SUMMARY

• Experienced Business Analyst with 7years of proven skills in requirement gathering, interacting with developers, documenting various business processes, coordinating various projects contributing 3 Years of experience in Healthcare Industry.
• Experienced in interfacing with stakeholders and senior management with excellent communication and interpersonal skills.
• 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, Analysed and synthesized results from Joint Application Development JAD , proposed alternative tasks and transformed those into Business Requirement Document BRD .
• Experience in for requirements gathering, analysis, design in Rapid Application Development RAD sessions to converge early toward a design acceptable to the customer and feasible for the developers.
• Experience in using methodologies such as UML Unified Modelling Language , OOAD Object Oriented Analysis and Design and APM Agile Project Management .
• Experience in Rational Unified Process RUP , Rational Requisite Pro, Rational Clear Quest, and Microsoft Project.
• Experience using Rational Rose and MS Visio for business process modelling and designing data flow diagrams DFD .
• Experience in conducting GAP analysis, User Acceptance Testing UAT , SWOT analysis, Cost Benefit analysis, ROI Analysis and Requirement Traceability Matrix RTM
• Preparing graphical depictions of use cases including State Diagrams, Activity Diagrams, Sequence Diagrams, Use Case Diagrams, Component-Based Diagrams, Collateral Diagrams, including the Business Workflow Chart.
• Expertise in writing Requirements, Technical Specs, Test Plans and Test Cases.
• Prepared Functional Specification Documents, AS-IS and TO-BE workflows.
• Strong skills performing data analysis, impact analysis, risks analysis, writing test cases for User Acceptance Testing. Gathered Functional and Data Requirements, analysed workflows and created Use Cases, Requirement Specifications, Report Specifications, Data Requirements, Data Mappings and Data Flow Diagrams.
• Experience in implementation of HIPAA 4010 and HIPAA 5010 changes in the existing claim processing integrated system.
• Experience in Rational Rose HP Quality Center
• Experienced working in Medicare and Medicaid projects.
• Knowledgeable for gap analysis in changing old MMIS and Involved in testing new MMIS.
• Excellent knowledge of Health Insurance Portability and Accountability Act HIPAA transaction and code set rules such as EDI 837,270,271,276,277,834,835.
• Proficient inICD-9-CM and ICD -10-CM coding and claims processing.
• Experienced in all phases of the Software Development Life Cycle SDLC , Rational unified process RUP and SCRUM methodology.
• Managed a Test Director environment for the test team. This includes additions to all forms in the TestDirector application i.e. Defects, Test Plan, Test Lab and Requirements and provides server maintenance when needed.
• Broad Knowledge in reviewing Test Procedures, creating Test plans and detailed test plans for UAT, Test scenario, defining Test cases, both System Integration and executed many test cases Test Data reviewing and maintaining and executing detailed Test scripts for UAT, analysing bugs, interacting with team members in fixing errors and User Acceptance Testing UAT and also assisted in post Production support. Worked on Black box and White box Testing.
• Extensive expertise in databases like Oracle, SQL.
• Thorough knowledge in Requirement analysis, Planning, Scheduling Tracking projects.
• Concrete understanding of Business Requirement gathering, Business Process flow, Business Process Modelling and Analysis, design documentation.
• Strong problem solving and analytical skills with in-depth understanding of system development methodologies, techniques and tools.
• Work with the development team to provide an environment ready for testers and end-users.
• Facilitated test plan/test case walk-thru's for the Business and Development teams to obtain feedback and/or approval sign-off.
• Excellent organizational, interpersonal, communications, teamwork and leadership skills with proven skill to interact across multiple levels of organization.

TECHNICAL SKILLS

Platforms : Windows 2000/XP/NT, Windows Vista, Windows 7 and 8

Methodologies : Agile Scrum , RUP, Waterfall

Change Management Tools : MS SharePoint, Rational Clear Case

Databases : Oracle, Microsoft SQL Server, MS Access

Project Management Tools : IBM Lotus Notes, SharePoint, Rational Team Concert

Office Tools : MS Project, Word, PowerPoint, Excel, and Outlook

Modeling Analysis Tools : Rational Rose, MS Visio

Statistical s/w : Minitab, Tableau

Testing tools : Quality Center, Test Director, Win Runner, QTP, LoadRunner

Requirement Management Tools : Requisite Pro, Clear Case/ Clear Quest

PROFESSIONAL EXPERIENCE

Confidential

Business Analyst

Responsibilities:

• Involved in initial project planning with the management including project scope, budget estimation, time estimations and other project parameters.
• Preparation of SRS documents, Requirement Traceability Matrix, Test cases and Test plans. Review and Analysis of the Functional and System Requirement documents.
• Defined security and privacy requirements from the client.
• Conducted JAD sessions and Interviews to understand client requirements and convert the requirements to IT specifications.
• Continuous updating on the project progress to stakeholders- Internal and External, throughout the project life cycle.
• Liaising between users, business stakeholders and technical team for effective alignment during the project progress.
• GAP analysis to understand the status of the project against the expected.
• Extensive use of RUP methodology guidelines through the SDLC.
• HIPAA 837, 270/271,267/277,835,824,275 transactions, with in-depth knowledge of ICD 9 ICD 10 framework.
• Developed 4010 and 5010 use cases and design specifications along with 837, and multiple eligibility 270/271 healthcare claim status 276/277 requirements.
• Prepared traceability matrix throughout the project to track changes.

Environment: Rational Unified Process RUP , Rational Test Manager, Rational ClearQuestWindows, MS Office, HTML, Tableau, Windows

Confidential

Business Analyst

Responsibilities:

• Design and Develop business required documents including high-level design and low-level Design.
• Frequent interaction with SMEs in the Fixed Income Group, portfolio Managers, Investment Advisors, IT Managers, and Program Managers to understand the business and identify the requirements.
• Conducted UAT by developing test plans, test scenarios and test cases based on the functional requirements and technical specifications.
• Performed analysis on cost-benefit and Return on Investment.
• Performed Business Process Reengineering BPR and Gap Analysis to check compatibility of the existing system infrastructure with the new system. .
• Worked with the QA team to develop test scripts and test cases.

Environment: MS SQL 2008, MS Project, MS Word, MS Excel, Load Runner, HPQC

Confidential

Business Analyst

Responsibilities:

• Coordinated with the stakeholders and project key personnel to gather functional and non-functional requirements during JAD sessions.
• Studied the existing business process and created AS-IS workflow to illustrate the existing system.
• Recorded requirements in the Requirement Traceability Matrix RTM defining each technical requirement in detail from areas like: main hardware, application software, networks, servers, internet and desktop configuration.
• Propose strategies to implement HIPAA 4010 in the new MMIS system eventually move to HIPAA 5010.
• Worked in Irise and experience with AGILE Tool and methodology
• Responsible for the full HIPAA compliance lifecycle from gap analysis, mapping, implementation and testing for Medicaid Claims.
• Responsible for gap analysis in changing old MMIS and Involved in testing new MMIS. Also, accountable for Medicaid Claims Resolution/Reimbursement.
• Assisting the project manager in creating the business case and project plan.
• Served as a liaison between the internal and external business community Claims, Billing, Membership, Capitation, Customer service, membership management, provider management, advanced Healthcare management, provider agreement management and the project team.
• Actively analyzed current business processes Claims, Recipient eligibility and enrollment etc. and worked with management to improve and implement enterprise solutions to ensure compliance
• Responsible for creating business work flows and processes and creating management reports based on the analysis.
• Experience with Claims Platforms NASCO
• Experience in Rational Rose HP Quality Centre
• Followed the UML based methods using Rational rose to create Use Cases, Activity Diagram, Sequence Diagram, Collaboration Diagram that include Functional and Non-Functional specifications to hand off to development teams.
• Actively involved in updating internal processes submit claims, check eligibility , updating data collection and data reporting
• Defects and bug testing by using Rational Clear-Quest, Configuration management and Version control with Clear-Case.

Environment: Microsoft Office MS Word, MS Excel, MS PowerPoint, MS Visio, MS Access , RUP, MS Project, ANSI X12- EDI UML, Rational Requisite Pro, MS Word, Visio, SQL, MS Excel, Mercury Quality Center.

Confidential

Business Analyst

Responsibilities:

• Closely worked with development team to make sure whether the software application fits within the architecture and has the required behaviors.
• Review the current BRD Business Requirements Document and SRD System Requirements Document to describe all detail component changes for specific programs.
• Created Use-Cases, Wireframes and State Diagrams to demonstrate software architecture and interaction of system components before prototyping. Used Rational Rose, Requisite-Pro for requirement traceability
• Designed Wireframes which allowed development of variations of a layout to maintain design consistency throughout the E-Commerce site
• Articulated UML through Use cases, use case document by specifying actors, normal flow, sub flow, alternative flows.
• Collected and documented policies, calculation methods, business processes as well as business rules.
• Interviewed the domain experts and carefully recorded the requirements in the format that can be reviewed and understood by both business people and technical people
• Assisted in documenting various business related texts
• Worked closely with test team for user testing of systems, developing and maintaining quality procedures, and ensuring that appropriate documentation is in place.
• Developed the test scenarios and test plans based on business requirements, technical specifications and/or product knowledge in Quality Center.

Environment: IBM Rational Requisite Pro, Rose, Clear Quest, clear case, MS Visio, MS Project, Oracle, Quality Center, Windows NT.

Confidential

Project Coordinator / Business Analyst

Responsibilities:

• Coordinating all aspects of projects such as initiation, planning, scheduling, task assignment and tracking, status reporting and risk management.
• Facilitated team meetings to coordinate activities for project schedules, presented deliverables to the management, conducted JAD sessions to elicit requirements.
• Managed requirements to minimize scope issues. Understand all system requirements and provide feedback, collected requirements from customers, users and prioritized them.
• Involved in the creation and maintenance of the Workflow plans and artifacts.
• Prepared Business Process Models that includes modelling of all the activities of the business from the conceptual to procedural level.
• Coordinated with the QA team in creating test cases and conducted UAT.
• Wrote clear, concise detailed system requirements specification SRS documents and user documentation in accordance with the guidelines and standards of a level where developers can interpret, design and develop the application with minimum guidance.

Environment:UML, Use Case Analysis, MS Visio, MS Office

Confidential

Responsibilities:

• Assisted in designing molding tools, made engineering drawings, prepared productspecifications using AutoCAD and PRO-E
• Analyzed product drawings prepared by customers and prepared quotations.
• Implemented ISO 9001 documentation standards in the company.
• Prepared packaging specifications and arranged logistics for export shipments.
• Gathered information regarding requirements for the company website in development.

Environment:AutoCAD, Solid Works, Pro-E, MS-Excel.