SUMMARY

• Business Systems Analyst with close to 7+ years of extensive experience in business and systems analysis under Healthcare and related domains with focus on web based front - end and back-end technologies.
• Proficient with all phases of Software Development Life Cycle (SDLC) with comprehensive knowledge of requirements analysis, business process analysis and use case modeling.
• Proficient in preparing Business Requirement Document (BRD), Functional Requirement Document (FRD), Refined Process Flows, Use Cases, and User Manuals.
• Experience in both Agile and Waterfall Software development methodology.
• Worked closely with business owners, project stakeholders, SMEs, and staff to understand the requirements and specifications for new applications.
• Experience with facilitating Joint Application Development (JAD) sessions with end-users, SMEs’, and development team for project meetings and walkthroughs.
• Proficient in change management, impact analysis, feasibility analysis and risk analysis.
• Working knowledge of HIPAA standards, EDI (Electronic data interchange), Implementation and Knowledge of HIPAA code sets, ICD-9, ICD-10 code sets.
• Experience working with EDI 867 ( Inventory and product resales report)
• Medical Claims experience in Process Documentation, Analysis and Implementation in EDI transactions of Medical Claims Industry from the Provider/Payer side.
• Knowledge of Medicare and Medicaid industry regulations.
• Strong understanding of project life cycle and SDLC methodologies including RUP, RAD, Waterfall and Agile.
• Experience in Health Care Industry with exposure to Electronic Medical and Health Records (EMR & EHR).
• Familiarity with short codes used for text messaging services
• Proficient in creating Block diagrams, Activity diagram, Data flow diagrams, Business Process Flow diagrams using MS Visio.
• Adept in learning new Business Analysis trends and quickly adapting to new environment.
• Extensive knowledge in data analysis, analytical problem solving, decision making, and interpersonal skills with ability to communicate with individuals at all levels
• Tracked change requests and monitored workload and schedule.
• Demonstrated ability to handle multiple project simultaneously
• Excellent Analytical, methodical, and resourceful approach to problem solving, identifying and documenting root causes and corrective actions to meet short and long term business and system requirements
• Design and review of various documents including the Software Requirement Specifications (SRS), Business requirements document (BRD), Use Case Specifications, Functional Specifications (FSD), Systems Design Specification (SDS), Requirement Traceability Matrix (RTM) and testing documents
• Exposure to Client/Server, Web Application developmental tools and Software development and design

TECHNICAL SKILLS

Methodologies: Agile, Waterfall,, Joint Application Development (JAD), Unified Modeling Language (UML), RUP

Business Modeling Tools: Microsoft Visio, IBM Blue works, Rational Rose Data Modeler

Requirement Management Tools: Rational Requisite Pro, DOORS, MS WORD

Testing Tools: HPQC, Load Runner

RDBMS: MS SQL Server2008 R2/ 2008/2005, MS Access

PROFESSIONAL EXPERIENCE

Confidential, Monroeville, PA

Business Analyst

Responsibilities:

• Interacted with the SME’s to gather information about the health care enrollment, eligibility and health care claims processing and checked if they are processed correctly or not following the SDLC process.
• Worked extensively on Gap analysis, Root Cause Analysis and Mapping of issues to requirements to meet the gap and redesign of the user interface.
• Primary liaison between the development team and the business owner to understand and implement the amendment and modification required through change request or work request.
• Worked with SME to go through the contracts provided by Bayer Pharmaceuticals and data elements they expect in the EDI 867
• Worked closely with QA and helped them create test scenarios to make sure every segment was populated in the EDI 867 file
• Worked with dev team to create sample data which could be used as a guide for testing.
• Worked on HIPAA 5010 compliance and EDI 867 transactions, ICD - 10 Codes
• Facilitated meetings with the stakeholders, SME’s, project manager and to make sure the requirements are captured accurately.
• Provided QA walkthrough of the functional requirements and organized triage calls to resolve defects
• Worked with dev team to identify segments, loops for EDI 867 file.

Environment: Oracle 10g, JAVA, UML, SQL, MS Office, MS-Visio, IBM Blue works, Excel, SharePoint, HPQC, UML, SQL, SQL Server

Confidential, Omaha, NE

Business Analyst

Responsibilities:

• Collaborated with project stakeholders throughout all SDLC phases to ensure timely delivery of business solutions.
• Gathered Business requirements. Interacted with the end users, Developers to get a better understanding of the tackling Business Ps, to create a Business requirement Document (BRD).
• Assisted project managers with the development of project schedules and manage scope using MS Project and Excel.
• Conducted business requirement meetings with multiple project owners to ensure dependent projects do not impact each other
• Interacted with end client for verifying User Requirements, managing Change Control Process, updating existing Documentation
• Facilitated team meetings and participated in Joint Application Development (JAD) sessions to gather Business/User requirements
• Created, updated, new and existing document templates for Software Requirement Specifications, Test Plan, Test Script, Traceability Matrix, Meeting Minutes.
• Reviewed and provided input to QA and UAT for their test cases and test scenarios
• Used SharePoint for shared workspaces, time management and time.
• Participated in meetings with Developers, Project Managers and Quality Analysts to discuss business requirements, test planning, resource utilization and defect tracking.
• Prepared graphical depictions of Use Cases, Use Case Diagrams, State Diagrams, Activity Diagrams, Sequence Diagrams, Component Based Diagrams, and Collateral Diagrams and creation of technical design (UI screen) using Microsoft Visio.
• Worked on Documentum for Version Controlling, to maintain up to date changes in the Documents.
• Assisted to develop the Test Plan, Test Cases and Test Scenarios to be used in testing based on Business Requirements, technical specifications and/or product knowledge.
• Conducted User Acceptance Testing, gathered and documented User Manuals and Business Rules.
• Helped prepare the template for text and email messaging and along with the variables in the message which can change based on data received from the client.

Environment: JAVA, MS Office, RUP, UML, MS Visio, MS Project, UML, XML, Rational Clear Quest, Microsoft Excel, Microsoft Word, Microsoft Power Point

Confidential, St. Louis, MO

Business Analyst

Responsibilities:

• Participated for the creation of Business Process Workflow Diagrams with Stakeholders.
• Involved throughout the business solution Development Life Cycle (SDLC).
• Conducted JAD sessions with business users and SMEs to identify and gather various functional and non-functional requirements.
• Worked closely with SME’s to go through contractual obligations and regulations required to dispense the various products.
• Utilized Rational Unified Process (RUP) to configure and develop process, standards, and procedures to create a Functional requirement Document (FRD). .
• Created artifacts such as Use Cases, Activity Diagrams, and Sequence Diagrams using MS Visio.
• Ensure that data reconciliation activities are performed regularly
• Ensure timely approval of data loads and timely escalation of data issues
• Identify all possible automation opportunities on the project and get the reports automated
• Reviewed System Test Plans, wrote test scripts and worked with business folks to validate and execute the test scripts.
• Defined logic for a dynamic question engine which populates questions based on patients profile.

Environment: PEGA Rules Engine, JAVA, Oracle, MS VISIO, HPQC, SharePoint, MS Office, SQL, SQL server, Sharepoint, AGILE

Confidential - Hurst, TX

Business Analyst

Responsibilities:

• Interviewed Business Users to gather Requirements and analyzed the feasibility of their needs by coordinating with the project manager and technical lead.
• Conducted extensive requirement analysis using Rational requisite pro
• Thoroughly studied the requirements for the process re-engineering
• Prepared Business Requirement Documents (BRD’s) after the collection of Functional Requirements from System Users that provided appropriate scope of work for technical team to develop prototype and overall system.
• Used SDLC (System Development Life Cycle) methodologies like the RUP and the waterfall.
• Developed UML Use Cases using Rational Rose and developed a detailed project plan with emphasis on deliverables.
• Interacted with users for verifying User Requirements, managing Change Control Process, updating existing Documentation
• Designed flexible project foundation enabling rapid implementation of e-commerce website capabilities
• Created Activity Diagrams, Sequence Diagrams and ER Diagrams.
• Created relationships in Requirement Traceability Matrix linking Business Requirements to Functional requirements and Functional Requirements to Systems Requirements.
• Conducted Joint Application Development (JAD) sessions with IT groups. Identified the Key Changes, and participated in Stakeholder Management to communicate effectively with them
• Developed and Documented timelines for Project Delivery, and managed Projects and Resources Management to successful completion.
• Prepared graphical depictions of Use Cases, Use Case Diagrams, State Diagrams, Activity Diagrams, Sequence Diagrams, Component Based Diagrams, and Collateral Diagrams and creation of technical design (UI screen) using Microsoft Visio.
• Worked on Documentum for Version Controlling, to maintain up to date changes in the Documents.
• Assisted to develop the Test Plan, Test Cases and Test Scenarios to be used in testing based on Business Requirements, technical specifications and/or product knowledge.
• Conducted User Acceptance Testing, gathered and documented User Manuals and Business Rules.

Environment: Borland CaliberRM, Unix, Oracle, SQL, SQL Server, Business Objects, Rational Rose and Requisite Pro, MS Visio, MS Project, UML, Rational Clear Quest, Rational Clear Case, RUP,MS Office.

Confidential, Bentonville, AR

Business Analyst

Responsibilities:

• Gathered business requirements, supporting transaction processing.
• Conducted requirements analysis using a Use Case driven approach and produced detailed use cases for all the interfaces.
• Established strategic partnerships with the business units to develop a solid understanding of the business line; including the business plan, products, and process and revenue streams.
• Functioned as a primary bridge between the business, operations, and the technical areas throughout the project cycle.
• Identified and validated high potential business opportunities for stakeholders and developed customized business strategies that are aligned with corporate strategic objectives.
• Provided analysis, understanding and businessperspectives on many financial and operational issues.
• Conducted several Requirement Gathering Sessions (RGS) for gaining detailed requirements and finalizing Business Requirement Document (BRD).
• Used rational tool for requirements management and saved requirements modules of database.
• Used Rational Unified Process (RUP) for streamlining the team’s development activities.
• Translated Business requirements to functional and technical language with the help of Use cases and UML diagrams for developers.
• Involved in preparing a simple and detailed User manual for the application, for an intended novice user.

Environment: Java, J2EE technology, Business Objects, MS Visio, RUP, Rational Rose 2002, Rational Clear Quest, Rational ClearCase, Rational requisite pro, rational test manager