SUMMARY

• Business Analyst with over 5 years of experience in business processanalysis/modeling, business requirements gathering,databasedesign anddevelopmentofWeb BasedandClient/Serverapplications
• IT professional with an impressive track record of developing and managing IT projects with performance beyond expectation
• Experienced in clarifying business requirements, performing gap analysis between goals and existing procedures, designing process, system improvements to increase productivity and reduce costs
• Strong interpersonal skills, highly adept at diplomatically facilitating discussions and negotiations with clients and stakeholders
• Recognized project management skills, consistently deliver complex large - scale projects on time and within budget. Additional areas of expertise include: Supply Chain Management, Agile Project management - SCRUM Methodology, Managing Client relationships and Requirement gathering, Process Analysis & Improvement, Business Intelligence, Analysis and Documentation and content integration, Use Case Modeling, Workflow Design/Analysis, Strategic Planning, Business Impact and Risk Management, End Users Interviewing, Gap Analysis, Testing Strategies & Performance Reporting
• Participated in all phases of project development: from project management/leadership & management, application facilitation, training, support, feasibility studies
• Strong understanding for Request for Information in Buy vs. Build cost/benefit analysis projects, Request for Proposals(RFP), Business Requirement Documents (BRD), product presentations
• Experiences in budgeting, planning, gap, impact, data & business analysis and requirements gathering & definition including Credit Derivatives, Credit Default Swaps (CDS), REPOs, Equity Options, Future Rate Agreements (FRAs), Equity Swaps etc
• Knowledge on User Interface through systems analysis, functional specification Documents (FSD), process mapping, data mapping, process flow generation, reengineering, video conferencing, backend testing, quality assurance (including User Acceptance Test(UAT) plans, System Integration Testing(SIT) & Production Acceptance Testing (PAT), implementation, disaster recovery, technical architecture, technical writing, workflow and document management
• Knowledge of EMR/EHR, Patient Protection and Affordable Care Act (PPACA).
• Good understanding of Medicaid, Medicare, Procedural and Diagnostic codes and Claims Process.
• Experience in Software Development Life Cycle (SDLC) and Software Testing Life Cycle (STLC) in different methodologies such as Agile, Scrum, Waterfall, RUP etc.
• Broad knowledge of HIPAA Standards (Title I & Title II), Medicare, Medicaid, PPO, HMO, POS, diagnostic codes and claims process.
• In depth experience in HIPAA ANSI X-12 EDI series such as 270/271, 276/277, 278, 834, 835, 837 and version 5010 of this transaction. HL7, ICD9/ICD10 and 4010/5010 versions.
• Extensive experience in interacting with stakeholders, gathering Requirements and creating Business Requirement Documents (BRD), analyzing and Creating Use Cases, Use Case Diagrams, Activity diagrams, Business Flow Diagrams.
• Proficient in ICD-9-CM and ICD -10-CM coding and claims processing
• Excellent working Knowledge with HIPAA-4010 & 5010, EDI
• Strong experience in Data Analysis, data warehousing and QA testing.
• Extensive online experience with several database systems and Object Oriented data modeling DBA on multiplatform computer systems
• Highly motivated programming professional able to work under pressure in a rapidly changing environment and to get the job completed successfully within user-specified goals. Good technical and communication skills
• Knowledgeable about preparing RTM documents

TECHNICAL SKILLS

• Agile Scrum
• Rational Unified Process (RUP)
• Waterfall
• Rally
• JIRA
• Rational Requisite Pro
• MS-Visio
• Enterprise Architect
• Rational Rose
• MS Word
• MS PowerPoint
• MS Excel
• MS Access
• Rational Clear Quest
• Rational Clear Case
• Informatica
• Quality Center
• UML (Use case diagram
• Context diagram
• Activity diagram
• Sequence diagram etc)
• Oracle
• PL-SQL
• SQL Server
• UNIX
• Windows.

PROFESSIONAL EXPERIENCE

Confidential, Sacramento, CA

Business Analyst

Responsibilities:

• Daily generate financial Reports for Medicare, Medi-Cal and Commercial Billing and effectively communicates project progress, issues and financial status to management as required.
• Work with Senior Directors to identify opportunities for business process improvements within project scope.
• Define problems, collect data, establish facts, draw valid conclusions, and make recommendations for continuous improvement.
• Provides complete, accurate and timely reporting of revenue cycle metrics to service area directors; proactively provides additional analysis, as needed, to explain significant shifts or areas of concern.
• Monitor and keep track of all Billing Edits and capture defect using ALM 11.0
• Review and approve project plans and charters to ensure they met all business requirements
• Work on designing and deploying the PMO process framework.
• Work with HIPAA rules and regulations to draft business rules and claim processes.
• Work with Business user to define Functional Requirements and Business Process Flows.
• Prepare Audit Report for HIPAA Privacy and Security Compliance.
• Develops project schedules and executes according to plan for assigned projects.
• Create and Maintain the Requirement Traceability Matrix (RTM) to keep track of all business and functional requirements.
• Works collaboratively with Service Area Directors, Revenue Services, to understand system-wide trends, common barriers and to develop solutions.
• Actively pursues additional work through change orders.
• Maintains profitability goals and positive cash flow.
• Manages risks and establishes project recovery plans when required.
• Resolves disputes with minimal need for escalation.
• Ensures project document controls are in compliance with contract requirements.
• Oversees project construction for compliance with specifications, local codes and installation techniques.
• Attends job progress meetings as required. Ensures subcontractors understand expectations of the project.

Environment: Meditech, HIE, MS Visio, MS Project, HIPAA, Trizetto Facets, Microsoft Office Suite, Quality center, ALM, Rational Requisite Pro, ClearCase, SQL, Windows, MS Office.

Confidential, Atlanta, GA

Business Analyst

Responsibilities:

• Developed a common approach to measure and report forecasting accuracy that enables the end-user to drill down to for accurate forecasting
• Proactively identified and resolved future replenishment issues using a time-phased view
• Prepared a SKU order forecast and highlight variances over time
• Responsible for assisting in writing the Data retention High Level design document
• The scope of this document included information regarding the data needs for the metrics used in the creation of the SOF
• Understanding the AS-IS business process
• Rewrite the Data-retention design document
• Review and update the Functional Specification documents and get approvals
• Collaborate with onsite team
• Conduct work sessions with the Business and IT to finalize the design

Environment: Microsoft Office System, ECC 6.0, Tableau, MS Visio

Confidential, Charlotte, NC

Business Systems Analyst

Responsibilities:

• Drive IT Supply Chain Projects, enhancements and production support
• Served as business analyst and project manager for both IT and business initiatives
• Translated stakeholders’ input into actionable business requirements
• Included modification of framework and rewriting of reports to facilitate operational reporting against upgrade to Manhattan Distributed Order Management
• Acted as the business analyst and project manager for this project
• Implemented on time and with no defects a Vendor Direct Bill process to allow merchandise vendors the opportunity to submit invoices and financial data via AS2 and flat file email attachments
• Delivered the Reporting work stream for Manhattan DOM 2014 Upgrade acting as the Business Analyst and Project Manager
• Identifying all sequel scripts used by multiple departments, collaboration with outside vendors to modify, test and implement all new scripts to support daily operations
• Implemented Transportation Management System, Mercury Gate, to allow greater visibility of merchandise in the pipeline, optimize routing and freight consolidation, reduce transportation costs, receive and process invoices efficiently and accurately
• Identify optimal mode, carrier, rate and route
• Optimize inbound and outbound simultaneously, including backhauls
• Leverage as a sales tool to showcase optimization excellence and win new business
• Optimize utilization of private fleet and common carrier
• Model and minimize your carbon footprint
• Reduced transportation cost and decreased delivery times
• Collaborate and continue to be a strong advocate for the business to deliver logical, efficient and acceptable solutions to increase visibility, reduce effort and maximize
• Collaborate with and provide knowledge transfer to off shore support team in order to define and drive solutions to close tickets and meets SLA's

Environment: Mercury Gate, SQL, Informatica, UML, MS Office Suite (Word, Excel, Access, Power Point, Outlook), PL/SQL.

Confidential, Lawrenceburg, KY

Business Analyst-Intern

Responsibilities:

• Selected and implemented agile development practices according to the application requirements for the project.
• Conducted JAD sessions to allow different stakeholders to communicate their perspectives with each other, resolve any issues and come to an agreement quickly.
• Worked with the Remediation team to identify and analyze the ISA (Information Security Administration) functions to check for compliance for AML (Anti Money Laundering), Bond trading and Fraud prevention applications.
• Analyzed the new regulatory requirements of Dodd Frank and Basel Accord III on Market Risk calculation, monitoring and reporting, and new implementation of Comprehensive Stress Testing.
• Designed detailed FRD according to BRD and Basel regulatory requirements using Power Designer.
• Documented use cases, workflows and sequence diagrams according to UML methodology thus defining the Data Process Models.
• Reviewed development plans, quality assurance test plans and user documentation for Black Box testing and performed Regression Testing and created test scenarios for Beta testing to ensure correct interpretation of original specifications.
• Conducted training sessions to make the users comfortable with the functionality.
• Reconciled conflicts, and break-downed high-level information into details.

Environment: s: MS Office (Excel, Word, PowerPoint, Project, Visio, Access, Outlook), Agile scrum, AML, Actimize, Basel III, UML, SQL Server

Confidential

Business Risk Analyst

Responsibilities:

• Worked with business users, mortgage agents and marketing teams to determine the target market and business needs and established excellent knowledge in Mortgage loan processing and good understanding of loan process originating.
• Analyzed the AS-IS and TO-BE processes to understand the key findings, the short-term considerations, the long-term considerations and benefits.
• Worked closely with project manager to prepare project plans, budgeting, scope creep and feature creep and analyzed the existing system and business process flow.
• Facilitated and managed JAD sessions, interviewed with SMEs from various areas and conducted surveys and brainstorming sessions while gathering requirements.
• Worked on writing functional specification for reporting module that handled credit and consumer risk management services.
• Created the project templates for BRD, FRD, Use case specification, Change request form and Defect Status Forms.
• Involved extensively in designing the database with the design team and created data flow diagrams, data analysis, and Process flow diagrams using Erwin.
• Designed security privileges and authentication features of the application for mortgage broker access.
• Involved with the technical teams during implementation to verify right business requirements are being translated into the system.
• Interacted extensively and frequently with the Developers to ensure the realization of requirements.
• Worked closely with QA teams to define test cases and execute test plans.

Environment: Agile, UML, Requisite Pro, Rational Rose, Clear Quest, SQL, Windows, MS Office Suite (Word, Excel, Access, Power Point, Outlook), PL/SQL, Oracle

Confidential

Business Development Executive

Responsibilities:

• Worked with different teams to resolve quality issues
• Developing new business strategies (introduced JIT techniques) that improved the quality and reduced cycle time.
• Intake of client requests, monitoring contract requirements, Negotiating terms and clauses. Experience in Quote to Order, B2B
• Responsible for ordering materials and equipment. Selecting vendors, handling PO’s and arrange for service contracts. Maintain reports and follow up of purchases and related matters(procurement)
• Conducted daily review meetings with cross functional teams (Sales, Marketing, Manufacturing) to track daily development
• Conducted Cycle counts and made decision on
• Worked on creating Tableau Dashboards.
• Experience in working on PP, SD, MM in ERP

Environment: MS Office Suite (Word, Excel, Access, Power Point, Outlook), PL/SQL, Tableau, SAP ERP