Chronological Summary of Experience

Confidential

Sr. Business Analyst

• Develop and implement system functionality for delivering product in full vendor cases to our customers who specifically request this service.
• The systems must provide the ability to identify customers who want product to be delivered in only full vendor case, provide the visibility of case level inventory in the Confidential at the time of order entry and provide the functionality for the Staples fulfillment centers to meet the full case shipping requirements. This entails the development and modification of the front end order management /OFL system, the back end warehouse management system, e-commerce sites, EDI and related systems interfaces
• Extensively used MS Project 2007 for a Project Management project and applied concepts of work breakdown structure, resource allocation, risk management, network flows, cost and schedule variance
• Evaluating and analyzing variances in deadlines, tasks, milestones and resource loading
• Facilitating project meetings including scheduling, recording and distributing minutes, and following up on action items
• Experienced in interacting with business users and executives to identify their needs, gathering requirements and authoring Business Requirement Documents BRD , Project Charter and Project Approach Documents
• Understood the Business Logic, User Requirements and test-objectives to develop Use Case Scenarios
• Expertise in facilitating and conducting Joint Application Development JAD sessions with Business Clients to identify business rules, functional and non-functional requirements
• Conducted the AS-IS and TO-BE analysis of the business process using GAP analysis.
• Analyzed the complete Supply Chain, from receiving an order in OMS Order Management System , WMOS Warehouse Management Open System and complete processing till final delivery to customer
• Analyzed restock/destock for inventory optimization from Access Database and generated report from Cognos tool
• Analyzed JDA for inventory to find out BOH of CASE, BREAK PACK and EACHES, to identify the demand of SKUs for FULL CASE shipping
• Identified the issue involved in Supply Chain and suggested the best way to mitigate it
• Worked closely with FC Fulfillment Center managers for better understanding of risk/issues involved in Supply Chain
• Proficient in MS VISIO to make Use Case models, Activity Diagrams, and Business Process work flows
• Create monthly/weekly status reports to update the project schedules deliverable plan to Business and Portfolio Project Manager

Environment: .Net, RUP, HTML, UML, MS Office, Use Cases, Requisite Pro, Quality Center, MS Visio

Confidential

Sr.Business Analyst

• Confidential is a provider of innovative revenue cycle automation and outsourcing solutions to the healthcare industry. Confidential has combined best of breed software, rigorous business processes, and highly skilled reimbursement specialists to create the most advanced array of revenue cycle automation and management solutions in healthcare. Confidential provides its client partners with access to these solutions via the Internet on an as-needed, pay-as-they-go basis.
• Project scope was analyzing the compatibility of applications and business units with HIPAA 5010 format. Project also involved maintaining patient related information and help Account Receivable Team to increase the collection from insurance companies. Also, help in the tracking a medical claim, sending it to the insurance companies, follow up and closing of the claim as per HIPAA compliance.
• Confidential was another stream of project - The Confidential published the implementation date of the 10th revision of the International Classification of Diseases Confidential. This mandated compliance date for Confidential codes both diagnoses and hospital inpatient procedure codes represent an aggressive time frame for the members of the healthcare value chain specifically payers to prepare for the transition. The move to Confidential version requires significant changes across the operations of the enterprise including departments like Pre-Authorization, Claims Adjudication and Provider Reimbursement. The Confidential transformation requires remediation activities and training communication plans to be implemented throughout the entire company. Center for Confidential will only accept Confidential claims after Confidential
• Gathered requirements from Business Owners, stakeholders, Data Governance Team and the subject matter experts through meetings to understand needs of the system.
• Used the guidelines and artifacts of the Rational Unified Process RUP to strategize the Implementation of Rational Unified Process effort in different iterations and phases Inception, Elaboration, Construction and Transition of the Systems Life Cycle methodologies. Prepared various artifacts for all the phases of RUP.
• Led JAD sessions with stakeholders to analyze system needs and integrate requirement to develop a consistent navigation structure
• Created business workflows on the claims module for the client to get a better understanding of the software and prepared a detailed BRD including all functional and non-functional requirements.
• Used documentum to store and manage documents in a single repository using a secure web based system.
• Conducted brainstorming sessions to analyze provider contracts, provider reimbursement, benefit rules, medical policies and medical management rules to see the impact of ICD 10 diagnosis codes.
• Gathered and validated inventory of applications, interfaces, and reports that will need to be modified to comply with ICD-10 requirements.
• Worked with different teams such as HIPAA 5010 to identify any project dependencies or initiatives competing against ICD 10 schedules.
• Involved in up-gradation of HIPAA X12 4010 transaction to HIPAA X12 5010
• Responsible for business analysis, requirement specifications, project planning and identifying the resources and implementation of the project.
• Performed the Gap analyses of the earlier systems, generated a detailed Requirements document describing new system architecture through Use Cases and Activity diagrams.
• Created functional flow diagrams, context diagrams and other high level diagrams for documenting the functionality of separate modules using MS-Visio and UML.
• Implemented Traceability Matrix and Business Requirement Specification Document verified the functionality coverage.
• Involved in Validation of HIPAA for 837, 270/271, 276/277,835, 834 EDI transactions. Worked with the QA Quality Assurance team for designing Test Plan and Test Cases for the User Acceptance testing - Defined test cases, creating test scripts, analyzing bugs, interacting with QA / development teams in fixing errors and User Acceptance Testing UAT .
• Used MS Project to maintain the project schedule and track projects status.
• Interfaced with end-users, obtaining approval, identifying information, procedures and decision flows, evaluating existing procedures, methods and technical documentation.

Environment: UML, RUP, MS-SharePoint, MS-Project 2000, MS-VISIO, CMMI, TestDirector7.6, WinRunner7, windows 2000,EDI, HIPAA compliances.

Confidential

Sr.Business Analyst

• The client is a diverse financial services company that offers Banking Services Financial Management Services, Mortgage Services and Insurance services through a network of affiliate banks in multiple states. The central idea behind the project was to automate the Mortgage Loan Origination Process beginning with the customer initiation to title transfer. All business functions of the loan process such as the Appraisal, Credit, Income and Title functionalities were to be performed by the system. Additional features required were account administration, customer service, payment processing, account reporting, arrears management, foreclosure and securitization. The desired effect was to move the organization into a more competitive position.
• Helped the testing team documenting the system requirements and testing system development.
• Identified internal and external system requirements, design and configuration set-up, also created User Documentation and conducted training classes.
• Participated in the logical and physical design sessions, developed design documents.
• Collaborated with development architect and the business to develop both high-level and detailed application architecture to meet the business needs.
• Documented Use cases.
• Interacted with data architect for Data Mapping, Data Modeling and Entity Relationship Diagram.
• Assist data analyst in mapping task.
• Designed and implemented basic SQL queries for QA testing and report / data validation.
• Organized cross training of team members and users to become more responsive.
• Conducted Estimation and Feasibility Analysis to wrap up project in the specified time period.
• Conducted workflow, process diagram, gap analysis and data analysis to derive requirements for the automation process.
• Assist project managers with the development of project schedules.
• Designed and developed Use Cases, Activity Diagrams, Sequence Diagrams, and Collaboration Diagrams.
• Designed and developed project document templates based on Agile/ Scrum methodology.
• Facilitated and managed meeting sessions with committee of SMEs from various business areas including Mortgage Servicing, Loan Monitoring and Asset Management.
• Responsibilities included requirement gathering, business process flow, business process modeling and business analysis.
• Worked with the business unit to define business requirements and analyze the possible technical solutions.
• Lead the identification and documentation of business metrics.
• Designed screen mockups for changes in system functionality using iRise, MS Visio and MS Paint

Environment: MS Visio, Agile/ Scrum Methodology, Microsoft SharePoint, SQL Navigator 5.1.1, SQL Server 2003/2005, ASP.NET, iRise

Confidential

Business Analyst

• CONFIDENTIAL benefits administration software automates medical claims' dental claims and vision claims processing for healthcare organizations across the Confidential. It's a product, which has been developed to integrate, EDI enable, HIPAA compliant, claims re-pricing and adjudication solutions for healthcare payers. CONFIDENTIAL supports Confidential for health care training. CONFIDENTIAL claims software also supports Medicaid claim processing' Medicare claim processing' Medicare Advantage claims processing. It is rules based intelligent, claims automation solution that enables employers, TPA, PPO and other managed care organizations to improve operating efficiencies and business outcomes. CONFIDENTIAL provides the ability to enter claim data up to 100 service lines per claim into client-specific screens unique to their style of business for Medical, Life, Claims adjudication, Dental and Vision claims with all the processing done from a single database.
• Project was focused on working on the Change Management module and focused on customizing it according to CONFIDENTIAL systems functionality. My job involved extensive research of the existing processes and mapping out new ones in order to make this Change Management automation initiative efficient.
• Responsible for business analysis, requirement specifications, project planning and identifying the resources and implementation of the project.
• Used Iterative RUP model for project implementation. The Project was streamlined through all phases of the RUP model starting from Inception through Transition. Used a Functional Decomposition strategy to divide system into sub-systems.
• Authored Computer Validation Report which involved extensive research and interaction with SME's and our clients.
• Created Business Rules document studied about the Claim Component and HIPPA.
• Maximized reimbursement by ensuring accurate ICD-9-CM and CPT coding and conducting regular quality audits of providers' selected codes compared to chart documentation.
• Created business workflows on the claims module for the client to get a better understanding of the software and prepared a detailed BRD including all functional and non-functional requirements.
• UML was extensively used for specifying, constructing and documenting the software system.
• Worked closely on 834 transaction code for Benefit Enrollment and did manual testing using Test Director.
• Involved in Validation of HIPAA for 837, 270/271, 276/277,835, 834 EDI transactions.
• Performed the Gap analyses of the earlier systems, generated a detailed Requirements document describing new system architecture through Use Cases and Activity diagrams.
• Created functional flow diagrams, context diagrams and other high level diagrams for documenting the functionality of separate modules using MS-Visio and UML.
• Developed Class Diagrams, State diagrams and physical Component diagrams/ DFD's to capture the entire system functionality and thereafter built a framework for the software development phase.
• Utilized business and technical tools to develop business and system requirement analyses with supporting variance reports, current and target business process flows and traceability matrices.
• Designed message formats, queues, legacy systems interfaces, and worked with the business Users through interviews and JAD sessions. Created front-end prototypes as deliverables and projected the end-delivery modules.
• Prepared requirement specification, functionality trace matrix, quality assurance plan and designed test cases. Communicated with business, technology leadership for overall project/program office milestones.
• Prepared project charters to conduct professional meetings for the client and team members.

Environment: UML, RUP,MS-SharePoint, MS-Project 2000, MS-VISIO, CMMI, TestDirector7.6, windows 2000,EDI, HIPAA compliances.

Confidential

Business Analyst

• Using the internet as a tool, Confidential Clinic provides online billing system including modules like Patient Data capture , Charge capture and Checkout, Medicare and Medicaid Claims, Reports and Management, patients online second opinions, health news and complete health charts regardless of their location, eliminating the time and expense of travel. Medtronic products were used by physicians such as diagnostic equipment. It combines the patient data module, doctor-patient live chat system, patient surveys, web appointments and health insurance validation modules. Used GMP to control the quality of pharmaceutical products.
• Responsible for business analysis, requirement specifications, project planning and identifying the resources and implementation of the project.
• Created complete test cases of varying complexity, executing tests, measuring expected and actual results, and reported status ensuring accurate coverage of requirements
• Set up test requirements, developed test plans, and documented manual test cases using TestDirector requirements module.
• Assisted staff by sitting with patients, answering call lights, obtaining funeral arrangement information from families and delivering/restocking supplies.
• Managed all types of functional change requests in the 'patient' module of the application, including defects, enhancements, issues and documentation changes with a flexible workflow process using TestDirector
• Verified the software and applications according to the requirement specifications SRS and generated detailed test coverage reports and graphs twice a week
• Worked closely on documentation in regards to GMP and traced it through various procedures to ensure quality and avoid contamination.
• Used documentum for content management.
• Involved in validation of HIPAA 834, 270/271 EDI transaction codes.
• Developed functional specifications to test and enhance HIPAA transactions such as 834.
• Developed the Project using the Iterative RUP model. The Project was streamlined through all phases of the Rational Unified Processes RUP model starting from Inception through Transition. Used a Functional Decomposition strategy to divide system into sub-systems.
• Designed message formats, queues, legacy systems interfaces, and worked with the business users through interviews and Joint Application Development JAD sessions. Created front-end prototypes as deliverables and projected the end-delivery modules.
• Prepared requirement specification, functionality trace matrix, quality assurance plan and designed test cases. Communicated with business, technology leadership for overall project/program office milestones.
• Evaluated application testing results and recorded the discrepancies using TestDirector to track, analyze and report on them.
• Used TestDirector as a repository for Test Cases and Test Scripts. Responsible for monitoring the defect tracking process and generating customized reports using TestDirector. Interfaced with developers to resolve the bugs following the bug life cycle policy.

Environment: TestDirector, Rational RUP, UML, Quick Test Pro, SQL Server, MS-Project 2000, MS Visio 2000, HIPAA compliances.