OBJECTIVE

To take on a challenging role in business operations as a Business Analyst and give an efficient solution that would help the organization to achieve the best results which in turn would increase its productivity in the market.

SUMMARY

• Over 7 years of experience as a Business Analyst in deployment of Web-based and Client-Server applications with expertise in Health Insurance Claim process and Medicaid.
• Practiced in clarifying business requirements, performing gap analysis between goals and existing procedure/ skillsets, and designing process and system improvements to increase productivity and reduce costs.
• Solid understanding of Business Requirement Elicitation, Business Process Modeling, Business Process Flow, Data Analysis and Mapping, Business Intelligence and Analysis.
• Experienced in all aspects of the System Development Life Cycle SDLC having thorough understanding of phases such as System Investigation and Analysis, Design, Development, Testing and Deployment.
• Broad understanding of the SDLC methodologies like Waterfall, Agile, Rational Unified Process RUP , SCRUM and RAD.
• Highly proficient in interacting with business stakeholders and authoring Use Cases, Use Case diagrams, Sequence diagrams, Activity Diagrams, Collaboration diagrams, Class diagram, Statechart diagram and Component diagram based on UML methodology using CASE tools like MS Visio and Rational Rose.
• Interacted consistently with the development team and the management to meet deadline on project milestones.
• Excellent knowledge of HIPAA Health Insurance Portability and Accountability Act transaction codes such as 270/271 inquire/response health care benefits , 276/277 claim status , 470 benefit codes , 835 payment or remittance advice , 837 health care claim and 834 benefit enrollment .
• Experienced in conducting JAD sessions, project meetings, sprint meetings, walkthroughs and using burndown charts.
• Experienced in using Rational Clear Case for Version Control of requirement documents, Rational Clear Quest for tracking and prioritizing defects, and Fogbugz for bug tracking and defect management.
• Experienced in conducting User Acceptance Testing UAT , SWOT analysis, Risk Analysis, Cost Benefit Analysis and ROI Analysis.
• Utilized tools like StarUML, MS Visio, Pencil, Balsamiq Wireframing tool , Microsoft Office Project, Access, Excel, Outlook, PowerPoint and Word , and Adobe Creative Suite Dreamviewer, Photoshop and Flash .
• Familiar with programming concepts in ASP.NET, HTML/HTML5, CSS, JavaScript.
• Knowledge of BABOK Business Analysis Body of Knowledge .
• Strong Analytical and Problem Solving skills with ability to approach challenges and solve problems effectively, and multi-tasking abilities, with proven experience in utilizing people and process knowledge to assist enterprises in making critical decisions.

TECHNICAL SKILLS

Requirements Management Tools: Rational Requisite Pro, Rational DOORS. Business Modeling Tools: Rational Rose, MS Visio, Pencil, StarUML v2. Change Management and Version Control Tools: Rational Clear Quest, Rational Clear Case. Testing Tools: HP QuickTest Professional, Quality Center. Environments: C, Java, HTML/HTML5, CSS, ASP.NET. Wireframing and Prototyping Applications: Balsamiq, Gliffy. Tracking and Collaboration Tools: Jira, Confluence Data Bases: Microsoft Access, MS SQL Server and Oracle. Query Tool: TOAD for Oracle Operating Systems: Windows XP/7/8/8.1, Mac OS X, Linux Ubuntu 14.04. Applications: Microsoft Office Suite 2013 Word, Excel, PowerPoint, Project and Outlook , Adobe Creative Suite Dreamviewer, Photoshop and Flash , MS SharePoint, Microsoft Webmatrix 3, Team Foundation Server TFS , MS Visual Studio 2013.

PROFESSIONAL WORK EXPERIENCE

Insperity Payroll Services Orlando, FL Sr. Business Systems Analyst CONFIDENTIAL Provider Firm that provides an array of Human Resources and Business Solutions designed to help improve business performance. The Project Human Capital Management - Care was to enhance the Human Resource Client Website by upgrading the Payroll, HR administration, Benefits management, Government compliance reporting and agency interface, Training and development, Recruiting and outplacement support and to carry out market analysis using database management softwares.

Responsibilities:

• Spearhead process improvement and system implementation projects.
• Developed metrics used to determine inefficiencies and areas of improvement across the website.
• Identified process bottlenecks and implemented new and improved processes and policies.
• Ensured compliance with established internal control procedures by examining records, reports, operating practices, and documentation.
• Utilized Agile methodology to configure and develop process, standards and procedures and created a Business Requirement Document.
• Introduced the Agile SCRUM process for the Risk Data team and utilized Microsoft Team Foundation Server TFS to manage the team's software development lifecycle including deriving product backlog items, assigning sprint work items to developers and conducting sprint review meetings.
• Derived functional specifications document based on the User Requirement Specification and used JIRA for documenting requirements.
• Verified and tested the functional aspect as per the business process and validated the interfaces with the other systems and data conversion from the legacy systems.
• Programmed in SQL to perform quantitative data analysis on the large amount of data and produce ad-hoc reports for various departments.
• Assisted in performing smoke testing to ensure that the compiled software components of the application adhere to project standards, performance criteria and functional specifications to ensure feasibility of testing effort.
• Conducted highly interactive JAD sessions with project stakeholders and the project management team to identify and resolve issues.
• Organized the information between the team members about the project with the help of MS SharePoint and for efficient collaboration across different user groups.

Environments: MS Visio, Balsamiq, Gliffy, MS Project, JIRA, MS Office, Microsoft Access, MS SQL Server, Adobe Creative Suite, MS Team Foundation Server TFS , MS SharePoint.

CONFIDENTIAL Business Systems Analyst CONFIDENTIAL is a fastest growing pharmacy chain and part of nationwide health mart pharmacies, subsidiary of McKesson with its base in state of Florida. It's a provider to over 25000 health maintenance organizations HMOs , preferred provider organizations PPOs , commercial health insurances, Medicare Part D and State Medicaid patients. The project assigned to me was to develop a Pharmacy Benefit Management System along with a Health Insurance Claims Adjudication and Web Application.

Responsibilities:

• Gathered and identified business requirements from the business stakeholders and translated them to system specifications.
• Interacted with the business users and managers and coordinated and conducted several JAD sessions to finalize the Business Requirement Documents.
• Used Rational DOORS for Requirement management processes.
• Developed data flow diagrams to capture flow of information between systems.
• Worked as a liaison with the programmers and clients to convey business needs of the client in technical terminology.
• Created and maintained the Requirements Traceability Matrix RTM between the requirements, design documents and test plans.
• Gathered system requirements from user groups, worked with the users and programmers to produce more definite requirements and case studies to evaluate business needs for the pharmacy chain.
• Coordinated rollout plans for different applications and to mitigate risks and resource constraints.
• Carried out the maintenance and analysis of large datasets, importing/exporting data in various formats, querying datasets, data validation and report generation.
• Formulated queries in SQL to extract, manipulate, format and present data stored in relational databases, while maintaining strict confidentiality and security of the patient health information contained in the data sources.
• Carried out SWOT analysis to determine potential strengths to capitalize on market opportunities and reduce the impact of weaknesses/threats on the company.
• Created UAT cases and UAT scripts and assisted SMEs in UAT execution.

Environments: MS Visio, Rational Rose, Rational Requisite Pro, Rational DOORS, Balsamiq, Gliffy, Fogbugz, StarUML, ASP.NET, MS Visual Studio, MS SQL Server.

CONFIDENTIAL Commercial Analyst CONFIDENTIAL is a global contract research organization CRO providing discovery, development and post-approval services as well as compound partnering programs. With more than a quarter century of experience, PPD applies its therapeutic expertise and commitment to quality to help clients and partners accelerate the delivery of safe and effective therapeutics and maximize the returns on their R D investments.

Responsibilities:

• Accurately identify the business and functional requirements for the strategic process re-engineering and design
• Analyzed AS IS and TO BE processes. Created conceptual and logical data models as well as helping data warehouse developers in creating physical data model of the fact tables
• Authored Product Requirement Documents, System specification Documents including source-to-target mappings, use case specifications, business process modeling, requirement change request, data dictionary, page layout, error messages, business rules along with the technical staff and developers.
• Identified resources for information and source systems data flows.
• Facilitated JAD Joint Application Development sessions to identify business rules and requirements.
• Analyzed the business requirements and the impact of outbound and inbound interfaces with other legacy applications processes and reports .
• Responsible for requirements elicitation understanding, analyzing, optimizing , process reengineering, and system solution design, and documenting all the Key Performance Indicators KPI
• Employed Agile development process to assist with assessing unprecedented levels of tool and technology-specific guidance, helping to bring higher quality software development cycles into the project
• Supported UAT/business testing activities using Team Foundation Server as the tool to track Agile progress.
• Implemented and monitored Individual Development Plans focusing on total performance, including both quality and productivity Designed functional solution of the project.
• Maintained and updated test plan, test cases, test scenarios and test environment in QC throughout the SDLC
• Prepared Training documentation for end users to update customized information regarding employee status. Assisted in the post implementation activities
• Achieved collaboration across different groups by using MS SharePoint and keeping track of the progress by efficient management.

Environments: MS Visio, Balsamiq, Gliffy, MS SharePoint, MS Project, HP Quality Center, Fogbugz, StarUML, HTML/HTML5, CSS, ASP.NET, Team Foundation Server TFS , MS Visual Studio.

CONFIDENTIAL Business Analyst CONFIDENTIAL now acquired by MultiPlan in 2010 is the industry's most comprehensive provider of healthcare cost management solutions. They deliver more options, innovation and value for today's healthcare payers and providers seeking a strategic response to the evolving managed care landscape.

Responsibilities:

• Analyzed the business needs of clients and stakeholders to help identify business problems and propose solutions.
• Was responsible for gathering the requirements by using Elicitation Techniques.
• Understood the business requirements and made Business Requirement Documents, Functional Specifications Documents.
• Had knowledge of Project Management Tools and Techniques.
• Was responsible for making UML diagrams ERD, Flow Chart, and Activity Diagram on Microsoft Visio.
• Responsible for making DF diagrams and Presentations to Stake Holders.
• Performed UAT testing with Senior Test Members.
• Implemented Agile methodology and involved in Daily Scrum Meetings and Sprint Planning.
• Designed interfaces, data transfer mechanisms, global temporary tables, data partitions, and function-based indexes to enable efficient access to the database using SQL.
• Developed data models for applications, metadata tables and supporting database structures stored procedures, views, triggers, queries . Tested database changes.
• Developed and document database architectures, schemas, physical structure, functional capability, security, backup and recovery specifications.
• Demonstrated database technical functionality, such as performance, security and reliability.
• Worked on projects that included Medicare/Medicaid, HMO, PPO, POS claims sent out by Healthcare Provider Networks.
• In addition, resolved issues regarding Medicare/Medicaid claims that requires IRP Innovative Resources for Payors processing.
• Documented issues related to hospital's inpatient claims derived from DRG Diagnosis Related Groups that may be under/over reimbursed before the claim is submitted to the payor.
• Involved in drawing process flow diagrams and work flow diagrams in all phases of the SDLC.
• Assisted Project Teams in preparing Software Requirement Specifications SRS , User Interface Design, designing of Application Architecture Database Modeling. Evaluating the Design Quality Physical design checks, Normalization, Standards, Security
• Interacting with the stakeholders to get a better understanding of client business processes and gather business requirements.

Environments: MS Visio, Gliffy, JIRA, MS Project, Fogbugz, StarUML, HTML/HTML5, CSS, Microsoft Webmatrix, MS SQL Server, MS Visual Studio, Adobe Creative Suite.

CONFIDENTIAL Business Analyst CONFIDENTIAL has been set up under the State Financial Corporations Act, 1951. The Corporation operates in State of Maharashtra from 1962 and in CONFIDENTIAL The main function of MSFC is to meet the term loan requirements of small and medium scale industries for acquisition of fixed assets like land, building, machinery and equipment. The loans are given for setting up new industrial units as well as for expansion and modernization of the existing units. The objective of the Corporation is to promote more industries in backward and developing areas of CONFIDENTIAL

Responsibilities:

• Acted as a liaison between the business units and Information Technology divisions to ensure business needs were fully identified, requirements gathered and solutions developed to improve functionality and effectiveness.
• Completed Use Cases in BRD's as needed.
• Prepared and coordinated user acceptance testing, tracked results and provided appropriate reporting and change recommendations.
• Partnered with support teams to develop and provide user training and support.
• Conducted JAD sessions with the business partners and technical development team.
• Built and fostered rapport within the business areas to gather information and to influence participation and decision-making.
• Facilitated and planned meetings for presentation of status reports, findings, recommendations, and approvals with all levels within the organization.
• Worked closely with the Business Unit and the SME's to gather Business and System requirements, analyze, and document them in the Business Requirements Document.
• Hit target deadlines for project with aggressive deadlines and immovable go-live date.
• Participated in major plant maintenance including turnarounds, turn around planning, and vibration testing.
• Updated MSDS binders, plant maps, and plant drawing storage systems.
• Participated in CGMP and food safety audits, and gained experience working with MOCs, work orders, project management, troubleshooting methods, plant maintenance procedures, and validation checklists.
• Formulated User-Acceptance Testing requirements documents and test scripts.
• Coordinate the test results, prioritize the issues found and enhancements requested, and maintain the status log of issues to facilitate resolution.
• Created extensive documentation for user manuals, processes, and procedures geared toward diverse audiences.
• Significantly involved in the development of product enhancements and implementation of parameters into the loan origination system.

Environments: Rational Rose, Rational Requisite Pro, Rational DOORS, MS Project, Fogbugz, JIRA, HP QuickTest Professional, TOAD for Oracle.

CONFIDENTIAL

Junior Business Analyst An Institute established in May 1983, Kolhapur Institute of Technology reflects the vision of leading industrialists and educationalists. The vast exposure and experience of its founders has helped KIT to establish its identity as an Institute of repute in the field of engineering and management education. Their approach is to build strategies for leadership and organizational transformations and to promote individuals who are dedicated to achieve excellence.

Responsibilities:

• Actively involved in requirement gathering and requirement management.
• Conducted JAD sessions with different stakeholders and development team as and when necessary to elicit use cases.
• Developed requirement traceability matrix and attribute traceability matrix to manage changing requirements.
• Used Waterfall methodology for all of the projects under development.
• Created full life cycle documentation from product requirements in the developmental stage to functional specifications for the completed modules of application components.
• Created Use-Cases, Sequence and Activity Diagrams to demonstrate software architecture and interaction of system components before prototyping.
• Performed ad-hoc analysis including price increase targeting, standard cost modeling, and risk mapping.
• Interviewed the domain experts and carefully recorded the requirements in the format that can be reviewed and understood by both business people and technical people.
• Assisted in documenting various business related texts.
• Helped in designing workflow diagrams with the help of MS Visio.
• Worked as part of the QA team for designing Test Plan and Test Cases for Quality Assurance Testing.
• Had done the data setup in the QA environment to perform the Baseline testing and Post code fix testing for the test case execution.
• Prepared documents to conduct professional meetings for the client and team members.
• Participated in enhancement meetings to make the product more effective in real time. Worked with developers and QA Analyst to clarify the SRS.
• Extensively used brainstorming sessions to generate ideas.

Environments: Rational Rose, Rational Requisite Pro, Rational DOORS, Balsamiq, MS Project, MS Office.