SUMMARY

• Sr. Business Systems Analyst/Data Analyst with 8 years of experience in all phases of Software Development Life Cycle (SDLC): gathering requirements, analysis, coding, testing and implementation of projects. I am independent, motivated, sincere, committed, fast learner, detail - oriented team player with excellent communication, analytical, leadership, interpersonal and problem solving skills.
• Experience with in-depth knowledge of business processes in Health/Medicare, Insurance (P&C), Pharma and Financial industries.
• Proficient in Requirement Management, including gathering, analyzing, detailing and tracking requirements
• Proven capability to handle Enterprise-level analysis challenges, including handling complex projects and creating “AS-IS” and “TO-BE” analysis for executive level clients.
• Experience in writing requirements and specification like Business Requirements Document (BRD), Use Case Realization Document, Functional Requirements Specifications (FRS), Systems Design Specification (SDS), Systems Requirements Specification (SRS), Data Dictionary, Requirements Traceability Matrix (RTM), Defect Traceability Matrix (DTM), User Guides, and Release Notes.
• Experienced with project team in Waterfall and Agile/Scrum environment.
• Experienced in Documenting requirement using Unified Modeling Language (Use Case and Activity Diagrams) also building business Process Flow, Activity Diagrams, Sequence Diagram using tools such as Visio.
• Experience in Version Control, Change management and Workflows.
• Strong expertise in Insurance Property and Casualty (P&C).
• Experienced on HIPAA Transactions 270, 271, 276, 277, 835, 837.
• Experience and strong understanding of Claims Processing like FACETS & MMIS and Billing along with HIPAA guidelines.
• Expertise in various Modules of FACETS which serves needs of many Health Insurance Companies
• Experienced with enhancing old billing platform to new billing platform.
• Experienced with Platform Migration.
• Experience in B2B standards with strong knowledge in EDI Integration applications for business processes
• Actively took a part in Manages, writes, edits, evaluates and analyzes Healthcare Policy and procedure and implement changes to system, rule maintenance, rule application and configuration.
• Experienced in maintaining all design documentation workflow activity diagrams, data mapping and technical integration documentation.
• Experience in building project plans, delivery schedules and project budgets.
• Strong sense of urgency, ability to prioritize and communicate effectively.
• Experienced with use of SharePoint.
• Knowledge of gathering project requirements in order to determine the scope of SharePoint projects.
• Experience in working with and implementing COTS/MOTS solutions.
• Experience in designing and developing Test Plans & Test Cases, conducting User Acceptance Testing (UAT), Operational Acceptance Testing (OAT) and verifying performance, reliability and fault tolerance.
• Handled Defect Coordination efforts in the Testing process through resolution to closure and reporting, participating in and facilitating defect review sessions
• Excellent communication skills and adept at facilitating walkthrough and training sessions.

TECHNICAL SKILLS

Operating Systems: Windows, DOS and UNIX

Languages: C/C++, Java, SQL, UML, Visual Basic, XML

Databases: RDBMS, MS Access, MS SQL Server, MySQL, Oracle10g, Oracle11i

Methodologies: SDLC, Rational Unified Process, Waterfall Methodology, Agile

QualityStandards: CMMI, ISO 9001, HIPAA

Web Development: HTML, Front Page, Image Composer, Macromedia Dream weaver and Flash

Tools: MS Project, MS Visio, MS Office (Word, Excel, PowerPoint) MS Access,MS Query, Open office, Rational Rose, Rational Clear Case, Clear Quest and RequisitePro, Rational Enterprise Suite, TestDirector7.6, Win Runner, Load Runner

PROFESSIONAL EXPERIENCE

Confidential, New York, NY

Business System Analyst

Responsibilities:

• Participated in Business Modeling by understanding the needs of the business, and also documenting Business Use Cases as well as System Use Cases.
• Facilitated Joint Application Development (JAD) sessions with the Management, Mainframe and HIPAA team to make sure everyone are in synchronous with the business requirement processes.
• Worked on HIPAA Transactions 270, 271, 276, 277.
• Responsible for designing future state processes for ICD 9, ICD 10 Crosswalk Table and drafted High Level Business Requirements for ICD 9-10 conversion mapping.
• Worked extensively on the Procedure and Diagnosis Pricing and worked on the Reimbursement processing.
• Gained extensive experience in designing/modifying the system screens for various areas such as Enrollment, Billing, Provider Record and Reimbursement Status.
• Configured FACETS to adhere to customers work flow for Claims processing, Claims automation and group administration
• Used MS Visio to create Use Cases and Sequence Diagrams.
• Accomplished experience through whole SDLC from requirement analysis till deployment.
• Assisted in Production Support for Managed Care Organization.
• Assisted development team to translate requirements into technical specifications.
• Developed and modified the Requirement Traceability Matrix (RTM).
• Initiated Test Plans, developed and executed test cases and scenarios, worked with users to develop specific acceptance criteria and prepare test exhibits.
• Conducted User Acceptance Testing (UAT) sessions with business users and prepared document for enhancements and bug fixes.
• Trained & acted as Point of contact (PoC) for new employees.
• Testing defects using Rational Clear Quest.
• Analyzed and evaluated all the modules of the software before delivery to user’s to confirm its meeting the standard criteria.
• Interacted with various members of my team to discuss and resolve defects and their priorities

Environment: MS Office Suite, MS Project, MS Visio, Rational Requisite Pro, Rational Modeler, Rational Clear Quest, Oracle, Java J2EE, Agile, HIPAA, ICD & FACETS.

Confidential, NJ

Business Analyst

Responsibilities:

• Part of the initial discovery phase of the project to determine what functionalities are in scope, time estimates, risk and resources. Strategize the priority, planning and scheduling of functionality release.
• Worked on Personal lines Property & Casualty (P&C) Insurance including both policy and claim processing and reinsurance.
• Conducted JAD sessions with management, SME (Subject Matter Expertise), vendors, users and other stakeholders for open and pending issues to develop specifications.
• Gathered user and business requirements through open-ended discussions, brainstorming sessions, role-playing, prototyping and observation of the compliance department and work environment.
• Involved in drafting strategy for process improvements that includes detailed step-by-step procedures, written from the point of view of each project manager and team member. This integration of procedures with the project's document repository ensures that the procedures are followed accurately.
• Finalized and documented the Business Requirement for the application with various key stakeholders
• Identified IS strategy to be followed and related IS strategy to Business strategy and communicated the same through written and oral communication to the top management and Systems Analyst and Designer.
• Coordinated with multi vendor teams in organizing the project priorities, synchronizing the development schedules.
• Provide customer service and support for Property & Casualty (P&C) risk management needs
• Used SQL queries (select, insert, update, delete, sub-queries, joins, etc) to manipulate the data in the database and generate reports to help the business users for their daily activities.
• Involved in generating Test cases for Property and Casualty (P&C) Insurances for different Levels of Business.
• Involved in writing Test plan / Test cases for Web based portal testing.
• Working with QA team to execute User Acceptance testing.

Environment: SQL server, Crystal Reports, J2EE, JIRA, Windows 7, Go-To Meeting, Load Runner, Agile

Confidential, Louisville, KY

Business System Analyst

Responsibilities:

• Participated in creation of Business Process Workflow Diagrams with Stakeholders.
• Conducted meetings with business users and SMEs to identify and gather various functional and non-functional requirements.
• Analyzed business requirements and organized high-level and low-level Use Cases.
• Utilized Rational Unified Process (RUP) to configure and develop process, standards, and procedures to create a Business requirement Document (BRD).
• Conducted GAP analysis of the different reports that are being presented to clients to accommodate their requirements.
• Created artifacts such as Use Cases, Activity Diagrams, and Sequence Diagrams using MS Visio. Planned all the RUP iterations and documented the artifacts throughout various phases.
• Participated in team meetings to improve overall implementation process.
• Also participated in HIPPA upgrade (Level 1)
• Knowledge of HIPAA 5010A rules to store the transactions.
• Monitored all the HIPAA transactions through the gateway.
• Participated in ICD 9 to ICD 10 codes mapping sessions as well as status meetings and provided comments and suggestions on challenges.
• Used FACETS Workflow to route the claims according to the priority.
• Adopted Rational Unified Process (RUP) methodology with emphasis on its six best practices for iterative and incremental development.
• Played a key role in planning, testing, and implementing system enhancement requests.
• Reviewed System Test Plans, wrote test scripts and worked with business folks to validate and execute the test scripts.
• Functioned as the primary liaison between the business line, operations, and the technical areas throughout the project cycle.

Environment: RUP, MS Office (MS Word, MS Excel, MS PowerPoint, MS Visio), MS-Project, Windows 2000 server, Clear Case, Clear Quest.

Confidential, San Francisco, CA

Business Analyst

Responsibilities:

• Assisted in identifying the end users of the system and interviewed them in meetings and workshops.
• Met with client groups to determine User Requirements and System Goals. Coordinated work plan between project manager and client using Microsoft Project.
• Created and updated Issue, Risk, Assumption, Action and Dependency Document (IRAAD) identifying the risks to the project due to its severe dependencies on internal blocks and external vendors or entities. Also provided mitigation plans for the risks and issues identified.
• Assisted in interviewing SME, asking detailed questions and carefully recording the requirements in a format that can be reviewed and understood by both business and technical people.
• Involved in developing techniques for requirement gathering including interviews, brainstorms and meetings with stakeholders.
• Developed flow diagrams for Business process of the company using Microsoft Visio.
• Followed up with the end users and developers for user satisfaction and change management.
• Use Case Modeling using Rational Unified Process (RUP) for preparing Functional Requirements documents.
• Functioned as the primary liaison between the business, operations, and technical groups throughout the project cycle.
• Developed business process models in RUP to document existing and future business processes.

Environment: Rational Rose, RUP, UML, Rational ClearCase, SQL Server, HTML, MS Visio, MS Office, Oracle, Windows NT

Confidential, NY

Business Analyst

Responsibilities:

• Acted as a liaison between stake holder’s system users, clients and managers, who have a business problem, and software development team to gather requirements.
• Conducting meetings/interviews and JAD sessions with stakeholders to collect business requirements.
• This information along with the vision document was used to transform business requirements into System Requirement Specifications.
• Extracting the business requirements from the end users keeping in mind their need for the application, and documenting it in MS Excel and MS Visio for the developers.
• Using Rational Rose to construct Business Use Case Model and Business Object Model.
• Creating Use Case Model and writing detailed use cases in conjunction with the project team, to define the features of the application, to be used by the development team.
• Creating Analysis Model and Data Model and using these artifacts to develop the Class Diagrams, Collaboration and Sequence Diagrams and State Chart Diagrams.
• Involved with the Quality Assurance team to develop and design test plans and test cases.
• Monitoring Defect Tracking using Mercury Quality Center to ensure that testing effort is progressing with the development team.
• Involved in GUI Design sessions with the Usability Team. Browser compatibility and navigation were tested manually.
• Tested the final application for usability testing to verify whether all the user requirements were catered to, by the application.

Environment: - Oracle, Windows XP/2000, JAVA, MS Excel, VISIO, Mercury Quality Center, Go to Meeting, Rational Rose.

Confidential

Sr. Business Analyst

Responsibilities:

• Interacted with stakeholders and Subject Metter Experts (SMEs) from front office and middle office to get better understanding of client business processes and gather requirements. Analyzed, documented, and managed all project requirements and changes to requirements throughout the software development lifecycle
• Translated high level requirements in Business Document into detailed requirements in Business Requirement Document (BRD) and Use Case Documents (UCD)
• Facilitated JAD sessions to develop an architectural solution that the application meets business requirements, resolve open issues and change requests
• Created GUI Mock-ups according to end user requirements
• Created Context diagrams and UML diagrams like Use Case diagrams and Activity diagrams using MS Visio
• Managed document versions using SharePoint
• Ensured the Test Coverage by collecting and documenting test results data from various releases using HPQC. Got approval on test results
• In order to expedite defect resolution, investigated defects by fetching data in test databases using SQL
• Logged bugs in HPQC. Assigned severity to issue Facilitated daily defect review meetings. Worked with development team to ensure defects are addressed according to severity
• Conducted reviews with business for sign off at the end of each milestone like creation of vision document, BRD and Use Case documents, test cases and test results
• Created UAT Test Cases using HP Quality Center, Presented Test Cases to end users and got approval
• Conducted User Acceptance Testing (UAT)

Environment: Rational Clear Case, Microsoft Office, HP Quality Center, MS Visio, SharePoint, SQL