SUMMARY

• Over 7+ years of comprehensive experience as a Senior Business Analyst in Healthcare, Finance, Insurance, and other sectors.
• Experience in all phases of software deployment life cycle including application demos, requirement analysis, business analysis, design and construction phases of application development, change management, ongoing support
• Well versed in different types of methodologies includes Agile, RUP, Scrum, and Waterfall methods.
• Experience in conducting JAD sessions, Scrum session, Brainstorming sessions and Focus Groups
• Experience in conducting GAP Analysis, Feasibility Analysis and ROI, Business Process Engineering by using Business Analysis tools.
• Created Business Requirement Document (BRD) on the basis of business requirement and translated to Functional Requirement Document (FRD) and delivered to technical team.
• Created Business Case document, Activity diagrams, Sequence diagrams based on Rational Unified Process (RUP) Model and business process modeling (BPM).
• Experience in QA testing; identifying requirement gaps and resolutions as well as recognizing process or programming inefficiencies and recommends improvements.
• Worked with line of business to understand end - users' and external customers' requirements to be included in system design, documents the new applications, or the changes made to existing applications.
• Experience in the analysis and design of Workflows and organizational processes in addition to the analysis of external environments including but not limited to, political, economic, technological, legal, etc.
• Familiar with current industry standards, such as HIPAA, SOX, Title 21 CFR Part 11, 21 CFR Part 820, ISO, Six Sigma, and Capability Maturity Model (CMM)
• Excellent communication, analytical, interpersonal, and presentation skills; expert at managing multiple projects simultaneously.
• Excellent team player who works in conjunction with testers, developers and other team members in validation and testing complex scenarios in addition to maintaining the Quality Standards.
• Excellent at working with executive and management teams to facilitate overall project vision, execution and strategy throughout new rollouts and change management
• Proven experience in troubleshooting effectively in a fast-paced, time-critical environment, which demanded strong customer service skill set.
• Created Training Manuals, Help Manuals, User Guide for System User.
• Outstanding organizational skills in capturing all the business flows and presenting them as meaningful artifacts at Inception and elaboration phase.

TECHNICAL SKILLS

Platforms: Windows /XP/NT, Windows Vista and 7, Linux, Unix

Programming Languages: C++, Java1.4/J2EE, HTML, COBOL, XML, PHP

Databases: Oracle 8.1/9i, 10g, 11g, 12c MS SQL v. 2005, 2008, R2, 2012, IBM DB2

Content/Change Management Tools: MS Share Point, Rational Clearcase

Modeling & Analysis Tools: Rational Rose, MS Visio, Rational RequisitePro, Caliber RM

Web Development/Design Tools: Flash, Adobe Creative Suite, Balsamiq, iRise Studio

Testing Tools: Rational Clear Quest, HPQC v. 8.0,8.2,9.0,9.2,9.5,10.0,11.0, Load Runner v. 8.0,9.5,11.0, Rational Test Manager

Project Management Tools: MS Project, Rational Team Concert

Office Tools: MS Word, PowerPoint, Excel, Outlook

PROFESSIONAL EXPERIENCE

Confidential, FL

Business Analyst

Responsibilities:

• Implementation of a web based claims processing and management application to manage health insurance claims electronically to provide real-time patient insurance information including 278, 837 I, P and D. Data is automatically translated to meet HIPAA 5010 compliance standards and the privacy of transactions is protected.
• Participated in formulation of the Project Plan and Scope, preliminary and definitive Budget estimation.
• Developed a vision plan that defined the primary goals and objectives of the project. Analyze user stories and segregated them into high level and low level.
• Created BRD and translated to FRD and delivered to the technical team.
• Prepared product backlog working with product owner and other SME.
• Prioritized user stories and assigned to different sprints.
• Prepared and tracked burn down charts and velocity charts for timely delivery of projects.
• Utilized corporation developed Agile SDLC methodology used scrum work pro and Microsoft office software to perform required job functions.
• Strong understanding about user interface (UI) and user experience (UX) design principles and users centered methodology.
• Developed user guides, provides user training, and supports the user in development of work processes.
• Supported UAT to evaluate the system performance and also developed system plan to quality center, review design, view test cases.
• Prepared scope of the project and developed new business process along with process mapping and user task analysis.
• Conducted JAR sessions to indentify business issues and analyze their causes and come up with a solution
• Garnered information and knowledge on ICD 9-10 and HIPAA 4010/5010 as well as Developed the transaction process more accurate and real time regarding 837 including HIPAA compliance.
• Used Electronic Medical Record (EMR) to extract useful information regarding patients for claim submission to the insurance company.
• Collaborated with development team to determine the security access and its tracking to ensure privacy of End users.
• Involved in change management panel to measure the impact for any requirement change request. Coordinated with change panel members and evaluate the change request
• Wrote various SQL queries to create, update, modify tables, create reports and retrieve information from the database.

Environment: Agile, MS Project, MS SQL 2008, Rational RequisitePro v7.1.2, Clear Quest, Windows XP, HPQC v. 10.0, MS Visio, MS Share Point.

Confidential, Windsor, CT

Business Analyst

Responsibilities:

• Developed the Business Crosswalks for 837(P, I, D), 835 and 276/277, 278 according to HIPAA implementation rules.
• Assessed the current status of business process modeling (BPM) and developed project Developing processes, standards, and strategies for development of BPMs.
• Identified analyzed, defined, and documented detailed requirements to support projects and associated business objectives as well as experienced with common web delivery platform and in depth data analysis.
• Developed a vision plan that defined the primary goals and objectives of the project.
• Developed the Business Crosswalks for 837(P, I, D), 835 and 276/277, 278 according to HIPAA implementation rules.
• Analyze user stories and separate them into high level and low level as well as created BRD for signoff.
• Prepared product backlog working with product owner and other SME.
• Prioritize user stories and assigned to different sprints.
• Facilitated daily scrum meetings and managed task board with user stories and board.
• Prepared and tracked burn down charts and velocity charts for timely delivery of projects.
• Gathered end users’ or customers’ feedback according to the system and conducted retrospective meeting for continuous improvement if needed according to end users or customers.
• Conducted workflow analysis and GAPanalysis to understand the shortcomings of the existing process and evaluated the benefits of the new system.
• Conducted JAR meetings to make sure everything in the project was running smoothly.
• Assisted development team in preparing wire frames for validating designs by the stakeholders.
• Employed Rational Clear Quest for bug tracking during the testing lifecycle.
• Involved in User Acceptance Testing.
• Collaborated with change management panel for change request as well as deeply involved in evaluating change impact on the project.
• Experienced with Medicare and Medicaid as well as EDI transaction such as: 837 (P, I, D), 835, and 276/277.

Environment: Agile, MS Office 2007, MS Project, Rational RequisitePro, MS Visio 2007, MS SQL Server 2007, MS Share Point, HPQC.

Confidential

Business Analyst

Responsibilities:

• Created an internal system which automated and simplified the process of managing product, inventory, and configuration data in a centralized repository of data
• Gathered requirement differences between the AS-IS and TO-BE system and performed a GAP Analysis.
• Became the SME (Subject Matter Expert) for the BPLM Change Management tools to provide direction, leadership and support for team members.
• Assisted Project Manager during the inception phase to create the project scope, charter, and initiation documentation.
• Performed Root Cause Analysis during the design stage to ensure that core requirement needs were met and current problems/causes were well understood by the development team prior to actual implementation.
• Created and managed the BRD, FRD, and FRS for the new enhancements to the BPLM Change Management Tool.
• Created test cases, assisted in the testing, and managed the UAT of the enhancements prior to deployment.

Environment: MS Office, MS Visio, RequisitePro v.7.1.2, MS SharePoint, HP Quality Center 9.0, Oracle, MS Project, RUP

Confidential, Boston, MA

Business Analyst

Responsibilities:

• Worked as an interface between the users and the different teams involved in application development for better understanding of the business and IT processes
• Gathered requirements through Joint Application Development (JAD) sessions involving Project Manager, Technical Lead, QA Lead and SMEs for conflict resolution
• Refined requirements using iterative approach
• Analyzed and prioritized requirements. Created Business Requirements Document and Use Case Documents using Rational RequisitePro
• Used RUP-iterative process to conduct Data Analysis on the feed to be sent to PSGL to find missing data fields in application and aggregation rules.
• Worked with PeopleSoft team to ensure compatibility of the feed with enterprise-wide PeopleSoft guidelines.
• Performed GAPanalysis between data requirements of legacy system and PSGL system
• Documented AS IS process and TO BE process
• Created UML diagrams like Use Case diagrams and Activity diagrams using MS Visio
• Created UI mock-ups for PSGL Resend GUI
• Maintained traceability between requirements and test cases using Traceability Metrics in Rational RequisitePro
• Created User Acceptance Test Cases in Microsoft Excel
• Conducted User Acceptance Testing (UAT)
• Logged issues in JIRA. Assigned severity to defects based on the business impact.
• Participated in daily test status meeting. Managed issue log. Ensured critical issues are addressed with high priority.
• Sign off from business users on User Acceptance Testing (UAT)
• Conducted Periodic Reviews with the project stakeholders to obtain sign off on requirements, UAT test cases, UAT test results and synchronize the team tasks
• Version Control of documents using Microsoft SharePoint

Environment: RUP, Rational RequisitePro v, 7.1.2, Microsoft Visio, JIRA, Java, SQL, SharePoint, MS Office Suite (Word Excel, PowerPoint), Microsoft Outlook

Confidential, Pittsburg, PA

Business Analyst

Responsibilities:

• Integrated and automated the process that enables loan origination, processing, approval, servicing and collections online
• Worked closely with end-users, developers and testers to develop a detailed understanding of the opportunities for improvement.
• Gathered requirements and prepared a comprehensive set of documents to define the specifications and business value of the system.
• Identified high-level requirements for documenting detailed business requirements
• Prepared a detailed Business Requirement document.
• Defined the Business Process Flow.
• Implemented the Agile process in terms of disciplines and phases, each consisting of one or more iterations.
• Analyzed the Data flow and UML Diagrams using MS Visio.
• Documented approved change controls to add them into business design.
• Used UML to make an Object Oriented Design model for the application.
• Used MS VISIO for creating the Use case and Activity Diagrams to elaborate requirements.
• Participated in brainstorming sessions and walkthroughs.
• Facilitated customer meetings and Business design walkthroughs for data definition and GUI design.
• Helped DBA to ensure database performance standards were met.
• Worked with the testing team to develop their test plans.
• Analyzed test strategies, test cases and test plans based on functional specification.
• Discussed testing methods and procedures with the testing team for efficient testing.

Environment: Windows NT/, HTML, XML, Agile Process, UML, MS Access, Use Cases, Rational Rose, Visio, MS Project, MS Excel