrading an online management web application that allowed the providers to automate tasks like Patient Management, Appointment Scheduling, Reporting, and Filing Claims through EDI (ANSI) X12 transaction sets in compliance with HIPAA standards. The other aspect of project included mapping data for conversion of HIPAA .
• Interacted with business heads to finalize the Business Requirements, requirements management plans Functional Requirements, supplemental Requirements, Test Plans and Test Case, E-R diagrams, Swim Lane Diagrams, for the application.
• Performed the requirement analysis and documented the requirements using Rational Requisite Pro.
• Worked on Waterfall methodology as a part of Software Development Life Cycle (SDLC) for the Project Development.
• Involved in creating sample mappings for the conversion of EDI X12 transactions code sets version and translation of ICD 9 codes into ICD 10 codes.
• Involved in the full HIPAA compliance life-cycle from GAP analysis, mapping, implementation, and testing for processing of Medicaid Claims. Worked on EDI transactions: 270, 271, 834, 835, and 837 (P.I.D) to identify key data set elements for designated record set.
• Written multiple use case for multiple transactions on Membership enrollment EDIFECS 834 (Benefit Enrollment and maintenance) for enrolling members in a health plan.
• Actively conducted daily Scrum meetings to prioritize and track the Sprint backlog items.
• Performance tuning SQL queries and DB2-Cobol programs.
• Utilized Rational Unified Process (RUP) iterative guidelines on all the phases (Inception, Elaboration, Construction and Elaboration) for development of the Application
• Developed scrum artifacts such as User Stories, Product Backlog, Sprint Backlog and Sprint Burn down chart.
• Facilitated Sprint planning meetings and developed Sprint backlog based on inputs received from the meeting.
• Involved in prioritizing User Stories by assigning User points, refining the acceptance criteria for individual stories, and breaking larger Stories into smaller Stories during Backlog Grooming sessions.
• Established questionnaires and resource leveling required for implementing HIPAA 5010 and upgrading ICD 9 diagnosis codes to ICD10 codes.
• Worked on Implementation of HIPAA 4010 and 5010 / ICD 10, version for all EDI transactions.
• Elicited information from key staff to determine where and how ICD-9 conversion will need to be performed for written documentation, processes, procedures and IT systems.
• Analyzed current ICD-9 usage and future ICD-10 needs.
• Created Source to Target (STT) Templates/Mappings to Data modelers in constructing there logical data models and process work flows in support of business requirements.
• Wrote standard and complex SQL Queries to perform Data Validation and Graph validation to make sure test results matched back to expected results based on the user needs.
• Worked with the development team to prepare the completed Product Demo for Sprint Review meetings.
• Conducted Joint Application Development (JAD) sessions with IT groups. Identified the Key Changes, and participated in Stakeholder Management to communicate effectively with them.
• Conducted Unit, Integration, and Regression testing for the developed features of the system
• Review requirements and understand technical recommendations and constraints, and develop comprehensive and accurate functional specifications; Data Mapping, and process flows.

Environment: Rational Rose and Requisite Pro, UNIX, MS Visio, JIRA, MS Visio, MS Office, MS Project, Agile- Scrum, UML, XML, Windows XP, NT, HTML, DB2, SQL Server.

Confidential, NJ

Business Analyst

Responsibilities:

• Performed Joint Application development (JAD) techniques, Brainstorming and one on one interviews for requirement gathering.
• Developed artifacts of Unified Modeling Language (UML) such as Activity diagram, Sequence Diagram, Process flow diagrams, by using MS Visio
• Developed scrum artifacts such as User Stories, Product Backlog, Sprint Backlog and Sprint Burn down chart.
• Facilitated Sprint planning meetings and developed Sprint backlog based on inputs received from the meeting.
• Involved in prioritizing User Stories by assigning User points, refining the acceptance criteria for individual stories, and breaking larger Stories into smaller Stories during Backlog Grooming sessions.
• Developed artifacts of Unified Modeling Language (UML) such as Activity diagram, Sequence Diagram, State diagrams, Process flow diagrams as well as ERD.
• Performed extensive analysis on system's 'As Is' and 'To be' flow to build the User Requirements Specification
• Documented detailed Current and Future process flows describing the changes to the currentprocessand newprocess.
• Addressed the changes made to the Medicare program and created requirements mapping to that of the system requirement.
• Worked in healthcare claims administration, healthcare claims processing (837/835) includes facility claims and professional claims.
• Worked with team for HIPAA claims validation and verification process.
• Created mapping elements between data models and identified the data relationships.
• Defined various data elements creating a data dictionary containing names of the tables, purpose of the tables, and the contents of the tables.
• Facilitated and managed meeting sessions with committee of SME’s from various business areas including Benefits Administration, Health claims group, HIPAA administration, Health policy and program evaluation and Data management group.
• Involved in creating sample mappings for the conversion of EDI X12 transactions code sets version and translation of ICD 9 codes into ICD 10 codes.
• Created Source to Target (STT)Templates/Mappings to Data modelers in constructing there logical data models and process work flows in support of business requirements.
• Wrote standard and complex SQL Queries to perform Data Validation and Graph validation to make sure test results matched back to expected results based on the user needs.
• Interpreted Business needs into Data requirements, including such attributes as naming standards, consistent data definitions, associated business rules, data sources, data lineage, retention criteria, derivations, security restrictions, accessibility, reusability, frequency of updates and integration.
• Responsible for checking Medicare eligibility and verifying claim payment.
• Established questionnaires and resource leveling required for implementing HIPAA 5010 and upgrading ICD 9 diagnosis codes to ICD10 codes.
• Worked on Implementation of HIPAA 4010 and 5010 / ICD 10, version for all EDI transactions.
• Elicited information from key staff to determine where and how ICD-9 conversion will need to be performed for written documentation, processes, procedures and IT systems.
• Analyzed current ICD-9 usage and future ICD-10 needs.
• Written multiple use case for multiple transactions on Membership enrollmentEDIFECS834 (Benefit Enrollment and maintenance) for enrolling members in a health plan.
• Written multiple Use Cases and test cases for multiple transactions include834,837, 835, 270, 271, 276, 277.
• Implemented SQL scripts, stored procedures, triggers and indexes for various database operations.
• Developed business process models using RUP to document existing and future business processes.
• Involved in data flow diagram creation with the DBA and technical team members.
• Created and edited XML documents using Oxygen and validating against a customized DITA DTD.
• Conducted Unit, Integration, and Regression testing for the developed features of the system
• Created test scripts as per business requirements and functional specifications using QTP.
• Assisted in creation of Test environment, Test Plans and Test Cases with QA Lead, using HP Quality Center.

Environment: MS-Office, JIRA, MS Visio, UML, SQL,QTP,UNIX, XML,Waterfall, Agile Scrum Methodologies, HP QC, File Net, MS Project, .Net, Jscript, VB Script.

Confidential, TN

Business Analyst

Responsibilities:

• Served as liaison between stakeholders and technical team to communicate functional specifications.
• Performed GAP analysis of business rules, business and system process flows.
• Diagram business process workflows utilizing modeling tools and GUI templates.
• Ensured proper system upgrade process for a more streamline, accurate, and effective reporting output. Facilitated testing and ensured successful go-live and post production support.
• Facilitated business requirements gathering, project coordination, and data mapping, coordinate user acceptance testing for multiple call center routing and reporting (Business Objects) upgrades.
• Wrote business requirements document and technical specs for IPCC, Rockwell, Cisco, and Avaya platforms and a new Call Quality Monitoring reporting system utilizing SOX, HR, and Legal control methods (IT internal controls, segregation of duty, management accountability, and privacy requirements).
• Interaction with the business user and the IT team for understanding the requirements.

Environment: RUP, UML, Win Runner, MS-Project, MS Visio, MS Office, Windows XP.

Confidential, Charlotte NC

Business Analyst

Responsibilities:

• Involved in meetings with users, stakeholders to identify problems, resolve issues and improve the process to ensure a stable and accurate solution
• Gather requirements for life cycle of physical and financial transactions; trading life cycle (Front Office, Middle office).
• Interacted extensively with Subject matter experts, Business stakeholders, Users to define accurate requirements and developed the detailed Business Requirement Documents (BRD) for the Application
• Utilized Rational Unified Process (RUP) iterative guidelines on all the phases (Inception, Elaboration, Construction and Elaboration) for development of the Application
• Conducted Joint Application Development (JAD) sessions with management, end users, and other stakeholders to synchronize and update the requirements requested by business users
• Scheduled meetings with developers, SME’s, testers and development team to collaborate resource allocation and project completion using MS Project
• Provided daily and weekly updates to managers on artifact and application status to help prepare accurate project timelines and resource estimates
• Interacted with QA and conducted User Acceptance Testing (UAT) to check the functionality of the system
• Involved in task documentation at all levels and interacted with the developers to report and correct bugs
• Conducted training sessions for the users and also prepared user manuals for better understanding of the designed system for the users.

Environment: MS-Office, MS Project,MS Visio, UML, SQL

Confidential, MA

Business Analyst

Responsibilities:

• Thoroughly studied the inherent systems to have a clear understanding of the business processes associated with Property and Casualty Claims.
• Involved in gathering requirements for Policyholder Dividend Ratio and Pre-Existing condition Module.
• Developed scrum artifacts such as User Stories, Product Backlog, Sprint Backlog and Sprint Burn down chart.
• Involved in prioritizing User Stories by assigning User points, refining the acceptance criteria for individual stories, and breaking larger Stories into smaller Stories during Backlog Grooming sessions.
• Developed the scope and vision document for the Work project that defined the primary goals, objectives and scope of the project.
• Utilized Rational Unified Process (RUP) iterative guidelines on all the phases (Inception, Elaboration, Construction and Elaboration) for development of the Application.
• Wrote standard and complex SQL Queries to perform Data Validation and Graph validation to make sure test results matched back to expected results based on the user needs.
• Performed impact assessment and identify the impacts, facilitated tradeoffs and communicated impacts to POR (Plan of Record) team and business stakeholders, delivery team and product owners by closely working with project team to integrate change management activities into the overall plan
• Developed strategies with Quality Assurance group to implement Test Cases in HPQC and worked with business for UAT (User Acceptance Testing) validation
• Worked on identified and documented business and customer requirements using RequisitePro.
• Developed an Object Oriented model of the application through Rational Unified Process (RUP).
• Developed class diagrams and sequence diagrams to validate different business processes.
• Organized the requirements into logical groupings of important business processes, business rules and information need and ensured that none of the critical requirements were missed.
• Worked as a liaison between business users, testers and application development team.
• Involved in Incident Reporting and Change Control procedures in tracking changes during the development of the application.
• Logged defects and tracked them using JIRA till its closure.

Environment: Rational Rose, Requisite Pro, Agile, UML, MS-Office, MS Project,MS Visio, JIRA, SQL.