SUMMARY

• Experienced IT Consultant / Business / System / Process Analyst for over 10+ years to include in depth knowledge of the Software Development Life Cycle.
• Extensive experience in Information Systems performing Business analysis, System analysis, Data analysis, Business process modeling(BPM) and Software Validation with proven ability to articulate business values and provide Business Solutions for Healthcare, Banking and other Financial Organizations.
• Excellent knowledge of industry standard methodologies likes Agile, RUP’s Iterative Software Development Life Cycle (SDLC), Scrum, Waterfall processes.
• Thorough experience in writing Business Requirements, Functional Requirement specifications and Data Requirement specifications.
• Good Understanding of Data warehousing and Business Intelligence concepts with emphasis on ETL.
• Extensive experience in working with Offshore/Near Shore teams.
• Extensive experience in up gradation and implementation of new software including all ERPS.
• Extensive experience in EDI/HIPAA implementation, Insurance regulations, Claims Processing and SOX guidelines.
• Extensive experience in implementing Meaningful Use Stage 1 and 2 for Inpatient and Ambulatory hospitals
• Understanding of CRM tools like VEEVA, SALESFORCE and SIBEL.
• In - depth understanding of CRM business processes like Campaign management, Lead Management, Account Management and Case Management.
• Excellent analytical and problem solving skills with ability to understand and analyze complex issues. Strong interpersonal, organizational and communication skills - both written and oral with ability to interface with internal and external business and technical units.
• Ability to work independently with a minimum of supervision and be able to manage multiple project assignments and competing priorities under aggressive deadlines and pressure.

TECHNICAL SKILLS

Languages: C, C#, JAVA, Visual Basic, SQL, PL/SQL, UNIX

Web Development: HTML, XML, ASP .NET

Scripting Languages: VB Script, Test Script Language (TSL), Java Script

Databases: SQL server 2000, DB2, ORACLE, MS Access.

Testing Tools: Quick Test Professional (QTP) 8.0, Win Runner 7.5/7.6, Load Runner 7.8Test Director7.2/7.5/8.0, Quality Center 9.0

Reporting Tools: Crystal Reports, SAS, Web FocusOther Tools Excel, Word, MS Outlook

Operating Systems: Windows 98/NT/2000/XP, UNIX Platforms

EDI Transactions: 270, 271, 276, 277, 278, 834, 835, 837 (P.I.D)

Req Management Tools: Rational Requisite Pro, Serena, SharePoint, Doors, Borland Caliber

Claim Engines: Diamond, Facets, PMHS, PCLM

PROFESSIONAL EXPERIENCE

Confidential, Greenville, NC

Senior Business Analyst

Environment: MS Office, MS Project, MS Visio, Incident Manager, MS Project, Share point, SQL, Quality Center, Windows NT/XP, COBOL, Mainframe, Java, Perceptive, Image now, Softmed, Image Processing Center. Voice Response System. EPIC ROI, ICD 10, MeaningfulUsage stage 2

Responsibilities:

• Responsible for gathering and analyzing business and system functional needs and translating these into Business Requirement Specification (BRS) and System Requirement Specification (SRS) documents for multiple projects such as Electronic Content Management(Image now), EPIC ROI Module, Computer Assited Coding (CAC & CDI), Meaningful use State 2, Health Information Exchange (HIE) projects.
• Working with third part vendors in customizing the solution for the hospital.
• Mentoring the junior Business Analysts.
• Worked with stakeholders such as physicians and medical directors to explain the functionality.
• Captured Business Process Flows and Reengineered Process to achieve maximum outputs.
• Captured As-Is Process, designed TO-BE Process and performed Gap Analysis
• Worked with EPIC, 3M and Perceptive third party Vendors to implement the ROI module.
• Successfully implemented the Image now solution throughout Vidant groups hospitals ( 12 hospitals).
• Worked on the Solution requirements document template according to BABOK and PMO standards.
• Assisted the Business Systems Analysts and QA’s in documenting the Software Requirements Specifications, Master Test Plan and Test cases.
• Worked closely with QA, tracked the issues in the HP quality center.
• Documented the UAT Plan and Coordinated the UAT test cases with the business teams.
• Performed Integration testing, Regression Testing, Functional Testing, System Testing and Load Testing.
• Execution of test scripts using Test Director.
• Conducted the production support Incident management meetings.
• Worked with the learning and Development team to create the Job Aids.
• Worked with Developers and Testers in finding the root cause for the Tickets in Incident Manger.

Confidential, Raleigh, NC

Senior Business Analyst

Environment: MS Office, MS Project, MS Visio, Incident Manager, MS Project, Share point, SQL, Quality Center, Windows NT/XP, COBOL, Mainframe, Java, BOSS, Capital Stream, One Degree, Loan Center, CTI, ASPECT, LASERPRO, APPRO, Jabber, Image Processing Center. Voice Response System, Call center.

Responsibilities:

• Responsible for gathering and analyzing business and system functional needs and translating these into Business Requirement Specification (BRS) and System Requirement Specification (SRS) documents.
• Reviewed project documentation for mainframe security impact (BRD, SRC, LLD, and Charter).
• Partnered with clients to mitigate security risks and ensure upgrade and implementations were - in compliance with security standards, process and procedures.
• Implemented the BOSS OLB throughout FCB.
• Tested and monitored upgrades and implementations to ensure no security risks.
• Participated in status meeting to discuss issues, concerns and provided updates.
• Produced a status report/metrics as required by manager and stakeholders.
• Documented Procedures, standards and process improvements.
• Developed and updated functional use cases and conducted business process modeling (PROVISION) to explain business requirements to development and QA teams.
• Off hours support of projects/ rotation on call.
• Tested different applications Upgrades/ Implementations/ Enhancements through to Production for BOSS/Capital Stream workflow tool.
• Standardizing applications JCL/ PROCS to Bank standards per applications Developers.
• Developed and managed all Microsoft requirements and upgrades for Siebel 7.7.
• Provided BOSS application support for End users, Credit Analysts, Underwriters, Lenders etc.
• Coordinated the Upgrades/Conversions for Projects.
• Part of Change Management process.
• Performed the Root Cause Analysis of tickets in Incident manger.

Confidential, Raleigh, NC

Senior Business Analyst

Environment: MS Office, MS Project, MS Visio, MS Project, Share point, SQL, Quality Center, Windows NT/XP, COBOL, Java, FIDELITY, One Degree, Loan Center, LASERPRO, APPRO, CASHPLUS, SAP, Lotus notes, PeopleSoft, Trackwise

Responsibilities:

• Documented the Business requirements for multiple projects such as Online Banking, Initial Truth in Lending regulatory project, Liberty Life Travel Subsidiary Divestiture, One Degree Credit Card Preapprovals, Tax withholding, 877 URL and Phone number change and FHLB projects.
• Responsible for defining the scope of the project, gathering business requirements and documenting them textually or within models.
• Interviewing business area experts, asking detailed questions and carefully recording the requirements in a format that can be reviewed and understood by both business people and technical people.
• Followed the Project Management Frame work (PMF).
• Analyze business requirements and segregated them into high level and low level Use Cases, Activity Diagrams/Actor Lists and Robustness Diagram using Microsoft Visio thus defining the Data Process Models.
• Configured company code, tolerance group for employees and vendors, automatic payment program, house bank and travel management.
• Created general ledger master records, AP, PO, Commission, and one time vendor master records for over thirty company codes. Imported vendor master data from legacy system to SAP 4.6.
• Separated the checks for different check run. Create variants for check printing and EFT. Configured the issue file, paid file and ACH file for EFT.
• Created the financial report by using the Report Painter.
• Created HR user master records. Changed the user profile.
• Created cost elements, cost center groups, cost centers, and internal orders.
• Created business process procedure training material for account payable, general ledger, and travel management.

Confidential, Raleigh, NC

BUSINESS ANALYST SR SPECIALIST/ SYSTEMS ANALYST

Environment: EDI ANSI X12/HIPAA, MS Office, MS Project, MS Visio, MS Project, Share point, SQL, Test Director, Windows NT/XP, COBOL,DB2,JCL,Stored Procedures, Java, QMF for Windows, Lotus Notes, Image Plus

Responsibilities:

• Analyzed business requirements and documented the Functional requirements.
• Performed reformatting and importing data files, running queries, and accurate and timely production of management information and reports.
• Worked on GUI screens for PMHS Claim engine and assisted the CSA’s and the business on the new screens created.
• Created Functional Requirement Specification documents - which include UMLUse case diagrams, Scenarios, activity, work Flow diagrams and data mapping. Process and Data modeling with MS VISIO.
• Performed data review, evaluate, design, implement and maintain Claim Book of Record.
• Involved in identification of data sources, construction of data decomposition diagrams, and data flow diagrams and documented the process.
• Participated in project meetings with data warehouse development teams to ensure user requirements and issues are correctly being addressed while controlling scope.
• Worked in production support capacity to trouble shoot the issues in production and all other issues.
• Tested and communicated system updates on assigned applications.
• Reviewed production support incidents to identify trends and provided recommendations to management.
• Provided 24/7 extensive on call support.
• Maintained the Reference tables for the Claim Book of Record.
• Responsible for writing the SQL queries in web Focus and Crystal reports tools.
• Facilitated the discussion and documentation of scenarios for Redwood Market Group 2 enhancements.
• Prepared and Presented Mockup statements for external Print Vendor (PRINOVA).

Confidential, FL

SENIOR BUSINESS ANALYST / Project Manager

Environment: DIAMOND,EDI ANSI X12/HIPAA, MS Office, MS Project, MS Visio, Rational Requisite Pro, Rational Rose, Test Director, Tandem, HP none stop SQL database, VB.Lotus Notes.

Responsibilities:

• Communicated and maintained strong working relationship with various business groups and external clients regarding functional requirements of several applications such as payment processing.
• Responsible for the full HIPAA compliance lifecycle life cycle from gap analysis, mapping, implementation and testing for processing of Medicaid and Medicare Claims.
• Extensively involved in gathering requirements for RPE which is managed care indemnity plan.
• Implemented NPI for transactions 270, 271, 276, 277, 277U, 277P, 835, 837(I, P, D).
• Gathered business requirements from the users, both in terms of enhancements to existing systems and in entirely new applications.
• Developed gap analysis document, logical and physical design and remediation plan.
• Developed the Business Use cases, Use Case Activity diagrams, USE Case Realizations.
• Developed high level system models by analyzing the existing models and incorporating the suggested changes.
• Captured, communicated, managed system requirements and Maintained requirement tractability using Rational Requisite Pro to keep team members up to date with the latest requirements and changes if any.
• Conducted and coordinated JAD sessions with stakeholders and involved in design reviews and code reviews.
• Was responsible for designing Business User Requirements (BUR’s), Functional Design Documents and Detailed Design documents.
• Documented and analyzed business workflows and processes. Present the studies to the client for approval.
• Analyzed the artifacts of the Rational Unified Process (RUP) - use cases, system architecture document using UML, supplemental requirements document, architecture diagrams; verifying technical production infrastructure; designing and executing performance tests; and documentation.

Confidential, MA

SAP SR BUSINESS ANALYST

Environment: Rational Rose, Visio, Microsoft Project, Visual Studio .NET, SQL Server, Windows 2000, SAP SD, SAP CRM, VEEVA CRM.

Responsibilities:

• Responsible for writing the requirements for up gradation of VEEVA.
• In Depth understanding of the AS-IS and TO-BE business processes and experience in converting these requirements into technical specifications for preparing test plans.
• Provided critical support to implementation team in all aspects of sales, master data, order management, pricing, invoicing and distribution.
• Performed various functional configuration operations for SAP SD modules to meet end user requests. Worked closely with SAP development team to evaluate alignment of proposed solutions with business requirements. Coordinated support of SAP systems across multiple locations.
• Facilitated business consulting, business process design, systems integration, application design and administration.
• Developed requirements, authored design specifications, and created training materials. Facilitated testing of SAP systems.
• Provided support to implementation team in sales, order management, pricing, invoicing and distribution.
• Interfaced extensively with project implementation team across multiple locations globally in the full life cycle planning and execution of implementation projects for leading fortune 100 companies such as EDS, IBM, and Oracle.
• Skillfully leveraged wide-ranging expertise and training in SAP to provide support in areas such as human resources, sales and distribution.
• Facilitated training to users of new SAP system. Monitored system enhancements to ensure efficient support of business functions.
• Played key role in design and deployment of enhanced system solutions to sales and distribution module of SAP.
• Steered analysis, configuration, testing, and implementation of enhancements to existing applications.
• Authored detailed procedural documentation in a manner easily understood by end users. Provided technical support.

Confidential, CA

SR BUSINESS ANALYST

Environment: EDI ANSI X12/HIPAA, MS Office, MS Project, Rational Rose, Clear Quest, MS Visio, ERWIN

Responsibilities:

• Responsible for the full HIPAA compliance lifecycle life cycle from gap analysis, mapping, implementation and testing for processing of Medicare Claims.
• Analysis and design for application maintenance and development, significant functional expertise in Medicare Part A, Part B and other areas of focus including Provider enrollment/relations, Claims processing, Eligibility determination, Authorization processing, Payment and financial processing, Long Term Care services.
• Gathered requirements for 837.
• Created Inbound and outbound Maps for 837,276, 277.
• Developed gap analysis document, logical and physical design and remediation plan.
• Gathered business and system requirements.
• Developed a staging database and inquiry screens to support EDI transactions.
• Created EDI documents for EDI maps to generate requirement documents.
• Coordinate and conduct system requirements walkthroughs/sessions (JRDs/JADs) with Business Owner/Stakeholders/SMEs as well as Design/Development teams.
• Work with Business Area SMEs/Analysts to develop and finalize test plans/scripts/use cases.
• Assist with the planning and execution of overall application system/regression testing activities to ensure the application meets all business/functional/technical requirements (as documented in traceability matrices).
• Created and segregated SQL views and stored procedures for obtaining meaningful set of data